Nursing Managment Essay Example for Free

Nursing Managment Essay Article Review of â€Å"A Handoff Report Card for General Nursing Orientation This article examines the strengths and weakness of the orientation process of new grads or new nurses to a unit or hospital. By the use of a 100 point score report card containing a summary of the nurses skills, knowledge, and also use of the Benner which measure clinical performance and critical thinking. The article addresses the use of a report card to better communicate the strengths and weakness of the orientees’. This report card is handed off to the next person in whom the new nurses will orient. The handoff is designed to create continuity and accuracy. An example of the type of data that would be measured by the handoff report includes items such as the nurses’ experiences and documentation of strengths and areas that need to be developed or improved. The report card is based on 3 assessments 1. The orientees own self-assessment 2. The instructor’s assessment 3. Competition of competencies From the first day on the unit, the nurse identifies his/her learning type using Benner’s Theory. This provides the nurse with a baseline of where their own individual level of development has reached, as well as, the preceptor, manager, or instructor. Secondly, the instructor assessment measures the orientees’ knowledge and performance. This report card is divided into 4 areas of measurement. The types of areas of measurement are areas such as: nursing interventions, documentation, critical thinking, nursing behaviors, clinical judgment, and several other areas. The last area of measurement is the nurses’ skill level. Several types of competencies were set up to determine if the nurse was competent to function on the unit. In conclusion, the report card was discussed with the leadership team, so that the orientation is more focused on the needs of the oreintee, based on the unit in which the orientee is being trained to work. As I was reading this article, it re minded me of an article that we had read at work. In the American Journal of Critical Care 2009, there was a research study completed to determine the best way to evaluate the new grads, new nurses, and it also evaluated the current nursing staff. In the study, most of the data that was returned was from the new grads. The suspected reasoning was the enthusiasm of the new grads. But the overall outcome, was positive, but mostly helped the management team to better evaluate the competency of their nurses. Currently, in the unit I work in we are challenged with determining the strengths and weakness of our newly hired nurses. Some of the nurses stated that they came to our unit with experience from different venues; however, their level of care has left us with many voids. I personally, enjoyed both articles and the effort of increasing critical thinking and professional behaviors on the clinical floor. Remember we all one day may be patients. Hargraves, L., Nichols, A., Shanks, S., Halamak, L. (2010). A Handoff Report Card for General Nursing Orientation. The Journal of Nursing Administration, 40(10), 424-431. Kleinpell, R. (2009). Evidenced Based Review Discussion Points. American Journal of Critical care, 18(3), 261-262.

Stress Essay -- essays research papers

In years past, careers were milestones, which demonstrated successful accomplishments within our lives. Men utilized their careers to stake claim in society; a way to categorize their family’s worth. â€Å"Honey, I’ll be working late tonight† sometimes signified that the â€Å"gang† would have a long evening of crunching numbers, entertaining clients, or even smoking cigars with the boss while talking shop. If life went according to plan, and you chose the perfect career, the worst part of your workday would be choosing the best tie to match your navy pinstripe suit. Well, things have certainly changed. Careers are no longer guaranteed based on who-ya-know concepts. Today, young men and women both prepare frantically in high school to have the best grades and make the right contacts to ensure that once they graduate, they are accepted in a top-notch colleges, in hopes to transition into the perfect career. Little do they know, that because of the changing times, high demands, advancement in technology, liberal concepts, unethical business practices, etc., careers are no longer work filled bliss and may cause a great deal of work-related stress. When you accept a position for employment, one of your last thoughts is â€Å"gee, I wonder if the work environment here causes a great amount of stress.† Of course, if you are a day trader or a high risk emergency room doctor, you have some idea that your position within the organization will in fact be demanding and have a level of stress that is greater than other careers. But, if you are a bank teller, college professor, or a bus driver, work-related stress may not be a deciding factor when one accepts a new job. There are various definitions defining the word stress. Stress is â€Å"a state of extreme difficulty, pressure, or strain,† as defined by the American Heritage Dictionary of the English Language (Author Unknown, 2002). Stress can also be comically defined as, â€Å"the confusion created when one’s mind overrides the body’s basic desire to choke the hell out of someone who desperately deserves it† (Author Unknown). Though both definitions accurately describe stress, Robert N. Lussier, author of Human Relations in Organizations, defines stress as â€Å"an emotion and/or physical reaction to environmental activities and events† (Lussier, 2005). When defining work-related stress however, emotional or physical relations that occur are ... ...y and exercise. Exercise produces endorphins, which help make you more upbeat and cheerful. â€Å"Think positive† (Lussier, 2005). It is ok to admit when you are at fault. But, once you do, learn from it, get over it, and move on. There are many ways to detect and treat stress. These are only a few that may be used as a preventative measure. Of all the suggestions listed, the most important is to relax. The old saying goes â€Å"take one day at a time.† Once you have made the accomplishment to get that great job, see it as an opportunity and not a stress filled threat. References Armour, S. (2002, May 16). Employees seek worker’ comp for on-the-job stress. USA Today, News, 01a. Author Unknown (2005, January 27). Management standards for work-related stress.   Ã‚  Ã‚  Ã‚  Ã‚  January 31, 2005, from http://www.hse.gov.uk.stress/standards/index.htm Author Unknown (2002). Dictionary.com The american heritage ® dictionary of the english language, fourth edition. January 31, 2005, from http://dictionary.reference.com/search?q=stress Lussier, R.N. (2005). Human relations in organizations: applications and skill-building 6th edition. (pp. 45 – 50). New York, NY: McGraw Hill

Indian Horse Essay

Jerome?s, and finally ends when he is an adult unraveling the layers Of his Firstly, Sail's journey for the truth begins in his early childhood. Past. During this time, Saul faces many demons he does not know how to deal with, so he chooses to run away from them. By doing this, Saul is haunted by these demons for the rest of his journey. At a young age, he witnesses the impact residential school has on his mother: â€Å"It was as if she was under the influence of a potent medicine no shaman had the power to break† (Wages 9). As he sees his parents reject their reality, he also rejects his win reality.This hinders Sail's journey, as reality must be taken for what it is, not hidden away. His parents also drink as a way to escape: † â€Å"80th my parents had taken to the Sunshades drink, and we left the bush in pursuit of it† (Wages 12). This further distances them from Saul, to the point where they are not there to raise him. This is why Saul embarks on his journey alone, as he believes that there is no one else able to help him. Finally, the only beacon of light in Sail's childhood, his grandmother, dies in his arms: â€Å"Instead, she was gone. Frozen to death saving me, and was cast adrift on a strange new rive' (Wages 24).Sail's grandmother is very important to him, so upon her death, Saul loses hope that his reality can be handled. From this, Saul tries to escape reality rather than face it, but the consequence is that he is unable to progress from this time period. He chooses to bottle up all these traumatizing events within himself, but this sets off his tumble into darkness. Due to his troubled upbringing, Saul does not accept his life as an Indian, nor the person that he used to be. Thus, the central theme is introduced, that people's past must be confronted, not avoided, so that they can move on, and accept their former selves.Secondly, after Saul enrolls at SST. Groomer's, he suffers deep mental and physical abuse, which hinders hi s journey for the truth. His time at SST. Jerome is the most traumatizing period of his life, as Saul clearly states â€Å"SST. Groomer's took all the light from my world† (Wages 35). The harsh environment Of the school scars Saul emotionally: I saw kids die of tuberculosis, influenza, pneumonia and broken hearts at SST. Groomer's. Saw young boys and girls die standing on their own two feet. I saw runaways carried back, frozen solid as boards. I saw bodies hung from rafters on thin ropes.So I retreated. T hats how I survived. Alone. When the tears threatened to erupt from me at night I vowed they would never hear me cry. I ached in solitude. What I let them see was a quiet, withdrawn boy, void of feeling. (Wages 44) Saul pushes away this reality by this by cutting himself off from the rest of the world and forgetting his true self. By doing this, he is able to survive, but he is arced to deal with the truth much later in his life. This would push back Sail's journey, as it co ntributes to the demons that he faces and carries with him.Ignoring reality just makes it even more difficult to deal with it afterwards. However, Saul is also special, as he is gifted with the vision that allows him to excel at hockey. Thus, he uses the sport as a distraction: ‘When I hit the ice I left all of that behind me. Stepped onto the ice and Saul Indian Horse, the abandoned Ojibwa kid, clutched in the frozen arms of his dead grandmother, ceased to exist† (Wages 66). Hockey is Sail's shield, and it is the way that he escapes from reality, but it does not help him confront his past. Instead Saul runs away from his past.No matter what people do, their past will always catch up with them. Finally, Saul reveals that Father Liberties raped him: â€Å"He was my captor, the warder of my innocence. † (Wages 162). The reader does not know this until much later, and this is reflective of Saul. Since he chooses to oppress those memories so that he forgets, he also a llows Father Liberties to continue to rape him. Those who ail to understand the past are bound to repeat it. As Saul is not able to fully comprehend the reality of his time at SST. Groomer's, he chooses to bury it deeply within himself.However, by doing this, Saul suffers great consequences, and he is unable to progress in his journey searching for the truth. This develops the central theme that the past must be confronted, not escaped, to be able to move along with life. Finally, much later in his life, Sail's journey comes to an end, and he is able to accept himself. Initially, when he loses his protection that was hockey, Saul is forced to slowly and eloquently face his past: M/hen the racism of the crowds and players made me change, became enraged because they were taking away the only protection had.When that happened, I knew that the game could not offer me protection any longer. The truth of the abuse and the rape of my innocence were closer to the surface. † (Wages 160 ) Yet, this is not the end of his journey, as he is not ready to face his past. As Saul prolongs his journey, he also continues to suffer. He dodges the past by pursuing a nomadic life before taking to alcohol: â€Å"In alcohol I found an antidote to exile . Covered that being someone you are not is often easier than living with the person you are. I became drunk with that. Addicted.My new escape sustained me for awhile† (Wages 144). By doing this, he faces even more demons, forcing him to dig even deeper to find the truth. Finally, Saul come to the realization that he must visit SST. Groomer's, now closed, and God's Lake, the place of his upbringing: â€Å"I'd never walked the shore of the lake completely. But did so that day, and every step closer to our old family campsite transported me further back. The angst in my belly disappeared. My thoughts cleared. I walked in a peace could not recall having experienced before† (Wages 163).Saul must come to terms with himsel f, so that he is able get rid of all the demons that he carries. By doing this, he is able let go of the past, and progress into a new phase of his life, one in which he is not constantly trying to escape. This leap is very difficult for Saul, but by doing this, he was able to find the truth he was searching for, thus completing his journey. His journey, albeit long and difficult, is ultimately successful, as by miming to terms with his past, Saul is relieved of all the pain he has been holding onto, and is able to accept himself.This also finishes the development of the theme that the past must be confronted to be able to move along. It does not manner the journey that people take to come to terms with the past, but it is only necessary that in the end, they are able to accept the past for what it is. In conclusion, Sail's life can be seen as a journey. From his days as a young Indian to his early adulthood, Saul choose to oppress any collections of the harsh reality of his childho od, instead choosing to distract himself with hockey, work, and alcohol.

The Status Of Women Can Be Related When Observing The...

The status of women can be related when observing the economic, social, and political aspects of a first or third world country. When a country has a good economic position in terms of infrastructure, labor and education, we can relate how much power or social equality will be distributed for each individual. In a first world country like Canada women earned in 2013 approximately a total income of $30, 100 whereas men earned $47,000 (Williams, 2010, p.7). Even though the economic gap proofs to have a wage disparities, this has helped women to gain power, voice, and rights for their fight for equality. Living under a first world country, can be an advantaged for many women who have better opportunities and other benefits offered in their country. On the other hand, living under a third world country where the economy is limited and controlled this will have a huge impact on the, status and rights for women. According to the Department of Labor and Employment (2016) in Myanmar an indi vidual makes approximately $2.74 an hour. The position of women can be maximized or minimized on many variants such as political participation, social environment, marriage, and domestic violence this will benefit or affect the status of women. Politics can have a huge influence on the opportunities and advantages that each gender can develop in order to expand their rights. Accessibility to a political party is important for the status of women. For example according to the InternationalShow MoreRelatedThe Transnational Migration And Chicago Is Like Many Others3315 Words   |  14 Pagesthe different way that religion, gender roles, and social expectations interacted within society to create cultural dynamics was vastly different in America, specifically in terms of gender roles and gendered behaviors. And as I grew older, I began to see how differently I would’ve grown had we chosen to stay there. 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