Personal Understanding Of Advanced Practice Nursing

Personal Knowing and Its Relevance to Advanced Practice Nursing Throughout the development of theory in the discipline of nursing there are concepts of knowledge that are fundamental. Four of these patterns of knowing were first explored by Carper (1978) which included: empirical knowing, ethical knowing, personal knowing, and aesthetic knowing. Later, an additional facet was added by Chinn and Kramer (2008) which introduced emancipitory knowing. While all of these forms of knowledge are critical for holistic nursing care, this paper will place an emphasis on personal knowledge and how it contributes to the development of knowledge within nursing and the roles of advanced care practitioners. What is Personal Knowledge? Personal knowledge is the most ambiguous of the five patterns of knowing. Much of this is due to the fact that there is no way to neither verbalize nor teach personal knowledge, yet it is deemed, â€Å"the most essential to understanding the meaning of health in terms of individual well-being† (Carper, 1978, p. 18). Personal knowledge describes the awareness of not only one’s self but also the patient as an individual with worth, and the meaning of the moment (Chinn Kramer, 2008). While it cannot be articulated, personal knowledge is expressed as a â€Å"genuine self† and can be partially conveyed through written works such as autobiographies and stories of meaningful interactions (Chinn Kramer, 2008, p. 7). Being a form of knowledge that is incapable of beingShow MoreRelatedProfessional And Personal Application Statement1580 Words   |  7 Pages Professional/Personal Application Statement Stephanie Sciaudone University of Indianapolis â€Æ' Introduction Transitioning into the role of an advanced practice nurse requires more than simply gaining more education or demonstrating leadership abilities beyond that of a traditional registered nurse. 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An Examination of the Potential of REACHs Convenience...

An Examination of the Potential of REACHs Convenience Meal Program Introduction The purpose of this paper is to examine the value that the Convenience Meal (CM) program has to Regina Education and Action on Child Hunger (REACH). The CM program sells frozen meals primarily to senior citizens in Regina. It is a unique program which serves an undeserved demographic. This paper will seek to first better understand the environment in which the CM program operates, before examining its importance to REACH as an organization. In doing so it will become clear if and how the program should be expanded. Environmental Scan Demographic Changes There can be no doubt that the population and proportion of senior citizens is growing. Between†¦show more content†¦(Elections Canada 2008) This allows seniors to help set the agenda, in large part because they must be included in election platforms. This influence will only increase as the number of seniors grow. In fact, the government has already commissioned several reports on the issue of serving an ageing population. One such report from the Saskatchewan Provincial Advisory Committee of Older Persons makes two recommendations that are of particular interest to REACH. The first is that the government work to disseminate information about home care services to clients to increase program uptake. The other is that existing community organizations be asked to provide a range of services to assist individuals maintain their independence. (Saskatchewan Provincial Advisory Committee of Older Persons. 2003) A Home Care Program Review prepared by Holland er Analytical Services reiterates this second point. (2006) Given the demographic and political realities, coupled with the policy advice the government is receiving, it is likely that the government will act on this issue and that it will seek to do so through established community-based organizations. The Importance of The Convenience Meal Program to REACH REACH is an organization which is concerned about food security. While its name and its mandate are currently focused on children, its programs are not limited to that group. With the increasing senior population

Cell phones in our lives free essay sample

Is there anyone who doesn’t have a cell phone? Probably not. Not so long time ago a cell phone was a sign of prosperity and wellbeing, but these days we have a different scene. Cell phone industry is booming recently affecting many areas in our lives. Since 80’s a cell phone have changed a lot, becoming more than just a phone. These gadgets connect people through social networks like Facebook and Twitter. Nowadays everyone has a cellphone, and even a toddler know how to use it. Because of that, cellphones have affected many areas in our lives, for some effects are truly negative, and the others have a positive effect on our lives. First of all, cell phones are ruining the social life of people. I consider this is a huge problem for our society. People have forgotten how to interact with each other. Before that, individuals went out to see each other, and to talk to each other, but now if you look around you’ll see that everyone is checking on his cellphone. We will write a custom essay sample on Cell phones in our lives or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In restaurants, everyone is viewing their smartphones checking on their Facebook status, messaging or doing other activities instead of sharing things with the person who is sitting next to him. Personally for me, this fact is very annoying. I have some friends who are checking on their smartphones all the time. Once, my friend came to me; we were talking, and then suddenly she took her phone out and checked her Facebook. I was very angry because she didn’t hear a word what I said. I was offended. In my opinion, when a person is looking at his phone while someone is talking to that person that means that that person is showing lack of respect regarding the other person. Soon this phenomenon will become a disease, but I hope it won’t happen. People will realize that a real person is better than a cell phone. Another negative effect of cell phones is on education. Without a good education we can’t hope to have a healthy and prosper society. In schools and colleges cell phones have become a major problem. Students text each other during classes. Sometimes it might be something really urgent and important, but most of the time students make fun of someone who is sitting in front of them, or make fun of the teacher. The worse part of this activity is that when you’re texting or checking you’re Facebook account, you can’t hear what teacher says. I guess the student could be considered absent from that class. He can’t process any information that teacher tried to give him. Also, many student use cellphones to cheat on the tests and exams. Some of them try to find the information surfing the internet, and others have the answers in their cellphones saved in text format. I studied a few years in college in Romania, and I learned that students get very creative developing methods in cheating. In Romania, the most common way of cheating with cell phone is using a micro hand free earphone that is introduced in the ear. When the student hears the question, he will whisper them into a small microphone attached to his jacket, and someone else will look up the answers for him and will tell him. I think this is very sad. Students get very creative with cell phone cheating, and it is very hard to detect a cheater. Cellphones can destroy the basics of our education. Cell phones not only have bad effects on our lives, but they also have major positive which keeps us connected. I think that cell phones improve lives for people who have families that live far away. Before cellphones people had just house phones, and it was hard to find somebody at home. Especially for people who travel a lot, cellphones have helped considerably. You can call home or another cell device from any part of the world and tell people who care about you that you’re fine. Parents also appreciate the effect of cellphones on their families. If you’re children are late from school or from a party, you can always call and check if they’re fine, and where they are. Also, for people who emigrate to another country, cellphones have saved some nerves because sometimes you have a feeling that something isn’t right back at home, and you need to hear the voice that tells you that everything is fine. Particularly during disasters it’s very important to have an opportunity to call home and to ask if they are fine. Cell phones facilitate reconnection with those relatives who live far from us, and keep us in touch with those who live much closer. In conclusion, cellphones have brought many things to our society. Some people consider them evil machines, others lifesavers. Every person can decide for himself how he feels about cellphones. In my opinion, cellphone is a great invention of XXI century, but people must learn to use them in moderation.

Kate Chopin Gives A Womans Voice To Realism Essays - Frdric Chopin

Kate Chopin Gives A Woman's Voice To Realism Kate Chopin succeeded in giving a woman's voice to realism. While doing this she sacrificed her career. This seems to be a higher order of feminism than repeating the story of a woman as victim...Kate Chopin gives her female protagonist the central role, normally reserved for the man, in a meditation on identity and culture, consciousness, and art. (Robinson 3) The role of woman in the society Chopin creates is of special interest and relevance. (Robinson 6) Introduction to Kate Chopin Before Kate Chopin came onto the writing scene, women had an insignificant role in society. Women never did anything that would cause some sort of controversy. All literature focused around a male main character as well. Most stories being written at the time were about male characters and their stories, not the women. Kate Chopin changed that. Kate Chopin was born Katherine O'Flaherty. She was born in St. Louis, Missouri in 1851. Her father was an Irish immigrant and her mother was of French descent. They introduced Kate to music and writing at an early age. (Elements of Literature 481) At nineteen she married Oscar Chopin, who was a French Creole from New Orleans. They had six children together. After her husband's sudden death IN, she moved back to ST. Louis and began to write. In 1890 she published her first novel. Her stories concerned the life of French Creole in Louisiana and were praised for their accurate portrayal of the French. Her themes are a much more controversial matter: it was the repression of women in Victorian America. This theme was presented in her famous novel The Awakening. (Robinson 15) The Awakening Kate Chopin's most well known piece of work is The Awakening. This is her first full novel she wrote. It's an extraordinary piece of work about a Creole woman who is not a good example of the conventional mother in that society. Kate Chopin's popularity was evident until critical disapproval of this novel. (Allen 54) The main character is Edna Pontiellier. A rather handsome woman. Her face was captivating by reason of a certain frankness of expression and a contradictory subtle play of features. Her manner was engaging. (Chopin 4) Unlike many other women characters of that time. Edna smoked, and often took walks along the beach, unescorted. That was something most women would never be caught doing. Kate Chopin created and unforgettable character that other women writers of that time would seldom create or write about. (Allen 23) Edna Pontiellier is a happily married woman in the beginning of the novel. She is living in a rich New Orleans neighborhood. She is somewhat of an outcast because she does unconventional things. Eventhough she is married and is supposed to be with her husband, she is often seen with another young man. This character is Robert Leburn. The more time Edna spends with Robert, the more she becomes attached. Other characters in this novel openly speculate what is going on between these two. As the novel continues, Edna begins her awakening. She realizes that she is falling in love with Robert. She also feels much stronger as an independent woman. As the novel draws to a close, Edna and Robert confess their love for eachother. Later on, Edna goes for a swim in the ocean, she goes out further than any other woman. While out in the ocean, she realized that her awakening is complete and that she can never live in this society. Kate Chopin received a great deal of criticism for this novel. Many women during this time were going through something like Edna's awakening to independence in this novel. Numerous critics and readers banned this book and gave it bad reviews. A few loved it. (Moers 10) The Awakening is the one novel that ruined her career, but it also is one of the great masterpieces ever written. This novel is not a simulated case study, but an exploration of the solitary soul still enchanted but the primal charged, and intimate encounter of naked sensation with the astonishing world. (Robinson 20) Kate Chopin's Short Stories Kate Chopin has wrote many short stories. Most of these stories are about women overcoming obstacles. The main characters are usually women. She wrote a

18 Steps That Will Help You Quit a Job That You Hate

18 Steps That Will Help You Quit a Job That You Hate Is your job awful? Or just profoundly unfulfilling, and not challenging or helping you to grow in the most important ways for your career? If you know you’re not really where you need to be but you’re plagued by the what ifs, consider taking these 18 steps to see whether it might be scarier to stay at your job than working up the courage to quit and moving on to another opportunity. 1.  Think long and hard about your life and your choices.Are you living the life you want, or used to dream of? Or are you letting your shots be called by what is expected of you, or what you perceive you should be doing? Take a step back and see where you stand. Are you working towards great things? Or are you mired in mediocrity? If you’re not living the life you desire, and you find yourself being passive in your choices, start taking active steps to change that. Live by design, not by default.2. Fear the â€Å"if only† more than the â€Å"what if.†As scary as it is to start over (at any point in your career), isn’t it scarier to think of yourself regretting having stayed put several years down the line? Regret rarely shows up until it’s too late. Try to fear failure less than dissatisfaction when your chances at another chance dry up.3. Think, What’s the worst that can happen?†Imagine the absolute worst case scenario. All your gravest what-ifs. What does that look like? Clearly define what your biggest fears coming true might look like. Then ask yourself, â€Å"So what?† Is it livable? Workable? Even, perhaps, preferable to your current situation?4. Trust your gut.If there’s a nagging little voice in you telling you to quit and go after something better? Chances are you’re right. Listen to yourself and act deliberately to affect the change you crave. Think of it as your inner GPS.5. Trust what you love.Have the confidence to know that you’ll be better off- and much happier- if you’ re doing what you love. Even if you’re doing something you just like more. If you can’t get to your dream job in one leap from your current one, try a stepping stone. Anything is better than stagnation, particularly when you aren’t happy where you are. Think of all the time and energy you’re putting into what you don’t love. Imagine how much better you could be and feel!6. Make decisions based on happiness.Studies actually suggest that happiness fuels success and good performance- rather than the other way around. Build a life and career around what makes you happy and the rest should follow, crazy as it sounds.7. Set a  good example for others.Visualize your little sister or your best friend’s kid in your shoes. Now imagine them copying your choices and your solutions. Does this make you cringe? Inspire future mentees by pursuing what you really want and need most out of life.8. Live in the current moment.It’s important to keep an eye on the future. But it’s just as important to stay grounded in reality. Be realistic about what you can and can’t accomplish from where you are right now. What can you actually do now? Start there.9. Don’t despair.You are not alone. What you feel is totally normal and human and a lot of people out there are going through the same exact thing. Take comfort in that fact.10. Get clear on your purpose.You want a change, but why? Get clear on why you are unhappy, why you are leaving, why you’re taking the risk. As long as you stay on message, you’ll stay focused and can trust that you’re moving in the right direction.11. Get to know your own gifts.We all have our own unique talents and strengths. Let your passions lead you to understand yours and then lead with that. Trust yourself and show the world what you have to offer.12. Build a web of support.Find people who support, inspire, and motivate you. Who think like you do and are open to the s ort of life you want to lead. Build a network of these people, both business and personal, in person and online.13. Realize you might have to take a risk to make a gain.A small risk now, or a small sacrifice even, can pay large dividends down the road. Bet on yourself and figure out how to be a winner when the chips are down.14. Aim to please†¦ yourself.Imagine yourself on your deathbed. Are you proud of current you? Try living in such a way that would put a smile on the face of your past selves. Make sure you end up fulfilled and content with what you’ve chosen.15. Remember timing can be everything.But that doesn’t mean you have to wait for the perfect conditions for a change or a leap of faith. Perfect conditions will never appear. You’ll never be 100% prepared to make a major switch. Align as many stars as you can, but remember that sometimes you have to accept that things may never be perfect. Neither can you. Do what you can in the moment that presents itself.16. Trust the path.You may not be able to see where all this leads, but if you’re following your gut and staying true to your purpose (and reality), you can trust that it will take you where you need to go. Focus only on the next step.17. Get comfy with uncomfortable.Change is scary and uncomfortable. New is hard and daunting. Make being uncomfortable your new comfortable. Make this part of your journey.18. Have faith, not fear.Both faith and fear are kinds of uncertainty. Focus on what you do want, rather than what you don’t. And take active steps to make that happen. Don’t just sit back and worry that it won’t be possible.You never have any guarantees of how anything will turn out. But if you listen to yourself and make mindful choices in your life, you won’t go too far wrong.

How to Prevent a Shark Attack

How to Prevent a Shark Attack Even though youre more likely to die from a lightning strike, alligator attack or on a bicycle than from a shark attack, sharks do sometimes bite humans. In this article, you can learn about the actual risk of a shark attack, and how to avoid one.​ The International Shark Attack File The International Shark Attack  File  was developed in the late 1950s to compile information on shark attacks. Sharks attacks may be provoked or unprovoked. According to the International Shark Attack File, provoked attacks are those that happen when a person initiates contact with a shark (e.g., bites occurring to a fisherman removing a shark from a hook, a bite to a diver that has touched a shark). Unprovoked attacks are those that occur in the sharks natural habitat when a human has not initiated contact. Some of these may be if the shark mistakes a human for prey. Over the years, records of unprovoked attacks have increased - in 2015, there were 98 unprovoked shark attacks (6 fatal), which is the highest on record. This doesnt mean sharks are attacking more often. It  is more a function of increased human population and activity in the water (visiting the beach, increase in participation in scuba, paddle boarding, surfing activities, etc.), and the ease of reporting shark bites. Given the large increase in human population and ocean use over the years, the rate of shark attacks is decreasing. The top 3 attacking shark species were the white, tiger and bull sharks. Where Do Shark Attacks Occur? Just because youre swimming in the ocean doesnt mean you may be attacked by a shark. In many areas, large sharks dont come close to shore. The regions with the highest percentage of shark attacks were Florida, Australia, South Africa, Brazil, Hawaii, and California. These are also regions where lots of people visit the beaches and participate in water activities. According to  The Shark Handbook, most shark bites occur to swimmers, followed by surfers and divers, but the majority of these bites are minor flesh wounds or abrasions. Ways to Prevent Shark Attacks There are many ways (most of them common-sense) that you can avoid a shark attack. Below is a list of what not to do if youll be swimming in waters where sharks might be present, and techniques for getting away alive if a shark attack really does happen. How to Avoid a Shark Attack: Dont swim alone.Dont swim during dark or twilight hours.Dont swim with shiny jewelry.Dont swim if you have an open wound.Dont swim too far offshore.Ladies: dont swim if youre menstruating.Dont splash excessively or make erratic movements.Keep pets out of the water.Dont swim in areas where there are sewage (for other obvious reasons!) or pinnipeds that are hauled-out. Both areas can attract sharks.Dont swim in areas being used by fishermen, as their bait could attract sharks.Dont push your luck - never harass a shark. Get out of the water if one is spotted and never attempt to grab or touch it. What to Do If Youre Attacked: Lets hope youve followed safety advice and successfully avoided an attack. But what do you do if you suspect a sharks in the area or you are being attacked? If you feel something brush against you, get out of the water. According to an article from National Geographic, many shark bite victims dont feel any pain. And sharks may strike more than once.If you are attacked, the number one rule  is do whatever it takes to get away. Possibilities include yelling underwater, blowing bubbles, and punching the sharks nose, eye or gills and then leaving the area before the shark strikes again. Protecting Sharks Although shark attacks are a horrific topic, in reality, many more sharks are killed by humans each year. Healthy shark populations are crucial to maintaining balance in the ocean, and sharks need our protection. References and Additional Information: Burgess, George H. 2011. ISAF Statistics on Attacking Species of Shark. (Online). FL Museum of Natural History. Accessed January 30, 2012.Burgess, George H. 2009. ISAF 2008 Worldwide Shark Attack Summary (Online). FL Museum of Natural History. Accessed February 5, 2010.Burgess, George H. 1998. Just for Kids: How to Avoid a Shark Attack Reprinted with permission from The Kids How to Do (Almost) Everything Guide, Monday Morning Books, Palo Alto, California. Accessed February 5, 2010.ISAF. 2009. International Shark Attack File. (Online). FL Museum of Natural History. Accessed February 5, 2010.Skomal, G. 2008. The Shark Handbook. Cider Mill Press Book Publishers: Kennebunkport, ME. 278pp.

The case therefore presents a challenge for students of Multi National Essay

The case therefore presents a challenge for students of Multi National Strategy - Essay Example This way a substantial amount of time taken in the drug development process can be saved. (Gonzalez-Benito, 30) The issue that occurs here is that testing drugs in poor countries gives rise to ethical concerns. Then dealing with the pharmaceutical critics becomes both a managerial concern and issue. These critics come up with claims that companies have failed to develop cures and only test drugs in the developing world intended for wealthy nations. (Lou Ann Di Nallo, 2008) In recent years the rising affluence in developing nations has created new incentives for drug makers to produce treatments over here. Also the huge population in developing countries makes a large market for the drug makers. However, according to advocates of social responsibility, the main responsibility for drug makers in the developing countries is to provide to their citizens an access to health care at affordable prices and to fight the neglected diseases prevalent over there. Which means these large companie s need to come up with programs that would at any time put the need for meeting public health care ahead of their profits. These kinds of programs will then eventually lead to improved relations with the host countries and will also promote the growth of market there. Therefore, addressing to the needs of developing counties has become an important part of pharmaceutical companies’ agenda. (Nott, 1996) In developing countries, the issue of getting intellectual property rights for the development of new drugs by pharmaceutical companies becomes an issue. This is because property rights or patents can be a disadvantage for developing countries in two ways. Firstly, these will increase the knowledge gap and secondly the producers of knowledge will have more bargaining power as a result. And most of these producers of knowledge themselves live in developed countries. Giving out patents will put the developing nations in a weak bargaining position when negotiating prices from the monopoly suppliers of drugs. Also, is believed that by awarding such rights to multinational companies, the introduction of new products by the local industries will be delayed and new medicines will become more expensive for a common man in these poor countries to afford. The resulting impression will be that of denying the people an access to the new drugs. (Charles Y.J. Cheah, 2004) Therefore the defense of the intellectual property rights is one of the major managerial issues of pharmaceuticals in developing countries just like the case of Novartis in India These companies argue that these rights would promote innovation and technological development which will eventually lead to social welfare and economic growth in developing countries. Patents provide an incentive to producers for investing in research and development, hence innovation. (Shah, 2010) Therefore, choosing a strategy that gives the company a reputation of being responsible while at the same time lowers the innova tion cost needs to be established. Companies expect reasonable rate of return for their investments on new drugs developed which would at times also mean charging a price that is much higher than what the market can afford to or is willing to pay. This lack of opportunity to make profits can be demotivating and lead to some