Thursday, January 23, 2020
The Nurse Managers Role In Phy Essay -- essays research papers
Collaboration     3 The nurse mangers role in creating a collaborative work environment The nurse manager is vital in creating an environment where nurse-physician collaboration can occur and is the expected norm. It is she, who clarifies the vision of collaboration, sets an example of and practices as a role model for collaboration. The nurse manager also supports and makes necessary changes in the environment to bring together all the elements that are necessary to facilitating effective nurse-physician collaboration. Many authors (Alpert, Goldman, Kilroy, & Pike, 1992; Baggs & Schmitt, 1997; Betts, 1994; Evans, 1994; Evans & Carlson, 1993; Keeman, Cooke, & Hillis, 1998; Jones, 1994) have indicated that nurse-physician collaboration is not widespread and a number of barriers exist. The following will discuss the necessary ingredients for creating a nursing unit that is conducive to nurse-physician collaboration and supported through transformational leadership.      The first important barrier according to (Keenan et al., (1998) is concerned with how nurses and physicians have not been socialized to collaborate with each other and do not believe they are expected to do so. Nurse and physicians have traditionally operated under the paradigm of physician dominance and the physician's viewpoint prevails on patient care issues. Collaboration, on the other hand, involves mutual respect for each other's opinions as well as possible contributions by the other party in optimizing patient care. Collaboration (Gray, 1989) requires that parties, who see different aspects of a problem, communicate together and constructively explore their differences in search of solutions that go beyond their own limited vision of what is possible. Many researchers have argued (Betts 1994; Evans & Carlson, 1993; Hansen et al., 1999; Watts et al., 1995)                                              Collaboration     4 that nurses and physicians should collaborate to address patient care issues, because consideration of both the professions concerns is important to the... ...in Nursing & Health. 20(1), 71-80. Betts,V.T. (1994). Removing practice barriers. Health Systems Review. 27(3), 18-19.      Cassidy, V.R. & Kroll, C.J. (1994). Ethical aspects of transformational leadership. Holistic Nursing Practice. 9(1), 41-47. Corley, M.C. (1998). Ethical dimensions of nurse-physician relations in critical care. Nursing Clinics of North America. 33(2), 325-335. Evans, J.A. (1994). The role of the nurse manager in creating an environment for collaborative practice. Holistic Nursing Practice. 8(3), 22-31. Evans, S.A. & Carlson, R. (1993). Nurse-physician collaboration: solving the nursing shortage crisis. Journal of the American College of Cardiology. 20(7), 1669-73. Gray, B. (1989). Collaborating: finding common ground for multiparty problems. San Francisco: Jossey-Bass. Hansen, H.E., Biros, N.H., Delaney, N.M., & Schug, V.L. (1999). Research utilization and interdisciplinary collaboration in emergency care. Academic Emergency Medicine. 6(4), 271-279. Heide, B.A., Goldman, L.D., Kilroy, C.M., & Pike, A.W. (1992). Seven Gryzmish: toward an understanding of collaboration. Nursing Clinics of North America. 27(1), 47-59.
Wednesday, January 15, 2020
How do Owen and Auden convey the negative effects of war in their poems ‘Disabled’ and ‘Refugee Blues’’?
In the poems Disabled and Refugee Blues, the writers, Owen and Auden respectively, convey the negative effects of war in a variety of ways. Through the use structuring, literary and figurative devices, Auden subtly shows the negative effects of war, whereas Owen does this it more explicitly, showing the de-humanizing, gruesome effects of war. In the poem Disabled, Owen displays the more gruesome, horrendous reality; he does this in a variety of ways.Firstly he uses a randomized stanza structure, the stanzas do not have a consistent amount of lines. The stanza structure is emphasizing how the soldier’s think, because most soldiers act upon their animalistic instinct, Owen has used this idea rely on instinct to create his structure, not only does this confuse the reader but Owen also tries to emphasize on how the war has affected the soldiers.Owen also uses a lot of different literary devices to help him, metaphor is used throughout the poem to help develop the poem, â€Å"Voic es of boys rang saddening like a hymn†, the voices of boys made the soldier feel sad; they make him remember his childhood, it was not long ago that he was like those boys, running freely, however it seems like a distant memory.Owen is emphasizing that the war robbed the soldier of his innocence and naivety, he is also a little jealous of them, they still believe in fairy tales and happy endings, whereas the soldier understands the true colors of reality. â€Å"In the old times, before he threw away his knees/All of them touch him like some queer disease†these two quotes, emphasize on the fact that the soldier threw away his legs when he enlisted in the army, if he didn’t sign up he wouldn’t be disabled and the girls would still be flirting with him.The girls do not want to be with someone who is crippled; heroes do not get injured. It seems like he has given up on life as much as life has given up on him, he has succumbed into the idea that he is not a r eal man anymore; others can sense this about him and stay away because they do not want to be dragged down by his self-pity. Granted, the women could be touching him in disgust, it is also likely that it is him who is projecting his own feelings of disgust on them.The war can affect both the social life and the personal life negatively, thus creating a very negative atmosphere in the stanza. Owen also makes effective use of alliterations, â€Å"Legless, sewn short at elbow†, not only does this quote tell us the exact extent of the soldiers disability, but during World War I it was common practice to sew shut pant legs and sleeves when someone is missing the limb or appendix, the quote makes us pity the soldier, moreover it is also common that soldiers lose a limbs during war, creating a very brutal and negative view upon war.Another alliteration that has been used, â€Å"And a leap of purple spurted from his thigh†, a leap of purple could relate to blood or bruises, th is quote indicates the severity of his injuries, although it was a large injury, the poem portrays it only as a ‘leap of purple’, this makes the injury seem small and insignificant, and which was likely how the government and the higher-ups viewed the disabled soldiers. Although W.H Auden wrote Refugee Blues half a year before World War II broke out, the Nazi’s (Nationalists) have already been hunting Jews and ‘exterminating’ them, Refugee Blues is a Jewish perspective on the war. W. H. Auden has structured his poem into tersets, and each stanza proposes a different theme and part of the Jewish refugees life, it also isolates the stanza, emphasizing each negative point Auden has made.Auden uses very effective metaphors to convey the different negative effects of Hitler’s rein, â€Å"Saw a poodle in a jacket fastened with a pin, /Saw a door open and a cat let in:/ But they weren’t German Jews, my dear, they weren’t German Jews. à ¢â‚¬ In this quote, W. H. Auden was comparing the Jewish with a poodle and a mere street cat, not only does it emphasize how un-wanted the Jews were, Auden himself degraded the Jewish into something that was utterly despised and negatively viewed.
Tuesday, January 7, 2020
The Globalization Of Consumerism Within The United...
One of the key attributes of modernization is the globally interconnected marketplace. The globalization of consumerism allows for companies and their goods to be recognized internationally. The United States (followed by the United Kingdom, Germany, and China) is one of the most culturally influential countries in the world today. It sells its music, clothes, movies, literature, products, and perhaps most recognizably, its fast food, all throughout the world. Companies like McDonald’s and Coca Cola are archetypical examples of this. This globalization is believed to be creating an increasingly homogenous world because Western values and lifestyles sustain the possibility of obliterating countless unique, local cultures that don’t posses the means to market themselves to the rest of the world. Being apart of an interconnected marketplace allows consumers and producers to be aware of the significance and importance of many of the goods that are sold and bought. There is, however, a fine line between the significance of good and their importance. Goods can be incorporated into two categories, the first category being a â€Å"hardware†good (importance). It serves as a constitute of social and cultural good; for example, rice enables you to survive through hunger and clothes help you survive harsh weather conditions. Goods can also be simultaneously categorized as a â€Å"software†good (significance), expressing the cultural meaning in which they were made. Software goods indicate aShow MoreRelatedFinal Study Guide for Livanis Intl 1101 Essay3736 Words  | 15 PagesINTL 1101 Final Exam Study Guide Americanization - Consumerism, individualism - American products and values - Cultural imperialism? Trying to homogenize world? 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