Analyze the requirements of your State Government?s DNR.Identify the requirements of the three hospital?

Analyze the requirements of your State Government?s DNR.Identify the requirements of the three hospital?.

Analyze the requirements of your State Government?s DNR.Identify the requirements of the three hospital?

Project Assignment: Review your State Government?s website and search for its official Do Not Resuscitate (DNR) Form. Along with the form will be information and instructions regarding the form. In addition, research three area hospitals to determine if they provide separate DNR forms. Then, perform additional research regarding DNR and prepare your Final Paper by analyzing the issues through these steps:

Analyze the requirements of your State Government?s DNR.
Identify the requirements of the three hospital?s DNRs.
Examine the differences and similarities between the state?s and the three hospital?s DNR requirements, and address the following questions:
What are they?
Which one should you follow?
Explain how a DNR is applied if a patient is under hospice care and EMTs are called.

Do-Not-Resuscitate (DNR)
Health Care Ethics & Medical Law

Annotated Bibliography

Collopy, K., & Friese, G. (2010). HOSPICE and DNR care. EMS Magazine, 39(8), 52-57.
The article covers the topic of what the EMS should do when called in a hospice care environment. It also clarifies when the DNR orders should take effect, which is at the time of the arrest. Additionally, the article mentions how the EMS can apply some pain management on a hospice patient with a DNR orders. Finally, this article also addresses when to disregard a DNR order which is if the patient state themselves that do not want to go forward with the order, if there are any signs of tampering on the document or bracelet, and if patient is pregnant.

Darr, K. (1996). Nexus: ethics, law & management. Availability and use of advance directives. Hospital Topics, 74(3), 4-7.

This journal article sheds some more light on the ethical issues surrounding DNR, one of them being how DNR orders can be misunderstood and this could be lack of patient-physician communication that can help shape the patient?s decision with their health. The article also mentioned how some hospitals don?t promote the advance directive which affect the incompletion of advanced directives, where DNR is a part of as well. This article can be used as an example of an elements that affect the miscommunication of DNR orders.

Eckberg, E. (1998). The continuing ethical dilemma of the do-not-resuscitate order. AORN Journal, 67(4), 783-790. doi:10.1016/S0001-2092(06)62642-2

This journal article addresses the ethical dilemma of a do not resuscitate order (DNR). Within the article, the author gave an example scenario where a DNR may be confusing to the standard of care that is needed for the patient. In addition, the article also covers a very brief history of the DNR and as well as the principles that are influencing the dilemmas. In conclusion, the author described the DNR order as a vague thing and how I requires a clarification.

Murphy, P., & Price, D. (2007). Ethics in practice. How to avoid DNR miscommunications. Nursing Management, 38(3), 17-20.
The articles discusses the miscommunications that can happen with DNR orders. This article also listed some way to prevent or decrease the probability of miscommunicating which I will be using as a source for how to improve the understand of such orders.

Olver, I., & Eliott, J. A. (2008). The perceptions of do-not-resuscitate policies of dying patients with cancer. Psycho-Oncology, 17(4), 347-353. doi:10.1002/pon.1246

This article is about how DNR orders although, can be difficult to the family members, and medical providers, it is seen as a positive thing for the patient, as they consider it as a natural death. This was shown through the research that was conducted for 28 patients that were within 3 months from dying. This shows that DNR orders are also a way to keep the dignity of the patient and to have a final autonomy on their life and health.

Salladay, S. (1998). Ethical problems. DNR decisions: absentee surrogate. Nursing, 28(6), 74.

This articles presents several scenarios where an ethical dilemma and how to properly handle them. Most of the scenarios have something to do with a patient not being able to make a decision for him/herself. I will be using this source to provide example of the ethical dilemmas associated with the DNR order.


 

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Analyze the requirements of your State Government?s DNR.Identify the requirements of the three hospital?

Discuss health care implications of school-age vaccinations at the macro-system level.

Discuss health care implications of school-age vaccinations at the macro-system level..

Discuss health care implications of school-age vaccinations at the macro-system level.

Question
Professional Coalition/Organization

Project:Guidelines with Scoring Rubric

Purpose:

Involvement in interdisciplinary professional coalitions/organizations allows the healthcare professional to stay current in one?s field or specialty, gain an understanding regarding navigating socio-political environments as well as contributing ideas to one?s healthcare specialty. The purpose of this project will be to address a current healthcare controversy related to vaccination of school-age children. The project will entail researching school-age vaccinations at a state level and taking a stance on this debatable issue. Leadership skills at the macro-level will be applied.

This assignment will be presented as a PowerPoint Presentation.

The Professional Coalition/Organization Project will need to be completed by the end of Week 7 of this course and will require the following objectives to be addressed:

1. Discuss the pros and cons of the health carescenario noted below.

In a highly unusual outbreak of measles in Springfield, Missouri, 18 children became ill, 10 of which of the children had not been inoculated against the virus because their parents objected. These parents do not perceive risk of the disease, but perceive risk of the vaccine. They use information gained from mainstream media, connecting the vaccines with neurological disorders,.nytimes.com/health/guides/disease/asthma/overview.html?inline=nyt-classifier” title=”In-depth reference and news articles about Asthma.”>asthma,autism, and immunology?and, decide not vaccinate their children.

2. Discuss health care implications of school-age vaccinations at the macro system levels.

3. Discuss your macro-level leadership stance of this controversial health care risk.

4. Find a professional coalition/organization that supports your stance regarding use of vaccines for school-age children and your involvement with this professional coalition/organization.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

CO #2: Analyze goal-directed leadership actions that foster positive healthcare outcomes and effective processes at individual, community, and global healthcare settings. (MPH PO 1, MSN PO 1, 7)

CO #5: Incorporate ongoing leadership character development, values, and ethical principles into a living leader role that collaborates with and engages individuals, teams, agencies, and organizations locally as well as globally. (MPH PO 8, MSN PO 5)

Due Date:Sunday 11:59 p.m. MT at the end of Week 7

Total Points Possible:140

REQUIREMENTS:

Description of the Assignment

The purpose of this project will be to address a health care controversy related to school-age vaccination. The project will entail researching the laws entailing the vaccination of school-age children at a state level, and taking a stance on this debatable issue. Leadership skills at the macro-level will be applied.

The following objectives will need to be addressed:

1. Provide an introductory PowerPoint slide(s) denoting the controversial issue related to vaccination of school-age children.

a. Provide a high-level overview of why school-age vaccination is a health care concern.

2. Discuss the pros and cons of the school-age vaccinationscenario as described within this assignment.

a. Discuss the pros related to children receiving vaccinations.

b. Discuss the cons related to children receiving vaccinations.

3. Discuss health care implications of school-age vaccinations at the macro-system level.

a. Provide an overview of the medical stance of children receiving vaccinations.

b. Provide an overview of a parent?s stance in children receiving vaccinations.

c. Discuss the healthcare implications of children receiving or not receiving vaccinations at the macro-global level.

4. Discuss your macro-level leadership stance related to this controversial issue.

a. Describe your understanding as a macro leader in why there is or there is not a risk for population at large.

b. As a macro leader, describe your support or nonsupport at the macro-global level of children receiving vaccinations.

5. Find the professional coalition/organization that supports your stance on the use of vaccines for school-age children and your involvement with this professional coalition/organization.

a. Identify a professional coalition/organization at your state level that addresses the use of vaccines for school-age children.

b. Describe your involvement with this professional coalition/organization based on your stance.

6. Conclusion

a. Highlight the main points for this project?healthcare implications of this controversial issue, your macro leadership stance on this issue, and a professional coalition/organization that supports the use of vaccines for school-age children.

Criteria for Format and Special Instructions

1. The PowerPoint Presentation (excluding the Title slide and References slide) should equal

15?18 PowerPoint slides. Points will be lost for not meeting these length requirements. Estimated slide length for each section of the paper is outlined in the description of the Assignment section.

2. Font and sizes acceptable: 12-point Times New Roman or 11-point Arial; also per discretion depending on the creativity of the slide.

3. Use of the following subheadings to organize the content of your presentation:

? Pros and Cons Related to Vaccination of School-Age Children

? Health care Implications

? Macro Leadership Stance

? Professional Coalition/Organization at the State Level

? Conclusion

4. This assignment must be submitted to TurnItIn?, as required by the TurnItIn? policy. A Similarity Index of ?blue? or ?green? must be obtained. A score in the blue or green range indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assignment before the due date and time. To allow sufficient time for revision, early submission of the assignment to TurnItIn? is highly encouraged. The final submission will be graded by faculty. If a Turnitin? report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.

5. The textbooks required and lesson information for this course may not be used as a reference for this assignment.

6. A minimum of 4 (four) scholarly references must be used. Scholarly references need to be current, 5years or less (anonymous authors or web pages are not acceptable).

7. Must follow APA guidelines as found in the 6th edition of the manual. Ideas and information that come from readings must be cited and referenced correctly.

8. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.


 

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Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem? 525 words. Provide 3 References. APA FORMAT.

Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem? 525 words. Provide 3 References. APA FORMAT..

Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem? 525 words. Provide 3 References. APA FORMAT.

see uploaded file and follow instructions carefully

EBP Implementation
Question 1. Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it? 525 words. Provide 3 References. APA FORMAT

Question 2. Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem? 525 words. Provide 3 References. APA FORMAT.

Additional References:
1. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
Read chapters 11, 18, and 20.
Melnyk, B. M., Ellen, F.-o. O., Lynn, G. F., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 410-417.

Electronic Resource
1. Diffusion of Innovation in Health Care
Study “Diffusion of Innovation in Health Care,” located on the California Healthcare Foundation website.
http://www.chcf.org/publications/2002/05/diffusion-of-innovation-in-health-care

2. 30 Safe Practices for Better Health Care
Read “30 Safe Practices for Better Health Care,” located on the Agency for Healthcare Research and Quality website.
http://archive.ahrq.gov/research/findings/factsheets/errors-safety/30safe/30-safe-practices.html

Website
1. The Theory of Change
Explore The Theory of Change Community website.

Center for Theory of Change


 

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Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem? 525 words. Provide 3 References. APA FORMAT.

Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer.

Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer..

Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer.

Explain the various definitions of disability that are found in disability-income insurance.
b. Briefly explain the following disability-income insurance provisions: Residual disability, Benefit period, Elimination period, Waiver of premium.

2. Identify five major provisions of the Affordable Care Act that will have an impact on individuals and families. Document your source and attach a copy of your information.

3. a. Describe the basic characteristics of individual medical insurance.
b. Why are deductibles and coinsurance used in medical expense policies?

4. Briefly explain the major characteristics of a health savings account (HSA).

5. Identify the optional benefits that can be added to a disability-income policy.

6. Explain the following renewal provisions that may appear in individual health insurance policies:
a. Guaranteed renewable
b. Noncancellable
c. Conditionally renewable

7. James, age 28, is insured under an individual medical expense policy that is part of a preferred provider organization (PPO) network. The policy has a calendar-year deductible of $1000, 75/25 percent coinsurance, and an annual out-of-pocket limit of $2000. James recently had outpatient arthroscopic surgery on his knee, which he injured in a skiing accident. The surgery was performed in an outpatient surgical center. James incurred the following medical expenses. (Assume that the charges shown are the charges approved my James?s insurer and that all providers are in the PPO network.)

1. Workers compensation laws provide considerable financial protection to workers who have a job-related accident or disease.
a. Explain the fundamental legal principles on which workers compensation laws are based.
b. List the various ways that covered employers can comply with the state?s workers compensation law.
c. Explain the eligibility requirements for collecting workers compensation benefits.

2. What are three basic benefits provided in the OASDI program?

3. The OASDI program provides retirement benefits to covered employees and their dependents. Explain whether each of the following persons would be eligible for OASDI retirement benefits based on the retired worker?s earnings record. Treat each situation separately.
a. A retired worker?s unmarried son, age 25, who became totally disabled at age 15 because of an auto accident.
b. A spouse, age 63, of a retired worker who is no longer caring for an unmarried child under age 18.
c. A retired worker?s spouse, age 45, who is caring for the 12-year-old daughter of the retired worker.
d. A divorced spouse, age 55, who was married to a retired worker for six years.

4. The Original Medicare Plan consists of Hospital Insurance (Medicare Part A) and Medical Insurance (Medicare Part B). For each of the following losses, indicate whether the loss is covered under Medicare Part A or Medicare Part B. (Ignore any deductible or coinsurance requirements. Treat each situation separately.)
a. Jane, age 66, is hospitalized for five days because of a heart attack.
b. Alan, age 62, has prostate cancer and visits his family doctor for treatment.
c. Margaret, age 80, is a patient in a skilled nursing facility. She has been confined to the nursing home for more than two years.
d. Joseph, age 72, has a hearing impairment and obtains a hearing aid from a local firm.
e. Margie, age 68, has a speech impairment and is confined to her home because of a stroke. A licensed speech therapist visits her in the home and provides services to restore her speech.
f. Albert, age 78, has an arthritic hip that makes it painful to walk and needs surgery to have the hip replaced.

5. A critic of state unemployment insurance programs stated that ?unemployment insurance programs are designed to maintain economic security for unemployed workers, but several critical problems must be resolved.?
a. What type of unemployment is covered under a typical state unemployment insurance program?
b. Describe some actions that may disqualify a worker for unemployment benefits.
c. Why is the fraction of unemployed workers who receive unemployment benefits relatively low?

? Outpatient X-rays and diagnostic tests $800
? Covered charges in the surgical center $12,000
? Surgeon?s fee $3000
? Outpatient prescription drugs $400
? Physical therapy expenses $1200
In addition, James could not work for two weeks and lost $2000 in earnings.
a. Based on the above information, how much of the expenses will be paid by the insurance company?
b. How much of the expenses will James have to pay? Explain your answer.
c. Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer.


 

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The post Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer. appeared first on THE NURSING PROFESSIONALS.

Assume that a surgeon who is not in the PPO network actually performed the surgery. Will James?s policy cover this fee? Explain your answer.

Discuss the issues related to advocacy, health promotion, and the quality and safety of patient care in your chosen book/film.

Discuss the issues related to advocacy, health promotion, and the quality and safety of patient care in your chosen book/film..

Discuss the issues related to advocacy, health promotion, and the quality and safety of patient care in your chosen book/film.

Description
Read and write a review of one of the following books listed below. Summarize the health messages both positive and negative portrayed in the book, movie, or television show.

Advocacy, Policy, and the Promotion of Quality and Safe Patient Care in your Analysis of a Book/Film

Be certain to address the following:

Define what is meant by ?advocacy?.
Discuss the issues related to advocacy, health promotion, and the quality and safety of patient care in your chosen book/film.
What healthcare policies apply to the subject matter or effected the characters in your chosen book/film?
What are the moral and ethical arguments applicable to the situation in your chosen book/film?
Use an ethical framework to analyze the content of your chosen book/film.
Conclude with a summary of the impact on nurses or nursing.

Please pick from the suggested topics below:

Fadiman, A. (1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. New York: Farrar, Straus, and Giroux.

Gawande, Atul, author. (2014). Being mortal : medicine and what matters in the end. New York :Metropolitan Books, Henry Holt and Company,

Kidder, T. (2003). Mountains beyond mountains. New York: Random House.

Mukherjee, S. (2010). The emperor of all maladies: A biography of cancer. New York: Scribner. (Book or PBS series www.pbs.org/show/story-cancer-emperor-all-maladies/)

Skloot, R. (2010). The immortal life of Henrietta Lacks. New York: Crown.

The English Surgeon. (2008) Eyeline Films. Documentary about Henry Marsh, neurosurgeon.

Four scholarly sources are needed and can be no more than five years old.


 

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Discuss the issues related to advocacy, health promotion, and the quality and safety of patient care in your chosen book/film.

Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer.

Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer..

Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer.

Description
Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer.

Learning Activity for Identifying Levels of Evidence

Level Description

Level I Systematic Reviews (Integrative/Meta-analyses) CPGs (Clinical practice guidelines) based on Systematic Reviews/Large Multi-Center Clinical Trials

Level II Single Experimental Study (RCTs)

Level III Quasi-Experimental Studies

Level IV Non-Experimental Studies

Level V Case Report/Program Evaluation/Narrative Literature Reviews

Level VI Opinions of Respected Authorities

@ 2010 by Rona F. Levin and Jeffrey M. Keefer
Adapted from the work of Stetler, Morsi, Rucki, Broughton, Corrigan, Fitzgerald, et al. (1998); Melnyk and Fineout-Overholt (2011); Levin (2008).

Using the ?Levels of Evidence? chart above, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer.
1. McDonald, M. V., Pezzin, L. E., Feldman, P. H,, Murtaugh, C. M., & Peng, T. R. (2005). Can just-in-time, evidence-based ?reminders? improve pain management among home health care nurses and their patients. Journal of Pain & Symptom Management, 25(5), 474-488.

Abstract: The purpose of this randomized, controlled home care intervention was to test the effectiveness of two nurse-targeted e-mail-based interventions to increase home care nurses? adherence to pain assessment and management guideline, and to improve patient outcomes. Nurses from a large urban nonprofit home care organization were assigned to usual care or one to two interventions upon identification of an eligible cancer patient with pain. The basic intervention consisted of a patient-specific, one-time e-mail reminder highlighting six pain-specific clinical recommendations. The augmented intervention supplemented the initial e-mail reminder with provider prompts, patient education material, and clinical nurse specialist outreach. Over 300 nurses were randomized and outcomes of 673 of their patients were reviewed. Data collection involved clinical record abstraction of nurse care practices and patient interviews completed approximately 45 days after start of care. The intervention had limited effect on nurse-documented care practices but patient outcomes were positively influenced. Patients in the augmented group improved significantly over the control group in ratings of pain intensity at its worst, whereas patients in the basic group had better ratings of pain intensity on average. Other outcome measures were also positively influenced but did not reach statistical significance. Our findings suggest that although reminders have some role in improving cancer pain management, a more intensive approach is needed for a generalized, nursing workforce with limited recent exposure to state-of-the-art pain management practices.
a. Level I
b. Level II
c. Not applicable
d. Level IV
e. Level V/VI

2. Clark, L., Fink, R., Pennington, K., & Jones, K. (2006). Nurses? reflections on pain management in a nursing home setting. Pain Management Nursing, 7(2), 71-77.

Abstract: Achieving optimal and safe pain-management practices in the nursing home setting continues to challenge administrators, nurses, physicians, and other health care providers. Several factors in nursing home settings complicate the conduct of clinical process improvement research. The purpose of this qualitative study was to explore the perceptions of a sample of Colorado nursing home staff who participated in a study to develop and evaluate a multifaceted pain-management intervention. Semi-structured interviews were conducted with 103 staff from treatment and control nursing homes, audiotaped, and content analyzed. Staff identified changes in their knowledge and attitudes about pain, and their pain assessment and management practices. Progressive solutions and suggestions for changing practice include establishing an internal pain team and incorporating nursing assistants into the care planning process. Quality improvement strategies can accommodate the special circumstances of nursing home care and build the capacity of the nursing homes to initiate and monitor their own process improvement programs using a participatory research approach.
a. Level I
b. Not applicable
c. Level III
d. Level IV
e. Level V/VI

3. Dewar, A. (2006). Assessment and management of chronic pain in the older person living in the community. Australian Journal of Advanced Nursing, 24(1), 33-38.

Abstract: This paper reviews the nursing research literature on chronic pain in the older person living in the community and suggests areas for future research.
Background: Chronic pain is a pervasive and complex problem that is difficult to treat appropriately. Nurses managing chronic pain in older people in domiciliary/home/community nursing settings face many challenges. To provide care, the many parameters of chronic pain, which include the physical as well as the psychosocial impact and the effect of pain on patients and their families, must be carefully assessed. Beliefs of the older person about pain and pain management are also important.
Method: Relevant nursing studies were searched using CINAHL, Cochrane Database of Systematic Reviews, and Embase and PubMed databases using key words about pain and the older person that were appropriate to each database.
Results: Tools to assess pain intensity in the older person have been studies, but there has been less research on the other parameters of pain assessment or how the older person manages pain. An effective nurse-patient relationship is an important component of this process and one that needs more study. Few research studies have focused on how nurses can be assisted, or on the challenges nurses face when managing this vulnerable population.
Conclusion: A broad approach at the organizational level will assist nurses to manage this helath care issue.
a. Level I
b. Level II
c. Not applicable
d. Level IV
e. Level V/VI

4. Vallerand, A. H., Collins-Bohler, D., Templin, T., & Hasenau, S. M. (2007). Knowledge of and barriers to pain management in caregivers of cancer patient receiving homecare. Cancer Nursing, 30(1), 31-37.
Abstract: Cancer treatment is increasingly being provided in outpatient settings, requiring many of the responsibilities for patient care to be undertaken by family caregivers. Pain is one of the most frequent and distressing symptoms experienced by cancer patients and is a primary concern for the family caregiver. Caregivers struggle with many issues that lead to inadequate management of cancer pain. The purpose of this study was too determine pain management knowledge and examine concerns about reporting pain and using analgesics in a sample of primary family caregivers of cancer patients receiving homecare. The Barriers Questionnaire and the Family Pain Questionnaire were administered to 46 primary caregivers. Between 46% and 94% of the caregivers reported having at least some agreement with the various concerns that are barriers to reporting pain and using analgesics, and up to 15% reported having strong agreement. The areas of greatest concern were about opioid-related side effects, fears of addiction, and the belief that pain meant disease progression. Results showed that caregivers with higher pain management knowledge had significantly fewer barriers to cancer pain management, supporting the importance of increasing caregivers? knowledge of management of cancer pain.
a. Nor applicable
b. Level II
c. Level III
d. Level IV
e. Level V/VI

5. Haynes, R. B., Yao, X., Degani, A., Kripalani, S., Garg, A., & McDonald, H. P. (2005). Interventions for enhancing medication adherence (Article No. CD000011). Cochrane Database of Systematic Reviews Issue 4. DOI: 10.1002114651858.CD00001 1.pub2.

Background: People who are prescribed self-administered medications typically take less than half the prescribed doses. Efforts to assist patients with adherence to medications might improve the benefits of prescribed medications, but also might increase their adverse effects.
Objectives: To update a review summarizing the results of randomized controlled trials (RCTs) of interventions to help patients follow prescriptions for fmedications for medical problems, including mental disorders but not addictions.
Search strategy: Computerized searches were updated to September 2004 without language restriction in Medline, Embase, CINAHL, the Cochrane Library, International Pharmaceutical Abstracts (IPA), PsycINFO, and Sociofile. We also reviewed bibliographies in articles in patient adherence and articles in our personal collections, and contacted authors of original and review articles on the topic.

a. Level I
b. Level II
c. Not applicable
d. Level IV
e. Level V/VI

6. Feng, C., Chu, H., Chen, C., Chang, Y., Chen, T., Chou, Y., ? Chou, K. (2012). The effect of cognitive behavioral group therapy for depression: A meta-analysis 2000 to 2010. Worldviews of Evidence-Based of Nursing, 9(11).
The goals of the meta-analysis were to investigate the overall effectiveness of cognitive behavioral group therapy (CBGT) for depression and relapse prevention in depression from 2000 to 2010, and to investigate how certain variables (e.g., group size, therapist, experience) could mediate the size of the treatment effect. The sample of studies was from the published literature during 2000 to 2010. The quality of the studies was assessed using the Cochrane Collaboration Guidelines. Thirty-two studies were included in the meta-analysis. CBGT showed an immediate and continuous effect over 6 months, but no continuous effect after 6 months. Also, the CBGT lowered relapse rate of depression. Researchers and clinicians should take note that CBGT has a moderate effect on level of depression and a small effect on relapse rate of depression. The results of this study suggest that the patient should receive a course of therapy at least every 6 months.
a. Level I
b. Level II
c. Not applicable
d. Level IV
e. Level V/VI

7. Marek, K. D., Popejoy, L., Petroski, G., & Rantz, M. (2006). Nurse care coordination in community-based long-term care. Journal of Nursing Scholarship, 38(1), 80-86.

Abstract: To evaluate the clinical outcomes of a nurse care coordination program for people receiving services from a state-funded home and community-based waiver program called Missouri Care Options (MCO).
Design: A quasi-experimental design was used to compare 55 MCO clients who received nurse care coordination (NCC) and 30 clients who received MCO services but no nurse care coordination.
Methods: Nurse care coordination consists of the assignment of a registered nurse who provides home care services for both the MCO program and Medicare hone health services. Two standardized datasets, the Minimum Data Set (MDS) for resident care and planning and the Outcome and Assessment Information Set (OASIS) were collected at baseline, 6 months, and 12 months on both groups. Cognition was measured with the MDS Cognitive Performance Scale (CPS), activities of daily living (ADL) as the sum of five MDS ADL items, depression with the MDS-Depression Rating Scale, and incontinence and pressure ulcers with specific MDS items. Three OASIS items were used to measure pain, dyspnea, and medication management. The Cochran-Mantel-Haenszel (CMH) method was used to test the association between the NCC intervention and clinical outcomes.
Findings: At 12 months the NCC group scored significantly better statistically in the clinical outcomes of pain, dyspnea, and ADL [activities of daily living]. No significant differences between groups were found in eight clinical outcome measures at 6 months.
Conclusions: Use of nurse care coordination for acute and chronic home care warrants further evaluation as a treatment approach for chronically ill older adults.
a. Not applicable
b. Level II
c. Level III
d. Level IV
e. Level V/VI


 

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The post Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer. appeared first on THE NURSING PROFESSIONALS.

Using the ?Levels of Evidence? chart provide in the attachment below, read each abstract and then identify the level of evidence of the study. In a brief comment, explain your answer.

Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness

Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness.

Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness

How to submit your work:
Unless your tutor has made other arrangements with your class, please submit your work by email as an attached file to your tutor. Please state clearly your group number. This work is not marked, but if satisfactory will account for your attendance. Your marks for this subject cannot be released until your Independent Learning is received by your tutor and considered satisfactory.

It would be a very good idea to undertake this Independent Learning early in order to free up time later in the semester

The aims for your independent learning are to:
1. Develop a greater understanding of Health Literacy
2. Appreciate the consequences of poor Health Literacy
3. Appreciate the importance of effective communications with patients who have chronic illness
4. Develop effective strategies to assist patients in understanding their illness and treatments

Relates to:
? Lectures 7: Health Literacy ? available as a powerpoint + audio online

Activity 1:
? Review the lecture on Health Literacy
? Reflect on the content of this lecture and apply to your own practice as a student nurse
? Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness
Activity 2:
? Connect to the following links. These links will provide some introductory information on health literacy https://www.youtube.com/watch?v=iCobR-JmhVw https://www.youtube.com/watch?v=_8w9kdcRgsI
? This next link http://www.nchealthliteracy.org/toolkit/quickstart.pdf will take you to the Quick Start activities related to the Health Literacy Universal Precautions Toolkit.
? Begin by watching the short video. Make sure you click the small red arrow to take you to the video otherwise you go to a website. The video was developed in the USA and shows real people experiencing difficulty with their health literacy. Patients in Australia experience many of the same difficulties.
? List 3 observations related to the video that may be useful information for your practice.

Activity 3:
? Go back to the quick start tool kit and work your way through the three tools listed under number 2. There is no need to click on any of the extra links inside the tools unless you are curious. Some of the information is directed to medical staff but it can be equally applied to nursing. Answer the questions below briefly (no references of course, just your ideas and 2-3 points will do).
? In what ways would a brown bag medication review be useful in chronic illness management?
? Thinking back to your last clinical were there any tips for communicating clearly that you should incorporate into your practice?
? Read through the teach back method. Click on the 5 minute teach back video link and view the video called the Teach Back in Cardiology Practice. This video runs for about 2 minutes and is a good demonstration of the method. There is no need to link to the longer videos and slides.
? Thinking back to your recent clinical practice were there situations where you could have used this technique?


 

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The post Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness appeared first on THE NURSING PROFESSIONALS.

Briefly discuss 3 ideas from the lecture that could benefit your practice especially when working with patients with chronic illness

How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved?

How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved?.

How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved?

Create a new thread and write a response to one of the following questions:

1. How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved? Are you surprised at what Wollstonecraft says about the situation of women?
2. The question of what a woman?s duties should be pervades the selection and especially dominates paragraphs 15, 16, and 17. As clearly as possible, clarify what Wollstonecraft feels a woman?s duties are. Do you agree with her views?
3. Ironically, Wollstonecraft died in childbirth. Establish Wollstonecraft?s attitudes toward motherhood, particularly in reference to paragraphs 7 and 16. Have these attitudes changed radically in our time? Do you or your friends share her basic views? By using episodicalobservations, make a case for accepting or rejecting her views.

mary Wollstonecraft (1759?1797). A Vindication of the Rights of Woman. 1792.
Chap. IX. Of the Pernicious Effects Which Arise from the Unnatural Distinctions Established in Society.

FROM the respect paid to property flow, as from a poisoned fountain, most of the evils and vices which render this world such a dreary scene to the contemplative mind. For it is in the most polished society that noisome reptiles and venomous serpents lurk under the rank herbage; and there is voluptuousness pampered by the still sultry air, which relaxes every good disposition before it ripens into virtue. 1
One class presses on another; for all are aiming to procure respect on account of their property: and property, once gained, will procure the respect due only to talents and virtue. Men neglect the duties incumbent on man, yet are treated like demi-gods; religion is also separated from morality by a ceremonial veil, yet men wonder that the world is almost, literally speaking, a den of sharpers or oppressors. 2
There is a homely proverb, which speaks a shrewd truth, that whoever the devil finds idle he will employ. And what but habitual idleness can hereditary wealth and titles produce? For man is so constituted that he can only attain a proper use of his faculties by exercising them, and will not exercise them unless necessity, of some kind, first set the wheels in motion. Virtue likewise can only be acquired by the discharge of relative duties; but the importance of these sacred duties will scarcely be felt by the being who is cajoled out of his humanity by the flattery of sycophants. There must be more equality established in society, or morality will never gain ground, and this virtuous equality will not rest firmly even when founded on a rock, if one half of mankind are chained to its bottom by fate, for they will be continually undermining it through ignorance or pride. 3
It is vain to expect virtue from women till they are, in some degree, independent of men; nay, it is vain to expect that strength of natural affection, which would make them good wives and mothers. Whilst they are absolutely dependent on their husbands they will be cunning, mean, and selfish, and the men who can be gratified by the fawning fondness of spaniel-like affection, have not much delicacy, for love is not to be bought, in any sense of the words, its silken wings are instantly shrivelled up when any thing beside a return in kind is sought. Yet whilst wealth enervates men; and women live, as it were, by their personal charms, how can we expect them to discharge those ennobling duties which equally require exertion and self-denial. Hereditary property sophisticates the mind, and the unfortunate victims to it, if I may so express myself, swathed from their birth, seldom exert the locomotive faculty of body or mind; and, thus viewing every thing through one medium, and that a false one, they are unable to discern in what true merit and happiness consist. False, indeed, must be the light when the drapery of situation hides the man, and makes him stalk in masquerade, dragging from one scene of dissipation to another the nerveless limbs that hang with stupid listlessness, and rolling round the vacant eye which plainly tells us that there is no mind at home. 4
I mean, therefore, to infer that the society is not properly organized which does not compel men and women to discharge their respective duties, by making it the only way to acquire that countenance from their fellow-creatures, which every human being wishes some way to attain. The respect, consequently, which is paid to wealth and mere personal charms, is a true north-east blast, that blights the tender blossoms of affection and virtue. Nature has wisely attached affections to duties, to sweeten toil, and to give that vigour to the exertions of reason which only the heart can give. But, the affection which is put on merely because it is the appropriated insignia of a certain character, when its duties are not fulfilled, is one of the empty compliments which vice and folly are obliged to pay to virtue and the real nature of things. 5
To illustrate my opinion, I need only observe, that when a woman is admired for her beauty, and suffers herself to be so far intoxicated by the admiration she receives, as to neglect to discharge the indispensable duty of a mother, she sins against herself by neglecting to cultivate an affection that would equally tend to make her useful and happy. True happiness, I mean all the contentment, and virtuous satisfaction, that can be snatched in this imperfect state, must arise from well regulated affections; and an affection includes a duty. Men are not aware of the misery they cause, and the vicious weakness they cherish, by only inciting women to render themselves pleasing; they do not consider that they thus make natural and artificial duties clash, by sacrificing the comfort and respectability of a woman’s life to voluptuous notions of beauty, when in nature they all harmonize. 6
Cold would be the heart of a husband, were he not rendered unnatural by early debauchery, who did not feel more delight at seeing his child suckled by its mother, than the most artful wanton tricks could ever raise; yet this natural way of cementing the matrimonial tie, and twisting esteem with fonder recollections, wealth leads women to spurn. To preserve their beauty, and wear the flowery crown of the day, that gives them a kind of right to reign for a short time over the sex, they neglect to stamp impressions on their husbands’ hearts, that would be remembered with more tenderness when the snow on the head began to chill the bosom, than even their virgin charms. The maternal solicitude of a reasonable affectionate woman is very interesting, and the chastened dignity with which a mother returns the caresses that she and her child receive from a father who has been fulfilling the serious duties of his station, is not only a respectable, but a beautiful sight. So singular, indeed, are my feelings, and I have endeavoured not to catch factitious ones, that after having been fatigued with the sight of insipid grandeur and the slavish ceremonies that with cumberous pomp supplied the place of domestic affections, I have turned to some other scene to relieve my eye by resting it on the refreshing green every where scattered by nature. I have then viewed with pleasure a woman nursing her children, and discharging the duties of her station with, perhaps, merely a servant maid to take off her hands the servile part of the household business. I have seen her prepare herself and children, with only the luxury of cleanliness, to receive her husband, who returning weary home in the evening found smiling babes and a clean hearth. My heart has loitered in the midst of the group, and has even throbbed with sympathetic emotion, when the scraping of the well known foot has raised a pleasing tumult. 7
Whilst my benevolence has been gratified by contemplating this artless picture, I have thought that a couple of this description, equally necessary and independent of each other, because each fulfilled the respective duties of their station, possessed all that life could give.?Raised sufficiently above abject poverty not to be obliged to weigh the consequence of every farthing they spend, and having sufficient to prevent their attending to a frigid system of economy, which narrows both heart and mind. I declare, so vulgar are my conceptions, that I know not what is wanted to render this the happiest as well as the most respectable situation in the world, but a taste for literature, to throw a little variety and interest into social converse, and some superfluous money to give to the needy and to buy books. For it is not pleasant when the heart is opened by compassion and the head active in arranging plans of usefulness, to have a prim urchin continually twitching back the elbow to prevent the hand from drawing out an almost empty purse, whispering at the same time some prudential maxim about the priority of justice. 8
Destructive, however, as riches and inherited honours are to the human character, women are more debased and cramped, if possible, by them, than men, because men may still, in some degree, unfold their faculties by becoming soldiers and statesmen. 9
As soldiers, I grant, they can now only gather, for the most part, vain glorious laurels, whilst they adjust to a hair the European balance, taking especial care that no bleak northern nook or sound incline the beam. But the days of true heroism are over, when a citizen fought for his country like a Fabricius or a Washington, and then returned to his farm to let his virtuous fervour run in a more placid, but not a less salutary, stream. No, our British heroes are oftener sent from the gaming table than from the plow; and their passions have been rather inflamed by hanging with dumb suspense on the turn of a die, than sublimated by panting after the adventurous march of virtue in the historic page. 10
The statesman, it is true, might with more propriety quit the Faro Bank, or card-table, to guide the helm, for he has still but to shuffle and trick. The whole system of British politics, if system it may courteously be called, consisting in multiplying dependents and contriving taxes which grind the poor to pamper the rich; thus a war, or any wild goose chace is, as the vulgar use the phrase, a lucky turn-up of patronage for the minister, whose chief merit is the art of keeping himself in place. 11
It is not necessary then that he should have bowels for the poor, so he can secure for his family the odd trick. Or should some shew of respect, for what is termed with ignorant ostentation an Englishman’s birth-right, be expedient to bubble the gruff mastiff that he has to lead by the nose, he can make an empty shew, very safely, by giving his single voice, and suffering his light squadron to file off to the other side. And when a question of humanity is agitated he may dip a sop in the milk of human kindness, to silence Cerberus, and talk of the interest which his heart takes in an attempt to make the earth no longer cry for vengeance as it sucks in its children’s blood, though his cold hand may at the very moment rivet their chains, by sanctioning the abominable traffick. A minister is no longer a minister than while he can carry a point, which he is determined to carry.?Yet it is not necessary that a minister should feel like a man, when a bold push might shake his seat. 12
But, to have done with these episodical observations, let me return to the more specious slavery which chains the very soul of woman, keeping her for ever under the bondage of ignorance. 13
The preposterous distinctions of rank, which render civilization a curse, by dividing the world between voluptuous tyrants, and cunning envious dependents, corrupt, almost equally, every class of people, because respectability is not attached to the discharge of the relative duties of life, but to the station, and when the duties are not fulfilled the affections cannot gain sufficient strength to fortify the virtue of which they are the natural reward. Still there are some loop-holes out of which a man may creep, and dare to think and act for himself; but for a woman it is an herculean task, because she has difficulties peculiar to her sex to overcome, which require almost super-human powers. 14
A truly benevolent legislator always endeavours to make it the interest of each individual to be virtuous; and thus private virtue becoming the cement of public happiness, an orderly whole is consolidated by the tendency of all the parts towards a common centre. But, the private or public virtue of woman is very problematical; for Rousseau, and a numerous list of male writers, insist that she should all her life be subjected to a severe restraint, that of propriety. Why subject her to propriety?blind propriety, if she be capable of acting from a nobler spring, if she be an heir of immortality? Is sugar always to be produced by vital blood? Is one half of the human species, like the poor African slaves, to be subject to prejudices that brutalize them, when principles would be a surer guard, only to sweeten the cup of man? Is not this indirectly to deny woman reason? for a gift is a mockery, if it be unfit for use. 15
Women are, in common with men, rendered weak and luxurious by the relaxing pleasures which wealth procures; but added to this they are made slaves to their persons, and must render them alluring that man may lend them his reason to guide their tottering steps aright. Or should they be ambitious, they must govern their tyrants by sinister tricks, for without rights there cannot be any incumbent duties. The laws respecting woman, which I mean to discuss in a future part, make an absurd unit of a man and his wife; and then, by the easy transition of only considering him as responsible, she is reduced to a mere cypher. 16
The being who discharges the duties of its station is independent; and, speaking of women at large, their first duty is to themselves as rational creatures, and the next, in point of importance, as citizens, is that, which includes so many, of a mother. The rank in life which dispenses with their fulfilling this duty, necessarily degrades them by making them mere dolls. Or, should they turn to something more important than merely fitting drapery upon a smooth block, their minds are only occupied by some soft platonic attachment; or, the actual management of an intrigue may keep their thoughts in motion; for when they neglect domestic duties, they have it not in their power to take the field and march and counter-march like soldiers, or wrangle in the senate to keep their faculties from rusting. 17
I know that as a proof of the inferiority of the sex, Rousseau has exultingly exclaimed, How can they leave the nursery for the camp!?And the camp has by some moralists been termed the school of the most heroic virtues; though, I think, it would puzzle a keen casuist to prove the reasonableness of the greater number of wars that have dubbed heroes. I do not mean to consider this question critically; because, having frequently viewed these freaks of ambition as the first natural mode of civilization, when the ground must be torn up, and the woods cleared by fire and sword, I do not choose to call them pests; but surely the present system of war has little connection with virtue of any denomination, being rather the school of finesse and effeminacy, than of fortitude. 18
Yet, if defensive war, the only justifiable war, in the present advanced state of society, where virtue can shew its face and ripen amidst the rigours which purify the air on the mountain’s top, were alone to be adopted as just and glorious, the true heroism of antiquity might again animate female bosoms.?But fair and softly, gentle reader, male or female, do not alarm thyself, for though I have contracted the character of a modern soldier with that of a civilized woman, I am not going to advise them to turn their distaff into a musket, though I sincerely wish to see the bayonet concerted into a pruning-hook. I only recreated an imagination, fatigued by contemplating the vices and follies which all proceed from a feculent stream of wealth that has muddied the pure rills of natural affection, by supposing that society will some time or other be so constituted, that man must necessarily fulfil the duties of a citizen, or be despised, and that while he was employed in any of the departments of civil life, his wife, also an active citizen, should be equally intent to manage her family, educate her children, and assist her neighbours. 19
But, to render her really virtuous and useful, she must not, if she discharge her civil duties, want, individually, the protection of civil laws; she must not be dependent on her husband’s bounty for her subsistence during his life, or support after his death?for how can a being be generous who has nothing of its own? or, virtuous, who is not free? The wife, in the present state of things, who is faithful to her husband, and neither suckles nor educates her children, scarcely deserves the name of a wife, and has no right to that of a citizen. But take away natural rights, and there is of course an end of duties. 20
Women thus infallibly become only the wanton solace of men, when they are so weak in mind and body, that they cannot exert themselves, unless to pursue some frothy pleasure, or to invent some frivolous fashion. What can be a more melancholy sight to a thinking mind, than to look into the numerous carriages that drive helter-skelter about this metropolis in a morning full of pale-faced creatures who are flying from themselves. I have often wished, with Dr. Johnson, to place some of them in a little shop with half a dozen children looking up to their languid countenances for support. I am much mistaken, if some latent vigour would not soon give health and spirit to their eyes, and some lines drawn by the exercise of reason on the blank cheeks, which before were only undulated by dimples, might restore lost dignity to the character, or rather enable it to attain the true dignity of its nature. Virtue is not to be acquired even by speculation, much less by the negative supineness that wealth naturally generates. 21
Besides, when poverty is more disgraceful than even vice, is not morality cut to the quick? Still to avoid misconstruction, though I consider that women in the common walks of life are called to fulfil the duties of wives and mothers, by religion and reason, I cannot help lamenting that women of a superiour cast have not a road open by which they can pursue more extensive plans of usefulness and independence. I may excite laughter, by dropping an hint, which I mean to pursue, some future time, for I really think that women ought to have representatives, instead of being arbitrarily governed without having any direct share allowed them in the deliberations of government. 22
But, as the whole system of representation is now, in this country, only a convenient handle for despotism, they need not complain, for they are as well represented as a numerous class of hard working mechanics, who pay for the support of royalty when they can scarcely stop their children’s mouths with bread. How are they represented whose very sweat supports the splendid stud of an heir apparent, or varnishes the chariot of some female favourite who looks down on shame? Taxes on the very necessaries of life, enable an endless tribe of idle princes and princesses to pass with stupid pomp before a gaping crowd, who almost worship the very parade which costs them so dear. This is mere gothic grandeur, something like the barbarous useless parade of having sentinels on horseback at Whitehall, which I could never view without a mixture of contempt and indignation. 23
How strangely must the mind be sophisticated when this sort of state impresses it! But, till these monuments of folly are levelled by virtue, similar follies will leaven the whole mass. For the same character, in some degree, will prevail in the aggregate of society: and the refinements of luxury, or the vicious repinings of envious poverty, will equally banish virtue from society, considered as the characteristic of that society, or only allow it to appear as one of the stripes of the harlequin coat, worn by the civilized man. 24
In the superiour ranks of life, every duty is done by deputies, as if duties could ever be waved, and the vain pleasures which consequent idleness forces the rich to pursue, appear so enticing to the next rank, that the numerous scramblers for wealth sacrifice every thing to tread on their heels. The most sacred trusts are then considered as sinecures, because they were procured by interest, and only sought to enable a man to keep good company.Women, in particular, all want to be ladies. Which is simply to have nothing to do, but listlessly to go they scarcely care where, for they cannot tell what. 25
But what have women to do in society? I may be asked, but to loiter with easy grace; surely you would not condemn them all to suckle fools and chronicle small beer! No. Women might certainly study the art of healing, and be physicians as well as nurses. And midwifery, decency seems to allot to them, though I am afraid the word midwife, in our dictionaries, will soon give place to accoucheur, and one proof of the former delicacy of the sex be effaced from the language. 26
They might, also, study politics, and settle their benevolence on the broadest basis; for the reading of history will scarcely be more useful than the perusal of romances, if read as mere biography; if the character of the times, the political improvements, arts, &c. be not observed. In short, if it be not considered as the history of man; and not of particular men, who filled a niche in the temple of fame, and dropped into the black rolling stream of time, that silently sweeps all before it, into the shapeless void called?eternity.?For shape, can it be called, ‘that shape hath none?’ 27
Business of various kinds, they might likewise pursue, if they were educated in a more orderly manner, which might save many from common and legal prostitution. Women would not then marry for a support, as men accept of places under government, and neglect the implied duties; nor would an attempt to earn their own subsistence, a most laudable one! sink them almost to the level of those poor abandoned creatures who live by prostitution. For are not milliners and mantua-makers reckoned the next class? The few employments open to women, so far from being liberal, are menial; and when a superiour education enables them to take charge of the education of children as governesses, they are not treated like the tutors of sons, though even clerical tutors are not always treated in a manner calculated to render them respectable in the eyes of their pupils, to say nothing of the private comfort of the individual. But as women educated like gentlewomen, are never designed for the humiliating situation which necessity sometimes forces them to fill; these situations are considered in the light of a degradation; and they know little of the human heart, who need to be told, that nothing so painfully sharpens the sensibility as such a fall in life. 28
Some of these women might be restrained from marrying by a proper spirit of delicacy, and others may not have had it in their power to escape in this pitiful way from servitude; is not that government then very defective, and very unmindful of the happiness of one half of its members, that does not provide for honest, independent women, by encouraging them to fill respectable stations? But in order to render their private virtue a public benefit, they must have a civil existence in the state, married or single; else we shall continually see some worthy woman, whose sensibility has been rendered painfully acute by undeserved contempt, droop like ‘the lily broken down by a plow-share.’ 29
It is a melancholy truth; yet such is the blessed effect of civilization! the most respectable women are the most oppressed; and, unless they have understandings far superiour to the common run of understandings, taking in both sexes, they must, from being treated like contemptible beings, become contemptible. How many women thus waste life away the prey of discontent, who might have practised as physicians, regulated a farm, managed a shop, and stood erect, supported by their own industry, instead of hanging their heads surcharged with the dew of sensibility, that consumes the beauty to which it at first gave lustre; nay, I doubt whether pity and love are so near akin as poets feign, for I have seldom seen much compassion excited by the helplessness of females, unless they were fair; then, perhaps, pity was the soft handmaid of love, or the harbinger of lust. 30
How much more respectable is the woman who earns her own bread by fulfilling any duty, than the most accomplished beauty!?beauty did I say!?so sensible am I of the beauty of moral loveliness, or the harmonious propriety that attunes the passions of a well-regulated mind, that I blush at making the comparison; yet I sigh to think how few women aim at attaining this respectability by withdrawing from the giddy whirl of pleasure, or the indolent calm that stupefies the good sort of women it sucks in. 31
Proud of their weakness, however, they must always be protected, guarded from care, and all the rough toils that dignify the mind.?If this be the fiat of fate, if they will make themselves insignificant and contemptible, sweetly to waste ‘life away’ let them not expect to be valued when their beauty fades, for it is the fate of the fairest flowers to be admired and pulled to pieces by the careless hand that plucked them. In how many ways do I wish, from the purest benevolence, to impress this truth on my sex; yet I fear that they will not listen to a truth that dear bought experience has brought home to many an agitated bosom, nor willingly resign the privileges of rank and sex for the privileges of humanity, to which those have no claim who do not discharge its duties. 32
Those writers are particularly useful, in my opinion, who make man feel for man, independent of the station he fills, or the drapery of factitious sentiments. I then would fain convince reasonable men of the importance of some of my remarks, and prevail on them to weigh dispassionately the whole tenor of my observations.?I appeal to their understandings; and, as a fellow-creature, claim, in the name of my sex, some interest in their hearts. I entreat them to assist to emancipate their companion, to make her a help meet for them! 33
Would men but generously snap our chains, and be content with rational fellowship instead of slavish obedience, they would find us more observant daughters, more affectionate sisters, more faithful wives, more reasonable mothers?in a word, better citizens. We should then love them with true affection, because we should learn to respect ourselves; and the peace of mind of a worthy man would not be interrupted by the idle vanity of his wife, nor the babes sent to nestle in a strange bosom, having never found a home in their mother’s.


 

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The post How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved? appeared first on THE NURSING PROFESSIONALS.

How much have things changed since Wollstonecraft?s day? Are the problems that beset women in the eighteenth century completely solved?

Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)?

Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)?.

Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)?

Complete a 2000 word +/- 10%, Literature Review relating to the transition of the student nurse to a Registered Nurse.
The title of this Literature Review is: – What does the current academic literature state in relation to the nursing workforce and the challenges for the newly qualified Registered Nurse?

You will need to critically review a range of original academic journal articles (no less than 15 peer reviewed articles, no older than 5 years old) and explore this topic. Look both locally, nationally, and internationally.

This assessment must have:-

A Title Page

Contents Page

Introduction

Main body with headings

Conclusion

Reference List

By now, from your textbook readings and lesson, you should have a firm grasp on the different types of human resource values and strategies that are commonplace in the workforce. From this information:
Create and briefly describe a fictional large company of your choice. This is your company and it should preferably be in your current or desired future industry. This company and the HR mission statement you create will be used as a foundation for future assignments in this course.
Compare and contrast the below sample mission statements. Evaluate them for overall effectiveness.
Use your analysis to write your own HR mission statement for your fictional company.
Consider the following questions when evaluating and formulating your mission statement:
? Why does your HR function exist? What do you want for your customers and how can HR provide that?
? Who are your customers and what can you do for them that will enrich their lives and contribute to their success,
both present and future?
? What image of your function do you want to convey internally and externally? Customers, employees and the public will all have perceptions of your company. How will HR help create the desired picture?
? What level of service do you provide to employees and the company? Don’t be vague; define what will make your service extraordinary.
Think of a LibGuide (a Library Guide) as a mini-website to help you with your assignments. It has relevant information
such as databases, ebooks, and websites specific to your courses. If you have any questions, please reach out to your
friendly library staff.
BHR 3352, Human Resource Management 2

? What kind of relationships will your HR function maintain with customers? Every company function is in partnership with its customers. When you succeed, so do they.
? What underlying philosophies or values guided your responses to the previous questions? Some mission statements choose to list these separately (as core values or vision). Writing them down clarifies the “why” behind your mission.
? Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)?
Sample 1: Human Resources Mission Statement
Our mission is to treat each person as a valued customer while contributing positively to the bottom line of [Company Name] through comprehensive programming that displays a thorough understanding of all aspects of the human resources profession, including proactive involvement in areas of legal compliance and service that displays an enthusiastic interest in the lives of others.
We will continually develop our own repertoire of skills and maintain a balance between our personal and professional lives.
Sample 2: The Mission
The mission of [Company Name] is dedication to the highest quality of customer service delivered with a sense of warmth, friendliness, individual pride, and company spirit.
To Our Employees
We are committed to provide our employees a stable work environment with equal opportunity for learning and personal growth. Creativity and innovation are encouraged for improving the effectiveness of [the company]. Above all, employees will be provided the same concern, respect, and caring attitude within the organization that they are expected to share externally with every [company] customer.
Sample 3: Human Resources Mission Statement
It is the mission of the human resources department to provide the following quality services to the employees of [Company Name]:
? recruitment of qualified individuals;
? retention of valuable employees;
? training, development, and education to promote individual success and increase overall value to the
organization;
? a safe and healthful working environment;
? inspiration and encouragement for a high level of employee morale through recognition, effective communication,
and constant feedback; and
? resources for administering benefits, policies, and procedures.
These services are achieved through a teamwork philosophy that is inspired through effective organizational skills, proactive efforts, and maintaining a balance between professionalism and the ability to have fun!
There is a minimum requirement of 500 words for this assignment. Any sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format.
Information about accessing the grading rubric for this assignment is provided below.

Stewart, G. L., & Brown, K. G. (2015). Human resource management: Linking strategy to practice (3rd ed.). Hoboken, NJ: Wiley.


 

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The post Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)? appeared first on THE NURSING PROFESSIONALS.

Does your HR function?s mission statement describe and support what your company will do and why it will do it (the company?s core values)?