Advanced Practicing Nursing and Approaches to Measuring the Performanc Term Paper

Advanced Practicing Nursing and Approaches to Measuring the Performance of APNs Advanced Practicing Nursing Advanced Practicing Nursing Introduction Advance Practice Nurses (APNs) are obliged to perform various activities within a health institution after having completed advance training. APNs include nurse practitioners and nurse specialists. Other nurses who are under APNs include mid-wives and anesthetists. All of the APNs nurses are entitled to offer direct patient care. This means that they have the obligation of providing education and consultation to patients. They are also required to offer clinical leadership and in some cases conduct research in their respective areas of operations. This paper provides information that establishes the value of APNs in the medical fraternity. Reasons for measuring performance of APNs One of the main significant reasons for measuring performance of APNs is because there have been change in response to various circumstances and activities entitled to be performed by these nurses (Brook & Rushforth, 2011). These changes have occurred because of advancement in core skills, scopes of practice and professional boundaries associated with APNs (Brook & Rushforth, 2011). The other main reason for measuring performance of APNs is that there is a growing consensus that many of the APNs are embracing other roles and obligations like management and leadership (Brook & Rushforth, 2011). This means that in order to make sure that they can be able to carryout these roles within the recommended and outlined ways, there is a need to measure their performance. Another significant reason for measuring the performance of APNs is that they are referred to be distinct in the medical fraternity because of their hybrid and quasi-medical practice (Brook & Rushforth, 2011). This means tha t APNs are obliged to carryout various crucial and autonomous medical operations. In order to be able to perform all these demanding activities there is need to measure their performance with the aim and primary purpose being public protection (Brook & Rushforth, 2011). Approaches to measuring performance of APNs Kleinpell (2003) indicates that there is a need for measuring the outcome of APNs. In order to measure the performance of APNs in an effectively way, Kleinpell (2003) provides the best approaches that ought to be employed. Some of these approaches include physiological. On physiological approach, some of the recommended area to measure includes heart rate and weight (Kleinpell, 2003). The other approach is psychosocial. Areas that ought to be given the first priority in this approach include attitude and mood. Moreover, there is also the need to consider behavioral approach (Kleinpell, 2003). This entails measuring compliance and motivational of APNs. Other approaches include functional where activities of daily life can be measured and knowledge where the medical knowhow can also be measured (Kleinpell, 2003). Establishing the Value of Advanced Practice Nursing APN offer significant contribution in the medical fraternity through conducting various roles that in most cases require special attention and extensive medical practice knowledge. Some of the established value and role of APN include providing response to the increased medicals specialization (Furlong & Smith, 2005). APNs also assist in providing response to the inaccessibility of medical care. Moreover, APNs are expert in clinical practice and therefore, they can be able to enact various obligations in health institutions. They are also employed with ethical decision-making skills that tend to be of significant importance in the medical fraternity (Furlong & Smith, 2005). Conclusion The above information indicates that APNs are of significant importance in health institutions as they contribute much in giving the recommended help to patients. Moreover, apart from taking care of the patients, APNs are equipped with other skills as explained above that assists them in providing help to a wide scope of areas. This means APNs can serve the patients, other staff members in health institutions and the public. Reference Brook, S., & Rushforth, H. (2011). Why is the regulation of advanced practice essential?. British Journal Of Nursing (BJN), 20(16), 996-1000. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&hid=116&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13 Furlong, E., & Smith, R. (2005). Advanced nursing practice: policy, education and role development. Journal Of Clinical Nursing, 14(9), 1059-1066. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=5&hid=120&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13. Kleinpell, R. M. (2003). Measuring Advanced Practice Nursing Outcomes: Strategies and Resources. Critical Care Nurse, 236-10. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=4&hid=5&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13

MGMT455 U2 IP Employee Empowerment Research Paper

MGMT455 U2 IP Employee Empowerment - Research Paper Example The decision can be demanding or not demanding. It however depends on the degree of power that has been invested in the employee. Training an employee is the initial stage in employee empowerment. The company should also be converted to an empowerment model. Employee empowerment is the aspect of giving workers power to take decisions on their own (Huq, 2010). There are various advantages related to empowering employees. The employees have a high level of ownership in the company. Sense of ownership makes the employees happier than those working in other companies. Employees are more proactive and also have the will to accept change. Employees, who are empowered, are passionate about what they have achieved and also their roles in the company. They are able to control their destinies with enthusiasm. A strong sense of responsibility gets felt by an employee who is empowered. Therefore, he or she will improve productivity in the company. When employees are in charge of their results, they adopt positivity in morale and effects. Employees understand that their ideas matter towards the realization of the company’s success and, therefore, take great interest in the company (Murrell & Meredith, 2000). There are also various advantages associated to the employer. Employee empowerment reliefs stress on the management. When the responsibility of making decisions is vested to employees who are empowered, management is relieved of the worries. The empowerment of employees enables the transition of authority from the management to subordinate staff. When authority is placed to the subordinates, the management can trust the operations on the employees. However, the management requires to get empowered before employees get empowered. The training towards empowerment should begin with management. As a result trusting relationship gets build among the management and subordinates (Murrell & Meredith, 2000). Theory Y in the styles of management is correlated

The Vast Solar System Assignment Example | Topics and Well Written Essays - 1000 words

The Vast Solar System - Assignment Example To further understand our solar system, it is important to get to know each planet that makes up the whole solar system. First of all, the earth in which we live in is the only planet that is able to support life. This is because of the fact that it consists of a thin layer of atmosphere that will protect living beings from cold and airless space outside. It is the third planet from the sun and is considered the fifth largest among other planets, with just a few hundred kilometers larger than planet Venus. Mercury, on the other hand is known to be the sun-scorched planet that is just slightly larger than the moon. It allows very little atmosphere and is covered with craters. During daytime, mercury is heated by the sun while at night, temperature in this planet drops hundreds of degrees below freezing that makes ice exist in its craters. Mercury has an egg-shaped orbit that revolves around the sun every 88 days. Venus, is another planet that is known for its having intense heat and v olcanic activity. It has a similar structure and size with the earth however Venus have thick and toxic atmosphere that traps heat in a â€Å"greenhouse effect†. This planet’s temperature is able to melt lead. A glimpse below the clouds would reveal volcanoes and deformed mountains. What is strange about Venus is that it spins slowly in the opposite direction of most planets in the solar system. Mars, is one that is considered a cold desert world. It has a size half of the Earth’s diameter and has the same amount of dry land. Just like Earth, Mars also goes through seasons, has polar ice caps, volcanoes, canyons, and weather. However, the difference between the two is that Mars has a very thin atmosphere for liquid water to exist for long in the surface. Research shows that Mars shows signs of ancient floods but evidence for water can only be seen through its icy soil and thin clouds. Jupiter is the biggest planet in the solar system. This is because of the fact that it has dozens of moons and an enormous magnetic field which forms a kind of its own solar system. Jupiter does not resemble a star when speaking of its composition but it does not grow big enough to ignite. The planet consists of swirling cloud stripes that are punctuated by massive storms such as the Great Red Spot which is continuously raging for years now. If you are looking for a unique planet among all that is in the solar system, Saturn is the one that will perfectly meet the description. It is adorned with thousands of beautiful ringlets where all four gas giant planets have rings, which are basically made up of chunks of ice and rock but no other planet could compare to the spectacular and at the same time complicated rings Saturn has. Like other gas giants, Saturn consists mostly of a massive ball of hydrogen and helium. However, according to astronomers, Saturn is the most distant of the five planets first known. Saturn has a volume which is 755 times greater than th at of the Earth where winds in its upper atmosphere would reach 500 meters per second in the equatorial region. These fast and strong winds combined with heat rising from within Saturn’s interior are the ones that cause the yellow and gold bands visible in the atmosphere that makes it unique. Uranus is the only giant planet who has an equator nearly at the right angles to its orbit. It has a size nearly the same with Neptune however, Uranus has more methane and is mainly made up of hydrogen and helium atmosphere than Jupiter or Saturn. Uranus has a blue tint which is caused by the methane. This planet was the first planet to be found using a telescope and

Risk and risk management in Jordanian banking Dissertation

Risk and risk management in Jordanian banking - Dissertation Example The paper tells that recent global economic slump is considered as not only being the first global economic downturn of the 21st century, but it is also considered as a new ‘risk’ face by the global society coming from ‘unknown unknowns’ of which available information are insufficient in shedding light. Nevertheless, it should be noted, the global economic slowdown can be approached and analysed using several perspectives and it involves a whole gamut of issues that are intertwined, not just single direct cause. In light of this condition, as this research will deal with risk and risk management, it will primarily focus on operational risk management in Jordanian banking sector. Operational management and operational risks have long been part of the life cycle of businesses, especially in the banking industry. Generally, it seeks to address the risks arising from the day-to-day operations of the banks. As such, operational risks management deals with non-fin ancial risks, which when left unattended, are proven catastrophic not only for the banks, but for the entire global community. This situation highlights the urgency to give further clarification regarding the idea of operational risks and operational risks management so that a better understanding of its implications of in the banking sector can be achieved. It holds the position that gaining better understanding of operational risks management in Jordanian banking sector provides solid foundation, with which, its implications can be transformed in to valuable information and policies to counter operational risks. 1.2. Background of the Study Operational risks management is new (Petria & Petria, 2009), but operational risks are not. The inclusion of and explication of operational risks and operational risk management in Basel II Accord categorically show the integral importance of operational risks management in the banking sector. Since, Basel II now proposes a more stringent manag ement structure, tools and processes in addressing operational risks (Medova, 2000). The conceptual frame together with the events create the paradigm wherein the significance of a more coherent and systematic approach to operational risks becomes necessary in the banking se

Theology Exam Essay Example | Topics and Well Written Essays - 1000 words

Theology Exam - Essay Example pective of the perception one has to consider the formation, the majority has started to appreciate that the situation of the bionetwork is declining due to the wasteful ways of humans. A number of individuals are certain that the risk of a universal calamity can be avoided. For some, there is the conviction that if appropriate learning as well as economic safety can be given to everyone, people can act in a responsible manner. Others are anticipating that the technology will show them a â€Å"miracle cure† via things such as â€Å"contamination-free energy and wonder drugs† (Bouma-Prediger, p. 152). Hoping for such solutions is useless because it would merely take care of the warning signs, as though the troubles will leave on their own. Without the worldview that Christians infer from Bible, attempts to solve the problems will not be tackling the actual concerns. According to Christian’s belief, it is not the things that people do that are unhygienic, but it is what flows out of their hearts; the attitude of humans is merely a part of the problem. Post-modern Christianity is as complicated to lock down in a precise definition as post-modernism itself. What began during the 1950s within structural design as a response to modernist thinking and technique was quickly approved by the art as well as literary world during 1970s and 1980s. The Church did not actually think about this consequence until the late 1990s. This response was a closure of â€Å"cold, hard† (Waters, p. 142) reality in support of â€Å"warm, fuzzy subjectivity†. One can imagine anything known to be post-modern and then attach Christianity into that perspective and he will get the idea about post-modern Christianity. Post-modern Christianity is similar to fundamental post-modernist thoughts. It is regarding â€Å"experience over reason, subjectivity over objectivity, spirituality over religion, images over words, and outward over inward† (Waters, p. 156). However, the positive or negative aspect

Education in China Essay Example | Topics and Well Written Essays - 1000 words

Education in China - Essay Example And because of the rapidly growing economic sector and global presence of China, it is imperative to understand how the education system works in the country. This essay discusses education in China and the similarities and differences between the Chinese and American education system. Education in China is categorised into elementary school, middle school, and high school. Similar to the United States, twelve years are spent in elementary school and high school, though in China, it is divided quite differently. In China, six years are spent in elementary school, then three years in middle school, and three years in high school, with the initial nine years spent in compulsory education (Peterson, Hayhoe, and Lu 22). One should successfully pass a competitive exam in order to be admitted into high school. High school is offering vocational education and general education. Parents pay for their children’s high school education, and scholarships are granted to those from low-inco me families. High school students are required to stay in school from 8:00 am to 5:15 pm. Generally, a particular school in every city is authorised to offer special education for pupils with impairments (Wang 73). Home schooling is not practised in China, not like in the United States. There are hardly any non-academic extracurricular and sports activities. Nevertheless, numerous students take part in after-school activities to review for examinations, particularly for university admission exams, which they can take once, not like the ACT and SAT Reasoning Test which can be taken several times in the U.S. (Liu 62). In China, a large number of students in elementary school are taught mathematics by a professional math teacher. The math teacher is also allowed to teach Chinese literacy in grades 1 and 2. In several areas, math teachers may also teach science, but science is not a major subject in the elementary school curriculum (Peterson et al. 44). In schools in far-flung or rural places, elementary teachers are also allowed to teach all subject areas, just like in the United States. However, math teachers in elementary schools are usual in China and less usual in the U.S. Moreover, Chinese pupils use a single classroom for their primary classes whilst in the United States students use different rooms for different subjects or classes (Guo and Lamb 75). The major difference between the education system of China and the U.S. is that in the former, the system in general is far stricter with more rules and in the latter there are considerably fewer limitations and greater freedom (Liu 38). For instance, a pupil having the liberty to choose his/her own classes is not common in China. Every class that a student in China should take is fixed. According to Peterson and colleagues, this lack of freedom in China may be attributed to the huge population of students and giving every student the freedom to choose his/her own classes is clearly problematic. Another import ant difference between the Chinese and American education system is the notion of head teacher. The head teacher in China performs an extra responsibility in overseeing their particular classes, providing instruction, and knowing and communicating with the students and their families. The Chinese head teacher will not merely teach his/her particular class that

The person who has touched and molded your life and made the author Essay

The person who has touched and molded your life and made the author the person you are today - Essay Example The author describes his mother. She uses gestures naturally and her face displays hundreds of emotions. Language then stops being a barrier to her. She can enter into a conversation with anybody, and get across her messages more effectively than many native speakers of English. The author’s Mother is my role model in life. To the author, his Mother is associated with the fragrance of lavender: her favorite soap. This fragrance has always filled our home, and little sachets of dried lavender would be kept in the drawers and shelves of the wardrobes. Even when the author is in a public place, the smell of lavender always brings with it a feeling of comfort and warmth to him, and fills him with the confidence to face all the trials of life. It is this feeling of security and courage which is the greatest gift the author’s Mother has given him, making her the most memorable person in his life. The researcher was born when she was thirty-eight years old. It is a tribute to her determination and strength that the author was delivered naturally, without any surgical intervention, although Mother was past her prime in child-bearing terms. The conditions of the author's birth are typical of the attitude his Mother shows in every aspect of her life. She is always determined to do things in her own way and stands by her decisions. She does not believe in making a fuss over things. When the author was a little girl, cuts and bruises would be treated with disinfectant, a kiss and a strip of Band-Aid, and the author would be matter-of-factly sent on his way. There was no encouragement to self-pity: only a steadfast resolve to bear pain stoically. She inculcated in the author the belief that any suffering is only temporary and will pass. This early molding now anchors me when the storms of life threaten to overturn the author’s boat. Although it may sound old-fashioned in these days of feminism and emphasis on equal opportunity, the author’s Mothe r taught him the importance of cooking, cleaning the house and helping with every household chore. The researcher may have resented this when he was in school and his classmates were not compelled to do the dishes, sew missing buttons on shirts, or taught to make simple dishes and cups of coffee. But now that the author has his own family, he realizes that his Mother laid the foundation of a happy home by bringing the author up to appreciate the values that bind a close-knit family. Taking care of his family, cooking their favorite dishes, and keeping a home comfortable and warm enough for them to look forward to at the end of the day, gives the author great happiness. Mother prepared him for marriage and motherhood as nobody else ever could. The researcher now makes sure that he passes on to his daughters the little joys of homemaking: although the author doubt he can match his Mother in this! Without his Mother’s encouragement, the author would never have considered going o n to college after completing High School. The researcher was not a brilliant student, and did not think that he had it in him to excel at academics. It was Mother who inculcated in the author the belief that it is education which can lift a person’s life to higher planes of success and fulfillment. Every ‘A’ the author secured in school was celebrated at home with a special cake. Mother would keep emphasizing that hundreds of options waited for the author in the world of academics, and he only had to spend time and thought on what he wanted to choose.