The Nature of Nursing Practice Essay Example for Free

The Nature of Nursing Practice Essay Nursing practice, like medicine, is also governed with ethical principles by which they are expected to perform their duties. Indeed, the moral sense of their duty lies with in this context of ethical considerations which according to Anne Bishop and John Scudder is â€Å"to lift out the moral significance of their practice and to develop facility in understanding how to fulfill the moral imperatives in their practice† (2001, p. 13) Bishop and Scudder contends that the moral issue in nursing ethics â€Å"concern with relationship of good in the sense of attentive, efficient, and effective with good in the personal sense† (2001, p. 19). It means of understanding the ways of the practice of nursing and employing them to foster welfare of the patient. Graham Rumbold in his book, Ethics in Nursing, pointed out that nursing evolves as a distinct profession from a medicine. He said, â€Å"Nurses no longer see themselves as handmaidens to the doctor but, at the very least, partners in care and at best practitioners in their own right† (Rumbold 1999, p. 9) Patricia Cronin and Karen Rawlings-Anderson citing Pierson (1999) pointed out that nursing practice, education and research has been significantly influenced by Cartesian philosophy. They state, â€Å"Nursing using the conventions of Cartesian philosophy would be able to describe, explain, predict, and control the phenomena of concern in nursing practice† (Cronin Anderson 2004, p. 10). Regarding the practice of nursing, William Cody pointed out that the nurse â€Å"is obligated to practice in such a way that seeks to avoid harm and to benefit the patient† (2006, p. 139). Cody said good nursing is more than a cluster of technique in that it involves a commitment to a moral end and is directed and judge by the end. George Khushf emphasized that nursing practice must be governed by ethical behavior and described the good nurse as â€Å"an individual who was virtuous and who followed certain rules in caring for the sick† (Khushf 2004, p. 490). Khushf pointed out that the ethical behaviors that were expected of the nurse, included loyalty, modesty, trustworthiness, obedience, promptness, quietness, cheerfulness, and deference to authority figure (2004, p. 490). Louise Rebraca Shives that the ANA or the American Nurses Association identified four primary principles to guide ethical decisions; â€Å"The client’s right to autonomy, the client’s right to beneficence, (doing good by the nurse), the client’s right to veracity (honesty and truth by the nurse), and the ethical principle4s of fidelity or the nurse faithful duties, obligations, and promises when providing care† (Shives 2006, p. 52) But nurses’ responsibility extends beyond their hospital duties. Sarah T. Fry argued, â€Å"Practicing nurses are also responsible for working within the professional organization to establish and maintain equitable social and economic working conditions in cursing† (Fry 2002, p. 136). Fry stressed that nurse collaborates with co-workers in bringing social and economic concerns to the awareness of employers and the members of the community, even if this means to participate in organized labor demonstration. Despite of the importance of the nursing practice in hospitals, nurses may also be at great risk of being sued if one appears oblivious or unresponsive to the needs of the patient, the family, or both.   Charles Sharpe pointed out, â€Å"The practitioner who attempt to care too much† (1999, p. 42). He emphasized that the conscientious, dedicated nurse who oversteps the limits of his clinical skills, training, and professional knowledge in providing what may well be meticulous care, places him or her self and the patient in jeopardy (Sharpe 1999, p. 42). Susan Westrick Killion and Katherine Dempski stressed that â€Å"when a nurse’s professional negligence rises to the level of reckless disregard for human life the nurse may face criminal charges of negligent homicide or manslaughter† (2006, p. 9). Work cited Bishop, AH Scudder, JR 2001, Nursing Ethics: Holistic Caring Practice, Jones Bartlett Publisher, Massachusetts, USA. Cody, W 2006, Philosophical and Theoretical Perspectives for Advanced Practice, Jones and Bartlett Publisher, Massachuserrs, USA. Cronin, P Anderson KR 2004, Knowledge for Contemporary Nursing Practice, Elsevier Limited, London, UK. Fry, St 2002, Ethics in Nursing Practice: A Guide To Ethical Decision Making, Blackwell Publishing Company, Oxford, UK. Khusf, G 2004, Handbook Of Bioethics: Taking Stock of the Field From a Philosophical Perspective, Kluwer Academic Publishers, Massachusetts, USA. Killion, SW Dempski K 2006, Quick Look Nursing: Legal and Ethical Issues, Jones and Bartlett Publishers, Massachusetts, USA. Rumbold, G 1999, Ethics in Nursing Practice, Elsevier Limited, Philadelphia, USA.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Sharpe, C 1999, Nursing Malpractice: Liability and Risk Management, Green Wood Publishing Group, USA. Shives, LR 2006, Basic Concepts of Psychiatric-Mental Health Nursing, Lippincott Williams Wilkins, Philadelphia, USA.

The Death of Bloody Mary Tudor and Good Queen Beth :: essays research papers

" 'BLOODY MARY,' a sour, bigoted heartless, superstitious woman, reigned five years, and failed in everything which she attemptcd. She burned in Smithfield hundreds of sincere godly persons, she went down to her grave, hated by her husband, despised by her servants, loathed her her people, and condemned by God. 'Good Queen Bess' followed her, a generous, stout-hearted strong-minded woman, characteristically English, and reigned forty-five years. Under her wise and beneficent rule her people prospered she was tolerant in religion and severe only to traitors, she went down to her grave after a reign of unparalleled magnificence and success, a virgin queen, secure in the loyalty of her subjects, loved by her friends, in favour with God and man. " So we can imagine some modern Englishman summing up the reigns of these two half-sisters who ruled England successively in the sixteenth century -- an Englishman better acquainted with history-books than with history, and in love with ideas rather than facts. It is interesting, therefore, to pursue our investigations a little further, and to learn in what spirit each of these two queens met her end, what was the account given by those about them, what were the small incidents, comments, and ideas that surrounded the moments which for each of them were the most significant of their lives. Death, after all, reveals what life cannot, for at death we take not only a review of our past, but a look into the future, and the temper of mind with which we regard eternity is of considerable importance as illustrating our view of the past. At death too, if at any time, we see ourselves as we are, and display our true characters. There is no use in keeping up a pose any longer. We drop the mask, and show our real faces. We should expect, then, if we took the view of the ordinary Englishman, that Mary Tudor would die a prey to superstition and terror, the memory of her past and the prospect of her future would surely display her as overwhelmed with gloom and remorse, terrified at the thought of meeting God, a piteous spectacle of one who had ruled by fear and was now ruled by it. Elizabeth, on the other hand, dying full of honour and years, would present an edifying spectacle of a true Christian who could look back upon a brilliant and successful past, a reign of peace and clemency, of a life unspotted with superstition and unblameable in its religion, and, forward to the reward of her labours and the enjoyment of heaven.

Nursing Career and its Advantages in doing Higher Education Essay

Abstract Nursing image is changing every day from ancient gown and cap to colored scrubs. People choose nursing for different reasons. I chose this profession because; I like to be a role model for the new nurses. After I graduated as a Registered Nurse (RN) in 1999 my first patient said, â€Å"If an Angel has dropped from heaven that is you nurse†. R.Mariam (personal communication, June, 1999). This sentence inspired me a lot and gave hope in my career. Job satisfaction is an essential part in any profession especially in this field since, we deal with life and death and it helps to raise patient’s safety, performance, quality of care, patient’s satisfaction and productivity of the organization. Like in any other field, this field also has some frustrations, but facing the problem and coping with frustrations is what helps us to reach the goal. This paper also explains the advantages of doing continuing education since, nursing profession is widely spreading and changing every day and it needs highly qualified knowledgeable and competent employees to serve. Keywords: Nursing profession, Career, Job satisfaction, patient’s safety, quality of care, performance, productivity, frustrations, and continuing education. Nursing Career and its Advantages in doing Higher Education Nursing is an art, science and profession by which we render care for the patients irrespective of all ages, religion, caste or gender who are acutely ill and in critical condition. Nurses around the world make the largest group of health professionals. They are the back bone of the healthcare system. Nurses are not only providing care for the patients, but they are also responsible for the emotional welfare of patients and their families too. Career as a Critical Care Nurse: When I was a kid, I always wanted to pursue a career in nursing or medical field. I have a sister who is a nurse. At the age of 19 years in India, I  decided to go for nursing degree and I graduated as a Registered Nurse in 1999. Nursing profession touched me a lot and it made my career interesting. I started my career as an Operating Room scrub nurse and circulating nurse. It was interesting everyday by not only taking care of the patients, but also managing the operating room activities, ensuring that the equipment’s are safe and sterilized, equipment’s are properly audited and consent forms were filled and signed by concerned members of the family. It is very crucial to be an operating room nurse, as the entire procedure depends on the efficiency and job knowledge. It is the responsibility of the nurse to be the mediator between the patients, families and the physicians. Being an operating room nurse I did not have much interaction with my patients. Almost all patients in operating room gets general anesthesia. As an OR nurse, I felt I am not interacting with the patients well and I am not fulfilling my job as a nurse completely. After few years, I decided to become an Intensive Care Unit (ICU) nurse. Transition from OR to ICU nurse was little hard for me initially, but I enjoy working with the patients and spending enough time with them and their families. At times, I have to be an advocate between the patients, families and doctors because we deal with critically ill patients. Reason for Motivation to continue in Nursing: According to Locke and Lantham (2002), Personal goals play an important part in direction and maintenance of behaviors which is needed to achieve rewards. People who are confident, believe in their ability to achieve goal and believe that the attainment of goal will lead to successful career are the ones able to complete their task effectively to reach their goals (Lent, Brown, & Hackett, 1994). Nursing profession is one of the widely expanding fields that call for passion according to (Raye, L. 2006). It is a good choice for people who find themselves more comfortable and satisfied in helping people who are in need to maintain and achieve normal health. Nursing offers wide variety of opportunities according to each individuals interests such as critical care unit, labor and delivery, pediatrics, geriatrics, telemetry, med-surg, oncology, infectious diseases, pain clinic, outpatient clinic etc. And also  it offers continuing education and competencies to keep the knowledge and skills up-to-date (Raye, L.2006). It offers flexible working hours such as three twelve hour shifts or four ten hour shifts (Blanche, J.2010). And due to the availability and shortage for nurses it offers incentive and bonuses for extra hours. It is a lifetime career which is flexible and rewarding. If we lose jobs in one position there are lots of available jobs in the market for talented individual s. It is also well-paying job with good benefits such as tuition reimbursement for higher education, medical benefits, life insurance and child care. Overall it is flexible. The reason why I have chosen nursing career was, a nurse who inspired me in my life and my interest towards, caring for human beings. The American Association of Colleges of Nursing (1998, 2008) and the National League for Nursing (2007) identified caring as the foundation for nursing. At the age of 15 years old, my dad had a massive heart attack and he was in Intensive care unit. He was intubated, on the ventilator, with so many drips infusing, with monitor alarming all the time. My whole family was very upset and hopeless. The nurse who took care of my dad was very dedicated , honest and very knowledgeable , she went above and beyond in helping us in that situation, keeping track of vital signs, maintaining his breathing, keeping him hemodinamically stable, giving back care, mouth care, sponge bath and giving emot ional support to the family and explaining what’s is going on with him. Few days later my dad died in the hospital but the nurse who took care of my dad stayed in my mind. Since then I always wanted to be a nurse who is caring, attentive to the emotional wellbeing of the patients and their families, providing emotional support because family place trust and self-respect in our hands. They want us to keep their loved ones comfortable, pain free and monitored all the time and not left alone. My passion for nursing grew when a patient or family member smiles at me and say â€Å"Thank you†, it enlightens me and lights up my day with more energy and spirit. Frustrations in Nursing Profession: The most important thing that frustrates me is the charting. Now most of the hospitals are computerized, but some hospitals still do paper charting and add more and more paper work every day. This means I have to spend more time doing paper charting than taking care of the patients. Sometimes we are short staffed and we have to do not only the registered nurse jobs, but we also have to be a house keeper doing accidental cleaning, secretary entering orders, patient care tech, Phlebotomist doing lab draws and also calling doctors with the patient’s lab and radiology results if we don’t see them on rounds. These are the thing which frustrates me, because it reduces the time which we spend for the patient care. Overall, Frustrations are common and it can happen in any other field but the nature of frustration may differ. Advantages due to addition Education in my Career: 1. Now most hospitals in New Jersey prefer Bachelor’s degree in nursing and there is a â€Å"global shortage for nurses, it gives us job security† (Blanche, J.2010). 2. It offers potential high income for well qualified employees. 3. More choice availability to go back to school to continue in higher education for nurse practitioners, nurse anesthetist and nurse educator. 4. It also helps us to interact with the other hospital nurses and health care professionals in classes which help me to improve patient care and make my job more enjoyable. 5. It gives knowledge and skills in critical thinking in assessment and problem solving in everyday practice. 6. It offers opportunity to be a mentor for the new nurses and to be a resource nurse. 7. By doing Bachelor’s degree in nursing, I am sure by the end of the course I will be well trained in areas such as effective communication, leadership and critical thinking which is very important in today’s nursing practi ce as well as it is necessary for administrative position, research and teaching. References American Association of Colleges of Nursing. (1998). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. Blanche, J. (2010). 10 reasons a nursing degree is a good best in education today. Retrieved from http://www.nurses-forum.com/blog/246/10-reasons-a-nursing-degree-is-a-good-bet-in-education-today/ Locke, E. A., & Latham, G. P. (2002).

Kate vs Kat the Independent, Feminist Role Model

In the past one hundred years, one of the most important social issues has been the subject of equality. However, this has not always been the case. For centuries, western civilization was a primarily patriarchal society, but in recent years, this issue of equality has permeated all parts of our social world, including literature. Thus we find literary critics placing twenty-first century values on ancient works, hoping to find elements of social equality where, often times, there is none to be found. For example, critics in recent years have attempted to describe William Shakespeares The Taming of the Shrew as a feminist work; however, it is largely the opposite. Petruccios actions can been seen as patriarchal, enforcing the generally†¦show more content†¦I dont give a damn about my reputation. Never said I wanted to improve my station. Im only doing good when Im having fun and I dont have to please no one. And I dont give a damn about my bad reputation (Bad Reputation). In effect, Kat is a feminist who does not conform to those around her, and ridicules the teenage social life. Kat Stratford is a Seattle high school senior of such surpassing superiority she has outgrown any interest in mere popularity. She says exactly what she thinks and cares not what others, teachers and fellow students alike, think of her in return (Thomas). Kat, in the first classroom scene of the film, exclaims why they cannot read novels of feminists instead of Hemmingways novels, which she terms as chauvinistic. In another scene, Kat the audience sees Kat reading Sylvia Plaths novel The Bell Jar. Kat becomes the feminist ideal, symbolizing intelligence, and independence, qualities her counterpart does not have. As Patrick tames the wild beast, Kat slowly falls in love with Patrick. But when Kat learns of the bet she loses all respect for him. Only in the final classroom scene does Kat profess her love for Patrick in her sonnet 10 Things I Hate About You. Unlike her counterp art, Kate, who is submissive to Petruccio. She accepts what is being done to her and does not fight back. Now not only is Kat seen as a woman with intelligence and independence, but she also has the ability to love; a quality which Kate does not