Friday, January 31, 2020

The Impact of the Iom Report on Nursing Education Essay Example for Free

The Impact of the Iom Report on Nursing Education Essay The Impact of the IOM report on nursing education With an estimated 64 million people having seen the Institute of Medicine’s reccomendations on the future of nursing within the first year of its release, it is arguably one of the most influential pieces of medical literature of the 21st century, leaving a lasting impact on healthcare and paving an innovative path forward for the nursing profession. The institute of Medicine (IOM) is a nonprofit, unaffiliated orginazition. Its purpose is to provide advice to the government and private sector in order to make an informed health decision. The IOM was established in 1970, and for the past 40 years, the organization has been answering the nation’s most pressing questions about healthcare. â€Å"On October 5, 2010, the IOM released its reccomendations on nursing in the United States. According to the IOM report, it is crucial that nurses achieve higher levels of education and training in order to prepare themselves for the dynamic work environment in which they will participate (IOM Forum on Future of Nursing Summary, 2010, para 1. ) Higher nursing degrees provide nurses with more critical thinking skills; this will create efficiency and improved quality of care for the patient. In order to increase nursing competence, it is paramount that there is an improved education system that promotes continuous academic progression as opposed to the current disjointed system that is both archaic and ineffective. As well as increasing the percentage of nurses who attain a Baccalaureate in the Science of Nursing (BSN) to 80% by 2020, having at least 10% of BSN nurses to enter a master or doctoral program, and doubling the number of nurses who pursue doctoral degrees, the profession should institute residency training in addition to currently instrumented internship programs for novice nurses. It is not enough that nurses simply attain a BSN before heading directly into the nursing workforce; it is imperative that newly graduated nurses participate in a residency program. This provides inexperienced nurses with the opportunity to gain familiarity with leadership and collaboration, conflict resolution, and ethical decision making. This will provide nurses with the confidence and skills required to become successful, competent healthcare providers who will become future leaders and advocates of the nursing profession. The impact of iom report on nursing practice particularly on primary care and how you would change your practice to meet the iom report. Scope of practice barriers are particularly problematic for advance practice registered nurses (APRN’s) aprn’s and the expansion of healthcare organization that have increased the roles and responsibilities of nurses in patient care- such as veterans, health, administration/ remove scope of practice barriers, particularly for aprn’s. How I can change to meet the IOM reccomendations. I have taken the first step by enrolling in an ADN to BSN program. I recently got a certification in my specialty- maternal newborn nursing. With these skills, I will be able to not only advance my personal career, but also apply my knowledge to make the environment more efficient and beneficial for the patient. By incorporating research and evidence based practices in patient care, I will be able to assist the patient to the best of my abilities. A pivotal IOM recommendation was the expansion of opportunities for nurses to lead and diffuse collaborative improvement efforts with physicians and other healthcare members (The Future of Nursing Leading Change, Advancing Health Report Recommendations, 2010, pg. . ) It is an unrealistic goal to reach an improved quality of healthcare nationwide without the wholehearted cooperation and support of nurses. It is not enough for nurses to sit back and watch the changes occur; we must be proactive in the redesigning of national healthcare. By contributing the unique perspective of the healthcare providers who interact with the patients the most, the system can be improved to be more efficient and beneficial for patients, healthcare providers, and management. However, in order to achieve this level of active communication with industry leaders, nurses need strong leadership skills (The Future of Nursing: Leading Change, Advancing Health, 2010, 5-1. ) The IOM report essentially underscores this vital need for nursing innovators. Going forward, nursing programs and employers will further encourage leadership and teamwork development in addendum to conventional nursing courses. As a result, nurse leaders will be able to effectively convey their concerns and reccomendations and with the help of physicians and management, implement ideas into innovative and insightful policies.

Thursday, January 23, 2020

Essay --

â€Å"Little Dancer, Aged 14† In 1881, Edgar Degas caused a scandal by unveiling Little Dancer Aged Fourteen (Petite danseuse de quatorze ans), his wax sculpture of a young ballet "rat†. Today, Degas' creation is considered a masterwork of Impressionist sculpture, a piece worthy of detailed study in an international exhibition. It wasn't just the subject matter of Little Dancer that repulsed critics in 1881 at an exhibition in which impressionist presented their work. The little dancer, Marie van Goethem, was a normal girl standing in a very normal position; it shows her hands behind her back instead of dancing. That ordinariness irritated those who believed that sculpture had to be monumental in subject and design. Degas also had the foolhardiness to use real materials, a muslin tutu, linen bodice, satin ballet shoes, a real hair wig and a colored satin ribbon rather than the customary media of bronze, stone and wood. (Wolgamott) Edgar Degas’s birth name was Hilaire-Germain-Edgar De Gas. He was born in July of 1834 in Paris, France. Compared to most families at this time, he grew up moderately wealthy. Degas began to paint when he was very young. By the time he graduated from school in 1853, when he was 18, with a baccalaureate in literature, he created an art studio in his home to create his works of art. â€Å"After he completed high school, he applied to work in the Louvre Museum; however his father pressured him into to law school not believing in art as a career. Degas enrolled at the Faculty of Law of the University of Paris in November 1853, but put forth very little effort to his studies if any at all. In the early months of 1855, Degas was granted access to the École des Beaux-Arts, a French art school, his mentor whom he stu... ...ind it concerning that his subject would be of this age even for this period of time. My focus, unlike the professionals who critiqued this sculpture, is not based on the child’s aesthetics, it is on her age and why she is posing nude for an artist. One can’t help but think further on that subject, and how that Degas and other powerful male figures abused their power. The use of the cloth corset, satin objects and real hair wig is fascinating to me. In this era of art although the artwork that was created was of â€Å"real† things, you would not see the use of various materials on a clay sculpture. In fact, the idea was unheard of. Degas was one of the leading creators of the impressionism period along with Monet, without them the art world would not be the same and we would not view art and the various brush strokes and darkness of colors in the same light.

Tuesday, January 14, 2020

Film Comparison Reservoir Dogs and the Killing

Directed by Stanley Kubrick and released in 1956, The Killing has resonated through the years as an influential and groundbreaking story of a botched bank robbery told through the eyes of each different characters point of view. The scenes are strategically organized out of order and lead the story through a maze of plot advancements. Quentin Tarantino’s Reservoir Dogs opened in October 1992 and draws many influences and themes from Kubrick’s film. The unorthodox arrangement of scenes accompanied by meticulously crafted development of character side stories can be seen in both features.Furthermore, these films subject matter both have to do with a planned heist gone awry resulting in the deaths of all but one character that is later apprehended by the authorities. The underlying themes also mirror one another quite seamlessly especially when it comes to trust and character conduct. Each film does a fine job at gripping the audience in suspense until the final cut scene. In both films, there is the initial robbery plan that is presented to a small group of mostly thugs who don’t ask too many questions and would probably turn on one another in the blink of an eye.It becomes apparent quite soon into the opening of each film that something has gone or will go wrong at some point at the hands of a mole within the operation. Accidents, such as Reservoir Dogs failed robbery attempt itself, happen within both plots to make the stories move forward at a jarring rate. Each of the film’s directors were able to take away any and all comprehension of time outside of the movie experience and replace it with edge of your seat, non-linear plot installations. Above all, the distinct and groundbreaking writing from both films is what creates the sense of hyperrealism seen within both features.The language and direction used in Tarantino’s movie pays homage to early film noir classics as well as films such as Martin Scorsese’s Mean Street s and even The Killing itself. The themes found in The Killing can also be found quite easily within Reservoir Dogs as well. Stanley Kubrick’s film was released in the mid 1950’s and has underlying tones that were most likely derived from the uneasiness of the nation at that time. Who to trust remains to be a big theme in the movie, especially after the group finds out that there is a snitch among the ranks.Reservoir Dogs plays off of this same notion and really makes an unapologetic example of how no one can be trusted, even when you truly believe in them. The Killing goes as far as to imply that, in the case of the window teller and his greedy wife, men should not trust women, especially when it comes to the subject of potential money in the pocket. They send out the message that you can only trust one person and one person only: yourself. The eternal excuse that money cannot provide happiness becomes a recurring theme in both films.Another theme seen in each movie s uggests the idea that violence creates nothing but negativity and eventual downfall. Considering the fact that nearly every main character in both films perishes by the end, just goes to show the theme that tells us how violence met with more violence can only result in misery. There are many similarities between each of these films. Quentin Tarantino candidly speaks about how he wanted to create his own version of The Killing, and how he did exactly that with Reservoir Dogs.The pervasive amount of violence found in both films also becomes noteworthy when looking for parallels between the two. Reservoir Dogs is violent in many more scenes than The Killing and is also filled with much coarser language, but the sustained violence that occurs during the final 25 minutes of The Killing must certainly have been something seldom seen by the public in the time of its release, especially the graphic bullet wounds seen in the faces of several fallen characters.In both films, violence is some thing that each character uses in order to get by, but by the end of each feature most of the characters have perished at the hands of someone else. This goes to show that even though the characters were intrinsically geared toward violence, they met their respective downfalls due to their own violent or dubious actions.