Personal Phyosophy in Nursing - 764 Words

My Personal Philosophy of Nursing Applying the four Metaparadigms Danice Thorne Transition to BSN Kristine Hilton amp; Beth Pecora October 24, 2015 Introduction It is the nurse’s responsibility to provide optimal care for the patient. This doesn’t begin and end with only the patient who is ill, nor does it end when a patient goes home. To provide a patient quality care holistically the nurse may apply one or more theories. The nurse will decide whichever theory is applicable to the patient; these theories all share the basics concepts. The nurse will initiate a framework of evidenced based practice within these concepts. The metaparadigms consists of a belief and belief system composed of four concepts; human being,†¦show more content†¦Health Another concept is health; the nurse will become familiar with the history of the patient’s life span and their genetic makeup. According to Kearney-Nunnery (2012) it is important to â€Å"look at how the client is defined in the environmental context and consider the health actions: are they perceived as emerging, maintaining, enhancing or perhaps palliative.† p 4 Health is a relative term, for instance, an 80 year old man completes 5 push-ups. His strength would be considered to be in good health, however if it was an 18 year old man completing only 5 push-ups, he would be considered unhealthy (Nurse Group 2015). It is also important to know what the patients understanding of health and wellness is. Nursing The final component of the metaparadigm is â€Å"nursing†. Nursing refers to delivery of optimal health outcomes for the patient, based on the patients’ health action. Nurses are required to have specialized training and knowledge. This includes experience with hands on nursing care, communication, medical knowledge and technical skills. Nurses will be communicating with patients, their families and other professionals on a regular basis. While applying these skills it is important for nurse to show their patients a caring supportive and compassionate environment. It is the nurses’ obligation and responsibility to be an advocate for the patient. The nurse should always maintain a high level of code of ethics. Conclusion

Part Four Chapter V Free Essays

V Shirley Mollison was convinced that her husband and son were over-stating the danger to the council of leaving the Ghost’s posts online. She could not see how the messages were worse than gossip, and that, she knew, was not yet punishable by law; nor did she believe that the law would be foolish and unreasonable enough to punish her for what somebody else had written: that would be monstrously unfair. Proud as she was of Miles’ law degree, she was sure that he must have this bit wrong. We will write a custom essay sample on Part Four Chapter V or any similar topic only for you Order Now She was checking the message boards even more frequently than Miles and Howard had advised, but not because she was afraid of legal consequences. Certain as she was that Barry Fairbrother’s Ghost had not yet finished his self-appointed task of crushing the pro-Fielders, she was eager to be the first to set eyes on his next post. Several times a day she scurried into Patricia’s old room, and clicked on the web page. Sometimes a little frisson would run through her while she was hoovering or peeling potatoes and she would race to the study, only to be disappointed again. Shirley felt a special, secret kinship with the Ghost. He had chosen her website as the forum where he would expose the hypocrisy of Howard’s opponents, and this, she felt, entitled her to the pride of the naturalist who has constructed a habitat in which a rare species deigns to nest. But there was more to it than that. Shirley relished the Ghost’s anger, his savagery and his audacity. She wondered who he might be, visualizing a strong, shadowy man standing behind herself and Howard, on their side, cutting a path for them through the opponents who crumpled as he slayed them with their own ugly truths. Somehow, none of the men in Pagford seemed worthy to be the Ghost; she would have felt disappointed to learn that it was any of the anti-Fielders she knew. ‘That’s if it’s a man,’ said Maureen. ‘Good point,’ said Howard. ‘I think it’s a man,’ said Shirley coolly. When Howard left for the cafe on Sunday morning, Shirley, still in her dressing gown, and holding her cup of tea, padded automatically to the study and brought up the website. Fantasies of a Deputy Headmaster posted by The_Ghost_of_Barry_Fairbrother. She set down her tea with trembling hands, clicked on the post and read it, open-mouthed. Then she ran to the lounge, seized the telephone and called the cafe, but the number was engaged. A mere five minutes later, Parminder Jawanda, who had also developed a habit of looking at the council message boards much more frequently than usual, opened up the site and saw the post. Like Shirley, her immediate reaction was to seize a telephone. The Walls were breakfasting without their son, who was still asleep upstairs. When Tessa picked up, Parminder cut across her friend’s greeting. ‘There’s a post about Colin on the council website. Don’t let him see it, whatever you do.’ Tessa’s frightened eyes swivelled to her husband, but he was a mere three feet from the receiver and had already heard every word that Parminder had spoken so loudly and clearly. ‘I’ll call you back,’ said Tessa urgently. ‘Colin,’ she said, fumbling to replace the receiver, ‘Colin, wait – ‘ But he had already stalked out of the room, bobbing up and down, his arms stiff by his side, and Tessa had to jog to catch him up. ‘Perhaps it’s better not to look,’ she urged him, as his big, knobble-knuckled hand moved the mouse across the desk, ‘or I can read it and – ‘ Fantasies of a Deputy Headmaster One of the men hoping to represent the community at Parish Council level is Colin Wall, Deputy Headmaster at Winterdown Comprehensive School. Voters might be interested to know that Wall, a strict disciplinarian, has a very unusual fantasy life. Mr Wall is so frightened that a pupil might accuse him of inappropriate sexual behaviour that he has often needed time off work to calm himself down again. Whether Mr Wall has actually fondled a first year, the Ghost can only guess. The fervour of his feverish fantasies suggests that, even if he hasn’t, he would like to. Stuart wrote that, thought Tessa, at once. Colin’s face was ghastly in the light pouring out of the monitor. It was how she imagined he would look if he had had a stroke. ‘Colin – ‘ ‘I suppose Fiona Shawcross has told people,’ he whispered. The catastrophe he had always feared was upon him. It was the end of everything. He had always imagined taking sleeping tablets. He wondered whether they had enough in the house. Tessa, who had been momentarily thrown by the mention of the headmistress, said, ‘Fiona wouldn’t – anyway, she doesn’t know – ‘ ‘She knows I’ve got OCD.’ ‘Yes, but she doesn’t know what you – what you’re afraid of – ‘ ‘She does,’ said Colin. ‘I told her, before the last time I needed sick leave.’ ‘Why?’ Tessa burst out. ‘What on earth did you tell her for?’ ‘I wanted to explain why it was so important I had time off,’ said Colin, almost humbly. ‘I thought she needed to know how serious it was.’ Tessa fought down a powerful desire to shout at him. The tinge of distaste with which Fiona treated him and talked about him was explained; Tessa had never liked her, always thought her hard and unsympathetic. ‘Be that as it may,’ she said, ‘I don’t think Fiona’s got anything to do – ‘ ‘Not directly,’ said Colin, pressing a trembling hand to his sweating upper lip. ‘But Mollison’s heard gossip from somewhere.’ It wasn’t Mollison. Stuart wrote that, I know he did. Tessa recognized her son in every line. She was even astonished that Colin could not see it, that he had not connected the message with yesterday’s row, with hitting his son. He couldn’t even resist a bit of alliteration. He must have done all of them – Simon Price. Parminder. Tessa was horror-struck. But Colin was not thinking about Stuart. He was recalling thoughts that were as vivid as memories, as sensory impressions, violent, vile ideas: a hand seizing and squeezing as he passed through densely packed young bodies; a cry of pain, a child’s face contorted. And then asking himself, again and again: had he done it? Had he enjoyed it? He could not remember. He only knew that he kept thinking about it, seeing it happen, feeling it happen. Soft flesh through a thin cotton blouse; seize, squeeze, pain and shock; a violation. How many times? He did not know. He had spent hours wondering how many of the children knew he did it, whether they had spoken to each other, how long it would be until he was exposed. Not knowing how many times he had offended, and unable to trust himself, he burdened himself with so many papers and files that he had no hands free to attack as he moved through the corridors. He shouted at the swarming children to get out of the way, to stand clear, as he passed. None of it helped. There were always stragglers, running past him, up against him, and with his hands burdened he imagined other ways to have improper contact with them: a swiftly repositioned elbow brushing against a breast; a side-step to ensure bodily contact; a leg accidentally entangled, so that the child’s groin made contact with his flesh. ‘Colin,’ said Tessa. But he had started to cry again, great sobs shaking his big, ungainly body, and when she put her arms around him and pressed her face to his her own tears wet his skin. A few miles away, in Hilltop House, Simon Price was sitting at a brand-new family computer in the sitting room. Watching Andrew cycle away to his weekend job with Howard Mollison, and the reflection that he had been forced to pay full market price for this computer, made him feel irritable and additionally hard done by. Simon had not looked at the Parish Council website once since the night that he had thrown out the stolen PC, but it occurred to him, by an association of ideas, to check whether the message that had cost him his job was still on the site and thus viewable by potential employers. It was not. Simon did not know that he owed this to his wife, because Ruth was scared of admitting that she had telephoned Shirley, even to request the removal of the post. Slightly cheered by its absence, Simon looked for the post about Parminder, but that was gone too. He was about to close the site, when he saw the newest post, which was entitled Fantasies of a Deputy Headmaster. He read it through twice and then, alone in the sitting room, he began to laugh. It was a savage triumphant laugh. He had never taken to that big, bobbing man with his massive forehead. It was good to know that he, Simon, had got off very lightly indeed by comparison. Ruth came into the room, smiling timidly; she was glad to hear Simon laughing, because he had been in a dreadful mood since losing his job. ‘What’s funny?’ ‘You know Fats’ old man? Wall, the deputy headmaster? He’s only a bloody paedo.’ Ruth’s smile slipped. She hurried forward to read the post. ‘I’m going to shower,’ said Simon, in high good humour. Ruth waited until he had left the room before trying to call her friend Shirley, and alert her to this new scandal, but the Mollisons’ telephone was engaged. Shirley had, at last, reached Howard at the delicatessen. She was still in her dressing gown; he was pacing up and down the little back room, behind the counter. ‘†¦ been trying to get you for ages – ‘ ‘Mo was using the phone. What did it say? Slowly.’ Shirley read the message about Colin, enunciating like a newsreader. She had not reached the end, when he cut across her. ‘Did you copy this down or something?’ ‘Sorry?’ she said. ‘Are you reading it off the screen? Is it still on there? Have you taken it off?’ ‘I’m dealing with it now,’ lied Shirley, unnerved. ‘I thought you’d like to – ‘ ‘Get it off there now! God above, Shirley, this is getting out of hand – we can’t have stuff like that on there!’ ‘I just thought you ought to – ‘ ‘Make sure you’ve got rid of it, and we’ll talk about it when I get home!’ Howard shouted. Shirley was furious: they never raised their voices to each other. How to cite Part Four Chapter V, Essay examples

Freight Transport for International Business and Global Economy

Question: Discuss about theFreight Transport for International Business and Global Economy. Answer: The way in which freight affects the eco system Freight transport is a big problem for the ecosystem, with the rising trade practices in all countries the use of freight transport is also increasing. This increase is also enhancing the amount of use of the fossil fuel available depleting our resources. However the thing that is becoming the biggest concern is the amount of carbon emission by these freight transport which is creating pollution in the ecosystem for example in us the freight transport system has become the leading contributor to pollutant emissions, in particular greenhouse gases and carbon di oxide (CO2). If we take the example of a single car, which turns 6000 liters of oxygen into fumes within one hour. CO2 emissions from the U.S. transportation sector exceed total CO2 emissions of any other economy in the world besides China. Affect of Freight transport on arable land Freight transport is the main component of the business concern; it is a requirement to continue business. However, it is not good for the environment when the arable land is being transformed into parking lot for freight transport, which is being used for various industries. Transformation of the farming land into parking lot for the freight transport is very common in U.S. and Canada (Brown, Ferguson and Viju 2017). This can be an example of reduction I the rate of arable land in every country due to freight transport. Agricultural products and their production diminish due to the relative change in the availability of arable land. Freight Transport spreading diseases Initially, Infectious disease could spread as far and as fast as people could walk or move but with the advent of truly global travel as we all know the growing rate of freight transport is expanding continuously by air, sea and land and hence pathogens and their vectors can now move further, faster and in greater numbers than ever before. For example there are three important outcome of global freight transport system, those are infectious disease pandemics, vector invasion events and vector-borne pathogen importation such as global influenza pandemics, the devastating Anopheles Gambiae invasion and recent increase in Plasmodium Falciparum malaria cases. Spread of nonnative pest by freight transport Nonnative pest the word itself mean that the pest which comes from foreign countries and spread in other countries. Freight transport such as cargo ships, land transport as well as air transport keeps on moving from one country to the other to transport goods (Campbell et al. 2017). With goods at times they carry pests which seeps into the transport at the time of loading and unloading of goods these pests travel from one country to the other using the transport and causing harm to such countries where it is nonnative. For example the Asian long horn beetle can travel from Asia to other nonnative country with the goods that are carried using freight transport. Freight transport as a reason behind spread of civilization Freight is the reason behind spread of civilization. In the early stages of civilization man moved from one country to the other because of trade they sold their invention to other countries and bought the inventions done by the other countries as well this raised the use of freight transport. Furthermore freight transport was the reason behind globalization of trade and also resources. The western countries were more civilized than the eastern countries the things like printing press and other commodities without which life seems to be impossible now was spread all over the world by freight transport. This helped the globalization of products new technologies and also new ideas which got spread all over the world and brought a sense of civilization among citizen of different countries. Relocation of both human as well as goods is a urge of Globalization which was provided by the use of freight transport. It has been learned in the world history that human beings travelled from one end of the worked to the other for trading and this resulted in discovering of many places which was a way forward towards globalization (Rietveld and Bruinsma 2015). Therefore, it can be well justified that freight transport has played a vital role in Globalization as well as up gradation of civilization. For an example, Water transport, including paddled and cruised vessels, goes back to time immemorial, and was the main effective approach to transport huge amounts or over vast separations preceding the Industrial Revolution. Air transport as freight The special attribute that Air transport has over other means of transport like truck maritime or pipeline is speed as well as coverage of maximum portion in the world (Biermann, Teuber and Wedemeier 2015 ). Air transport is a very fast means of freight it helps in reaching out to all parts of the world at very less time as well as a maintainable risk factor. Truck as a useful freight transport Truck is a means of transport which is confined to a certain area an attribute that makes truck transport better than other transport as it is a type of intermodal transport which is required for inland transportation of good (Courtonne, Longaretti and Dupr 2017). For an example, For instance, a shipper cooperates with both ground and air transportation to deliver a thing abroad. Multi-purpose cargo transport is utilized to design the course and do the delivery benefit from the maker to the entryway of the beneficiary. Maritime transport as a better freight transport Maritime transport is an important and the earliest means of transport in the history of the world. An attribute that makes it more promising than other means of transport is that it can carry huge amount of material overseas at a time and at reasonable cost (Refining and Martin 2017). For example import export of vehicles, huge machinery and other heavy materials can only be transferred using maritime freight. Pipelines used as freight transport Pipelines are the modern way of transportation of liquid as well as gaseous substances throughout the world. The characteristic that makes pipelines a better means of freight is its risk free transportation of fossil fuel which was very difficult before. It reduces the risk of oil spill as well wastage of resources. The innovated routes in summer Advantages of the northern sea route which opens up in summers can be briefly discussed in few points. Firstly, separation from Northern Europe to China and the other way around, approx 40% shorter than by means of the Suez Canal or 60% shorter through the Cape of Good Hope. Secondly, significant decreases in transportation time, fuel utilization, ecological outflow and dispenses with theft hazard. Thirdly, it also saves cost and makes it economic by making returning ships from the eastern side. On the forth position it reduced the amount of ice by 40% in the last 25 to 30 years making the season longer. Lastly this route is open for larger variety of cargos at less time (Lanteigne 2015). When the travelling expenses are reduced due to the reduction of the distance and discovery of a new route which is less costly decreases the landed cost of the products being transported. Similar in the case of the route that opens in the summer season reduces the distance in turn reduces the cost of carriage or freight further directly affecting the landed cost of the products. The opening of the Northern Sea Route as an elective course to transport cargoes between the Far East and Europe appears to be very adequate by delivery organizations because of the considerable sparing in fuel utilization, fortification cost, working cost, emanations and trip time (Simn,2015). This circumstance won't just influence the sea business movement in the Straits of Malacca yet in addition, the Malaysian economy in alternate points of view when the vessels cruise by means of the Suez Canal and the Indian Ocean are relied upon to diminish. References Biermann, F., Teuber, M.O. and Wedemeier, J., 2015. Bremens and Hamburgs port position: Transport infrastructure and hinterland connections within the North Range.International Business and Global Economy,2015(Tom 34), p.7889. Brown, M., Ferguson, S.M. and Viju, C., 2017.Agricultural Trade Reform, Reallocation and Technical Change: Evidence from the Canadian Prairies(No. w23857). National Bureau of Economic Research. Campbell, M.L., Hewitt, C.L. and Miles, J., 2016. Marine pests in paradise: capacity building, awareness raising and preliminary introduced species port survey results in the Republic of Palau. Courtonne, J.Y., Longaretti, P.Y. and Dupr, D., 2017. Uncertainties of Domestic Road Freight Statistics: Insights for Regional Material Flow Studies.Journal of Industrial Ecology. Lanteigne, M., 2015. One of Three Roads: The Role of the Northern Sea Route in Evolving Sino-Russian Strategic Relations. Refining, N.Z. and Martin, A.D., 2017. Crude Shipping Project: Review of Refining NZ Dredging Project Reports on Ecological Effects. Rietveld, P. and Bruinsma, F., 2015. 15 Transport and urban development.International Handbook on Transport and Development, p.229. Simn, L., 2015. Europe, the rise of Asia and the future of the transatlantic relationship.International Affairs,91(5), pp.969-989.