Nursing Research Improve Patient Outcomes Trans Cultural Nursing Nursing Essay

Nursing Research Improve Patient Outcomes Trans Cultural Nursing Nursing Essay Art and science (2009) claims the five steps of EBP are: asking an important clinical question, collecting the most relevant and best evidence, critically appraising the evidence, integrating the evidence with ones clinical expertise and patient preferences to make a practice decision, and evaluating the outcomes of that decision. Some barriers to incorporating EBP to improve patient outcomes include funding sources, poor access to quality information, lack of leadership, motivation or strategy. From an education perspective found that 83% of participation from various professions in primary care had never undertaken a research course, indicating that only 17% of participants had done so. This suggests that critical appraisal skills and discernment in applying research findings are likely to be lacking in this group. (37) Education is essential for research to improve patient outcomes and to help generate more EBP. Nursing Research to Improve Patient Outcomes through Evidence Based Practice and Trans-Cultural Nursing Globalization has transformed the workplaces around the globe including the health sector and health profession like nursing. Such phenomenon significantly led to the emergence of trans-cultural nursing. Trans-cultural nursing as study and practice in nursing that focus on differences and similarities among cultures with respect to human care, health, and illness based upon the peoples beliefs, practices and cultural values wherein such knowledge and skills , are utilized by the professional nurse to provide cultural specific or culturally congruent nursing care to people. Trans-cultural nursing is applicable in nursing homes and hospitals of culturally diverse patients and colleagues. It addresses the issue intertwined with cultural diversity in the nursing field in different venues of which the professionals are guided on how to deal with the complexities associated in providing nursing care to culturally diverse elderly patients as well as their colleagues as implied by the article research Leiningers Transcultural Nursing Model by C. Cameron and L. Luna. It implies the complex ways of different ethnic groups expression of their respective cultures and societies to find expression as they merge in a healthcare venue like the nursing homes of the elderly of which I experienced working. From the diverse forms taken by culture over time and space stem the uniqueness and plurality of the identities and cultural expressions of peoples and societies that make up the healthcare patients of today. It is a fact that cultural differences naturally produce conflicts in a culturally diverse healthcare firm like the nursing home composed of culturally diverse patients especially when tolerance and mutual respect are not present or there is prevalence of racism or any forms of bigotry. Healthcare Institutions or organizations and communities that are composed of divers e members or population/patients have innate individual differences and opposing paradigms peculiar to their counter parts/each other entwined with communication and language barriers, political beliefs, different sets of values, religion, personal-moral-ethical and philosophical paradigms. Such conditions are fertile grounds of misunderstandings that eventually lead conflict if not cope up or proactively addressed by the leaders or the administrators of the healthcare firm and the culturally diverse members themselves and their patients who are also came from different ethnic groups which makes the knowledge of trans-cultural nursing very important to make ones profession efficient and productive in providing the healthcare needs of culturally diverse patients (Cameron and Luna, 1996). As this research article utilized the survey and research method in formulating this study that would help nursing profession more productive, efficient and innovative in todays workplace entwined wi th culturally diverse patients, and colleagues. This also implies that nurses today must find the ways and means to adapt to the increasingly culturally diverse patients and must know how to utilize the known tools of transcultural nursing in order for them to be effective in giving the best service for their patients that consequently make their firms competitive in the market. It is a major challenge facing the nursing profession is to educate and assist nurses to develop the skills to provide culturally relevant care (Hughes, 2007, p. 57). The knowledge and experience I gained with the said patients have shown how complex the nursing profession is especially in this age where cultural divergence is becoming a norm intertwined with the healthcare firms and system. Such present condition creates the need for nurses to be constantly updated with the latest trends in transcultural nursing and utilize tools like Gibbs model of reflection (Gibbs reflective cycle) and Giger   Davidhiz ars models as the very sources on how to innovate ones profession, skills and interaction with patients and elements in the workplace proactively, efficiently and productively as nursing professional. As these kind of tool emphasized the importance of reflection. Reflection in the nursing profession is very important in helping improving the quality of nursing care towards the culturally diverse patients. Transcultural Nursing significantly conforms to the ethical principles of utilitarianism (which emphasizes the importance of giving happiness to the greatest number of people) as it would empower professional nurses to analyze their own selves and professional performance particularly on their respective strengths and weaknesses. It enables them to mitigate their weaknesses through acquisition of more in-depth knowledge derived from the implications of trans-cultural nursing and latest trends of nursing profession, new skills through profession empowering workshops and new work ven ues that cater diverse patients and retraining if necessary. With regards to their individual strengths trans-cultural nursing will help improve their way of caring the culturally diverse patients as well as their interpersonal skills with their colleagues, superiors and other people in the workplace. The knowledge and application of Trans-cultural nursing definitely change their behavior towards their profession and towards their patients which would positively impact their cognitive, affective and psycho-motor functions in fulfilling their duties and responsibilities as a professional nurse confined in the culturally diverse workplace. Acquiring skills and knowledge through job exposure or experience are the most concrete form of learning, so professional nurses must find the ways and means to acquire it from such venues as much as possible. To end, Experience and training in intercultural nursing are very important elements in nursing profession and providing healthcare service t o the elderly with multicultural backgrounds wherein lack of it makes them incompetent. Because of the lack of skills on how to utilize it on the field which makes tools like Gibbs model of reflection and combined exposure on the highly diverse field necessary. It is important for me to understand the dynamics of nursing profession to assist the culturally diverse patients and to retain, attain, or maintain optimal system stability particularly in providing their healthcare needs whether in nursing homes or in hospitals. As inadequacy of cultural and care knowledge are the missing link to nursings understandings of the many complex variations required in patient care who have different cultural backgrounds to support compliance, healing, and wellness. Therefore, it is a must that every nurse should be equipped with the skills and knowledge of trans-cultural nursing. Cameron, C., Luna, L. (1996). Leiningers transcultural nursing model. In J. J. Fitzpatrick A. L. Whall Ed. Conceptual models of nursing: Analysis and application. Stramford, CT: Appleton Lange. Hughes, K. H. and Hood, L. J. (2007). Teaching Methods and an Outcome Tool for Measuring Cultural Sensitivity in Undergraduate Nursing Students. Journal of Transcultural Nursing, issue 18, pp. 57-62

The Holocaust Essay -- History, Nazy

For most people, the Holocaust evokes feelings of empathy for the victims, and anger toward the persecutors. The Holocaust, defined as â€Å"the systematic annihilation of six million Jews by the Nazi regime,† began with the rise of Nazi Germany (â€Å"A Historical Summary†). When the Germans lost World War One, the Jews received the blame. Anti-Semitism, or the hatred toward Jews, spread like wildfire throughout the nation. Hitler came to power with ideas of a master race, resulting in the persecution of many across Europe in what became known as the Holocaust. Although many contributed to the Holocaust, Adolf Hitler remains viewed as the main catalyst. Born in Austria, Hitler originated from humble roots and poor parents (Byers, Overview 23). Adolf decided at an early age to become an artist, due to the fact that he received the best grades in his primary school art class. Soon after entering secondary school, Hitler dropped out due to poor grades. After his rejection from art school, Hitler continued to live with his mother until her death. At age nineteen Hitler lacked an education, but needed money so he traveled around picking up any job available. At this low point in his life, Adolf Hitler decided to become an anti-Semite (24). With the start of World War One, Hitler became a German soldier at age twenty-five (23-25). His time in the army led Hitler to pursue a career in politics. With Hitler’s newfound goal of politics, he joined the Nazi party. Quickly working his way to the top, Hitler soon became elected the â€Å"Fà ¼hrer† or leader of the party. Adolf first attempted to gain power in the â€Å"Beer Hall Rebellion.† He led supporters to Berlin where the uprising was quickly crushed. With the charge of treason, Hitler s... ...y innocent lives were lost in vain including 5 million non-Jews (â€Å"Holocaust†). When Adolf Hitler came to power, Europe became entangled in chaos as millions of Jews and other groups endure persecution from Germans. Works Cited Altman, Linda J. The Holocaust, Hitler, and Nazi Germany. Berkeley Heights, NJ: Enslow Publishers, Inc., 1999. Print. Byers, Ann. The Holocaust Camps. Berkeley Heights, NJ: Enslow Publishers, Inc., 1998. Print. - - - . The Holocaust Overview. Berkeley Heights, NJ: Enslow Publishers, Inc., 1998. Print. â€Å"Holocaust.† Compton’s by Britannica. 01 Aug. 2011: n.p. SIRS Discoverer. Web. 19 February 2012. â€Å"The Holocaust: A Historical Summary.† Beyond the Wall of Remembrance. Nov. 1993: 5-10. SIRS Discoverer. Web. 19 February 2012. Yeatts, Tabatha. The Holocaust Survivors. Berkeley Heights, NJ: Enslow Publishers, Inc., 1998. Print.

Myrtle Wilson Themes of Class and Wealth Essay

We get the feeling that Myrtle Wilson is not an especially smart woman. Strung along by Tom, Myrtle is convinced that he loves her and would leave his wife for her if he could. The whole bit about Daisy being a Catholic and not believing in divorce is, as Nick points out, not remotely true. Because she is unhappy in her marriage to George, Myrtle is drawn to Tom for certain specific reasons. George is passive, but Tom is controlling and authoritative. Myrtle puts up with Tom’s physical abuse because she equates it with masculinity – a quality that in her mind is lacking in her husband. She even yells at George, â€Å"throw me and down and beat me, you dirty little coward!† Myrtle also adds to the novel’s themes of class and wealth. She insists that she married below her caste, that she believed certain things about George until they got married and it was too late, he borrowed a suit for the wedding, for example. Since Myrtle is quite obviously below the Buchanan’s class (yet another reason she goes for Tom), Fitzgerald ridicules her for insisting that she is above her husband. Myrtle has many hopes and Myrtle never really loved Tom but just wanted his money. She called his house during dinner to talk to him without even thinking that he might get caught. She does not respect him at all except for when she wants something. When she and Tom are at the party at the apartment, she disrespects Daisy and Tom hits her in the nose. Myrtle only wants to get away from the poor life with George and live more luxuriously with another man. She hopes that someday that Tom will leave Daisy and they can live together. The nature of Myrtle Wilson is apparent at the party in the apartment. Even though alcohol is prohibited during this time, she drinks freely. She also says that when she first met Tom Buchanan, she was attracted to him by his suit. Myrtle says, he had on a dress suit and patent leather shoes and I couldn’t keep my eyes off him. Myrtle is materialistic and she was very impressed with the expensive suit Tom had on. This meeting made her think even less of George because he had to borrow a suit for their wedding. Myrtle Wilson is a woman stuck in a bad marriage that can lone think of the higher part of society. She wants to have a rich husband and an expensive lifestyle. Her dream of such a lifestyle eventually leads to her demise.

Wildlife of the Great Lakes

The Great Lakes are a chain of five large, freshwater lakes that are located in central North America, astride the border of Canada and the United States. The Great Lakes include Lake Erie, Lake Huron, Lake Michigan, Lake Ontario, and Lake Superior and together form  the largest group of freshwater lakes on Earth. They are contained within the Great Lakes watershed, a region whose waters discharge into the Saint Lawrence River and, ultimately, the Atlantic Ocean. The Great Lakes cover a total surface area of 95,000 square miles and hold about 5,500 cubic miles of water (approximately 20% of all the worlds fresh water and more than 80% of the fresh water of North America). There are more than 10,000 miles of shoreline that frame the Great Lakes and from west to east, the lakes span more than 750 miles. The Great Lakes formed during the Pleistocene Epoch as the result of the repeated glaciation of the region during the Ice Ages. Glaciers advanced and retreated time and again, gradually carving deep depressions in the Great Lakes River Basin. When the glaciers receded at the end of the last glacial period about 15,000 years ago, the Great Lakes filled with water left behind by the melting ice. The Great Lakes and their surrounding lands encompass  a wide variety of freshwater and terrestrial habitats including coniferous and hardwood forests, freshwater marshes, freshwater wetlands, dunes, grasslands, and prairies.  The Great Lakes region supports a diverse fauna  that includes numerous species of mammals, amphibians, birds, reptiles, and fishes. There are more than 250 species of fishes found in the Great Lakes including Atlantic salmon, bluegill, brook trout, Chinook salmon, Coho salmon, freshwater drum, lake sturgeon, lake trout, lake whitefish, northern pike, rock bass, walleye, white perch, yellow perch, and many others. Native mammals include the black bear, fox, elk, white-tailed deer, moose, beaver, river otter, coyote, gray wolf, Canada lynx, and many others. Bird species native to the Great Lakes include herring gulls, whooping cranes, snowy owls, wood ducks, great blue herons, bald eagles, piping plovers, and much more. The Great Lakes have suffered greatly the effects of introduced (non-native) species during the past two hundred years. Non-native animal species such as zebra mussels, quagga mussels, sea lampreys, alewives, Asian carps, and many others have greatly altered the Great Lakes ecosystem. The most recent non-native animal to have been recorded in the Great Lakes is the spiny water flea, a crustacean native to the seas of the Middle East that are now quickly populating Lake Ontario. Introduced species compete with native species for food and habitat and can also More than 180 non-native species have entered the Great Lakes since the latter part of the 19th century. Many of the introduced species have been transported into the Great Lakes in the ballast water of ships, but other species such as the Asian carp, have invaded the lakes by swimming through the man-made channels and locks that now connect the Lake Michigan to the Mississippi River. Key Characteristics The following are the key characteristics of the Great Lakes: the largest group of freshwater lakes on Earthaccount for 20% of all the worlds fresh wateraccount for more than 80% of the fresh water of North Americaintroduced species have greatly altered the Great Lakes ecosystemsupports more than 3,500 species of plants and animals Animals of the Great Lakes Some of the animals that inhabit the Great Lakes include: Lake whitefish (Coregonus clupeaformis) - The lake whitefish is a species of freshwater fish that belongs to the salmon family. Lake whitefish are found in all of the Great Lakes and are a valuable commercial species. Lake whitefish feed on bottom-dwelling invertebrates such as snails, clams, and the aquatic larvae of insects.Walleye (Sander vitreous) - The walleye is  a large freshwater fish native to the Great Lakes as well as most parts of Canada and the northern United States. Walleye are much recognized as icons of the places they inhabit—they are the state fish of Minnesota and South Dakota and they are the official fish of Saskatchewan.Yellow perch (Perca flavescens) - The yellow perch is a species of perch whose range includes the Great Lakes and the Saint Lawrence River. Adult yellow perch feed on aquatic insect larvae, crustaceans, mysid shrimp, fish eggs, and small fish.Great blue heron (Ardea Herodias) - The great blue heron is a large wading bird common to fresh water wetland habitats throughout North American, including the Great Lakes. Great blue herons have a long, sharp bill that they use to capture a variety of small prey animals such as fish, crustaceans, insects, rodents, amphibians, reptiles, and birds.Canada lynx (Lynx canadensis) - The Canada lynx is a medium-sized cat that inhabits the forests throughout Canada and Alaska. In the Great Lakes region, Canada lynx occurs around Lake Superior and on the northern shores of Lake Ontario and Georgian Bay, a large bay of Lake Huron that lies in Ontario, Canada. Canada lynxes are secretive, nocturnal mammals that feed on snowshoe hares, rodents, and birds.Moose (Alces alces) - The moose is the largest living member of the deer family. Moose inhabit the forests that border the northern shores of the Great Lakes. Moose are herbivores that feed on a variety of herbaceous plants and grasses.Common snapping turtle (Chelydra serpentina) - The common snapping turtle is a widespread turtle that i nhabits freshwater wetlands east of the Rocky Mountains, including the Great Lakes region. Snapping turtles have a reputation for being quite aggressive.American bullfrog (Lithobates catesbeiana) - The American bullfrog is a large frog that occurs in wetlands in the Great Lakes region. American bullfrogs are predators that feed on small mammals, reptiles, and invertebrates. Sources Great Lakes Environmental Research Laboratory. About Our Great Lakes. Published online at https://www.glerl.noaa.gov//pr/ourlakes/intro.htmlHarding JH. Amphibians and Reptiles of the Great Lakes Region. University of Michigan Press; 1997. 400 p.Kurta, A. Mammals of the Great Lakes Region. Revised Edition. University of Michigan Press; 1995. 392 p.US Environmental Protection Agency. The Great Lakes: An Environmental Atlas and Resource Book. 2012. Published online at https://www.epa.gov/greatlakesUS Environmental Protection Agency. Great Lakes Invasive Species. Accessed November 22, 2013. Published online at https://www.epa.gov/greatlakes