Nursing Experience free essay sample

When I was a kid back then I was dreaming of going to America. My parents advises me to study hard and pick a profession that is in demand every part of the world. I was so not prepared on what profession that is in demand so my sister Belinda who was studying Nursing at The University of Santo Tomas encouraged me to follow her footstep. I was contemplating to take Medicine but my brother Manolo who was an Intern at the Jose Reyes Memorial Hospital in Manila was complaining of sleepless night and unable to attend family reunion especially on Christmas and New Yeara eve. He would drop by just to have a quick bite of foods. So this type of work interupted my ambition of becoming a doctor. So I was back again to Nursing. On my era at that time Nursing profession were more on the ladies side except if you are gay. We will write a custom essay sample on Nursing Experience or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page So took a big gamble and decided that profession. I love to take care of people and be voice of the patients especially if they do not receive the proper care that they deserve. I graduated in 1979. Took the board exam and almost landed among the top 10 where highest grade on my exam was 85% and my score was 81. 3 %. Too bad I did not made it but satisfied enough that I passed it with flying colors compared to my Summa Cum Laude who got 75%. Right then I went directly to practice Emergency Room nursing which I love it very much due to I could practice all the fields that I studied. Being in the E. R. it requires intelligence, able to identify the problem of your patient thru the sign and symptom they are manifesting, laboratory result, chest x-ray report, CT scan report and other test that were done. Anticipation on what will happen next and what is your solution before that problem comes in. Being in the field of nursing even getting you license is not enough to make you to be good on what you had studied as basic knowledge. You had to constantly take advance learning skill like continuing education in regards to your specialty or other specialty to stimulate your thirst for extra knowledge. In my fields I have taken basic ECG reading and interpretation , advance ECG interpretation , Advance Cardiac Life Support , Basic Cardiac Life Support , CPR, Bone Marrow Interpretation , Understanding pain and their different methods of treatment modalities. Advance Nursing care of old people, Advance nursing care of neonates ; pediatrics ,cancer patients ,etc.. So Education does not end after you graduated from college. It is a continuing process of your professionalism. Besides here in the US it is mandatory to take a 30 hrs. of continuing education that is related to your profession before you could renew your license which is every 2 years. There is no exemption to the rules of the California Board of Nursing. Now I have 2 kinds of Nursing specialty which is Dialysis. In dialysis I have to study Plasmapheresis, Continuous Veno-Venous dialysis ( CVVH), Continuous Ambulatory Peritoneal Dialysis and lastly Hemodialysis. To be on that field you have to go to school for this specialty. It is not just you go for training that what in the Philippines does. Her it is different. You have to be certified by that specialty. You have to pass the difficult test. You have to meet the requirement that is you should be a BSN graduate, had 2 years of Acute hospital training or work, 1 year of hemodialysis work experience. The certification does not increase your salary but but your Status Quo. It makes you proud of yourself of what you had accomplish to upgrade your profession. People pay respect on you when they see that letters after the word R. N. Now I do specialized again in two settings of Hemodialysis which is Acute Dialysis which is the hospital setting. In that setting you perform the dialysis treatment either Peritoneal dialysis or Hemodialysis in the patients room. You had to follow where that patient is located either in Emergency Room ,Surgical Intensive Care Unit, Intensive Cardiac Unit, Coronary Unit, Pulmonary Unit, Pediatric unit,Orthopedic, Rehabilitation unit, Psychiatric Unit, Medical or Surgical Unit , except for Operating Room and Obstetric where you do not want to contaminate that area with germs. On the clinic side I am a Clinical Nurse Manager. I have to manage the clinical side and Business aspect of the clinic. I have to take care of the entire population of hemodialysis which is 125 patients in 2 days that is excluding the Peritoneal dialysis patients. I have several position besides being the Clinical Manager, I am also the Infectious Disease Manager and Anemia Manager. You see you have a lot of responsibility when you are in a position and working on a big company. Taking a big responsibility is not easy but rewarding once you had accomplished what you are aiming for. My advise to you is be a leader, excel in what you do, be a pioneer in your field and be a voice of your PATIENTS. Check your facebook account. I answered what I could think of in that small box I am typing. You could pick my picture with my Marilyn Monroe.

Beware of these 8 Red Flag Illegal Interview Questions

Beware of these 8 Red Flag Illegal Interview Questions We all go into interviews nervous, and ready to answer (or at least pivot) any question that comes our way. But there are a few questions that step over lines you might not even realize are there- though they are there to protect you. As you’re preparing answers to every possible question in order to put your best foot forward in the interview, try to keep an ear out for some of these, which you are under no obligation to answer. In fact, it is illegal even for your interviewer to ask!1. â€Å"Are you married?†Any question that could lead to questions about your family situation or plans (i.e. â€Å"Do you plan to have children?† or â€Å"Do you have any children?†) falls under pregnancy discrimination. It’s often not polite conversation; quite the contrary. An interviewer might even be asking about your sexual orientation- also illegal and discriminatory!2. â€Å"How old are you?†Even if you don’t think your age is problematic or anyt hing to hide, you shouldn’t be asked this question- or answer. Ageism in the marketplace is a real problem for some applicants. And it is illegal to discriminate against anyone over 40. Similarly, â€Å"When did you graduate?† is a sneaky way of getting at the same information.3. â€Å"Are you healthy?†Especially if you’re applying for a physically demanding job, an employer might want to make sure you’re up to the task. They can ask about specific physical tasks related to the job performance, but nothing further.4. â€Å"What church do you attend?†Avoid religious discrimination attempts by not responding to any questions about your religion or any religious holidays you might plan to celebrate. A simple â€Å"I’d prefer not to discuss my religious preferences† will do, even if your religious observations might affect the amount of time off you’ll need to take.5. â€Å"Where are you from?†As long as you’re authorized to work where you are, there’s no reason to answer this question. Discriminating on the basis of nationality is illegal. As is asking whether or not English is your first language.6. â€Å"Are you an alcoholic?†I mean, if someone asks you this in an interview situation, you might want to reconsider your application. But if they do happen to ask, you are under no legal obligation to respond. According to the Americans with Disabilities Act of 1990 recovering alcoholics and drug addicts are not required to disclose anything about their addiction or recovery.7. â€Å"Are you in debt?†Employers are not allowed to inquire as to your credit history unless it would directly impact your job performance. They also can’t ask you about owned property, or how you balance your finances.8. â€Å"How were you discharged from the military?†This is another totally inappropriate question. What you can be asked, however, is what kind of experience and edu cation you acquired whilst in the service.

Research Methods (new research methods and paradigms) Essay

Research Methods (new research methods and paradigms) - Essay Example econometrics), laboratory experiments and several numerical methods (e.g. mathematical modelling) (Myers, 1997). Quantitative stance offers a variety of tools including standardized questionnaires and survey, experiments, etc (Wainer and Braun, 1998). The concepts of reliability and validity have traditionally been considered the cornerstones of quantitative approach. On the other hand, poor applicability to examination of poorly quantifiable issues is a serious shortcoming of quantitative methods and techniques. This effect is known as 'decontextualization' of study results: models built on the basis of quantitative results fail to cover certain essential variables that come into play in the real world context (Patton, 2002). By contrast, qualitative methodology seeks to explore phenomena in the "real world setting [where] the researcher does not attempt to manipulate the phenomenon of interest" (Patton, 2002: 39). Qualitative stance can be defined as follows: "any kind of research that produces findings not arrived at by means of statistical procedures or other means of quantification" (Strauss and Corbin, 1990: 17). Qualitative research reveals findings observed in the real world context where the phenomena being studied unfold naturally (Patton, 2002). As a result, qualitative perspective incorporates a different set of validation criteria than quantitative stance does (Kirk and Miller, 1986). For example, the replicability criterion can not be used to evaluate validity and legitimacy of a qualitative study. Instead, credibility, transferability and precision play very important role in determining validity of qualitative findings (Hoepfl, 1997). Some researchers argue that the concept of validity as it is defined within the quantitative paradigm is also not applicable to qualitative research (Creswell and Miller, 2000). Instead, they tend to develop their own concepts of validity or adopt other assessment criteria that depend upon each particular case. The examples of such criteria are quality, trustworthiness, rigor and some others (Dingwall et al, 1998). The distinctions between quantitative and qualitative research methodologies are determined by the underlying philosophical principles. The choice of epistemology, which guides the research, is admittedly the most important of these principles (Hirschheim, 1992). Epistemology Over the last years many experts have expressed concerns regarding the use of positivist paradigm and methods associated with it in the area of business and organisational research. The underlying assumption of positivist perspective, which is existence of an objective world that can be measured and quantified through the use of traditional scientific methods of inquiry - has been vigorously attacked. A number of organisational theorists started to claim that the positivist approach "strips contexts from meanings in the process of developing quantified measures of phenomena" (Guba and Lincoln, 1994: 106). Other concerns about the applicability of quantitative methodologies to in-dept examination of complex social phenomena include taking the collected data out of the real-world setting, poor representativeness and generalisation of data, exclusion of discovery from the realm of scientific inquiry, etc The positivist perspe

Quantative critique Essay Example | Topics and Well Written Essays - 1250 words

Quantative critique - Essay Example The population sample is defined clearly from the title for multiple sclerosis patients. However, the length of the title is inappropriate; also, this study does not contain an abstract. The two researchers (Yeliz and Nuran) are both professors. Both work with the nursing department of the health science department from Hacettepe University in Ankara, Turkey. This is enough evidence that they are both qualified as researchers as they come from reputable companies. The department of nursing from Hacettepe University is a well-established institution, and by them, researchers, associated with the nursing department in the faculty of health sciences, is a good explanation of the their qualification to undertake a research on nursing (Figved, et. al, 2007). The problem is indicated where the research paper indicates that the sufferers of multiple sclerosis have high co-morbidity, which relates to poor life quality and the high costs in health care. As a result, such patients cannot acces s the optimal homecare, and there is no any model for nurse-based home visiting. The problem stated has the significance in that it introduces the reader to the purposes and aims of the research study. As a result of the existence of the above problem, the study aims at determining the effects of the nursing interventions based on NANDA in order to determine the effects of home-based nursing interventions on issues that relate with Quality of Life (QOL) among patients with multiple sclerosis. The research variables are the intervention and control groups in the study sample. The participants in the intervention groups were 21, and those in the control group were 24 making a total of 45 participants (Carton, et. al., 2004). The hypothesis has been stated clearly whereby the author says that patients with MS live with their families, and they need homecare services just like other people with other diseases, which are chronic. This hypothesis acts as a basis in which the research focu ses on, seeking for the effectiveness of home-based nursing interventions. This natural flow from the theoretical framework and the research problem (whereby because of the problem of inappropriate home-based model, the patients live with their families where the homecare services) are inefficient. This provides the theoretical framework of the research in that when people suffering from multiple sclerosis lack sufficient home-based care, the effects can be chronic, and there should be an appropriate model, which aims at handling the resulting problems. The hypothesis contains two variables that are investigated; intervention and effectiveness of the homecare based nursing. These are clearly and objectively worded whereby from just the mention of the hypothesis, because of living with their families, the homecare based might be challenging since they require health professionals to administer the services. Through this, a reader can evaluate the effectiveness of the homecare-based n ursing (Karantay, 2002). This research used the pretest-posttest experimental group design where patients from the control group received the interventions from standard care that has to be given to patients with multiple sclerosis; the participants in the intervention group received the nurse-based home-visiting care. The appropriateness of the design to the research question is well defined, where due to the purpose of the research of establishing the effectiveness

PROBLEMS WITH THE PAROLE AND PROBATION SYSTEM IN THE UNITED STATES Research Paper

PROBLEMS WITH THE PAROLE AND PROBATION SYSTEM IN THE UNITED STATES - Research Paper Example This specific problem is one which can be attributed to the system with the probation programs because of the inability to meet the needs of those that are adjusting back into society. Problem within Probation Programs The criminal offender conduct is the main concept that is focused on with probation programs. Those who are working with criminals who have just been released from prison are focused on changing mannerisms and ensuring that the prisoner is able to work within society as a citizen. Getting steady employment, staying away from further crime and developing new habits within society are some of the associated concepts that are a part of probation programs. Supervising those individuals and working with counseling programs are also some of the attributes that are a part of probation programs. However, there is a noticeable re-entry crisis that occurs among criminals. The inability to change the focus out of the habits from past crimes and the inability to provide criminals with the ability to move into a completely correctional system are causing many criminals to go through probation periods then move back into the same crimes as in the past (Johnson et al, 2006). The problem with those who are in parole systems is one which is showing a high return rate that is not decreasing with the systems that are in place. In 2006, an average of 35% of all inmates returned to prison during or after the probation period. This was a result of parole violations, as opposed to new crimes that were committed. The state of California held the highest of parole violations, which was inclusive of two-thirds of inmates returning to prison because of the same violations. The problems with probation include the first problem of too many inmates being supervised with too little supervision. In 2006, 4 million offenders were placed into probation. The officers were primarily responsible for the movement back into society with other court orders that were associated with thi s. It was found that the restrictions with probation, such as not being able to find employment because of a criminal record, led to many being forced into breaking the probation rules to try to integrate into society (Lawrence, 2008). The parole systems, while known to assist with the integration back into society, are causing the reverse problem to occur. Those who are within the system and are going through parole are aware that there is difficulty in getting past probation systems and staying in society. There are many who have created the mentality that they will go back into prison during their probation period, adding in a psychological response to the known statistics and rates of those who are going in and out of the justice system. Those who are going back into prison work as an example of the difficulties within the probation and parole system, making the trend arise among those who are a part of the probation system and which are trying to work back into an integrated so ciety. The psychological responses, trends and the large amount of criminals that go back into prison add into the complexity of those who are going through the parole system (Johnson et al, 2006). Theories of Criminal Justice Practice There are several theories that apply to the criminal justice practice and the way in which individuals integrate into society. Historically, those who had committed a crime were only required to serve

Common Themes in Poetry Essay -- Mid-Term Break Follower Poetry Poems

Common Themes in Poetry After reading and analysing numerous poems, I have chosen two examples of the famous Irish Poet, Seamus Heaney's work: 'Follower' and 'Mid-Term Break'. Both poems relate to the poet's past, and are certainly associated with a specific 'loss' of a loved one - one a literal loss, and the other a subconscious loss. 'Mid-Term Break', which I found to be a very touching and poignant poem, describes the loss of the poet's younger brother, Christopher when Heaney was a child, hence the poem is of a childhood tragedy as well as a loss. It's set in three places - the introduction is situated in the college sick bay; the main body of the poem is set in Heaney's brother's funeral, and the final setting is the small child's bedroom. The poet is awaiting his neighbours' car in the college sick bay, as they're going to escort him to the funeral. Evidence is given of 'death' in the second line: - "Counting bells knelling classes to a close" This metaphorical sentence creates a morbid atmosphere from the out-set, and the alliteration and hard consonants suggest that the 'wait' for his neighbours' car is excruciatingly long and daunting which underlines two things - childhood impatience and the fact that something is troubling him. 'Change' is sensed here also due to the fact that his neighbours are driving him home - as we know, the negative change is Christopher's death. Within the aspect of 'change', this is merely the 'tip of the iceberg', as many more unfamiliar experiences await him. The 'child's prospective' is cleverly brought into the second, third, fourth and fifth stanzas as a consequence of the poet's confusion and the contradictive scenes he witnesses as he walks into the fa... ...Seamus Heaney's childhood' is a fair summary of 'Mid-Term Break' and 'Follower', both linked to a specific loss - one, the death of the poet's four year old brother in a road accident; the other, the loss of the poet's father to old age. Both poems show the poet's use of transforming a situation from bad to good: in 'Mid-Term Break', 'the room' is not a deathly enclosure with a 'corpse' within, but a scene of tranquillity soothed by candles, with a little boy 'wearing a poppy bruise on his left temple' peacefully travelling to Heaven; in 'Follower', the setting is not a boring day in the fields ploughing, it's a small boy's idolisation of his father and attempt to follow in his footsteps. Whatever differences exist between both poems, the message is one: Losing is one of the hardest things a human being can witness, but we all have to lose in the end.

Family System Theory Essay

In my attempt to outline a family seeking therapy for domestic violence using the Family Systems Theory, I will first give a detailed account of the family history, and then embark on the problem before tackling the intervention strategy. Family History John married Jane 20 years ago.   At the time of their marriage, John had a well paying job which could support his nuclear family as well as his parents.   John’s parents were peasant farmers who actually had sold everything they had in order to pay John’s school fees.   John’s parents had placed a lot of hope in him before he contracted this marriage. This fact led them to discourage John from marrying Jane since they considered that John having spent the family resources in his education, he had every reason first to pay school fees for his young brothers.   To avoid clashing with his parents, John promised to handle both responsibilities (that is, caring for the younger siblings and his wife).   After lengthy deliberations the parents submitted to his observations and allowed him to go forward and marry Jane. On the other hand, Jane at the time of marriage was employed as a sales girl and earned amount that could see her through most of her needs.   Jane appeared to be a self styled lady depicting a lot of wealth.   Even though Jane’s parents were notoriously religious, Jane had an out of wedlock child which she was caring at her parents. This issue was however unknown to John. Jane did not bother or she ignored to disclose to John about this issue.   John only happened to know about the kid a few weeks to their wedding day.   This did not detract John from marrying her fiancà ©e. Jane was the last born in a family of six children, 3 girls and 3 boys.   Her parents were wealthy and of middle social standing.   This family not only was it capable of meeting basic needs but also some luxuries.   Her elder brothers were all married and comfortably settled down.   The two elder girls were also married to wealthy husbands who owned some assortments of luxurious properties including several vehicles.   Unlike John’s family, Jane’s family was in actual fact composed of well to do family members. It is important to note that Jane’s educational background was not pleasing as she had dropped out of school when she contracted her first pregnancy.   John however, had knowledge of her lovers, educational background and seemed to be contended with the situation.   At first, when Jane highlighted to her parents about her future prospects, they at first disapproved the marriage on the grounds that John could afterwards ditch her due to her first child or due to her educational standards.   Jane succeeded to bargain for blessing of the marriage through cheating her parents that John was aware of everything, thus there was no cause of worry. The Problem As noted earlier, few days after John married Jane, there was a misunderstanding over the first issue as John demanded an apology from Jane for failing to disclose fully her status.   This time the marriage was saved by the intervention of John’s parents who pleaded with him to shelve the matter and love his wife as before. Joy returned to these couples and within a period of 10 years, they had 3 more children inside the wedlock.   John managed to convince Jane to leave her job so as to concentrate with family matters, which included taking care of the children among others. This move however, was viewed by John’s in-laws negatively as they considered John’s salary to be insufficient.   They also had negative thoughts about the future status of their daughter’s marriage, as they had conviction that John would one day ditch Jane.   They rebuked Jane for being seduced to terminate her employment. During the 15 years into marriage, John was suspended from his employment under very queer circumstances.   What happened is that John, while supposed to be on duty, had that day requested a fellow workmate to play his part, while he attended to some family issues. Unfortunately, the same day, there occurred some robbery at his place of work and more particularly involving his department.   This called for his suspension pending investigation that was followed by his dismissal without terminal benefits. Upon dismissal John and his family moved to there rural home. Coping with life was not easy as the family had to readjust and face some of the realities of life. The family was in total economic disrepair and john for the sake of saving the situation sold most of his rag-tag assets. However the going was not smooth as these did not last the family for a ling time. As a way of escaping realities of life, John started to drink. This only served the purpose of increasing his problems. Upon being confronted by her wife he resorted to abusive language. The problem facing the family now is that as a result of John’s change of behavior Jane’s parents are blaming her for failing to listen to their instructions in the first place. Even though they have secured Jane something to see the family through basic needs, they are threatening to withhold the same if she keeps on sticking to this doomed marriage. On the other hand John’s children seem to be suffering from emotional distress due to the misunderstanding pitying the parents. The out of wed-lock daughter is considering that their father is battering her mother due to her presence in the family. John seems to be sinking deep and deeper in drug and substance abuse. He abuses his children through neglect as well as physically associating them. John’s parents seem to suggest that John made a mistake in marrying Jane for reasons which are not clear. The family is about to break-down as john is engaged in all manner of domestic violence. Sometime when drunk he raises the subject of the first daughter, a topic that Jane considers to have been dealt with in the past. He also sees Jane’s parents to be the source of all his problems as he associates them with wealthy bureaucrats who are out to play down his marriage. There is total communication breakdown in John’s family as well as between the extended family (in-laws). The family with the aid of a Good Samaritan is now seeking therapy. Remember Jane is cursing herself for having disrespectful to her parent’s advice. The same thing is also happening to John. This culminates into the children loosing hope. Therapy The therapy required here should encompass all the members of the nuclear as well as the extended family. First it is important to evaluate the family through scheduling interviews that involves with some members of this immediate family. This interview should include children as well as two significant members of the extended family. There is a need for the therapist to be a man and woman as to treat gender related issues on top of serving as role models for the family. The therapy being based on the family systems theory the family should be regarded wholly as being the unit of treatment. Therefore emphasis should be placed on communication processes. John’s family should be analyzed first. Therapist’s comments and remarks should be structured in a manner likely to help family members become more conscious of patterns or structures that had been previously ignored. Sessions should be structured in a way that members of the extended family can, eat together, so as to afford the most required ingredient of family to succeed-communication. By the end of the therapy members of this family including the IP (Identified Patient) should be seen to differentiate. Reference Nichols, M.P. & Schwartz, R.C. (2006). Recent Developments in Family Therapy: Integrative Models; in Family therapy: concepts and methods. 7th Ed. Boston: Pearson/Allyn & Bacon.