Development of Self as Nurse

Development of Self as Nurse HH/NURS 4516 Development of Self as Nurse: Advanced Professional Issues – CAREER PLAN ASSIGNMENT – Scanning Your Environment Self-Assessment Reality Check Career Vision Career Goals -In my third year clinical placement, my nurse mentor was organized and possessed excellent communication skills when dealing with the interdisciplinary team and the families of the newborns within her care. -Environmental constraints when looking for a job includes: job availability, changes in the healthcare economy (e.g. budget), and being up against many competitors wanting the same job. -Environmental resources: Nursing school faculty and also the clinical setting. -The opportunities of learning in my school setting is very diverse and have contributed in my decision and focus on working with newborns and their families. -Important social and health issues in my community would be many older adults in the community are staying home. As more of these older adults stay home they are at increased risk for falls and possible burns due to their declining motor skills and sensory senses. Current nursing issues affecting my local area would be a decrease in nursing jobs for new graduates. Older nurses are slowing turnover by taking longer to retire, and new graduates are flooding the market. -Many nurses use technology to document patient care and also to communicate with others in the interdisciplinary team. -Interventions to prevent stress and burnout and to retain nurses are critically necessary to ensure efficient and quality client care. -Global Health issues such as the Ebola virus disease in West Africa is currently now traveling all over the world. It is vital for nurses and nursing students to stay well informed about this severe illness in order to educate clients and the public to help prevent spread. -Horizontal violence is a global nursing issue affecting many nurses and their practice. -Practicing in the clinical setting as a nursing student has allowed me the opportunity to spend additional time with my clients and learn more about who they are as a person as oppose to viewing them as walking diagnosis and room number. -It is essential that I Maintain balance and values in all aspects of my life because nursing can be quite stressful at times and a good support system is needed to help cope with stress. -In the clinical setting, I am able to therapeutically support my clients and tend to their needs while still maintaining my professional boundaries. My most significant accomplishments while in the nursing program would be receiving an invitation to join York University’s honor society for being the top 15% student in the faculty of health. -As a result of an increased self-awareness and increased knowledge base in my forth year, I feel that I am much more interactive and confident with members of the multidisciplinary team and with the patients. -New knowledge and skills that I have acquired since my last self-assessment would be there is an increase in my ability to perform technical skills such as monitoring, setting up and administrating IV medications and also inserting a urinary catheter using sterile technique to my clients. In the beginning, I had some time management issues due to saving my charting until towards the end of the shift, which then resulted in me leaving clinical late. Now, I ensure that I document as I go; thus improving my time management in the clinical setting. I am known as a hard worker and focused individual which has been evidenced by the numerous academic recognition awards I have received. I have been told that my strengths in the clinical setting include patient education, patient advocacy, and meeting the client’s basic needs. The key areas for development that I need to improve upon would be memorization of lab values. Often times, people describe me as a good listener and very patient and caring. -My assessment of my accomplishments compared with others assessments of me are quite accurate when being compared together as I feel I am a hard worker that prides in giving quality patient care and producing work of the same caliber in the classroom. I am hopeful that I will receive my request for the NICU as my final practicum as I have met the additional requirements needed for this specialized area; by going this route, I may be able to take part in the new grad initiative and hopefully secure a job if available. I have been able to identify my strengths and weaknesses with the help of my preceptor and my own reflection in clinical and theory practice. I am optimistic about what my nursing career holds in the future and also gaining the ability to grow and learn as a person and a nurse in my clinical experiences. -I am an expert practice neonatal intensive care nurse that works with a diverse group of young clients and their families in a large teaching hospital in the downtown region of Toronto. In the clinical setting I have been recognized for my extensive knowledge base, my ability to work effectively and efficiently under high levels of stress and also collaborate effectively with the interdisciplinary team. In accordance with the College of Nurses (CNO) standards of practice, I ensure that my nursing practice is always being guided and supported by current research; In addition I have been diligent in taking continuing education certificate courses at available colleges and universities online and locally. Through years of experience I have perfected the craft of building the nurse-client relationship by utilizing therapeutic techniques which will enable me to provide comfort and support to families in my care. Short term Network with other nurses in the NICU through a professional organization and related interest groups. Use nursing practice placement experiences gained in my previous semesters and final integrated practicum to develop necessary competencies in this area of practice. Connect with nurse mentors in the NICU clinical setting that I have worked with previously and use them as a resource. Get a staff nurse position in a Neonatal intensive care unit upon graduation and passing the NCLEX Long term 1. Take additional courses in order to become more knowledgeable in providing client and family centered care when attending to neonates. 2. Become a specialized Nurse Practitioner- (Need to complete the Primary Health Care Nurse Practitioner certificate program at Ryerson University, subsequent to obtaining my Master’s Degree in Nursing.) Career Plan Action Steps Resources Timeline (When to accomplish) Indicators of Success (How will I know I have succeeded?) Next Steps (How will you market yourself?) 1) Speak to up to three faculty staff members who could possibly become mentors in the area of neonatal intensive care or pediatrics. 2)Through my environmental scan, identify the professional skills and nursing practice competencies that are essential to working competently in the NICU 3) Speak to past nursing students and current nursing staff who have experience working on the neonatal intensive care unit. 4) Meet with the placement coordinator to discuss and understand placement requirements for forth year students entering into specialized integrated practicum areas (e.g. NICU). -Faculty members with a pediatrics and neonatal intensive care background Utilize contact information obtained from the Nurse manager on the NICU. -The College of Nurses website -Registered nurses association of Ontario Canadian Nursing Students Association -Nurse manager and staff on the NICU at Trillium health center. -Colleagues that just finished the nursing program in previous year. -Nursing practice placement coordinator -Faculty members with related neonatal intensive care background June 2015 April 2015 March 2015 November 2014 1) Make appointments with selected faculty members who have a neonatal and pediatric background to discuss the possibility of becoming my mentor. 2)- Ensuring that environmental scan is continually updated as my self-assessment or career vision may change. These updates indicate that significant changes may have occurred around me as I move forward in my job or education. -I will also attend professional association meetings. 3)-Connect with former colleagues who have graduated in the previous year via telephone or social media nursing groups to get feedback. Contact nurse manager via email to let her know of my interest in obtaining a new grad initiative position 4)-Contact the placement coordinator and related persons to establish a meeting time and place to discuss questions that I may have in regards to integrated Practicum. As a new graduate nurse, I am aware that I may not have much experience when compared to a more â€Å"seasoned† nurse when applying for the same job position; but I am confident in my abilities and know that I am able to learn and adapt to my environment with much quickness and efficiency. I am able to be my own best marketer when in a setting that requires selling of self by ensuring that I am being represented in the best possible way and utilizing all available resources. I am a member of The Golden Key International Honor Society in which I am able to attend conferences and workshops locally, provincially and nationally. This will allow me the opportunity to connect and network with colleagues who I may be able to call upon for advice and direction if needed. This will further aid in my success of being employed as new graduate nurse in my dream job the NICU.

Observations at the Park Essay -- Observation Essay, Descriptive Essay

Observations at the Park A cigarette butt lies next to my foot, still emitting a trace of smoke. Nearby on the dusty asphalt a pigeon waddles self-consciously, bobbing its head as if pecking the air for some invisible food. A squirrel churrs a threat to his brother, challenging him to romp. The walkway before me never becomes silent. A buzz of voices blends with the city soundscape of cars driving and trucks backing, swingsets squealing and sparrows chirping. A toddler, holding tightly to his sister's stroller, yells "Achtung! Achtung! Achtung!" at a squirrel that crosses two inches from his foot. His mother comforts him, in German. A man sits down on the bench across from me, eyelids dropping on his creased red face as he stirs his cup of coffee. The bench I sit on is green, painted over years of dents and names scratched in wood. My backpack sits to my left with its main zipper opened just wide enough for me to extract my notebook and pen. At my right is my suitcase. Its pockets are crammed full like the subway this morning, barely room left to breathe, creaking and comp...

Comparison essay amd vs intel -- Computer Science

Comparison essay amd vs intel English III Throughout personal computer history there has been a monopoly on processors that company is Intel but that is changing by the day. There is a processor called AMD (advanced micro devices) currently leading in the silicon race for the fastest processor at an affordable price. No longer shall Intel lead the market when AMD makes its name superior. A CPU is a microprocessor that is generally constructed with millions of tiny switches called transistors that are imbedded in silicon. The outer shell is ceramic with gold pins protruding out of the processor to make a connection with the motherboard. The function of the processor is to take the data from memory, (a storage device) or an outside controller like a keyboard, joystick, or scanner. This is determined in the program by sending messages to the processor in binary language. Binary language is sent to the processor commanding the transistors to flip on or off, (on equals one and off equals zero). The processor is placed on a motherboard with a bus speed of that to match the processor. This allows the processor to go as fast as the wires making up the bus can handle. This means the less resistance in the wire the faster your system can run. The bus is measured in megahertz (MHz) and is connected to the memory for the processor to store in memory. The faster the operation can occur the better the system operates. The CPU has a clock speed that tells you how many operations can happen in one second. A CPU's clock is found by multiplying the processor megahertz by 1,000,000. If you have a 500 MHz processor then the operations will equal 500,000,000 per second. The operation, is the individual commands sent by the program. The faster the processors bus and clock speed the faster FPU's (floating point units). This is the mathematical part of the processor. This allows the binary to work faster. Now that the processor has been explained. Why is AMD is better? In the beginning, AMD made CPU's (central processing units) in the second IBM compatible desktop systems ever developed. There are now three competitors in the processor race; AMD, Intel, and Transmeta Crusoe. The relevance of this is that Intel's Processor will still be the most expensive CPU with no extras. Intel has had problems in the past as Kam, from the UK says, "It... ...an AMD Athlon. Networking is a complicated job with older slower computers; the Athlon is the key to the networking stability. This makes a network with minimal problems and high-end data pass through possible. There is a bottleneck theory that is related to memory and networking. In memory it is caused by having to slow of memory on to fast of a bus. This will not happen if the AMD Athlon System has PC133 memory. Intel had programs made by the monopolization of Microsoft Windows 3.1x, 95x, 98x this made it hard for AMD to compete in the past. Microsoft Windows 2000 will now incorporate programming made to run windows faster more reliable and be compiled to run better on the Athlon systems. With Intel out of the way, on top end networking AMD can pull into the lead in one more area. Listen to what AMD has to say about this project. "Microsoft and AMD worked together throughout the design process to help ensure the combination of floating-point performance of the AMD Athlon processor and Microsoft's Windows 2000 Professional will provide a reliable and high-performance business platform that meets the needs of business customers today and well into the future." Comparison essay amd vs intel -- Computer Science Comparison essay amd vs intel English III Throughout personal computer history there has been a monopoly on processors that company is Intel but that is changing by the day. There is a processor called AMD (advanced micro devices) currently leading in the silicon race for the fastest processor at an affordable price. No longer shall Intel lead the market when AMD makes its name superior. A CPU is a microprocessor that is generally constructed with millions of tiny switches called transistors that are imbedded in silicon. The outer shell is ceramic with gold pins protruding out of the processor to make a connection with the motherboard. The function of the processor is to take the data from memory, (a storage device) or an outside controller like a keyboard, joystick, or scanner. This is determined in the program by sending messages to the processor in binary language. Binary language is sent to the processor commanding the transistors to flip on or off, (on equals one and off equals zero). The processor is placed on a motherboard with a bus speed of that to match the processor. This allows the processor to go as fast as the wires making up the bus can handle. This means the less resistance in the wire the faster your system can run. The bus is measured in megahertz (MHz) and is connected to the memory for the processor to store in memory. The faster the operation can occur the better the system operates. The CPU has a clock speed that tells you how many operations can happen in one second. A CPU's clock is found by multiplying the processor megahertz by 1,000,000. If you have a 500 MHz processor then the operations will equal 500,000,000 per second. The operation, is the individual commands sent by the program. The faster the processors bus and clock speed the faster FPU's (floating point units). This is the mathematical part of the processor. This allows the binary to work faster. Now that the processor has been explained. Why is AMD is better? In the beginning, AMD made CPU's (central processing units) in the second IBM compatible desktop systems ever developed. There are now three competitors in the processor race; AMD, Intel, and Transmeta Crusoe. The relevance of this is that Intel's Processor will still be the most expensive CPU with no extras. Intel has had problems in the past as Kam, from the UK says, "It... ...an AMD Athlon. Networking is a complicated job with older slower computers; the Athlon is the key to the networking stability. This makes a network with minimal problems and high-end data pass through possible. There is a bottleneck theory that is related to memory and networking. In memory it is caused by having to slow of memory on to fast of a bus. This will not happen if the AMD Athlon System has PC133 memory. Intel had programs made by the monopolization of Microsoft Windows 3.1x, 95x, 98x this made it hard for AMD to compete in the past. Microsoft Windows 2000 will now incorporate programming made to run windows faster more reliable and be compiled to run better on the Athlon systems. With Intel out of the way, on top end networking AMD can pull into the lead in one more area. Listen to what AMD has to say about this project. "Microsoft and AMD worked together throughout the design process to help ensure the combination of floating-point performance of the AMD Athlon processor and Microsoft's Windows 2000 Professional will provide a reliable and high-performance business platform that meets the needs of business customers today and well into the future."

Lessons In Life Essay

When comparing â€Å"Mother To Son† with â€Å"Mending Wall† the message given is that with hard work, either manual or emotional life gives rewards. In â€Å"Mother To Son† the mother wants to pass her knowledge of life to him, that nothing is free and with hard work you will receive the feeling of accomplishments. The mother speaks of her hardships in life, but even with those she has always had hope. Even during the darkest times in her life she never gave up. What greater gift can a mother pass on to her child? The gifts than come from the heart are the greatest. She is trying to let him know that even though she has been climbing all her life she will not give up. Even though the story of â€Å"Mending Wall† focusing on the hard labor that comes once a year to neighbors repairing a common wall between their properties they also share good times together. â€Å"Good fences make good neighbor’s†. (page 1881) The neighbor’s speak of hunter’s that have passed during the year. Their walk of the wall gives each neighbor a time to share and reflect on the past years events’ with each other. Both stories differ in their style, â€Å"Mother To Son† gives a hidden approach to life. She is trying to give him subtle hits of what the road of life offers. â€Å"Mending Wall† gives a direct approach, it’s a conversation between neighbors that happens once a year, once it happens they go back to the way they were. Langston Hughes was born in Joplin, Missouri, James Langston Hughes was a member of an abolitionist family. His first published poem was also one of his most famous, â€Å"The Negro Speaks of Rivers†, and it appeared in Brownie’s Book. Later, his poems, short plays, essays and short stories appeared in the NAACP publication Crisis Magazine and in Opportunity Magazine and other  publications.( http://www.redhotjazz.com/hughes.html) Robert Lee Frost was one of America’s leading 20th-century poets and a four-time winner of the Pulitzer Prize. An essentially pastoral poet often associated with rural New England, Frost wrote poems whose philosophical dimensions transcend any region. Although his verse forms are traditional–he often said, in a dig at archrival Carl Sandburg, that he would as soon play tennis without a net as write free verse–he was a pioneer in the interplay of rhythm and meter and in the poetic use of the vocabulary and inflections of everyday speech. His poetry is thus both traditional and experimental, regional and universal. (http://www.robertfrost.org/indexgood.html) Works Cited Baym, Nina. â€Å"The Norton Anthology of American Literature.† 2003 http://www.redhotjazz.com/hughes.html http://www.robertfrost.org/indexgood.html

College Life vs My Moral Code

At the time of this read, 1997, Elisha Dov Hack was a Yale university freshman who based his upcoming dormitory lifestyle off of what he had heard from his older brother. Hack’s objection was that in previous years, there was a policy in motion that granted students the ability to live at home rather than the dorms. Yet when Hack come of age to attend the University there had been a revision to the policy. The change required first and second year students to reside on campus, regardless of their family’s geographical location. This generated a systematic problem with coeducation residency and Hack’s Jewish faith. Every day, for the remainder of their life, students will be faced with decisions that can challenge their upbringing. Regardless of a student’s faith, they are adults capable of making their own decisions, but colleges should be able to offer some flexibility to students who honestly seek separation due to moral concerns. Hack expresses a concern with current tolerances based on aged patriarch. Back then they â€Å"were subject to expulsion† if the student permitted the opposite sex as a guest. This moral conflict has since subsided of those in yesteryears. Although Hack and four of his Jewish colleagues were not attempting to impose their beliefs on others, they felt it was necessary to be the exception to the newly established rule, due to their â€Å"moral standards. † Unless Yale waived residency requirements, the students are unable to exercise their constitutional rights, this is a violation a of law. To persuade Yale’s secular acceptance, Hack felt it was necessary to point out posters advertising safe sex, articles influencing premarital intercourse, and alternative persuasions that detour from abstinence. He demands an answer as to why such an elite group, such as Yale, fails to stand behind their open-minded proclamation. Yet hypocritical standards make it difficult for students who demand devout structure. Yale still prides themselves on â€Å"no parental rules,† the contradictory concept of sexual mortality being in the hands of the student encourages detrimental peer pressure. Even separating genders by floor has unfavorable outcomes, since temptations and ease of access permits visiting opposing sexes to wander through during inappropriate times. Even though the students are adults, they feel violated, since they are forced to surround with other students participating in sinful acts. It is evident that Yale attempts to speak their own language by selling themselves to new students with glamorous advertisement, proclaiming respect and historical retention. This academic institution lacks hindsight that it is an educational environment, while education is not just taught, it is learned by example, just as students learn from their parents by watching. Do students come to class and begin intercourse during instruction? Based on years of intense religious teachings, each individual is subject to a moral message portrayed by each Yale resident, which is not accepted by the Jewish faith. Students with stringent oppositions towards combined gender housing should be given the opportunity to exercise their faith or seek other alternatives. Rather than seeking out â€Å"Yale attention,† Yale needs to focus on what they are teaching the students via peer pressure.

Human Resource Management and Organizational Behaviour Within a Multinational Leader H&M

Human resource management and organizational behaviour within a multinational leader Hennes & Mauritz is a multinational retail-clothing company operating in 38 countries and employing a total of 87,000 people. It has been founded in 1947 in Sweden and experienced a rapid growth due to international expansion since the 1960’s. H&M’s mission is at the same time one of the reason for its big and fast success; offering fashion and quality at the best price. Customer expactations are supposed to be exceeded at all times as well as customers being satisfied with the company itself. In order to achieve that H&M needs to sustain its very positive brand image and staff that is organized in the best possible way to handle those goals set. In its annual report it is stated that the company’s focus should be on commercial mindset, simplicity, constant improvement, cost consciousness and entrepreneurship. With those aspects in mind, the long term goal being „making fashion available to everyone, giving the customer a fashion experience that strengthens H&M brandâ€Å" should be reached allowing the business to further expand and to enter new markets on the basis of a 10-15% growth per year, funded internally. Over the years, the company has set a strategy which has the three main aspects of price, design and merger &acquisitions. First of all, since H&M always tries to offer their customers the lowest price possible, they need to achieve a competitive advantage to achieve low costs, and sustaining profitability at very low prices. This is achieved through keeping the number of middlemen to a minimum, benefiting of economies of scale, taking advantage of their great experience and selecting suppliers carefully and keeping distribution costs as low as possible. Designing is completly processed inh-house while all of the production is outsorced but its outcome is tested carefully on a regular basis to ensure high quality at all times. Mergers & acquistions have also been one of the company’s major strategy in the past, especially focusing on acquisitions of small design companies to enrich their product portfolio and being able to offer diversified products worldwide which is an essential part of their international expansion strategy. H&M’s corporate strategy is to expand on a continuing basis, and as a consequence, employee strength also increases continuously. For 2009, H&M’s The continous expansion means that there is also an ongoing process of recruitment within the company, as additional staff is needed with every new shop opening. Annual increase in the number of employees for the upcoming years is 5000-10,000 people from all different kinds of backgrounds, mostly recruited locally at the place of store opening. H&M puts a strong emhasis is to maintain their image of being a good employer, which will help them not only to be confronted with a higher number of applicants for job vaccancies, but also reduces staff turnover as well as it increases employee’s satisfaction towards their job and hence, productivity. This also includes making efforts that exceed national requirements of employer’s responsibilities, which are, especially in some of the recently entered asian markets, very low compared to western standards. This objective is summarized by the HR department as following: â€Å"In order to meet people’s expectations of H&M as an attractive employer, the company develops global guide lines on diversity, equal rights and against discrimination† Hennes & Mauritz wants to give every employee the feeling that they are an essential part of the business, constently offering them to develop and giving the positive signals that promotions are within the company are always ahead. The company is very open towards trade unions and is known for its good and close communication on an employee-management level. Represantitves are being elected which frequently discuss possibilities for improvement with managers, representing the employee’s opinions while at the same time managers are encouraged to actively communicate with employees of all levels as well. This creates a strong feeling of trust within the organization, which is excellent at managing diversity. At times of promotions, managers are advised first to look for the best candidate internally in order to gain advantage of the employee’s experience with the company and encouraging others to work hard and being the best andidate for future promotions. However, the companies philosophy is built among a concept which does not award employees with outstanding job titles but instead continiously increasing opportunities and responsibilities. The fast international expansion of course requires high level of training of new staff. As stated before, internal recruitment is one the main objectives, but since the number of staff is growing so fast, new employees need to be introduced to the job quickly. This process is being accelerated by on-the-job training in which new staff in new markets is invited to join a co-workers in an established market to be introduced into the philosophies, practices and day-to-day tasks. One of the main characteristics a H&M employee therefore needs to bring is a sense of entrepreneurship, good communication skills and being open to work in different environments. Once being hired by H&M, the employee is offered a huge range of benefits for which the company is well recognized for (a list of possible benefits is attached in the appendix)

Did the possession of nuclear weapons prevent war in Europe after 1945 Essay

Did the possession of nuclear weapons prevent war in Europe after 1945 - Essay Example There is no doubt that presence of nuclear programs and weapons enabled Europe to take wise decisions after 1945. The best example of European ‘wise decisions’ is no nuclear war has taken place since 1945. If we talk about the nuclear battlefield in the context of British Government, we would analyse the British Army of the Rhine spent much time and effort in trying to imagine what such a battlefield might look like and in preparing to cope with it. The main reason was that British Government was in debt to the USA, due to which it reduced its armed forced to one million soldiers. Beside this, all European countries were aware of the haphazard of nuclear war, since the bombing of ‘Hiroshima’. During the 1950s and 1960s these efforts were taken very seriously, which involved two steps: possessing advanced nuclear weapons and visualising war with and without them. Of course war cannot be fought without them, which means war fought with nuclear weapons. ‘ Hiroshima’ bombing is a sample view, which is still giving birth to the haphazard of a single nuclear bomb. In the context of war at the strategic level the first response was to emphasise ‘counterforce’. Soviet weapons were the strategic targets and senior commanders still talked as though a nuclear war could be ‘won’. Then the danger of this approach dawned with the development of Soviet Union the means of delivering a massive blow against the United States, so the notion of 'riding out' a first strike and then delivering a counter-blow on what could only be empty silos and deserted bomber bases became highly unattractive. The result was a shift back to 'city-busting', holding the people rather than the weapons as hostages; 400 one-megaton weapons able to hit area targets would suffice. This totally amoral doctrine was dressed up under the term Mutual Assured Destruction and its appropriate acronym (MAD). The tactical counterpart to this change of heart took a further five years to mature. It came to be realised that large-scale assault on NATO, while still a de adly danger, was by no means the only or even the most likely contingency. (Barnaby & Holdstock, 2003, p. 39) At that time the total nuclear stockpile of the United States, at its highest point, had an estimated explosive yield of some 9 billion tons of high explosive and the Soviet stockpile must have been much the same. In the 20 years from 1945 to 1965 nuclear warheads evolved to fill every possible ecological niche on the battlefield and in numbers far greater than any rational person could possibly have considered useful. (2003, p.