Nursing Research and Evidence-Based Practice Essay

Nursing Research and Evidence-Based Practice - Essay Example There is an avid need of EBP to understand the pattern in which these issues have been causing severity (Polit & Beck, 2012). The recent clinical experience also focused on the gland swelling after chemotherapy. However, EBP present in this area has rather allowed nurses to treat patients with protocol which cannot cause anymore rash to the glands because of excessive Taxol agents. As a matter of fact, my affiliation with my health care organization gives me a free hand to opt for EBP. The impression of EBP has relatively become very imperative. Policy makers would surely like to fund EBP because it is more likely to help the institution in a long run. The barrier as discussed by Adams (2010) regarding utilization of research and survey is one which is being experienced at the institution as well (Adams, 2010). The approach to make sure that this barrier is not coming in the way is to provide a mandatory submission for staff regarding nursing practices. If research and survey will be obliged then it is expected that the trend of research and its utilization will become easier and relatively

The Killer Angels Essay Example | Topics and Well Written Essays - 1250 words

The Killer Angels - Essay Example This book is based on the three days of the Gettysburg war starting from June 29th 1863 and ending on 3rd July 1863. This war from a historical viewpoint is seen as the beginning of the end for the Confederacy. It caused a huge loss to the Confederates, from which they never recovered. The battle of Gettysburg, fought on the Unions own territory, was the bloodiest war in the history of the American civil war. It resulted in the deaths of many soldiers on both sides, in fact, as many as 50000 were dead or were injured or went missing while fighting, during those three days. Shaara through this historical fiction tries to take us through those three days and tries to conjure a picture that describes the emotional conflicts that the generals and other officers on each side of the warring faction had to face as they put up a brave front and fought against friends and relatives. The southern concept of the Gettysburg war is very important as this war proved to be the turning point in the outcomes of the American civil war and is often referred to as the high tide of the Confederacy. Before this particular battle the southern army was faring well in most of the battle outcomes. It was this war which brought the Confederacy very, very close to gaining independence. General Lee, the commander in chief, was the chief inspiration for the Confederates and widely respected amongst all the southerners, carried on the battle right into the enemys territory and attacked them with his entire strength, to finish off the battle once and for all. He knew that if he could destroy the Union forces in their own territory it would be their end. This was the main concept of the battle of Gettysburg from a southern perspective. To achieve this General Lee was completely intent on going ahead and directly attacking the Union army instead of paying heed to Longstreet

The Great Gatsby :: F. Scott Fitzgerald

The Great Gatsby and the 1920’s Alcohol was banned in every state, the Woman’s Right Movement flooded cities and The Great Gatsby was published. What do all of these things have in common? All of these events made up one decade, the 1920’s. None of these ’radical’ events were present during World War 1; life was very different and changed in a short amount of time. The â€Å"20’s† were a time of free will and revolution. Great examples of these events are told in The Great Gatsby by F. Scott Fitzgerald which will help to view the differences in the social changes before and after the war. Law enforcement was not stable during the 1920’s. In The Great Gatsby, Nick Carraway and Jay Gatsby were on the way to meet Jay’s business partner, Wolfshiem, when they were stopped by a police officer. â€Å"All right, old sport,† called Gatsby. We slowed down. Taking a white card from his wallet, he waved it before the man’s eyes. â€Å"Right you are,† agreed the policeman, tipping his cap. â€Å"Know you next time, Mr. Gatsby. Excuse ME (Fitzgerald 46)!† Before World War 1, Jay would have gotten a ticket. Instead of the policeman giving Jay a ticket, Jay flashed him a white piece of paper and the police officer apologized for interrupting Jay Gatsby and left. This is an example of â€Å"crooked cops† in the 1920’s. The police officer did not fulfill his duties, but instead let Jay go because Jay had some sort of authority over the officer. Police officers often abused their authority in the 1920’s. People were often beat by cops that had a different opinion than others. Police officers broke the law by going to illegal speakeasies and drinking because according to the 21st and 18th amendments, alcohol was prohibited during this time. In The Great Gatsby, Jay Gatsby is a main character. Jay is a man with a lot of money and no one knows how he came to be so rich. Jay claims to have gotten a large inheritance, but most people believe he was a bootlegger. â€Å"He’s a bootlegger,† said the young ladies, moving somewhere between his cocktails and flowers (Fitzgerald 41). A bootlegger is a person who smuggled alcohol around the United States during prohibition. This is how many people made money during this time. Bootlegging and organized crime went hand-in-hand in the 1920’s. â€Å"Finest specimens of human molars,† he informed me (Fitzgerald 48).

Eye Witness Essay

This essay is based on â€Å"The Story of an Eyewitness† by Jack London and â€Å"Leaving Desire† by Jon Lee Anderson. â€Å"The Story of an Eyewitness† talks about how the San Francisco earthquake and fire destroyed the city in 1906. â€Å"Leaving Desire† talks about a victim of hurricane Katrina in New Orleans. London and Anderson’s coverage of these disasters are different in several ways. Some examples of their differences are portrayed in the author’s purpose, the achievement of their purpose, and the authors focus. – Purpose for Writing London’s purpose for writing is to describe the destruction of San Francisco from the earthquake and fire. London describes the effects the disasters had on the city. For example, â€Å"The earthquake shook down in San Francisco hundreds of thousands of dollars worth of walls and chimneys†¦ I passed through Union Square. It was packed with refugees. Thousands of them had gone to bed on the grass. Government tents had been set up†¦Ã¢â‚¬  this describes how the disasters had an effect on the living conditions in the city. London describes the attitude of the people in San Francisco, which is sort of a hopeless feeling because they knew that their valuables and their own selves couldn’t be rescued. In the text, â€Å" ‘yesterday morning’ he said, â€Å"I was worth six hundred thousands dollars. This morning this house is all I have left. It will all go in fifteen minutes. † The victim of the earthquake has an attitude of ‘there is nothing I can do’ (hopeless), and London doesn’t really state it but its apparent by what the victim says. London Also describes the remains of San Francisco, which is barely anything. In the article he writes, â€Å"San Francisco is gone. Nothing remains of it but memories and a fringe of dwelling houses on its outskirts. † This plainly states that everything is gone, but further into the article (page 413) he builds it up in description. Anderson’s purpose for writing is to create the mood of empathy in the reader from the victim’s experience. Anderson has also witnessed heartbreaking things in New Orleans, for example, â€Å"As the water rose, they took refuge in the choir loft. They stayed there for eight days, drinking the water the storm washed in. We were down to our last two crackers. †Ã¢â‚¬ ¦Ã¢â‚¬  That created an empathetic mood because the old married couple barely made it through these eight days and only had little to eat and unsanitary drinking water. Anderson learns how the disaster effected the main victim in this article, Lionel Petrie. For example â€Å"Petrie took a step back on his porch†¦Ã¢â‚¬ Can I take my dog with me? †Ã¢â‚¬ ¦ â€Å"I hate this. † Then she said to him, â€Å"I am so sorry Mr. Petrie, but, no, they won’t allow us to take animals. You will have to leave him here. †¦Ã¢â‚¬  This creates a mood of empathy because thinking he probably loved his dog very much it would be hard to leave him there to perish in the storm. Anderson gives details about what Petrie had to witness in his town. For example â€Å"As we made our way down Desire, Petrie looked around him at the devastation, his neighbors houses submerged in water. He said â€Å"Oh my God. I had no idea. † Petrie’s shocked and disturbed feeling really advances the mood of empathy in the article because he is so overwhelmed and hurt by what he saw, thinking it wasn’t going to be as bad as it was. How Purpose is Achieved London achieves his purpose by using descriptive language and words/terms. He describes his surrounding and the destruction of the city, like he says, â€Å"The streets were humped into ridges and depressions, and piled with the debris of fallen walls†¦The steel rails were twisted into perpendicular and horizontal angles. † London describes what the city looks like by using descriptive words such as depressions, horizontal, perpendicular, steel, and twisted. He also discusses the people of San Francisco and their reactions about what happened or what was to come. For example â€Å"Try that piano. Listen to its tone. There are a few like it. There are no horses. The flames will be here in fifteen minutes. † This victim doesn’t state that he has given up on trying to be saved but the words he says expresses that he has lost all hope. London tells how everything is destroyed in the city by repeating the same descriptive phrase. He says, â€Å"Its industrial section is wiped put. Its business section is wiped out. Its social and residential section is wiped out†¦Ã¢â‚¬  London describes sentence by sentence how all together San Francisco s gone. Anderson’s purpose is achieved by getting a primary source and being a primary source of the aftermath of the hurricane. He was able to get information about Petrie’s sad experience. For example â€Å"Petrie explained that his wife and son and daughter had left the city†¦ He didn’t know where his family was now†¦Ã¢â‚¬  The author creates an empathetic mood by getting the reader to think about losing our family members or not knowing where they were and wondering if you would ever see them again. Anderson tells about Petrie’s worries and fears of the unknown. For example â€Å"Petrie told me that he was worried about his aunt Willa Mae Butler: â€Å"She’s about eighty-two and lives on†¦ I’m worried she’s dead, because this time she said she wasn’t going. † Petrie is unsure about his families’ safety and that actually creates a mood of sympathy. People have experiences this in natural disasters like the earthquake in the fall of 2011. Anderson uses the surroundings to create a mood of empathy in the reader. For example â€Å"A boat came up and deposited an elderly black couple†¦ They took refuge in the choir loft. They stayed there for eight days, drinking the water the storm washed in. † This creates a mood of empathy through the surroundings because he saw the couple and heard what they went through and its heartbreaking they had to go through it. – Focus of the Author London focuses on San Francisco as a whole. He focuses on how the earthquake had an impact on the entire city. For example â€Å"San Francisco is gone. † He doesn’t say one specific area of the city is gone, but the entire San Francisco. London also tells about where the fire hit and where it was heading. He writes, â€Å"I sat on the steps of a small residence on Nob Hill†¦ To the east and south at right angles, were advancing two mighty walls of flame†¦ I went inside with the owner of the house on the steps of which I sat†¦ â€Å"The flames will be here in fifteen minutes. † London tells where the flames were a citizen of San Francisco tells when the flames will be in fifteen minutes. London gives information about how the victims, or soon to be victims, reacted to the danger (fire), for example â€Å"He was an old man and he was on crutches. Said he: â€Å"Today is my birthday. Last night I was worth thirty thousand dollars. I bought some delicate fish and other things for my birthday dinner. I have had no dinner, and all I own are these crutches. † The old man seems to be very disappointed that the fire has destroyed everything he owned. His reaction to the disaster is disappointment. Anderson’s main focus is on Lionel Petrie and Ninth Ward of New Orleans. He only covers one part of New Orleans in the story. For example â€Å"Alladio was out on a search for trapped survivors†¦ in one of the poorest and worst-hit parts of the city, the Ninth Ward, in eastern New Orleans. That basically tells what area the article mainly focuses on. Anderson’s article is based on the experience of Lionel Petrie and barely anyone else’s. For example â€Å"Petrie explained that his wife and son and daughter had left the city by car, heading for Baton Rouge†¦ he didn’t know where his family was now, and if he left, they wouldn’t know where he was. † This tells about Petrie’s experience in not knowing whether he would see his family again. Anderson is writhing about Lionel Petrie who lived in Ninth Ward of New Orleans so that would most likely be the place Anderson would cover and focus on. In the story it says, â€Å"When I first saw Lionel Petrie, he was standing on the second story porch of his house, at the junction of Desire Street and North Bunny Friend, in the Ninth Ward of New Orleans. † This is the first sentence of the entire article so apparently it is about Lionel Petrie who lived in Ninth Ward of New Orleans. – Conclusion In conclusion London’s purpose, achievement of purpose, and focus, differ from Anderson’s. They both use their differences to cover the disasters in their articles. Though the author’s methods of reportage were different, both were very effective in achieving their purposes. (Jon Lee Anderson)

Polyprotic Acid Example Chemistry Problem

A polyprotic acid is an acid that can donate more than one hydrogen atom (proton) in an aqueous solution. To find the pH of this type of acid, its necessary to know the dissociation constants for each hydrogen atom. This is an example of how to work a polyprotic acid chemistry problem. Polyprotic Acid Chemistry Problem Determine the pH of a 0.10 M solution of H2SO4. Given: Ka2 1.3 x 10-2 Solution H2SO4 has two H (protons), so it is a diprotic acid that undergoes two sequential ionizations in water: First ionization: H2SO4(aq) → H(aq) HSO4-(aq) Second ionization: HSO4-(aq) ⇔ H(aq) SO42-(aq) Note that sulfuric acid is a strong acid, so its first dissociation approaches 100%. This is why the reaction is written using → rather than ⇔. The HSO4-(aq) in the second ionization is a weak acid, so the H is in equilibrium with its conjugate base. Ka2 [H][SO42-]/[HSO4-] Ka2 1.3 x 10-2 Ka2 (0.10 x)(x)/(0.10 - x) Since Ka2 is relatively large, its necessary to use the quadratic formula to solve for x: x2 0.11x - 0.0013 0 x 1.1 x 10-2 M The sum of the first and second ionizations gives the total [H] at equilibrium. 0.10 0.011 0.11 M pH -log[H] 0.96 Learn More Introduction to Polyprotic Acids Strength of Acids and Bases Concentration of Chemical Species First Ionization H2SO4(aq) H+(aq) HSO4-(aq) Initial 0.10 M 0.00 M 0.00 M Change -0.10 M +0.10 M +0.10 M Final 0.00 M 0.10 M 0.10 M Second Ionization HSO42-(aq) H+(aq) SO42-(aq) Initial 0.10 M 0.10 M 0.00 M Change -x M +x M +x M At Equilibrium (0.10 - x) M (0.10 + x) M x M

Why Do Americans Stink At Math - 1917 Words

Americans teach math totally different then Asia, in United States math divide to 4 different class algebra12 , geometry ,trigonometry and calculus ,students will choice the one they think is fits ,there is different way in Asia, in Asia Ministry of Education will map out the system ,and every year they will change different book ,inside the book not just algebra12,geometry and trigonometry and calculus is everything mix together ,students can not choice, every year is more difficult and precise. For some reason Americans always thinks Asia math is better then they, is because Asia teach different way not just one things teach one year they have a lot of different math ,is good so you will try to think different in every time not just sit inside the class use same equation again and again for one year, change or no the answer is already come out. Why do Americans stink at math? Takahashi, who is 58, became one of his country’s leading math teachers, once attracting 1,000 observers to a public lesson. But in 1991, when he got the opportunity to take a new job in America, teaching at a school run by the Japanese Education Ministry for expats in Chicago, he did not hesitate. With his wife, a graphic designer, he left his friends, family, colleagues — everything he knew — and moved to the United States, eager to be at the center of the new math.As soon as he arrived, he started spending his days off visiting American schools. One of the first math classesShow MoreRelatedExamination of the Education System in Idiot Nation, by Michael Moore 1351 Words   |  5 PagesIn his essay, â€Å"Idiot Nation,† Michael Moore directly conveys the horrid truth behind American education when he utters the sheer words, â€Å"the knowledge (students) acquire in school is not going to serve them throughout their lif etimes. Many of them will have four to five careers in a lifetime. 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Henry Giroux Rhetorical Analysis Essay - 1351 Words

Michaela Sheppard Dr. Carola Mattord English 1102 February 12, 2013 Rethinking Giroux’s Disney In Henry Giroux’s book, â€Å"The Mouse that Roared† he argues that Disney animated movies lead to the end of innocence in children. He focuses mainly on the images that Disney portrays towards gender roles and gender stereotyping. He primarily targets the issues that women are portrayed as being subordinate to men and are viewed as property and objects of desire instead of as human beings. Giroux is unconvincing in his argument because he writes above the level of thinking and comprehension that most children who are exposed to Disney films would posses; by focusing on specific scenes, while ignoring the overall morals throughout the rest of†¦show more content†¦Giroux argues that in Beauty and the Beast, Belle teaches young women that they are responsible for controlling a man’s anger and violence, and that any woman can change an abusive man into a Prince. However many children are going to be focused on the dancing, singing furniture rather than analyzing the message Giroux interprets; that Belle is just a prop used to solve the beast’s dilemma. The age of children that will be most influenced by Disney films, are at a level of thinking where they have not begun to recognize and understand the images that Giroux describes are embedded in the Disney films. Giroux supports his claims by dissecting various scenes from Disney animations to better describe his insinuations on what Disney films teach children. However Giroux tends to over analyze and take certain criteria out of context, and disregards other parts of the movies that would cause some of his analysis to be incorrect. For example he states that â€Å"in Aladdin the issues of agency and power center primarily on the young street tramp Aladdin. Jasmine, the princess he falls in love with, appears as an object of his desire as well as a social stepping-stone.† In the movie however, Aladdin is not in search of power and does n ot view Jasmine as a social-stepping stone, instead he wishes to be a prince in order to be allowed to marryShow MoreRelatedOrganisational Theory230255 Words   |  922 Pagestheory focuses attention on the human issues in organization ‘There is nothing so practical as a good theory’ How Roethlisberger developed a ‘practical’ organization theory Column 1: The core contributing social sciences Column 2: The techniques for analysis Column 3: The neo-modernist perspective Column 4: Contributions to business and management Four combinations of science, scientific technique and the neo-modernist approach reach different parts of the organization Level 1: Developing the organization