Friday, January 24, 2020

Cosmic Irony in Stephen Cranes The Open Boat :: Open Boat Essays

Cosmic Irony in Stephen Crane's The Open Boat Stephen Crane's "The Open Boat," is thought to be one of the finest stories ever written by an American. Crane uses a theme of cosmic irony. Cosmic irony is the belief that the universe is so large and man is so small that the universe is indifferent to the plight of man. In "The Open Boat," Crane's theme, cosmic irony, is illustrated through the use of symbols for isolation, insignificance, and indifference. Three specific examples of cosmic irony symbolism used by Crane are, the power of the ocean against the insignificance of the boat, the sea against the universe, and the little boat in a vast sea from the people on the shore. The indifference aspect of cosmic irony is where things serve no purpose, and there is truly no care for anyone or anything. In "The Open Boat," the power of the ocean against the insignificance of the boat, is a prime example of indifference used by Crane. The universe is represented by the power of the ocean, and the small boat in this ocean is symbolic of man in this giant universe. The immaculate power of the ocean is very indifferent to the small boat, just as our great universe could not care less for man. Insignificance is described as being a lack of importance. Those little things that are insignificant mean nothing to the universe. In "The Open Boat," the sea against the universe is symbolic of insignificance in cosmic irony. The sea represents something which seems very large to mankind, but is actually very insignificant in comprison to the universe. The universe would still go on without that sea, just like the universe would still go on without mankind. The third form of symbolism in cosmic irony is isolation. Isolation is being held in captivity or lack of contact with the world or universe. The little boat in a vast sea versus the people on the shore is symbolic of isolation. The small boal seems so large and important to the people on it, while the people on the shore just see this small boat as one of many objects in

Thursday, January 16, 2020

Competencies Differences Between ADN and BSN Essay

Florence Nightingale was a nurse who started the nursing training programme in 1860 after the Crimean War. During that war, a lot of women committed themselves to give care for the sick and dying soldiers. The success in their work was evidenced by reduction in mortality and improved prognosis among those injured in the war. Nurses became an indispensable part of the military during that time due to their life-saving work. After the war, nurse training schools were established under the Florence Nightingale model in order to use nurses throughout society (Woolsey, 1950; Dock, 1907). In 1873 the first three training schools were established in New York, New Haven, and Boston. Students were able to attain their nursing education and skills training in two to three years. Society began to refer to these nurses as trained nurses as they were among the first to undergo formal schooling for nursing care. In 1912 the American Nurses Association (ANA) focused on obtaining legal recognition for trained nurses. In 1951, nurse educator Mildred Montag started a new two year associates degree program in nursing in order to produce trained nurses who would assist professional, baccalaureate prepared nurses. Her aim was not to replace the baccalaureate degree program with the associate degree program. The American Association of College of Nursing (AACN) believes that education has a significant impact on the knowledge competencies of nurse clinicians. Nurses with bachelors degrees in nursing are well equipped to meet the demand placed on today’s nurse especially because their curriculum places great emphasis on critical thinking. BSN nurses are also trained in case management, health promotion, and this in depth learning makes them highly versatile in that they are able to practice across a variety of inpatient and outpatient settings. Recent studies have indicated that, in the acute care setting, the mortality rate is reduced by the presence of greater numbers of baccalaureate prepared nurses (Aiken, Clarke, Cheung, Sloane & Sliber, 2003; Estabrooks, Midodzi, Cummings, Ricker & Giovanetti, 2005; Tourangeau et al. 2006). The BSN programme curriculum incorporates â€Å"clinical, scientific decision making and humanistic skill† (Vande Mortel and Bird 2010). The ADN can give efficient bedside care to the patient with their clinical experience, however these nurses are not exposed to the broad spectrum education that baccaulareate nurses experience. Thus, ADNs do not have a basis on which to implement wholistic care measures, and their knowledge base for critical thinking is limited—not due to their mental capacity, but because of the width and depth of their accelerated curriculum. In these days the health care is expanding and globalizing, thus, the demands placed on the nurse have grown and become more complex. Nurses therefore must have the appropriate knowledge base to bring about optimal outcomes in their patients. The American Association of colleges of nursing (AACN) recognizes the â€Å"bachelor of science degree in nursing as the minimum educational requirement for professional nursing practice† (AACN 2000, para 2). BSN prepared nurses are prepared in assertive and professional communication, patient/family education, critical thinking, and implementing measures based on a wholistic perspective. BSN focuses on a broader picture and thus an approach to nursing that places more emphasis on critical thinking. In the United States, associate degree graduates are working in a health care system that is rapidly growing and changing. So they can study while working in order to improve their degree standing to a bachelors or masters degree. This would advance not only their knowledge base, but their competency in nursing practice. Thus, patient outcomes could improve in their nursing setting. Moreover, many institutions have financial support in place to assist the working student nurse. This lessens the burden of attending school and benefits the institution. According to a study published by Dr. Betty Rambur and her colleagues, in the July/August 2003 issue of Nursing Outlook, increasing the proportion of baccalaureate prepared nurses in the registered nursing population may be essential to stabilizing the nursing workforce. Nurses prepared at the BSN level were also found to have higher levels of job satisfaction which is key to nursing retention. Effective clinical decision making is the important factor in quality of care. For example, in the clinical area, if we order labs for the patient, a skilled BSN nurse can identify the normal and abnormal lab result and this nurse can critically evaluate what may be wrong with the patient, based not only on the lab result, but much of the information in the patient’s chart. This information would include admission diagnoses, past medical history, family medical history, new complaints, medication effects, etc. A BSN would utilize his or her knowledge of biology, chemistry, psychology, faith and spirituality, etc. in a way that best advocates wholistic care of the patient. So, a patient with a past medical history of a heart attack, current diagnosis of congestive heart failure (CHF) and an abnormal lab result showing an elevated troponin level is can assess for signs and symptoms of a heart attack, provide nitroglycerine and make arrangements to have the patient placed on telemetry monitoring and/or transferred to a cardiac care unit. This will provide that patient with specialized care that will focus on his risk for myocardial infarction and try to improve his health outcomes. In this same situation, an ADN may not pick up on these cues as quickly and this may delay in good decision making that would affect the patient’s condition. This patient needs care that is intuitive and careful; a critically thinking nurse will be the best person to provide this life-sensitive care. Again, professional knowledge, keen assessment, and critical thinking assist the nurse in making an effective decision. A baccalaureate program in nursing would be well able to equip a nurse for this kind of care. I agree things can be done to improve the professional status of nurses ,but requiring a BSN is not one of them. Its upto all nurses that keep doing continuing education as a part of our practice. Any one can take nursing classes, pass those exams and even they can pass NCLEX exam, but not anyone can be a good nurse.

Wednesday, January 8, 2020

The Theory Of Teaching And Learning - 1179 Words

Abstract Comprehension as a process is an intriguing phenomenon. The ability to understand a particular student is affected by inevitable factors such as age and intelligence of that individual. The method employed during teaching is a constant factor. The intelligence quotient varies between various individuals. It is, therefore, paramount to always employ an effective means of teaching. This entrusts a feeling of equity ascertaining that all students acquire a minimum preset level of comprehension of the subjected lesson. The forged policies and pedagogy is a by all means a basis of universal teaching that can encompass a qualitative learning process. This can be achieved by several factors such as learning some characteristics of†¦show more content†¦Good communication is a criterion that sets many students apart in terms of traits. This is useful when building any form of rapport between them and the lecture or tutor. A student that respectfully communicates has also come out as self-motivated and is more likely to get more help from the teacher since their problems are aired out effectively. Students that do not communicate can be misjudged and mistaken for lack of motivation and self-confidence. In addition, students who are good communicators are made, not born (Floyd, 2013). Persistence is an essential trait if success is desired in any learning set up. Students must demonstrate the trait of repeating certain tasks for full comprehension and grasp of concepts. The brain is always wired to forget certain concepts that might have been explained earlier. Persistence makes sure the student never hangs up their boots when they encounter a hard task. Besides grasping forgotten concepts, persistence is also efficient when dealing with practical sessions. The ability of the student to perform one task repetitively is desirable and it increases the chances of the student to permanently and fully grasp the concept (Habley, 2013). Personal notion. College students are in a capacity to discern productive activity from those with no benefits. This classifies them as mature and can make responsible personal choices. This is monumental in realizing and coming up with an effective teachingShow MoreRelatedLearning Theories Of Learning And Teaching Essay1128 Words   |  5 PagesLearning Model and Theories in Practice Sheila Morgan Richard R. Wiley School of Education At Walden University Abstract Education has long been the center of reform with new ideas about learning and teaching. Educators are regularly introduced to new teaching strategies, curricula and rigorous standards in an effort to provide effective instruction to students. 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