Saturday, February 29, 2020

Advanced Practicing Nursing and Approaches to Measuring the Performanc Term Paper

Advanced Practicing Nursing and Approaches to Measuring the Performance of APNs Advanced Practicing Nursing Advanced Practicing Nursing Introduction Advance Practice Nurses (APNs) are obliged to perform various activities within a health institution after having completed advance training. APNs include nurse practitioners and nurse specialists. Other nurses who are under APNs include mid-wives and anesthetists. All of the APNs nurses are entitled to offer direct patient care. This means that they have the obligation of providing education and consultation to patients. They are also required to offer clinical leadership and in some cases conduct research in their respective areas of operations. This paper provides information that establishes the value of APNs in the medical fraternity. Reasons for measuring performance of APNs One of the main significant reasons for measuring performance of APNs is because there have been change in response to various circumstances and activities entitled to be performed by these nurses (Brook & Rushforth, 2011). These changes have occurred because of advancement in core skills, scopes of practice and professional boundaries associated with APNs (Brook & Rushforth, 2011). The other main reason for measuring performance of APNs is that there is a growing consensus that many of the APNs are embracing other roles and obligations like management and leadership (Brook & Rushforth, 2011). This means that in order to make sure that they can be able to carryout these roles within the recommended and outlined ways, there is a need to measure their performance. Another significant reason for measuring the performance of APNs is that they are referred to be distinct in the medical fraternity because of their hybrid and quasi-medical practice (Brook & Rushforth, 2011). This means tha t APNs are obliged to carryout various crucial and autonomous medical operations. In order to be able to perform all these demanding activities there is need to measure their performance with the aim and primary purpose being public protection (Brook & Rushforth, 2011). Approaches to measuring performance of APNs Kleinpell (2003) indicates that there is a need for measuring the outcome of APNs. In order to measure the performance of APNs in an effectively way, Kleinpell (2003) provides the best approaches that ought to be employed. Some of these approaches include physiological. On physiological approach, some of the recommended area to measure includes heart rate and weight (Kleinpell, 2003). The other approach is psychosocial. Areas that ought to be given the first priority in this approach include attitude and mood. Moreover, there is also the need to consider behavioral approach (Kleinpell, 2003). This entails measuring compliance and motivational of APNs. Other approaches include functional where activities of daily life can be measured and knowledge where the medical knowhow can also be measured (Kleinpell, 2003). Establishing the Value of Advanced Practice Nursing APN offer significant contribution in the medical fraternity through conducting various roles that in most cases require special attention and extensive medical practice knowledge. Some of the established value and role of APN include providing response to the increased medicals specialization (Furlong & Smith, 2005). APNs also assist in providing response to the inaccessibility of medical care. Moreover, APNs are expert in clinical practice and therefore, they can be able to enact various obligations in health institutions. They are also employed with ethical decision-making skills that tend to be of significant importance in the medical fraternity (Furlong & Smith, 2005). Conclusion The above information indicates that APNs are of significant importance in health institutions as they contribute much in giving the recommended help to patients. Moreover, apart from taking care of the patients, APNs are equipped with other skills as explained above that assists them in providing help to a wide scope of areas. This means APNs can serve the patients, other staff members in health institutions and the public. Reference Brook, S., & Rushforth, H. (2011). Why is the regulation of advanced practice essential?. British Journal Of Nursing (BJN), 20(16), 996-1000. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=2&hid=116&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13 Furlong, E., & Smith, R. (2005). Advanced nursing practice: policy, education and role development. Journal Of Clinical Nursing, 14(9), 1059-1066. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=5&hid=120&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13. Kleinpell, R. M. (2003). Measuring Advanced Practice Nursing Outcomes: Strategies and Resources. Critical Care Nurse, 236-10. https://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?vid=4&hid=5&sid=87df2816-02fe-4803-bfc4-d7d964729bdc%40sessionmgr13

Wednesday, February 12, 2020

Divorce and the Coase Theorem Essay Example | Topics and Well Written Essays - 250 words

Divorce and the Coase Theorem - Essay Example I would not advocate for a change in the current law. This is for the rationale that alternative arrangement divorce would be time consuming and would even cause or start hateful issues to develop during the arrangements and can ruin friendships. It is also confident for spouses to formulate one of the reasons for divorce essential in ruling. No-fault divorce, on the other hand, accepted that a marriage collapse might not be the cause of one spouses misbehavior. They cut down the divorce procedure and made it more reliable countrywide, hence obviating the necessitaty for distressed couples to cross position lines in look for of simpler break up laws. Ronald Coase is for no fault divorce and he said that, if the amount of a couple’s mesh gains from matrimony, as seen by the couple, is negative, then no conformity on distributing the gains from the marriage can keep them as one. Despite of its merits it is not the best way to divorce because it can cover up serious matrimonial misbehavior and I don’t advocate for

Saturday, February 1, 2020

Management Information Assignment Example | Topics and Well Written Essays - 3250 words

Management Information - Assignment Example An understanding and acceptance as to what are their roles and responsibilities 5. Implementation A priority list of projects to be undertakenProject management plans against which to check progressProgrammes of change management to promulgate the strategy and gain acceptance and understanding of it. 6. Monitoring and review monitoring the effectiveness of the strategy,monitoring the scope within which the strategy needs to operate,Review and update the strategy as necessary. Benefits of an Information Strategy to Brumshire Bank: Strategically a well-defined information strategy would ensure a smooth flow of information throughout the Brumshire organisational structure. Information will be easier to access by all the employees. As the processes will be outsourced also a comprehensive information strategy would ensure timely availability of information as and when required. Second major benefit that the Brumshire bank would have is that the duplication of information will be reduced to minimal. As some of the operations will be set up in India as a result of outsourcing, which include operations such as BB support centre, the Phone Bank centre, the Regional Administration offices and the Enquiry Centre, there will be no need to maintain separate data centres at both the countries. A centralized data centre would minimalize redundancy as well as the overhead of maintaining and updating data at both the centres. Thirdly the competitive intelligence will improve a lot. The information strategy would ensure timely information readily available which will serve as a key to take key decision about the changing competitor's behaviour as well as to improve Brumshire internal... Strategically a well-defined information strategy would ensure a smooth flow of information throughout the Brumshire organisational structure. Information will be easier to access by all the employees. As the processes will be outsourced also a comprehensive information strategy would ensure timely availability of information as and when required. Second major benefit that the Brumshire bank would have is that the duplication of information will be reduced to minimal. As some of the operations will be set up in India as a result of outsourcing, which include operations such as BB support centre, the Phone Bank centre, the Regional Administration offices and the Enquiry Centre, there will be no need to maintain separate data centres at both the countries. A centralized data centre would minimalize redundancy as well as the overhead of maintaining and updating data at both the centres. Thirdly the competitive intelligence will improve a lot. The information strategy would ensure timely information readily available which will serve as a key to take key decision about the changing competitor's behaviour as well as to improve Brumshire internal procedures. By outsourcing Brumshire Bank ensure that the company that is outsourced will always be sure to reach their targets, deliver on time, ensure stringent security and maintain a level of productivity which will help the Brumshire Bank to stick to their core objective rather t