According to Houser (2018), literature review is a critical component of the research process. While reviewing the required article for this week’s discussion one study that I found interesting was the convenience sampling of twelve nurses in a moderate sized healthcare facility in western Canada. This study questioned nurses from differing nursing backgrounds and titles to assess their experiences with patients with delirium. These select nurses were interviewed with open ended questions. The questions that were asked were in regards to their personal experience with these types of diagnosed patients, to see how well they recognized signs and symptoms of delirium, to produce interventions to help aide in patient safety to prevent unwanted harms to the patient. The conclusion of this survey found that the nurses that were being interviewed lacked knowledge and formal education about delirium in older generations. These nurses were also found to have inadequate education regarding delirium in general. The study concluded that nurses can benefit from increased delirium related support (Baker, Taggart, Nivens and Tillman, 2015). In my experience as an ICU nurse, I have seen first hand the effects of ICU psychosis and delirium. These patients need extra reassurance and family interaction if available to help them through these difficult times. To help manage these patient’s when friends or family are not present we do frequent rounding to help alleviate apprehension, anxiety and confusion.

The authors review of the literature presented, supported the research purpose or problem by efficiently addressing a collection of data sources, by grouping and evaluating them for the usefulness of this particular study. The author uses citeable resources to back the data being discussed and provides support for the relevance of the study by using primary sources (Houser, 2018).

One area of this literature that I found interesting was the number of nurses from front line staff up to those in managerial roles who lacked education in patients with delirium. This was not included in the curriculum for many in nursing science, even though it is becoming a focus for early intervention and prevention.

A search strategy is a well thought out plan to search for information. The search strategy that you will use can help you to break your research question into key words or phrases to help aide you developing accurate results to the research question (Information Literacy 101). There are several decisions to make when choosing a search strategy and a properly phrased question can narrow the focus of the search to encompass the types of information necessary. The strategy that I would choose is the quantitative research method. This method helps to identify variables that embody the characteristics of interest and measure them in a reliable way (Houser, 2018).

This type of strategy will enable me to rule out unnecessary information by having a controlled environment. This strategy eliminates bias, and uses statistical analysis to establish confidence levels so that random errors are ruled out. By using scientific knowledge, conclusions can be made based on objective data that has been reviewed and verified.

References

Baker, N., Taggart, H., Nivens, A. & Tillman, P. (2015). Delirium: Why are nurses confused? MedSurg Nursing, 24(1), 15-22. permalink (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Information Literacy 101. The search strategy. (2018). Retrieved from libguides.uah.edu/informationliteracy/search

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Continuous quality improvement is an important part of the health care system that “aims to improving the experience of patient care, improving population health, and reducing per capita costs of health care” (Berwick et al., 2008). It is a quality management process that encourages all health care team members to continuously ask the questions, “How are we doing?” and “Can we do it better?” In order to address these questions, a practice needs structured clinical and administrative data. Using this data efficiently and effectively will transform patient care in ways that might have been difficult or impossible without it. In my work place, we have a 20-minute group huddle that is done twice a day for the 7a-7p shifters and the 7p-7a shifters. On paper it makes sense to these huddles at these times except for those of us that are “mid-shifter”. I for one, along with 2 others every day work 11a-11p and have to leave my patients for 20 minutes alone because everyone else is too busy finishing up their paper work and are getting ready to leaving in 20 minutes after the huddle finishes. It’s a catch 22 for me because I get in trouble if I don’t go to the daily huddle but at the same time, its nearly impossible for me to get someone to actually cover me when I’m gone. I’ve brought it up to my charge nurse, nurse manager and co-workers but no one has the answer. I think it would be more efficient if the mid-shifters had there own huddle so that we learn about all the newest information that is going on and get educated about the new policies that mind you, we are responsible about learning about even if we couldn’t get to the huddle that day. Knowing about the new policy changes effects quality improvement and patient care at the highest level since nurses are at the forefront of patient care.

Reference

Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008 May-Jun;27(3):759-69.

Q2-

Assume that you have a company. And the management team estimates that 3% of sales will be uncollectible.

Give any amount of sales and prepare the journal entry using the percent of sales method.

Q3-

A company that uses a perpetual inventory system made the following cash purchases and sales.There was no beginning inventory.

A.Prepare general journal entries to record the March 16 sale using the

B. What is the cost of goods sold and the gross margin for each method? (2Marks)

Q4. What is the bank reconciliation? why is it important for companies to prepare bank reconciliation periodically? (1Mark)

So 2 assignments

FIRST 1: AUTOBIOGRAPHY: write a minimum 3 page double-spaced paper on you. How easy is that? Harder than you think, actually. The paper should be double spaced, standard margins, standard font.

SECOND 2: COMPARISON-CONTRAST BIOGRAPHY: write a short paper (5-6 double-spaced pages including sources used page) on two (2) of the people featured in your textbook. Compare the two people and find out how they are similar. Then, contrast the two people and highlight how they and their experiences are different. Focus on why they are important and their historical significance. You should use at least two other sources of information in addition to the textbook. I expect this paper to have a bibliography and citations (MLA style is fine). You should use standard 1 inch margins and an easily readable font.

the book name if you need it : Making History: A Personal Approach to Modern American History. Cognella: San Diego, CA, 2015. ISBN: 978-1-63189-382-7

After read the one , then you will open the flies do the homework : Natural ethics is a theory which is not easily defined and perhaps the most elusive of any of the theories we are studying. Natural ethics is partially a theory of naturalism, a philosophical viewpoint according to which everything arises from natural properties and causes, and supernatural or spiritual explanations are excluded or discounted. It also contains elements of allowing nature to be as it is without human meaning being placed upon it. Naturalists leave nature alone rather than trying to subdue it. Natural Law is another element of natural ethics whereby the philosopher tries to learn the from the laws of nature. Religious people believe that nature has been designed by God who has placed within nature a divine code. There is a rhythm and pattern to nature and as fellow created beings, humans can learn from the God created patterns, how to behave as God intended. Part of this theology is that animals act exactly according to their nature so they are not immoral even when they do “bad” things like a fox killing a chicken. Humans have freewill so they do not automatically act according to their nature. Since the Scriptures are silent on topics like bio-technology, religious philosophers tend to turn to nature to discover God’s intended purpose for creation. There are plenty of critics of Natural Law ethics since it often comes across as inconsistent. If we look to nature to teach us how to act, we can see cannibalistic snakes, lions who kill the children of their enemies, polygamy and polyamory, species who can change between male and female, homosexual penguins, bugs who eat their mates after copulation, non-consensual sex, and the list goes on. So, to then use Natural Law to deny the use of embryonic stem cells or to reject homosexual marriage seems at best, a little inconsistent. This does not mean that there are not ethical concerns about using embryonic stem cells; however, perhaps one of the other normative theories might give a better analysis than Natural Law.

Yet, with global warming and the destruction of biodiversity at a rate that risks the survival of the human race, — at least in the current carefree way it exists today, — turning to the natural world seems to make sense. As a people, we are not listening enough to the world around us. We are stuck in a pattern of heat, beat, and treat to get what we want. Chef Barber points out, we are not focusing enough on relationships and following the patterns which already exist in nature. It takes less energy to follow the patterns of nature than to artificially create our own reality. Aldo Leopold, in his writings about Sand County in 1949, teaches principles he has learned while being in nature. Leopold is not a vegetarian or an activist, but naturalist who engages nature and listens to what it has to teach him. Carolyn Merchant who is a historian in science and technology writes of the controversy over the destruction of the environment for personal gain. Often, we think about the environmentalist movement originating in the 20th century but there are writings against mining going back to the middle ages. J.R.R. Token reflected on this theme as well in The Fellowship of the Rings when Saruman warned, “Moria… You fear to go into those mines. The dwarves delved too greedily and too deep. You know what they awoke in the darkness of Khazad-dum… shadow and flame.”

Naturalism does not only apply to plants and animals but also to people. When you read Jennifer Reid’s book, you will see how Native Americans were also treated as animals. It is not in this text but we know that South Americans and Africans were treated similarly by colonialists. People who did not live in “civilization” as defined by many European colonialists were deem natural or animalistic. Nature served one purpose for colonialists, to be consumed for the profit of the crown who paid for the expedition. Plant, animal, native… all are commodities.

Pope Nicolas V’s Papal Bull of Romanus Pontifex, granted the Portuguese the right to “take possession of the new world.” Nicolas’ successor Alexander VI expanded the Doctrine of Discovery with the Papal Bull Inter Cetera in 1493 when Columbus returned from the New World. In 1823, the Christian Doctrine of Discovery was adopted into U.S. law by the Supreme Court in the celebrated case, Johnson v. McIntosh, 1823. Benjamin Ziegler in The International Law of John Marshall, wrote it was permissible to virtually ignore the most basic rights of indigenous “heathens,” and to claim that the “unoccupied lands” of America rightfully belonged to discovering Christian European nations. (46)

In the mid-19th century, the right of white Christians to expand their territory as far as they could reach was codified by the term Manifest Destiny. This rallying cry was the belief that American Christianity was morally superior to heathen practices and God commanded that Americans spread these values for the sake of liberty and progress. The term was mythologized in American exceptionalism and became part of the national narrative.

Even with the failures of the Roman Catholic Church, in 1610 the Vatican recognized the Mi’kmaq people of Acadia, now Nova Scotia as a sovereign nation under the Wampum Belt Treaty. This treaty gave the Mi’kmaq people equal rights as a sovereign catholic nation as much as France, Portugal, Spain, the Italian States, etc. Unfortunately, by 1710, Protestant England conquered Acadia and the Papal recognitions were rejected by the British and its American colonies. The lack of protections for the natural state which is expressed in the loss of Acadia is symbolic of the natural state worldwide. Nature is safe as long as a favorable administration is in office. As soon as a more powerful entity moves in, nature is again susceptible to monetization and destruction.