Professional Development of Nurses Essay Example for Free

Professional Development of Nurses Essay In 2008, the Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to form an initiative on the future of nursing. The RWJF is an independent organization that focuses on healthcare innovations and programs such as childhood obesity, health coverage, and public health. The IOM is a non-government resource that assists the government and private agencies in making informed decisions about healthcare issues (ISNA bulletin, 2011, p. 11). This 2 year study focused on the current state of healthcare, specifically nursing, and provided recommendations to improve the nursing profession and enhance the infrastructure of healthcare. Key points were safety, technology, and interdisciplinary collaboration of practice. The study focused on nursing education, practice, and nursing’s role of leadership (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2011). The focus on education was primarily driven to advance the educational system and to further advance nursing care in the changing face of healthcare reforms. The study showed that nurses have a significant impact in healthcare, with more than 3 million members; they are posed to generate a large role in the reform of the healthcare system (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2011). The IOM strives to achieve higher levels of education through improved educational systems. Nurses are encouraged to practice to the full extent of their education and training. The IOM initiative is promoting removal of the barriers that are in place regarding scopes of practice for advanced practice nurses and to standardize the scope of practice delineations across state lines. The report recommends support of nursing education and programs expanded to graduate more upper level nurses who will then focus on becoming educators. The goal of the IOM is to have 80% more baccalaureate prepared nurses by 2020. By increasing the number of nursing programs that are now in place and changing those from purely traditional learning to a hybrid of traditional and innovative or online programs more nurses will graduate with higher degrees. Intensifying the traditional curriculum to include interprofessional collaboration, communication, and systems thinking helps to encourage higher level thinking and superior leadership skills. Additionally encouraging nurses to engage in lifelong learning to retain and renew competencies is very important; the competencies should be relative to the knowledge, experience, and practice of the nurse. Another part of the education process is the implementation of nurse residency programs. These programs are important because it takes time and experience for a nurse to become fully prepared to be functional in the acute care setting and these new opportunities will encourage the nurses to stay at the institution. This IOM report has a tremendous impact on nursing practice, particularly in primary care with the focus being on increasing nursing education to provide higher quality care for the patients. Keeping up with facility and national competencies is important to ensure that the nurse’s practice is up to date and current. Improved technology also increases the nurse’s efficiency and the amount of time that the nurse is able to spend with their patients. Additionally, this helps with the education of the patient because when the nurse is able to spend more time with the patient more effective teaching is done. Patient safety is one of the most important parts of nu rsing and by utilizing education as well as technology nurses are able to prevent critical errors and maintain patient safety more effectively. With the new Patient Protection and Affordable Care Act (PPACA) traditional healthcare is evolving to patient centered care delivered in the community rather than in the acute care setting. Advanced practice nurses will have a bigger â€Å"voice† in the community and an enormous impact on healthcare. This will impact me in my nursing facility because as I am better educated and up to date on my competencies, my patients are safer, I am utilizing the most recent technology in caring for them, and therefore providing them the best and safest care. The IOM report is describing an ideal world where nurses are significant as leaders, in a partnership with physicians and other healthcare professionals, in redesigning the healthcare system. To accomplish this reform, nurses must be educated as leaders by focusing on communication, professionalism, interprofessional collaboration and decision making (ISNA bulletin, 2011, p. 12). The nurse should be actively involved in identifying problems, collaborating with the physicians to seek solutions, and be committed to providing safe and effective healthcare to the patients and community. Leadership also plays an active role in policy making, institutional model development, and improving work processes. Nurses, with their backgrounds in patient care, have a unique understanding of patient well-being, institutional policies, and flow of the healthcare team which helps them to be on the forefront of change. In closing, the IOM report is a detailed description of recommendations that describe how nurses can and should be actively participating in the healthcare reform. It is time for a change and nurses have the opportunity and responsibility to participate in these transformational changes. Education, leadership, changes in nursing practice, and collaboration of the healthcare team are the keys to change. References Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Institute of Medicine. [Article]. Retrieved from http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20o Fights, S. D. (2012, March/April). Nurses Lead From Where We Stand: How Can You Impact the Future Of Nursing? [Article]. MEDSURG Nursing, 21(2), 57-58. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=a9hAN=74576360site=eds-livescope=siteâ€Å"Nurses Lead from Where We Stand: How Can You Impact the Future of Nursing? IOM Report on the Future of Nursing: Leading Change, Advancing Health. [Journal article]. (2011, January 11). Med-Surg Matters, 1, 3. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=rzhAN=2010978901site=eds-livescope=site†IOM Report on the Future of Nursing: Leading Change, Advancing Health. Visioning the future of nursing: analysis of the IOM/RWJ foundation report [independent study]. (2011, august, September, October). Indiana State

Vonneguts Changing Women :: essays research papers fc

Vonnegut's Changing Women What follows is an argument to the effect that, in the novels written before 1973, Vonnegut's female characters generally are presented negatively, either as pro-authority anti-individualists or as helpless or male-manipulated victims who never "grow" in either a personal or literary sense. In addition I maintain that, in at least two of Vonnegut's later novels, certain female characters exercise individuality in their own existences and effect positively the awareness and attitudes of male characters. From the beginning of Player Piano (1952) through Slaughterhouse Five (1969), Kurt Vonnegut describes the characters of his various worlds in terms of their victimization at the hands of a dehumanizing, or perhaps a better term might be "deindividualizing," technologically fixated, industrial/militaristic society. Time and time again in these novels the role of the individual is subsumed in the miasma that passes for "social responsibility." Like the real world in which every human being exists, Vonnegut's literary worlds feature nameless and faceless authorities (when such authorities are offered at all) who seem to be the masters in local, regional, global, and sometimes interstellar chess games. Often, as is the case in Vonnegut's 1951 "All the King's Men," these "manipulators" move their all-too-sentient pieces in what at times, for the victims, must seem to be diabolical--and what certainly are tragic--maneuvers. In The Sirens of Titan (1959) and Slaughterhouse Five the "accidental" nature or intergalactic point of view of the authority that seems to be "in charge of things" serves to distance humans from personal responsibility for the results of such maneuvering--as such results are described in the novels. In Sirens, for example, the inappropriate and often asinine behaviors of Malachi Constant are shown to be products of the direct influence of the Tralfamadorians who for millennia have manipulated human societies simply to communicate with a mechanized messenger shipwrecked on Saturn's largest moon. The same excuse can be made for the ultimate human manipulator in the novel, Winston Niles Rumfoord, as it can for the actions and attitudes of Bee, Rumfoord's wife and the mother of Constant's son, Chrono. That the communications sent to Salo on Titan consist of such inane and, given the non-human nature of the receiver, unimportant content as, "Be patient. We h aven't forgotten about you," and, "You will be on your way before you know it" (271), only makes more pathetic the fact that Tralfamadore has influenced directly the rise and fall of countless human civilizations in order to deliver such messages.

Horror movies

Why Horror Films Rule the World? More and more horror seekers are willing to line up to buy tickets for a scary movie and sit in the front of the screen to watch with blood and terror, all to enjoy the intense experience of being afraid. Scary films provide a terrifying experience of fear in many moviegoers; however, not everyone is willing to take time to enjoy the feeling of being scared and such, instead viewers reject horror movies because they do not want to spend money to feel afraid, threatened, and uncomfortable.On the other hand, many moviegoers are so attracted to watch those horrible scenes, which provide a channel for them to ace their inner emotions without telling anyone else. The increasing popularity of scary films raises an interesting question: if fear is a natural survival response to a dangerous, threatening, or painful situation, why will a lot Of moviegoers desire to seek out that feeling? The answer is obvious.Even though horror movies reveal something disgusti ng and terrible, the appeal of being afraid is one way for viewers, especially young audiences, to achieve spiritual fulfillment. Watching horror movies leaves moviegoers feeling a rush of excitement when they explore their fears, like the experience of riding a leer coaster. Allegro Ring, in her article â€Å"Why Do Some Brains Enjoy Fear? † describes how the excitement of self-scaring comes from the history of roller coasters.She explains that constructing the tracks and carriages to carry screaming riders across the mountains, which instead of sitting in sleds and speeding down the mountain with additional man-made bumps (Atlantic. Com). The improvement of roller coasters was making riders more excited. Scary movies, are similar to roller coaster, although viewers feel terrified, they enjoy the experience of screaming out and new thrills. The automation satisfies many viewers' emotional enjoyment when the appeal of horror films reaches their inner fears.In addition, Stephe n King, author of â€Å"Why Crave Horror Movies†, argues that â€Å"An horror movies, like roller coasters, have always been the special province of the young† because they have higher desire â€Å"to show that we can, that we are not afraid, that we can ride this roller coaster†, an observation that compares the idea of scary movies to roller coasters that design are for people, particularly young adults, to seek excitement and build confidence (29).Horror movies are most poplar with the young generation, but middle-aged and older adults have less need for getting their scares from horror movies because their real lives are scary enough, such as facing layoff, losing loved ones, dealing with poverty. In other words, young viewers are drawn to the appeal of being scared because they are more likely to look for intense experiences and confirm their capacity of facing their fears.Going to a horror film may not result in immediate excitement like riding a roller co aster, but those scary plots will lead most viewers to gradually feel excited by building the suspense or the audience. Watching horror movies not only offer a wealth of stimulating feelings for audiences to explore their fears, but the monsters in those scary scenes are relatable on a very human level. According to Jason Kinsman, author of The Critique of Pure Horror, states the theory of the philosopher Nol Carroll, a staunch critic of the psychoanalytic approach, â€Å"One virtue of Mr..Carol's theory is that it captures the paradoxical nature of horror's allure: the very oddity that makes monsters repulsive is precisely what makes them attractive† a observation that monsters so attracted to the ewers because those monsters as symbolisms reflect the darkest feelings of humanity (31 ). Many people put on masks to conceal their darkest fears when they around others in their daily lives.People may often have the same feelings as monsters who want to change the world in some w ays. They also want to break the unfair rules without following the law. Even though some of them have those evil ideas, they cannot really do this. Watching horror movies provides a chance for them to expose emotions that society considers unacceptable. Monsters like zombies and ghosts are the horror and disgust elements of scary genres let evil thoughts, wrong decisions, opposite emotions totally expose.When people are brave enough to sit in front of a movie screen that shows the bloody and terror, they can understand their darkest side of themselves. In other words, film producers create monsters, which sketch out the most natural darkest fears of human, to help moviegoers accept and face their fears. Enjoying scary condition is a safe way to earn emotional release that help viewers temporarily escape from the real world.Kinsman mentions that â€Å"while these scholars argued that horror taps onto positive emotions that are otherwise repressed, other psychoanalytic theories saw horror in the opposite light: as a safe and cathartic way to deal with darker feelings† an observation that suggests that scary genres are the safe paths leading to emotional relaxation and on escape from the real world (31 Moreover, Sharon Begley, in her article â€Å"Why Our Brains Love Horror Movies†, mentions that â€Å"we know that, in an hour or two, we're going to walk out whole.We're not going to have any holes in our head, and our hearts will still be in our bodies† (Deliberates. Com). This illustrates why fans of horror ivies are willing to spend one or two hours to sit in the theaters. They know horror movies allow them to explore their fears without placing them in real danger. In other words, the viewers are comfortable with dealing with their darkest fears when they watch those scary genres because they are in a protected state of their minds; they understand that no real harm can come to them. To really enjoy a horror movie, people have to know tha t they are in a completely safe space.The appeal of horror movies goes beyond thrill- seeking and emotional relief because it serves as an effective way to learn how to handle terror. As Begley suggests, â€Å"by learning to suppress feelings and display mastery or cling to others in a dependent ploy for protection, a person learns to cope with another aspect Of his or her environment, a skill that may be useful in dealing with more than just horror pictures† (Deliberates. Com). Scary genres help people learn to manage fears, particularly for teenagers and young adults.More and more moviegoers are willing to line up for the tickets of horror movies, and place themselves in a fear inducing situation for one or two hours. After they expose their forbidden emotions in the cinema, they should try to control those feelings hat society consider unacceptable in their real lives. Although people can happily face the best aspect of themselves; at the same, they need to learn how to de al with their worst and darkest inner emotions. The horror movie genre allows horror seekers to gauge their respective capacities of facing their undesirable feelings.People sometimes love to watch horror films with their friends, families, or lovers because a scary situation helps them to build stronger relationships. Shelley Taylor, in her article Tend and Befriend: Behavioral Bases of Affiliation Under Stress†, shows that â€Å"in addition to eight-or-flight, humans demonstrate tending and befriending responses to stress-?responses underpinned by the hormone extinction† (psych. UCLA. Deed). When people feel afraid, they can release hormones, like cytokine, that solidity the scary moments in their memory.Sometimes audiences care more about the experience Of going to a horror movie with the person, who they consider important, than the scary movie itself. If those viewers have a good movie experience with their friends, families, or partners, they are more likely to bu ild a special closeness in stressful and scary situations. In reticular, horror movies help build relationship between partners. Benjamin Lee, author of â€Å"Scream 4: A Good Date Movie†, believes that â€Å"it may seem odd, but theres good reason to expect that watching a horror movie could increase attraction between partners† (counterrevolutionaries. Com).When a couple enjoys the thrill of fear, they share their reactions of being scared with each other, which leads to a stronger feeling of intimacy because the mutual uneasiness naturally tends to develop stronger bonds between two or more individuals. As I have shown, horror movies present stress inducing subjects, UT those scary images provide a special way for moviegoers, especially young people, to experience psychic satisfaction. Those horrific experiences offer viewers an opportunity to look for stimulation similar to riding roller coasters and a means to deal with the feelings that society consider unaccepta ble.Monsters in scary films play an important role in creating a link with the feelings of an individual's heart. Moreover, horror films develop an environment of being scared but in a safe environment People allow themselves to release their inner fears. More importantly, the purpose of itching scary genres is to learn how to manage ones fears because it as a skill to help people lead a better life. Experiencing fear together can lead people to build stronger relationships with each other. Horror movies Why Horror Films Rule the World? More and more horror seekers are willing to line up to buy tickets for a scary movie and sit in the front of the screen to watch with blood and terror, all to enjoy the intense experience of being afraid. Scary films provide a terrifying experience of fear in many moviegoers; however, not everyone is willing to take time to enjoy the feeling of being scared and such, instead viewers reject horror movies because they do not want to spend money to feel afraid, threatened, and uncomfortable.On the other hand, many moviegoers are so attracted to watch those horrible scenes, which provide a channel for them to ace their inner emotions without telling anyone else. The increasing popularity of scary films raises an interesting question: if fear is a natural survival response to a dangerous, threatening, or painful situation, why will a lot Of moviegoers desire to seek out that feeling? The answer is obvious.Even though horror movies reveal something disgusti ng and terrible, the appeal of being afraid is one way for viewers, especially young audiences, to achieve spiritual fulfillment. Watching horror movies leaves moviegoers feeling a rush of excitement when they explore their fears, like the experience of riding a leer coaster. Allegro Ring, in her article â€Å"Why Do Some Brains Enjoy Fear? † describes how the excitement of self-scaring comes from the history of roller coasters.She explains that constructing the tracks and carriages to carry screaming riders across the mountains, which instead of sitting in sleds and speeding down the mountain with additional man-made bumps (Atlantic. Com). The improvement of roller coasters was making riders more excited. Scary movies, are similar to roller coaster, although viewers feel terrified, they enjoy the experience of screaming out and new thrills. The automation satisfies many viewers' emotional enjoyment when the appeal of horror films reaches their inner fears.In addition, Stephe n King, author of â€Å"Why Crave Horror Movies†, argues that â€Å"An horror movies, like roller coasters, have always been the special province of the young† because they have higher desire â€Å"to show that we can, that we are not afraid, that we can ride this roller coaster†, an observation that compares the idea of scary movies to roller coasters that design are for people, particularly young adults, to seek excitement and build confidence (29).Horror movies are most poplar with the young generation, but middle-aged and older adults have less need for getting their scares from horror movies because their real lives are scary enough, such as facing layoff, losing loved ones, dealing with poverty. In other words, young viewers are drawn to the appeal of being scared because they are more likely to look for intense experiences and confirm their capacity of facing their fears.Going to a horror film may not result in immediate excitement like riding a roller co aster, but those scary plots will lead most viewers to gradually feel excited by building the suspense or the audience. Watching horror movies not only offer a wealth of stimulating feelings for audiences to explore their fears, but the monsters in those scary scenes are relatable on a very human level. According to Jason Kinsman, author of The Critique of Pure Horror, states the theory of the philosopher Nol Carroll, a staunch critic of the psychoanalytic approach, â€Å"One virtue of Mr..Carol's theory is that it captures the paradoxical nature of horror's allure: the very oddity that makes monsters repulsive is precisely what makes them attractive† a observation that monsters so attracted to the ewers because those monsters as symbolisms reflect the darkest feelings of humanity (31 ). Many people put on masks to conceal their darkest fears when they around others in their daily lives.People may often have the same feelings as monsters who want to change the world in some w ays. They also want to break the unfair rules without following the law. Even though some of them have those evil ideas, they cannot really do this. Watching horror movies provides a chance for them to expose emotions that society considers unacceptable. Monsters like zombies and ghosts are the horror and disgust elements of scary genres let evil thoughts, wrong decisions, opposite emotions totally expose.When people are brave enough to sit in front of a movie screen that shows the bloody and terror, they can understand their darkest side of themselves. In other words, film producers create monsters, which sketch out the most natural darkest fears of human, to help moviegoers accept and face their fears. Enjoying scary condition is a safe way to earn emotional release that help viewers temporarily escape from the real world.Kinsman mentions that â€Å"while these scholars argued that horror taps onto positive emotions that are otherwise repressed, other psychoanalytic theories saw horror in the opposite light: as a safe and cathartic way to deal with darker feelings† an observation that suggests that scary genres are the safe paths leading to emotional relaxation and on escape from the real world (31 Moreover, Sharon Begley, in her article â€Å"Why Our Brains Love Horror Movies†, mentions that â€Å"we know that, in an hour or two, we're going to walk out whole.We're not going to have any holes in our head, and our hearts will still be in our bodies† (Deliberates. Com). This illustrates why fans of horror ivies are willing to spend one or two hours to sit in the theaters. They know horror movies allow them to explore their fears without placing them in real danger. In other words, the viewers are comfortable with dealing with their darkest fears when they watch those scary genres because they are in a protected state of their minds; they understand that no real harm can come to them. To really enjoy a horror movie, people have to know tha t they are in a completely safe space.The appeal of horror movies goes beyond thrill- seeking and emotional relief because it serves as an effective way to learn how to handle terror. As Begley suggests, â€Å"by learning to suppress feelings and display mastery or cling to others in a dependent ploy for protection, a person learns to cope with another aspect Of his or her environment, a skill that may be useful in dealing with more than just horror pictures† (Deliberates. Com). Scary genres help people learn to manage fears, particularly for teenagers and young adults.More and more moviegoers are willing to line up for the tickets of horror movies, and place themselves in a fear inducing situation for one or two hours. After they expose their forbidden emotions in the cinema, they should try to control those feelings hat society consider unacceptable in their real lives. Although people can happily face the best aspect of themselves; at the same, they need to learn how to de al with their worst and darkest inner emotions. The horror movie genre allows horror seekers to gauge their respective capacities of facing their undesirable feelings.People sometimes love to watch horror films with their friends, families, or lovers because a scary situation helps them to build stronger relationships. Shelley Taylor, in her article Tend and Befriend: Behavioral Bases of Affiliation Under Stress†, shows that â€Å"in addition to eight-or-flight, humans demonstrate tending and befriending responses to stress-?responses underpinned by the hormone extinction† (psych. UCLA. Deed). When people feel afraid, they can release hormones, like cytokine, that solidity the scary moments in their memory.Sometimes audiences care more about the experience Of going to a horror movie with the person, who they consider important, than the scary movie itself. If those viewers have a good movie experience with their friends, families, or partners, they are more likely to bu ild a special closeness in stressful and scary situations. In reticular, horror movies help build relationship between partners. Benjamin Lee, author of â€Å"Scream 4: A Good Date Movie†, believes that â€Å"it may seem odd, but theres good reason to expect that watching a horror movie could increase attraction between partners† (counterrevolutionaries. Com).When a couple enjoys the thrill of fear, they share their reactions of being scared with each other, which leads to a stronger feeling of intimacy because the mutual uneasiness naturally tends to develop stronger bonds between two or more individuals. As I have shown, horror movies present stress inducing subjects, UT those scary images provide a special way for moviegoers, especially young people, to experience psychic satisfaction. Those horrific experiences offer viewers an opportunity to look for stimulation similar to riding roller coasters and a means to deal with the feelings that society consider unaccepta ble.Monsters in scary films play an important role in creating a link with the feelings of an individual's heart. Moreover, horror films develop an environment of being scared but in a safe environment People allow themselves to release their inner fears. More importantly, the purpose of itching scary genres is to learn how to manage ones fears because it as a skill to help people lead a better life. Experiencing fear together can lead people to build stronger relationships with each other.

The Ravena and Annabel Lee by Edgar Allan Poe - 833 Words

Poetic Comparison and Contrast â€Å"The Raven† and â€Å"Annabel Lee,† by Edgar Allan Poe, are two poems about eternal love and despair. Poe shows the speaker in both poems dealing with the passing of their lover and how they are coping with it. These poems have a different theme from one another; yet have similarities relating to eternal love. In â€Å"The Raven† the speaker is very sad, lonely, and is feeling great sorrow from the loss of his loved one. In â€Å"Annabel Lee† the speaker is not so much sad, but rather grateful for the chance he had to be with the one he loves because he knows that their love is eternal and fully embraces it; whereas, the speaker in â€Å"The Raven† is constantly reminded by the raven that his love will never go away, in which drives him completely mad. Both poems show how these speakers truly care for their love, but also show how the death has affected their mental state. The main similarity in â€Å"The Ravenâ €  and â€Å"Annabel Lee† is that they both are correlated with eternal love. In â€Å"The Raven† the speaker is deeply sadden by the loss of his lover, Lenore, and the tone of the story shows that the speaker is very lonely because of this. One night the speaker is sitting in his home reading when he hears tapping on his door. This tapping turns into a whisper of the word â€Å"Lenore† (Poe 1164). When he opens his window a Raven comes in and continues to repeat the word â€Å"Nevermore† after everything the speaker says. The speaker tries asking God to give him some potion