Differences in Competencies between ADN vs. BSN Essay Example for Free

Differences in Competencies between ADN vs. BSN Essay According to the society of Human Resources Management, competency means the knowledge and skills required to perform a job, which all contributes a positive outcome. Even though the competency among ADN and BSN are almost similar, there are slight variations based on the departments where the nurse work, such as management level of care and neonatal department. Good start of an introduction. Consider a topic sentence here that states: this paper will describe†¦Ã¢â‚¬ ¦.. An Associate Degree Nurse is one who completed the 2 year program or 3 year diploma this is not true, these 2 are different course by a school of nursing, community, or junior college. They demonstrate competencies in various aspect of patient care. ADNs are competent to perform assessment by collection of patient’s health history, including past medical and surgical history. They perform the physical assessment by gathering information, such as height and weight, vital signs, and head to foot assessment, including all body system. They are also competent to perform cognitive, psychosocial, spiritual, and functional level assessment. After assessing the patient, they find out the nursing diagnosis using their knowledge, skills, and experience. The ADN analyzes the patient’s condition using their age, cultural diversity, and risk factor. He/she then formulates and plans the care by prioritizing the patient’s need based on Maslow’s hierarchy needs, in which patient’s safety is the first importance. They formulate the plan of care by critical thinking, reflection, and problem solving skills. Before they implement the treatment regimen, they let the patient make health care choices by providing accurate and reliable information. The ADN are competent to delegate the patient care to other authorized health care personnel by giving relevant instructions and supervisions. They implement the treatment within his/her accepted professional nursing practice in a different clinical setting. They also make sure to give teaching about the treatment, which includes the effects and side effects of drugs and expected outcome. These all help the patient to alleviate their anxiety about the health status. Finally, they evaluate the outcome and effectiveness by reassessing and continuous monitoring. Moreover, ADNs provide physical competencies like gross and motor skills, strength, and mobility by moving and positioning the patient by using proper body mechanism. Their sensory perception provides a safe environment. They are competent in life saving practices, such as cardiac monitoring and airway management. They provide patient care by giving I.V, oral medications, blood transfusions and wound care. They demonstrate care and respectful behavior towards the patient, family, and other co-workers. Need to reference data within the text Bachelor of Science Degree in Nursing is a 4 year bachelor program accredited by a college or university. A BSN has the same medicalbedside nursing skills of an ADN. He/she provides the same patient care by assessment, diagnosis, planning, implementation, and evaluation. They also have physical competencies and sensory perception. Apart from that, they do their clinical judgment by using their critical and analytic thinking, which they earned through researches and evidence based practices. They have sufficient emotional stability to be responsible and accountable during a highly stressful event. They know how to deal with unexpected and changing environment. They show interpersonal skills and communication skills by interacting positively with patient, family, and large communities both in verbal and written form. Their logical and analytic thinking in patient management will help them to acquire higher education. Moreover, they creatively respond to continuously changing health system. Good review of BSN competencies. Again, need to reference within the text. An ADN acquired knowledge and skills from years of experience in clinical practice. They work with patients in a relatively short time. However, a BSN has knowledge and skills based on their researches, evidence based practice, leadership, and management. Their skills help them to provide a better patient care in a short time period. For an ADN, the nursing is a job and have little commitment to the work. Without considering the long term results, they move from one job to another. However, BSN is a career, which is a life time dedication that requires development and on-going learning. They can function at high intellectual levels and carry a strong professional identity and follow code of ethics. They are more accountable, independent, and responsible. Nursing care and approaches to decision-making are different based upon the educational preparations. For example, we had a 50 year old patient in our floor that came with left hip fracture. The patient underwent an open reduction and internal fixation of left hip. After 4 hours of post anesthesia care, the patient came to the floor. The ADN, who is the primary care nurse, assesses the patient and carried out all post-op orders. The patient was drowsy and was on morphine PCA. After 2 hours, the patient suddenly woke-up with pain in the left hip. The ADN gave more pain medicine and monitored the respiratory status. All of a sudden patient complained of shortness of breath. The nurse found the patient’s oxygen saturation dropped to 82 percent. She stopped the PCA pump and put the patient on 2 liters of oxygen yet the patient was complaining about severe pain in her hip. Apparently, the patient continued to complained of chest pain and her oxygen level continued the same. The RN called the charge nurse, who is a BSN. She assessed the patient and went through the patient history. Suddenly, she called the rapid response team; meanwhile, she ordered a stat chest x-ray by thinking that patient had a pulmonary embolism and transferred the patient to ICU. Later, we came to know the patient had pulmonary embolism. In this situation, the RN gave the basic treatments according to the knowledge from her experience. On the other hand, the BSN treated the patient from her critical thinking and high level of knowledge, which saved the patient’s life. Good patient care scenario The ADN can handle the critical patient situation very minimally by using her basic knowledge, skills, and experience with the help of other person. However, the BSN can handle the same situation independently with his/her critical thinking. Different level nurses have different roles in a hospital, even though they have same preliminary education about providing forthe patient care. The job expectations, patient interactions and contact are different in perspective of the RN’s and BSN’s duty. Good conclusion . . References Catalano, J.T. (2003).Nursing now: Today’s issues, tomorrow’s trends. Philadelphia: F.A. Davis. Need to put title into italics Competencies and Performance Standards Essential for Nursing Practice.( 2011) St Louis University. Retrieved from http://www.slu.edu/x19905.xml Hollis, Forster, RN (2011) ADN vs. BSN Retrieved from need to include date of retrieval http://nursinglink.monster.com/education/articles/3842-adn-vs-bsn

Comparing Mores Utopia, Machiavellis The Discourses, and Hobbes The

Relationship Between the Sovereign and the Subjects in  More's Utopia, Machiavelli's The Discourses, and Hobbes' The Leviathan  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚      Thomas More, Niccolo Machiavelli, and Thomas Hobbes offer models for the relationship between the sovereign and the people in their works Utopia, The Discourses, and The Leviathan. Each argues that ensuring the common good of the people should be the primary goal of the sovereign. However, they differ in the specifics of their descriptions of this relationship and in their explanations of the sovereign’s motivation for valuing the prosperity of the people. An examination of the specified passages in each of these works will clarify the comparison of their models for this relationship. More’s discussion of the sovereign occurs in the context of the discussion of a monarch as the trustee of the welfare of the people. The king is a common citizen who has been invested with the authority or "majesty" of sovereignty. He is then distinguished from the rest of the population by the responsibilities he has to them and the powers that are inherent in these responsibilities. He is bound to fulfill these responsibilities and not to abuse the privileges by the threat of rebellion from the poor and, therefore, discontented people that would result from incompetent or misused sovereignty. He is also constrained by his own natural desire for prestige, and his prestige is dependent on his subjects’ wealth and well being. To desire this kind of prestige, he must be a virtuous man. Without this virtue, his vices of pride and laziness are likely to reduce him to taking his subjects’ property in order to serve his greed and to attempt their pacification by reducing them to abject poverty. If his own prid... ...larly influenced by the monarch’s level of incompetence or corruption. All three sovereigns rely upon "virtu," that is, effectiveness in ensuring the common good of their subjects; however, all three have different definitions of what constitutes "virtu." In More’s sovereignty, it is controlling human nature and channeling it into promoting the general prosperity. For Machiavelli’s sovereignty, it is the result of the pursuit of self-interested goals, both on the part of the ruler and the ruled. In Hobbes’ sovereignty, it is the logical result of fear and of human, peace seeking, nature. Works Cited Hobbes, Thomas. Leviathan, ed. Edwin Curley (Indianapolis: Hackett Publishing Company, 1994. More, Thomas. Utopia. Trans. Clarence H. Miller. 2nd ed. Yale University Press. 2001 Walker, Leslie J. The Discourses of Niccolo Machiavelli Routledge, 2013

Scarlet Letter- The Human INclination to Love

The Human Inclination to Love In writing The Scarlet Letter, author Nathaniel Hawthorne was immersed in the era of transcendentalism and romanticism that so greatly influenced his work. Defining the movement was the concept that humans are inherently good in their nature and if they are left to their own devices ultimately they will do that good uncorrupted (Chase 109). Within The Scarlet Letter, this is brought to full awareness through the nature of Puritan society in the early English colony of Boston, Massachusetts.As a civilized, religious, and refined community this setting was foiled by the neighboring nd unexplored North American wilderness, in which the untouched and uncivilized human nature lurked amidst the shadows by society's standards. These settings assisted the specific character development of both Hester Prynne and Reverend Arthur Dimmesdale through the way they came to illustrate the human conditions of the human response to alienation by others, the human struggle between good and evil, and most significantly the inclination for humans to love.Furthermore, in the unique way both Hester and Dimmesdale share struggles and triumphs of human nature, along with the acceptance of their love for one another as influenced by the etting around them, is what allows the novel to be viewed as a romance. As it was established, the Puritan colony at Boston was meant to serve as an escape from the corrupted Church of England across seas and was to provide a place for a Marks 2 purified organization concerned with adherence to scripture, sermon, and above all doing good for the behalf of God.This gave to the affect that the Puritans of Boston did not want their community stained by the abomination that is sin. Upon Hester's emergence from the prison towards the scaffold a community woman violently roclaimed, â€Å"At the very least, they should have put the brand of a hot iron on Hester Prynee's forehead† (Hawthorne 60). This stagnant mindset for the community based upon the call for castigation is what brought to affect Hester's symbol of the crimson â€Å"A†, that which she war forced to wear openly on her breast.The actions and reactions of the defined Puritan settlement set in motion the change in Hester through the course of events of the novel. Graciously Hester accepted with stride her initial humiliation upon the scaffold in which the entire community became aware she was an adulteress. She perfectly reacted to this stringent society to address the question of how as humans we respond to the alienation from others around us. Hester responded in her own original manner primarily through her repentance to discover the virtue of truth and self-satisfaction her scarlet letter embodied.Hester never attempted to free herself from her fate. She could have escaped Boston, however, she decided to continue to be a productive member of society with her cottage on the outskirts of town and sewing business. In addition, she c ontinued to be an active member of the church to further her penance. Hawthorne writes, â€Å"It is the credit of human nature, that, except where its selfishness is brought into play, it loves more readily than it hates† (173).Hester developed to appease the society in which she lived as to make the best of the situation she had created for herself, her daughter Pearl, and partner in sin and lover Reverend Dimmesdale. She welcomed readily a seltless lite sne brought upon herself and lived for others as a symbol for the town. This was reflected in the way Hester transformed herself into a simple woman; she bound up her beautiful hair and wore drab clothing. She was a very attractive woman, however, she sacrificed this in the knowledge she acquired from her sin of passion and physical attraction.In return society came to conclude that Hester's embodiment in the scarlet â€Å"A† had come to signify Hester's unique strength in its newly found representation of the word â €Å"Able† (Hawthorne 175). The scarlet â€Å"A† came to change meaning with Hester's maturing in virtue. The setting came to forgive Hester, better her character, and ultimately do well for her. She bared the amount of strength necessary and was thoroughly able to conquer the evils of her sin through her epentance. Hawthorne writes, â€Å"Shame, Despair, Solitude! These had been her teachers† (215).Hester's goodness of character developed from her repentance is what allowed her to help sustain her lover and partner in sin Dimmesdale in his struggle between good and evil, helping to kindle their feelings for each other. Reverend Dimmesdale and Hester Prynne both fell into their sin far apart from what was acceptable by standards of Boston. According to Hawthorne, â€Å"This had been a sin of passion, not of principle, nor even purpose† (215). It was a sin of adultery, ltimately caused by the part of human nature that falls into physical attraction and pass ion.The sin of adultery as committed willingly together by Hester and Dimmesdale can parallel with the surrounding unexplored wilderness around Boston, which symbolizes in affect the evils and temptations humanity can come to fall to in its nature. Although the character of the wilderness surrounding the strict Puritan community at Marks 4 Boston may have lured Dimmesdale and Hester into their sin, the role of this setting changes throughout the novel. It becomes a sanctuary compared to Dimmesdale's truggle between good and evil in his decision whether to confess his hidden sin or not.The Puritan community in which Dimmesdale ministered served only as a place of his anguish and evil within for him, while the wilderness served to be a safe haven and place of goodness for the sake of his sanity. It also served for the ignition of his more emotional relationship with Hester. Therefore the integrity of Dimmesdale's heart comes to be the developing factor to his character. As minister of Boston, Dimmesdale held the identity of the community; he was the epitome of holiness. All arishioners of the community looked to him to be the carrier of people's sins and sufferings.However, unlike Hester who had openly the â€Å"A† on her chest allowing open repentance, Dimmesdale had no outlet for his evils enclosed in his inner heart while trapped by Puritan society and he was wearily clouded with guilt. He stood on no scaffold because he lacked the courage to confess he had trespassed against the sanctity of his position and his community. This when shed real light upon reveals that the setting itself caused Dimmesdale to betray his own heart and state of mind rather than anything else. Life in society served no assistance to Dimmesdale in his struggle of the human condition that is good against evil.Not any repetition of self- flogging or fasting could bring Dimmesdale closure to his actions. Ironically the setting that provided him with his anguish of sin gave him th e â€Å"moral blossom† of humanity that Hawthorne regards (56). This is love. The culmination of Dimmesdale's triumph ot evil came in his torest conversation witn Hester where their love is tlnally fully culminated. They are revealed Marks 5 as completely human and represent in a sense a new Adam and Eve. Both couples ad sinned together and had been punished for having violated the rules of their setting.Both Dimmesdale and Hester were fraught to bring an end toa close with the society in which they trespassed against, much as like Adam and Eve were reduced to a compromise with God himself after violating his one law in their setting of the Garden of Eden. However, regardless of what was to be of their fate, both pairs always were to be perpetually bonded. The sanctity of Hester and Dimmesdale's relationship was fully revealed in the way the sin they committed together created a similarity in compassion for one another and a need to help one nother.After seven years of no con tact between Dimmesdale and his love, the confirmation that Hester gives Dimmesdale that she still loves him is the help that allows Dimmesdale to finally confess his sin. Therefore, it is truly the nature of man to require human love that allows Dimmesdale to finally triumph the evil he suffers and confess at the final scaffold scene. The knowledge that he was loved in midst of all the suffering he had experienced allowed for an end to a close to the situation created by sin and all the evils that surrounded him and Hester. Hester Prynne andArthur Dimmesdale represented the human condition to turn to temptation; in this case it was against the Puritan community, making it necessary for the strife each Hester and Dimmesdale had for their redemption, bringing them ever so close together in their love. A romance is specifically defined as an emotional attraction or aura belonging to an especially heroic era, adventure, or activity (â€Å"Romance†). Hester's and Dimmesdale's lov e for one another came to an apex through the struggle they faced together in their setting in Puritan society and the trials of the human condition it brought Marks 6 forth.

Critical Thinking on Machiavelli - The Qualities of the Prince

Question 1 Machiavelli praises skill in war because it is the only weapon that a prince can use to hold on to power. For instance, Machiavelli heaps praises on Caesar Borgia, who was a cruel and ruthless dictator, despised and looked upon by many people. The question is whether Machiavelli agrees with such actions from a leader. The answer is that he did not admire Caesar as a person, but he liked his quick and deliberate qualities. To Machiavelli, these qualities were important in uniting Italy. Question 2 In dealing with the question of whether it is better to be loved than feared, Machiavelli says, â€Å"The answer is that one would like to be both the one and the other; but because it is difficult to combine them, it is far safer to be feared than loved if you cannot be both† (46). As he posits, the engagements one makes during a time of peace cannot be kept in a time of danger. However, those that are made as a result of fear are kept out of fear. In essence, the prince must ensure that he is not feared to the point of hatred, which is very much likely. He says that a leader should not touch properties of his subjects without a good cause. According to Machiavelli, a leader must instill fear to the troops so as to keep a large garrison united. A leader must also observe cruelty since it is the only way he can get respect from the troops. Question 3 Machiavelli believed that a prince should do all his bets to retain power. He highlighted all the qualities that a prince should have all mercy, all faithfulness, all integrity†¦. (47). Indeed a prince should give his subjects all that they need even if it means through deceit. According to Machiavelli, â€Å"a man who wishes to make a vocation of being good at all times will come to ruin so many who are not good.† (40)   This means that if one tries being good too much he will turn out to be bad. Machiavelli says that a prince ought to keep the people satisfied by all means. The government does the same by keeping people in the check. In short, many people are not all bad or all good but lie somewhere in the middle. Question 4 Machiavelli looks at the real world and not an imagined one. There is a big difference between the way people ought to act and the way do act, and that any prince who tries to do what he should will destroy himself. A prince must know when to act immorally. All people agree that a prince must have good qualities; however, as this is impossible, a wise prince should avoid vices that will destroy his hold on power. Question 5 Contemporary leaders should be well versed in war and the same leader must show exemplary shills during the time of peace. Question 6 Machiavelli also poses the question concerning liberality and whether generosity or being a miser is more beneficial is also posed. Machiavelli states that â€Å"only spending of your own is what harms you. And there is nothing that uses itself up faster than generosity, for as you employ it you lose the means of employing it, and you become either poor or despised or in order to escape poverty, rapacious and hated† (43).His argument concerning this issues is that if you start out being generous so that people love, you have to deplete all your resources and then as a leader you will have to tax the people more. On the other, if you are not being generous, people are become dissatisfied and start hating you. In addition, if you are a miser, people may not love you as much, but at least you are not that much hated. Question 7 Most leaders seem to follow Machiavelli’s advice. For example Machiavelli said if that a prince must choose to be either feared or loved, it is better to be feared. This seems to be the same message employed by the US government in the killing of pirates of the Indian oceans and annihilation of tribal leaders in Afghanistan. Many governments depend on contradictions, just like Machiavelli. They resort to claim that the end justifies the means, even if this end falls below the expectations of the standards of morality held by the society. Most princess will succeed by following the advice of Machiavelli but only if they satisfy the will of the majority, not their short lived selfish ends. Works Cited Machiavelli, Niccolà ². The Prince. London: Penguin. 2004.pp 37-52