Best Premium Essays- Original PapersThe development of nursing knowledge is an ongoing process. Discuss the case for the ongoing development and use of nursing grand theories and conversely, make a case for the obsolescence of nursing grand theories for today’s practice and research.
As we listen to and learn about the musical examples in this unit, you will read about and hear some musical “threads” among certain musical artists. Choose one of the following two groups of musicians:
Identify what you believe are the common musical threads among the artists in your groups. Use the musical vocabulary that you are learning through your reading and share mashups of musical examples to support your views. In your response to at least three of your peers, share whether you agree or respectfully disagree with their choices. Explain why you either agree or disagree with your classmates and offer reasons and examples of why. Remember, it is not enough to simply say “I agree” or “I disagree.” You need to justify your choices. When sharing your musical selections with the class, you may use the mashup tool for YouTube. If you are uncomfortable with that or would like to post a traditional text response, that is acceptable as well. Below are the Mashup direction should you choose to use that option. Using Mashup is NOT mandatory.
In preparation for this discussion review the Assembly Bill Policy Committee AnalysisLinks to an external site..
Prepare a response in which you address the following:
DUE Wednesday MAY 10, 2023 by 8:00 PM USA time
This assignment for this module should be a 1-2 page (not including title page and reference page) that describes the following:
You are caring for a patient with c-diff as part of your workload assignment.
1. I think a system of government was developed in Greece because they wanted to form a structure that included the citizens of Greece. Greece served as one of the first forms of self-rule government. In Athens all the adults citizens were required to take an active part in the government. The idea that the people can replace their government throught peaceful transfers of power rather than violent uprising or revolution. Every year 500 names were chosen from all the citizens of ancient Athens. Those 500 citizens had to actively serve in the government for one year. Durng that year, they were responsible for making new laws and controlled all parts of the political process. To vote, citizens had to attend the assembly on the day the vote took place. This form government is called direct democracy.
The founders of United States chose to copy elements of greek democracy because democracy is the idea that the citizens of a country should take an active role in the government of their country and manage it directly or through elected representatives. The key part of democracy was that the people have a voice. The United States has a representative democracy. Representative democracy is a government in which citizens vote for representatives who create and change laws that govern the people rather than getting to vote directly on the laws themselves. I think the founders knew that with these elements our civilizations of the United States can be governed with some structure from not only the representatives but the people of our society as well.
2.
Today I would like to discuss Athenian Democracy and its influence on today’s American democracy. The Greek word ‘polis’ translates to ‘city.’ Initially, it referred to an administrative and religious center that was separate from the rest of the city. However, it later evolved to mean the group of citizens under the jurisdiction of a city. Unlike other ancient city-states that were governed by a king or a small group of people, the poleis were political entities that were ruled by their citizens. This discussion pertains primarily to the contemporary cities in the United States. As residents of a local government, we elect officials to serve in the three branches of government: legislative, executive and judicial. In ancient Greece, the polis would have been classified as part of the legislative branch, while in modern times, we as citizens of our respective cities would hold a similar role.
During the ancient Greek era, the 500 citizens boule was an all-male council over the age of 30 with no criminal charges who were selected to manage the day-to-day operations of the city. These appointed individuals held a similar status to our modern-day senators and congressional representatives. Initially, the council was composed of noble members who advised the king. However, over time, the boulai evolved based on the constitutional requirements of the city. Additionally, most members were selected by lot and served for one year, similar to how our officials serve for biannual terms. Our President, on the other hand, serves for a duration of four years, which is akin to the position of the King. During the reign of Cleisthenes, the Boule regained political authority and became responsible for setting the agenda of the Ekklesia or Assembly’s legislative body. Additionally, it executed the formal implementation of political decisions made in the Assembly. Approximately half of the decrees ratified by the Assembly were the council’s responsibility. The Boule held meetings every day, except on holidays and other ominous events. This was similar to our legislative branch, but without the fear of being banished, losing citizenship, or choosing death over being ostracized. Just like Congress, the Ekklesia had the authority to declare war. However, the responsibility of developing military strategies now lies with the Executive branch, and the appointment of magistrates is done through nomination and election by the local government.
Finally, in ancient Athens and other city-states, a deme or demos referred to a suburb or subdivision. These demes were comparable to our current local boroughs, townships, and smaller areas that are smaller than a city. Presently, these smaller entities are represented through the nearest large representation.
I believe the development of this type of government was a result of Cleisthenes recognizing the negative impact of a tyrannical power structure on society. He aimed to introduce changes that would facilitate growth and balance. Cleisthenes held the belief that the citizens should ultimately wield power in their own government, not only due to its fairness but because it was the most effective means of maintaining social harmony. Considering the vast number of states, locations, areas, and people in the US, this structure was ideal for our democracy. Our early leaders were mindful of the impact of expansion on policies and government adaptation. By ensuring equal representation for each location based on a percentage of citizens or a set number of representatives per state, the government could continue to function during the country’s expansion.
The on-off control method is the least expensive closed loop system to use due to its simplicity. The on-off control method does however tend to cause more wear on its equipment due to the excessive amount of on-off cycles. It is also the hardest control system to maintain a consistent process variable because the tolerances are expanded to avoid starting and stopping of the load device. A good example of an on-off system is a conventional oven. The heating element is the load which has a controller that operates off of feedback from a thermocouple.
Proportional Control method is a way to meter the output by monitoring the measured variable. The controller varies the output according to the error signal produced between the setpoint and the measured variable to mitigate error between them. For instance, the larger the error the larger the output command. Let’s say there is a water tank that opens a valve to drain the tank at a rate of 30 GPM. The proportional control method is used to adjust the output (pump) to match the flow into the tank as what is flowing out of the tank. So, the output increases to equal the 30 GPM.
Proportional-Integral method is the same as a proportional control with an inputted integral change to ensure that offset is minimized. The Proportional portion controls the margin of error but does not make up for the offset between the control variable and the setpoint. The integral control continuously adjusts the output reference to eliminate offset. Continuing on the water tank example in the proportional control description, while the output has adjusted to match the flow of water entering as what is exiting, there was an offset created due to the slow increase of inflow. The tank is 30 gallons under its setpoint by volume. The integral mode is used to increase the output so that offset of the tank level is at zero (back at setpoint pertaining to level).
Proportional-Integral-Derivative method is a way to produce even tighter tolerances between the control variable and setpoint. This method is to keep the controller from overshooting by using the derivative portion to sense the control variable’s change relative to the setpoint. This enables the controller to respond more appropriately to ensure that the measured variable does not stray too far from setpoint by responding to more sudden process changes. A “boost” is given to the output to allow the proportional method to take control quicker so that there is less of opportunity for error. This portion can be included in the previous water tank process where the emptying valve opens up at a drain rate of 30 GPM. The derivative can instantly ensure that the output drives at a higher frequency so that there is less error for the proportional method and less offset in the integral method.
References:
Bartelt, T. L. (2011). Industrial Automated Systems: Instrumentation and Motion Control. Cengage Limited. https://ecpi.vitalsource.com/books/9781305474277
There are 2 parts to this summative assessment. You completed Part 1 in Week 3. Now it’s time to complete Part 2.
Part 2 – Project Translation and Planning
Identify the solution that you determined would be most effective in resolving the stated problem and define the intended outcomes of implementing the change (e.g., your improvement goal). For quality to improve, a change must occur. That change must be quantifiable. In other words, it must be measurable.
Create an implementation plan in which you:
Explain how you will measure the change and how you will know when you have reached your improvement goal.
Create a list of outcomes required to reach your outcomes goal. This will allow you to determine the actions needed and the priority of tasks that will result in the desired outcome.
Determine who will be responsible for each outcome (typically each is assigned to a team member who is motivated to see the successful implementation of the plan).
Determine the actions needed to take place for each outcome to occur. Questions to consider when determining what action needs to take place:
Develop an overall time frame for the project.
Develop a risk management plan.
Establish a budget, roles, and who will be responsible for what.
Determine how you will monitor progress. This will provide you with the means of tracking actions as they are completed and will make you aware of actions that are late or off track.
Create an evaluation plan. Your evaluation plan will define the standard of measurement for progress and will include:
Format as one of the following:
Include a reference page with an APA-formatted citation for each article.
Combine Part 1 and Part 2.
An evidence-based implementation scale is available in your text. Review this scale and write a 2–3 paragraph summary of how you have used evidence throughout this course to answer your compelling clinical questions.
Unit 9
Textbook Readings
Evidence-Based Practice in Nursing and Healthcare
● “Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice Implementation Projects”
● “Ethical Considerations for Evidence Implementation and Evidence Generation”
intructions: APA style, 2-3 paragraphs, use at least 3 references.
Vanessa Fuentes
St. Thomas University
NUR 620: Psychiatric Management I
Dr. Wilson-Romans
May 15, 2023
Greeting colleagues,
An individual may be taken to a receiving facility for involuntary examination under the Florida Baker Act, also known as the Florida Mental health Act (Florida Department of Children and Families, 2023). This act dictates the following: 1) there must be just cause to involuntarily apprehend an individual in society, 2) taking take them into custody beyond their free will, if the danger they pose to themselves. or others in the society is so grave… or 3). other individuals could be at the utmost level of danger if exposed to this person. Some parameters or indications that help all stakeholders in the wellbeing of such a person in crisis mode (such as outpatient psychiatry clinicians, family, civil emergency personnel and ultimately law enforcement) include: A) It has been deemed that due to a patient’s psychiatric or behavioral health state, they are in need if emergent psychiatric care; and due to that same limiting condition, the person in active crisis refuses; B) the risk-ratio is of high likelihood that if absent an emergent psychiatric evaluation, self-harm or harm to others is inevitable; C) or that if this attempt at a potentially life-saving measure is not conducted, the individual’s prognosis is grim regarding safety, well-being, or right to life (Florida Department of Children and Families, 2023).
Police will continue to carefully assess a situation where any homeless person in which the community called 911 on, or law enforcement, regarding threats or self-harm (walking into traffic or threatening suicide to an onlooker)/harm to others (stabbing, pyromania etc) (Manet, 2022). If in this context based on rapid assessment including any family, bystanders or other officers present; a person during a mental health crisis is responsive to cues, diffusion and redirection… law enforcement can now have additional tools and community resources on hand to de-escalate a public situation. Perhaps an individual may be acting out alarmingly, but innately, they are attempting to in fact show they desire help.
There are some situations where a homeless person finds themselves acting disordered, lude (perhaps undressed), or under the influence in public. There are thousands or perhaps millions of persons that could be behaving the same way at a residence or obscured by the walls that surround them. However, statistically, if a homeless person who has adopted a certain neighborhood or locality to reside; there is already a heightened chance of interaction with public safety officials/law enforcement/rescue personnel, etc. (Florida Department of Children and Families, 2023). While the following regarding Baker Act is applicable to all persons of our society, homeless individuals will be inherently more vulnerable to run-ins with others when they happen to be experiencing an emergency or unstable situation.
A resource flyer or information plaquard (a sturdy, easier to store) with contacts/addresses to homeless housing, demographics listed of all shelters within an amenable amount of distance, and ways to connect with homeless advocacy groups with a permanent address.
Unfortunately, there are too many jurisdictions in the United States where non-threatening homeless individuals are “picked up by the cops.” Their first contact is typically with police and a jailhouse. If there is no criminal offense or further evidence that they require to remain in custody, they are released and the situation continues to perpetuate with a negative impact on all persons involved.
An individual may be taken to a receiving facility for involuntary examination under the Florida Baker Act, also known as the Florida Mental health Act (Florida Department of Children and Families, 2023). This act dictates the following: 1) there must be just cause to involuntarily apprehend an individual in society, 2) taking take them into custody beyond their free will, if the danger they pose to themselves or others in the society is so grave… or 3). other individuals could be at the utmost level of danger if exposed to this person. Some parameters or indications that help all stakeholders in the wellbeing of such a person in crisis mode (such as outpatient psychiatry clinicians, family, civil emergency personnel and ultimately law enforcement) include: A) It has been deemed that due to a patient’s psychiatric or behavioral health state, they are in need if emergent psychiatric care; and due to that same limiting condition, the person in active crisis refuses; B) the risk-ratio is of high likelihood that if absent an emergent psychiatric evaluation, self-harm or harm to others is inevitable; C) or that if this attempt at a potentially life-saving measure is not conducted, the individual’s prognosis is grim regarding safety, well-being, or right to life (Florida Department of Children and Families, 2023).
Police will continue to carefully assess a situation where any homeless person in which the community called 911 on, or law enforcement, regarding threats or self-harm (walking into traffic or threatening suicide to an onlooker)/harm to others (stabbing, pyromania etc) (Manet, 2022). If in this context based on rapid assessment including any family, bystanders or other officers present; a person during a mental health crisis is responsive to cues, diffusion and redirection… law enforcement can now have additional tools and community resources on hand to de-escalate a public situation. Perhaps an individual may be acting out alarmingly, but innately, they are attempting to in fact show they desire help.
There are some situations where a homeless person finds themselves acting disordered, lude (perhaps undressed), or under the influence in public. There are thousands or perhaps millions of persons that could be behaving the same way at a residence or obscured by the walls that surround them. However, statistically, if a homeless person who has adopted a certain neighborhood or locality to reside; there is already a heightened chance of interaction with public safety officials/law enforcement/rescue personnel, etc. (Florida Department of Children and Families, 2023). While the following regarding Baker Act is applicable to all persons of our society, homeless individuals will be inherently more vulnerable to run-ins with others when they happen to be experiencing an emergency or unstable situation.
A resource flyer or information plaquard (a sturdy, easier to store) with contacts/addresses to homeless housing, demographics listed of all shelters within an amenable amount of distance, and ways to connect with homeless advocacy groups with a permanent address.
Unfortunately, there are too many jurisdictions in the United States where non-threatening homeless individuals are “picked up by the cops.” Their first contact is typically with police and a jailhouse. If there is no criminal offense or further evidence that they require to remain in custody, they are released and the situation continues to perpetuate with a negative impact on all persons involved.
Prepare a one-page, double spaced document for each idea which describes the idea and explains the business. This should address the following: