Evidence based in nursing Essay

Evidence based in nurseIntroductionLiterature search The topic I searched on was management of brain injuries. The main conception of this interrogation was to ascertain what literature stated on how to monitor and treat a patient to cheque attitude traumatic seizures, which are brought about due to limitation of amount of oxygen that goes to the brain. This causes excessive absolve of excitory neurotransmitters, thereby increasing the brains metabolic needs, that raises pressure within the intercranial space.Unfiltered Evidence The unfiltered obligate that I came across had important information in it. It had three authors namely James W. Y. Chen, Robert L. Ruff and Roland Eavey. It had 21 references in it, Post traumatic epilepsy and treatment. I found it in the Wiley online library database. It straightenly defined the whole post traumatic epilepsy symptoms, diagnosis and physiotherapy practices involved in treating it. This article was very useful as it gave a clear h ighlight on how to go about the nursing process of post-traumatic seizures. However, this did not show the research and advances that have been made in diagnosing and treatment of the condition.Filtered Evidence Filtering of articles was critically hectic and cumbersome. I observed informative articles on post traumatic seizures diagnosis, treatment and care. However, most of them were obsolete and did not show clear progress in current research and health advances towards dealing with brain injury associated epilepsy. I succeeded in getting present day ideas when I use the online Harvey/ John Hay Whitney medical library tool. I got 20 results from the search. Despite most of them being outdated, I managed to find a relevant one which was talk of the town about the advances and treatment administered to the epileptic patients. It had a broad variety of the whole process and it had a component part of information. The article I found was in synopsis form (Fulton, John F. and Ral ph W. Gerard, 2014).Critically Appraised Topics When I used the AHRQ database I collected 173 searches on head injury post traumatic seizures. It was very wide therefore vexed to obtain the information required. It was comprised of all other neural based injuries like the spines making it difficult to come up with a clear article on post traumatic epilepsy. The nearest article that I came across was on Nerve and Brain Conditions.Systematic Reviews It was the most effective tool that I used and its results were very easy to internalize. I found an article in the Pubmed database that showed the way forward in dealing with head injury traumas in a comprehensive context and I liked it a lot. I dealt with the symptoms, diagnosis and medications, and therapeutics used in dealing with the post trauma epilepsy. (Dalmady & Zasler, 2014)Useful Tip In order for one to have a complete literature research, the most sufficient way to go about it as I learnt from this assignment, is by usi ng more than one database when searching for a detail topic. Another way is that, with the higher you go the more broad the evidence you get in a distinct hierarchical order.ReferencesDalmady-Israel, C., & Zasler, N. (n.d.). Post-traumatic seizures A critical review. Brain Injury, 263-273. Retrieved December 9, 2014.Tsao, J. (2012). Traumatic brain injury a clinicians guide to diagnosis, management, and rehabilitation. New York Springer.Source document

Implementing Strategy and Managing Change Essay

Implementing Strategy and Managing metamorphose - Essay ExampleThis de stir upment cannot be different. Besides, the FRS is better equipped than most other agencies to insure such emergencies, and the public expects nothing less from the FRS, and the pay piper has always dictated the tune. Reasons for Introducing counter depart flip-flop is inevitable in all told human endeavors, these generally has been attri howevered to several factors such as Globalization, which is the integration of all societies, cultures and regions to miscellanea by reversal interconnected through a network of communication systems. Financial pressures to meet both resultant and expected obligations, may also force the introduction of needed changes. New demands for products, services etc also argon reasons for introduction of changes. The reasons for changes are as numerous as the sands on the sea shore. But for the FRS, the important reason is the expectations of the public. The public expects FRS department to be on the forefront of emergency intervention services. Although constituent 4 of the FRS Act of 2004 only empowers intervention in fire related incidents and motor accidents, but other emergency situations such building collapse, water accidents, flooding, plane crashes, terrorist attacks and other related incidents that no set government agency is responsible for is left to the FRS to handle, and as a matter of principle, the FRS cannot faint-hearted way from these tasks, especially when we have the men and equipment to confidently deal with such emergencies. Best practices in Change Management We live in an ever changing environment, products that are in vogue today, quickly become outmoded, system of handling situations that works yesterday, may not work when utilize tomorrow. All these necessitate the expect for best practice in change management. While each organization probably has its best overture to manage change, there are some homunculuss that can b e regarded as the best approach in change management. The ADKAR model which is an acronym for Awareness, Desire, Knowledge, Ability and backup has consistently proved to work in several organizations where it has been used to introduce change. There full meanings are Awareness the need to change Desire to participate and contribute change Ability to implement the change on a day to day basis and Reinforcement to keep the change in place. ADKAR model approaches Change from two propertys the business dimension (vertical) and the people dimension (horizontal). It ensures that each individual makes the needed transition. McKinsey 7 S model This is a holistic approach to change which collectively determines how the company will operate. There are 7 different factors that are a part of the model shared values, structure, systems, style, strategy, staff, and skills. All these work together to form the model. Lewins Change Management personate This model known as Unfreeze Change Refr eeze, refers to the 3 stage process of change Lewin describe using the changing shape of ice blocks. Kotters Eight Step Model In summary, this model says that you need to create a sense of urgency, recruit powerful leaders, build a vision and in effect communicate it, remove obstacles, create quick wins, and build on your momentum. If religiously followed will implement change

Unethical decisions Essay Example | Topics and Well Written Essays - 500 words

Unethical decisions - canvas ExampleThe growing technological advancement has led to integration of the communication all over the world. interconnected information system has been a cracking relief to many people as well as organization when it comes to conducting electronic proceedings. However, this development has been met and strained by serious unethical practices that extradite led to great redness of finances and jobs. Unethical practices and decisions made on the information systems have also led to disrepute to many organizations (Collier & Spaul, 1990).The integration of information system witnessed an advantageous introduction of credit card game that have been utilise to carry transactions involving purchasing and sales of goods and services. However, this system has since undergone intrusion occasioned by unending frauds (Shortland & Scarf, 2007). Credit card game of certain individuals have been stolen and used in purchase of goods and services by the fraudsters , thus leading loss of colossal amounts of money by the credit card companies. The same problem has been witnessed even with the use of realistic credit cards. Fraudsters have used complex techniques to get to know the secrete information of the credit cards of particular individuals and have been conducting transactions with such cards at the expense of the true holders.To confront, tackle and halt credit card frauds, Shortland and Scarf (2007) illustrate that various individuals have come with systems to assist achieve the succour of these widespread unethical practices. The ideas have included metalearning, and cardwatch among others that uses modifiers and classifiers to mine data and detect frauds in the system. Even though, these technologies have failed to bear desirable fruits as disorganized distribution of data and mixing of the genuine and fraudulent transactions that have complicated the functionality of the systems. Continuing research on this field has led to invent ion of the Hidden Markov cast (HMM) that works

Qualitative and Quantitative Perspectives in Conducting Research Essay

Qualitative and Quantitative Perspectives in Conducting Research - Essay ExampleThere is a relevant connection that exists between qualitative and quantitative approaches as far as research in social science is concerned and the relationship has been empirically and theoretically demonstrated by many researchers that spend a penny dealt with different issues(Ragin, 2008). The recent years have been saturated with widespread debate within the social sciences that is associated with the proportional advantages in respect to qualitative and quantitative strategies for research, and the sound judgments different researchers have vary significantly. There is a member that considers the two methods to be totally independent and in relation to the unconventionalideas, there is a section that prefers to shading both approaches in their research activities. Bryman (1998) advocated an approach that would entail the best parts of both approaches and was therefore of the opinion that both q ualitative as well as quantitative approaches should be combined.According to Niglas (2000), none of the variations that atomic reckon 18 in existence between quantitative and qualitative methodologies are the form of diametric contradictory practices tho instead constitute a continuous scale which qualitative and quantitative research are non arranged in a manner that is basic. Secondly, there still exists quite a good number of researchers that are inclined towards the qualitative approach who take a realist ontological position and quantitative researchers whose ontological position is associated with idealism and relativism that associated with realism.

Epidemiology and research methodology Essay Example | Topics and Well Written Essays - 2000 words

Epidemiology and research methodological analysis - Essay representativectice of premarital and multiple-partners sex is undoubtedly more common in developed countries than in the developing ones callable to the societys visibly permissive attitude towards it (National Research Council, 2005).Consequently, the prevalence of sexually transmitted diseases has as well increased. In an annual report of a screening programme by the Department of Health, it has been noted that Chlamydia trachomatis transmitting has become the most commonly diagnosed bacterial sexually transmitted infection in the genitourinary treat (GUM) clinics in the United Kingdom (Department of Health DH, 2004). As a result, the government has formulated several policies with publicly-funded researches with the aim to prevent further spread of the communicable chlamydial infection collectible to its social and economical blackball impacts. In connection, this paper will attempt to determine specific proposed p olicies and their effectiveness in countering the negative social, health, and economic impact of chlamydial infections with regard to the epidemiologic trends by employing a qualitative research methodology which will specifically discussed later.In the United States, the Centers for Disease Control and Prevention (CDC) has accounted that people with chlamydial infections put one across recorded the most frequent case reporting for a sexually transmitted disease (CDC, 2010). The starting time annual report of the National Chlamydia Screening Programme (NCSP) pointed the same trend about chlamydial infections in the United Kingdom which led to its formulation in 2003 (DH, 2004).The NCSP was founded by the Department of Health in England due to the threatening health patterns caused not only by chlamydia but all the sexually transmitted diseases observed in both publicly and privately-funded surveys including those from the World Health Organization (WHO), the national government, as well as some organizations like AVERT (WHO, 2001 STD Statistics, 2010). In the last decade,

Herzog and de Meurion Essay Example | Topics and Well Written Essays - 750 words

Herzog and de Meurion - Essay ExampleHerzog and De Meuron manage to preserve their identities as modernist architects. Their primordial works cite significant inspiration from the minimalist art of Donald Judd. Both also regard Joseph Beuys as an important motivator to their designs as they collaborate with different artists in each individual project. From the formation of their architectural partnership in 1978, Herzog and De Meuron evolved to be the best in their field. From simple styles of rectangular-inspired architectural designs, the complexity of their adventure in the phase of the Modernist Movement allowed them to adopt and develop complex and dynamic geometric shapes and patterns for their designs. Along with the maturity of science and technique, innovation when it comes to the use of materials is also taken into account. Herzog and De Meurons imagination led then to the use of out-of-door materials such as silkscreened glass to the down-right simplest plywood (Craven) . All of these, no matter how grand or simple, no matter how expensive or cheap, work to the advantage of these Swiss architects. Both are significantly considered as important figures in architecture. They are regarded as primary institutions when it comes to modernism. The honor they received in 2001 through the honored Pritzker Architecture Prize (Craven) was but a tiny complement as compared to the reputation they had built upon the instruction of their careers as architects.With much said about the prestige of both architects, it is also important to note that the most important development in the lives of both as professionals occurred upon their designation as primary architects of the 2008 Olympic orbit in Beijing or more famously known as the Birds snuggle Stadium. It was in that moment that the modern architects almost went into a conversion of style, adhering to the rules and tenets of post-modernism. However before

The count of monte cristo Essay Example | Topics and Well Written Essays - 750 words

The count of monte cristo - Essay ExampleThe means of revenge and the end of the composition are also different in the book and the film.The book reveals Edmonds plan to pay bear to those who falsely accused him, causing him to serve a jail term of 14 years in Chateau dIf. Danglars and Fernard Mondego had falsely witnessed against him, claiming that he was a Bonapartist traitor (Dumas 10). Villefort order the imprison workforcet of Edmond. However, Edmond escapes from jail. He purchases an island after discovering that the h doddery dear of Monte Cristo was in it, and he becomes the Count. He then proceeds to execute his plan of revenge by using his intellectualism and great richness to gain the social status that wittily attracts the enemies. After the three men have taken the bait, he begins to take revenge on them. He uncovers their past sins, corruption, crimes, and secrets. They get humbled to an extent of getting insane and even committing suicide. He manipulates Danglars s tocks and financial status in the bond market. Edmond lets the tout ensemble world know how, during the Greek independence war, Fernard betrayed a close friend by the name Ali Pasha, a Janina monarch. He also unearths how Ferdinand subsequently sold Ali Pashas wife and daughter into the system of slavery. Addition eachy, Edmond uncovers the old affair between Danglars wife and Villefort that result in the birth of a boy child. He reveals how Villefort buried the child alive because he saw him being stubborn. However, Villeforts enemy saved the child, named him Benedetto, and took get by of him. Benedetto works as a steward of Edmonds property. Edmond humiliated Villefort by exposing the identity of the boy and batch of his life.However, Edmonds pursuit of revenge in the book does not make his love for friends and family to waiver. He buys all debts of Pierre Morrel to save him from a financial crisis. He accepts Danglers repentance, release him from prison, and allow him his smal l