The Acute Care Nurse Practitioner,The Certified Nurse Midwife.

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I will pay for the following article The Acute Care Nurse Practitioner,The Certified Nurse Midwife. The work is to be 1 page with three to five sources, with in-text citations and a reference page. Nursing Number There are quite a number of challenges that bombard the Adult Gerontology Acute Care Nurse Practitioner in their daily roles and duties but perhaps one of the most prominent of these challenges is the glaring work overload faced by these practitioners (Phillipson, 2009). This overload is largely a result of inadequate staffing of these practitioners that is evident in our medical facilities so that the few practitioners available are left to cater for a huge number of patients. Today’s shortage of these practitioners is unlike any that has ever been witnessed before with indicators showing the trend could get even worse. This phenomenon is driven majorly by a largely ageing nursing population and few numbers of incoming nurses to fill this void.

There is a considerable rise in the number of people seeking the cares of these practitioners with healthcare and medical needs, putting considerable strain in the health care system and in the process, necessitating an urgency to curb this shortage. Generally speaking, research upon research has identified four main reasons behind this problem (although there are several minor causes too, that would need to be delved into at hospital and care center levels). These are the ageing practitioner population, declining enrolment, changing work climate (such as lesser pay, increased patient loads, unpalatable work shifts and mandatory overtime, decreased time to provide direct patient care, assignment of non-nursing tasks, poor patient and relatives’ attitudes, skipping meals to attend to work, poor health and safety such as chronic effects of stress and overwork, possible nosocomial infection (such as HIV, Anthrax, Hepatitis, etc.) making nurses feel unsafe at work) and a poor image of nursing in particular (Phillipson, 2009).

Some of the solutions that can be used to curb this escalating shortage include conducting recruitment efforts, for example by promoting pursuance of such careers in schools, advertising for vacancies, reducing training period and time it takes for one to become a registered practitioner while not compromising on the quality of training and also by encouraging more men to consider nursing as a career choice. Secondly, there’s need to explore retention efforts by providing opportunities for career advancement, encouraging flexible work schedules, good retirement benefits and by encouraging these practitioners to feel free to be at the forefront in resolving workforce issues and devising solutions for the same.

An elaborate emphasis on the irreplaceable importance of these practitioners to the society and better pay and retirement packages will go some way in improving the image of these careers and attract potential workforce. Lastly, supporting legislation that can help rectify this shortage would be handy, for example by lowering grades required to enter training schools and by providing scholarships and loans to students pursuing this course (Phillipson, 2009).

References

Phillipson, C. R. (2009). Gerontology. S.l.: Sage.

Write a 7 pages paper on business ethical dilemma. Ethical Dilemma.

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Write a 7 pages paper on business ethical dilemma. Ethical Dilemma.

Working for a few months at Sisto Mission Hospital as a content developer and data entry clerk, Mary came across some information that placed her in a dilemma ethically. As she was gathering information as part of her daily routine, her sister’s fiancé’s name came to the screen. His information said that he had recently been tested for HIV and diagnosed to be positive. In addition, the information also showed that Michael was currently under treatment at a local facility, as well as counseling services, for HIV. Mary and her sister and are close, especially since their mother passed away from cancer early in their lives, which has meant that they always look out for one another. Having met her sister at least six times in the last month, Mary was sure she did not know about Michael’s condition. If she did, Mary or her father would have known about it by now. The information comes at an especially crucial moment because her sister is preparing for her wedding in three weeks.

Mary am devastated by the information and torn between her sister and family on one side and her job on the other. If she elects not to give this information to her sister with regards to her fiancé’s condition, she can maintain my integrity and get a good reference from her boss. This is important, as this is a prestigious company, which will strengthen her CV significantly. However, telling her sister about Michael’s condition will inform her decision on whether to go ahead with the wedding. She could be able to evaluate her position alongside Michael and make a decision based on reality. Nonetheless, doing this could lead to termination from Mary’s current position and a poor report from her&nbsp.employer.&nbsp.

Justification of the Ethical Dilemma.

Working with an organization’s database exposes one to a lot of privileged and private information. The records in the database at Sisto Hospital contain extensive personal information concerning various clients, including their health records, which is private and confidential in nature. Releasing of information regarding clients can cause irreparable damage to them (Bredeson & Goree, 2012), as it would in Michael’s case. For example, it could limit future employability because employers would be wary of employing a person who could potentially sue for discrimination. The employer could already pre-conceive that Michael may not be up to effective contribution to their company (Bredeson & Goree, 2012). In addition, if this information were to be discovered by insurance companies, Michael’s access to affordable health insurance may be hindered. For this reason, maintaining Michael’s and Sisto Hospital’s confidentiality is a vital part of Mary’s duties.

The Utilitarian theory contends that decisions are only ethical if they cause a person to bring the experience of pleasure and goodness to a significant number of persons. It acts to simplify the moral law through a cost benefit analysis that decides on whether a decision is ethical (Gilliland et al, 2007).In deciding whether one is making an ethical decision, one takes total pain that the decision will cause and subtracts it from the total pleasure the decision causes, which results in the total utility of decisions taken.

Create a 8 pages page paper that discusses reasons for poverty tourism, its advantages and disadvantages.

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Create a 8 pages page paper that discusses reasons for poverty tourism, its advantages and disadvantages. Slums are urban areas that are overpopulated and those residents live in abject poverty and at the center of social ills not commonly found in other places. It is a clear depiction of the social stratification in these countries and which raises the curiosity of many people.

The tour guides for such places have taken the advantage of people’s curiosity to see slums and organized tours to take them and charge them for the experience. The people on the slums, however, benefit minimally or in most cases do not benefit in any way at all from these visits by other people and mostly the white. The slum tourism has raised ethical issues and debates among many humanitarians as it is seen to break many ethical principles and move contrary to the ethical theories, a move that will be discussed in detail below. It is these ethical debates that bring the question of whether slum tourism is ethically acceptable or not.

According to the research by Hanrahan (2013), poverty tourism is becoming a lucrative business because of the influx of people seeking to view how the other half lives. This curiosity is driven by the need to make them feel good or better about their current lives and they can only possibly do that if they view the miserable lives people in slums lead. The individuals feeling guilty about leading extravagant lifestyles or parents of children who want to show them how different life is and how lucky they are the most common customers of these poverty tours around the world. Whether this serves their purpose or fulfills their internal well-being and make them better people in society is yet to be known or researched about.

When documentaries about slums come up in the media stations, the interests of many people are naturally piqued at how these people lead their lives and other even want to experience it while others just want to have a glimpse of it to believe that it is actually true. What results after this is an influx in poverty tourism with many white people being the majority aiming to see it for them to believe. A perfect example of this is the previous two world cup games which were hosted in South Africa and Brazil and which saw an influx of people seeking accommodation in the slums of Soweto and Favera (Robertson, 2012). This is not only for lack of accommodation but curiosity as to how they can live.

Complete 5 pages APA formatted article: English Lecture Notes.

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Complete 5 pages APA formatted article: English Lecture Notes. The week 2 lecture was called self-efficacy and the independent learner. The lecture is focused on educating the learner on the definition of self-efficacy and how students understand their own beliefs about success. Another concept covered in this week is theory and understanding its value. The next aspect is the differentiation between theory and facts and the definition of mastery. This topic enables the students to learn the connection between their own success and the factors behind it based on the definition they give. The topic also covers social modeling and persuasion as well as psychological responses and the implications of self-efficacy sources on learning in higher education. Lastly, this lecture covers study groups, the definition of the word and the value and establishment of study groups (Margolis, McCabe 2006).

The week 3 lecture is called learning from and with others. It gives an explanation of the difference between learning from and with others. It also gives an explanation of models of cooperative learning and how they work. I this lecture, we learn how to effectively share and participate in the discussion. The three main concepts of this lecture are collaboration, collision, and cooperation. Once a student understands the three concepts, then we are able to apply the lesson learned in group work and learn to incorporate it into our higher learning. The group works developing four stages of forming, storming, norming and finally performing. The problems faced in groups are also covered as well as solutions to these problems (Kolb, Kolb 2005).

The week 4 lecture is educative on feedback and higher education. The lecture involves the definition of feedback and understanding how students see feedback to improve their learning.&nbsp.

write an article on Using Drugs Leads to Crime.

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Hello, I am looking for someone to write an article on Using Drugs Leads to Crime. It needs to be at least 2250 words. A person under the influence of an illegal drug while committing a crime does not necessarily mean that the crime was drug-related. To what extent the drug clouded their judgment is subjective at best. That person may be a cigarette smoker as well but the crime would certainly not be classified as tobacco-related. Theories such as Strain, Labeling and Socialisation explain causations for crime and can also be applied to drug usage, but all drug users do not commit crimes and all criminals do not use drugs. The connections between drug use and crime are complex and explanations vary widely. This has been a topic that has garnered a considerable amount of attention for the past few decades among the public, media, and politicians because of the considerable negative social and economic impact on society as a whole and the victims of crime.

Some argue that laws make criminals out of drug users and distributors. Prohibition acts to encourage organized criminal activity because of the high profitability involved. In addition, the inflated expense of drugs is the main reason a user has to resort to crime to support their habit. Broadly differing arguments are offered regarding the degree to which criminal activity is driven by drug use. The term ‘drug user’ cannot be used without qualification when connecting this activity to crimes of any description. Drugs such as amphetamines, cocaine, phencyclidine, (PCP), barbiturates and alcohol are more closely connected to criminal acts of violence than are heroin and marijuana according to current scientific literature (Wright & Klee, 2001). Some statistics that show a linkage from drug use to crime are generated from drug tests on prisoners. If the&nbsp.prisoner tests positive, the link is confirmed.&nbsp.&nbsp.

write an article on epidemiology or pathogenecity of mybacterium tubrtculosis

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Hi, I am looking for someone to write an article on epidemiology or pathogenecity of mybacterium tubrtculosis Paper must be at least 250 words. Please, no plagiarized work! TB Epidemiology TB Epidemiology Mycobacterium tuberculosis complex includes Mycobacterium africanum, Mycobacterium bovis and the Mycobacterium tuberculosis. The disease spreads by inhalation of infectious droplets that are discharged into the air when a tuberculosis patient coughs.

Considerable variation in the burden of disease exists throughout the world. Robert claims that the highest rates (100/100,000) are in sub-Saharan Africa, India, China and Southeast Asia (Serafino-Wani, 2012). Richard however includes countries like Indonesia, Philippines and Russian Federation also, in the list of 22 countries where the burden of disease is the highest (Chaisson, 2007).

In Robert’s opinion, the major contributors to the resurging epidemic of disease are Drug resistance, HIV and Poverty. Richard has also included some other factors that are contributing towards the increasing incidence of disease like lack of political will, poor infrastructure, and weak organization of health services and increasing incidence in prisons.

In Roberts opinion, person’s at high risk include people who have had recent contact with an infected person or persons who are immunocompromised due to any reason. Richard’s assertion is that out of those who are exposed, only 30% develop the disease. In his opinion, severity of disease and duration of exposure to the infected person are also the variables that determine the chances of infection.

HIV as a cause of resurgence of the incidence of tuberculosis has been agreed upon by both authors. Robert’s understanding is that MDR disease is more prevalent among cases of relapsed disease or defaulters. Richard has agreed to this notion and includes the immunocompromised patients to this group of disease in addition to those included by Roberts.

References

Chaisson,&nbsp.R., & Johns Hopkins University Center for Tuberculosis Research (2007).&nbsp.TB Epidemiology. Retrieved from http://ocw.jhsph.edu/courses/EpiInfectiousDisease/PDFs/EID_lec12_Chaisson.pdf

Serafino-Wani,&nbsp.R.&nbsp.L. (2012). Tuberculosis 1. Epidemiology of mycobacterium tuberculosis.South Sudan Medical Journal. Retrieved from http://www.southsudanmedicaljournal.com/archive/may-2012/tuberculosis-1.-epidemiology-of-mycobacterium-tuberculosis.

Write 9 pages thesis on the topic global implications and differences in leadership styles.

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Write 9 pages thesis on the topic global implications and differences in leadership styles. When executive leadership is discussed, it is obvious that the source of influence is rooted in the managerial position and status since we are talking about the top management of the company. According to some research, leadership is one of the most researched aspects of human and organizational behavior. In addition on an average, more than 2000 books are published on the topic of leadership and its dynamics every year for the past couple of decades (Rothwell, Stavros, Sullivan, & Sullivan, 2009).

Another important aspect of executive leadership is realizing the disparity between executive leadership and executive managers or the difference between leaders and managers. Managers have the job to bring consistency and order by sketching up formal plans, drawing the structure of the organization and closely monitoring the results against the expectations. Managers’ job is definable within the boundaries of planning, organizing, leading and controlling. However, leaders are responsible for coping and bringing about change in any organization. Leaders are the ones who establish long-term plans and set the vision for the organization. They communicate this vision and inspire people to achieve that vision. They have the lens with which they see beyond the boundaries of others and they have the ability to smell changes. Few names amongst the category of great leaders are Buddha, Napoleon, Gandhi, Churchill, Roosevelt, Thatcher, Margaret Reagan, Nelson Mandela, Richard Branson, Steve Jobs, Ken Chenault, Ratan Tata, Muhammad Ali Jinnah etc. All these people had one thing in common they had the “ability to inspire people and bring a remarkable change” (Huczynski, & Buchanan, 2007).

Research what happened in the 1990s for determining the common leadership traits ended up concluding, “Leaders are different from other people” (Honeyman, 1982). Despite the fact that leaders are different from people, the leaders are also different from each other as well. The leadership styles, traits approaches, values, decision-making etc differ significantly, as we move across different cultures, countries, continents and ethnicities. Following are some of the common differences discussed according to the cultures.

write an article on Audit Expectation Gap in Auditor Responsibilities.

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Hello, I am looking for someone to write an article on Audit Expectation Gap in Auditor Responsibilities. It needs to be at least 2000 words. The public also perceives the independence of auditors and expect higher audit quality and performance. The perceived independence of auditors in the mind of public and actual independence given to the auditors can directly influence the expectation gap. Unreasonable expectations of the public may also influence the expectation gap by widening it. Educating users of financial statements about auditor’s role is important through annual shareholders’ meetings and other such events (Ojo). Through interviews from various firms, Oje found that conflict between auditors’ dual role and reporting accountants can also influence the expectation gap. The higher the conflict the more is the expectation therefore, a great focus is being by companies towards defining clear roles of auditors and accountants. The image of the company and auditors can also influence the expectations of users of financial statements and the better the image, the more are the expectations.

The higher expectations of users also influence the gap (Mahadevaswamy and Salehi). The increasing auditor’s role has and changing professional standards have also influenced public opinion and their expectations have increased. On the other hand, an auditor’s lack of interest in the expectations of shareholders and other users of financial statements can also appear as a determinant of the expectations gap (Epstein And Geiger). Therefore, the perceived independence of the auditors, unreasonable expectations of users, higher expectations of users because of good of company or auditors, conflict between auditor’s role and accountants’ role, increasing auditors’ role and changing professional standards and lack of interest of auditor in understanding the expectations of users are the major factors affecting expectation gap.

A significant number of publically owned companies and the increasing awareness of the public have largely influenced&nbsp.the developments in auditors’ responsibilities.&nbsp.

Create a thesis and an outline on A Harm of Smoking.

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I need help creating a thesis and an outline on A Harm of Smoking. Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required. It should be noted that not only the patient or the victim of smoke is at a loss from his body deprivation point of view but also his chances of suffering an injury instantaneously are quite viable. As debated before, many kinds of ailments might creep up with the passage of time circumscribing diseases such as cancer, lung-related problems and throat malignancies to name a few. [Jacobson, 1997] Peer smoking has been found out as one of the mainstays in keeping up to the smoking habit. People who are discouraged to smoke find solace when they see their near and dear ones doing the same, thus allowing themselves just about any rationale to follow upon and continue with the smoking room.

Certain discussions have also been concluded on the fact that parents generally do not have any idea on how to combat smoking so that their wards can keep off this habit from themselves. [Chase, 1995] They (parents) find certain ways in which their young ones do not readily catch up on the already present bandwagon of adopting a cigarette to relieve their tensions and thus allowing just about every harmful drug into their body with it.&nbsp.

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Create a 9 pages page paper that discusses the complexity of the frankenstein written by mary shelle.

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Create a 9 pages page paper that discusses the complexity of the frankenstein written by mary shelle. At the same time, Mary Shelley has also related this novel to the scientific and industrial changes that were taking place in the early nineteenth century. This included the impact of the industrial revolution. The concept of galvanism which was a subject of study at that time is used as a theme of the novel. The novel also encompasses many facts related to the life of Mary Shelley, and her personal experiences and encounters have been used in the presentation of this novel. The writing shows the interplay between Mary Shelley and Victor Frankenstein as Frankenstein is the creation of Shelley and the monster in the book is the creation of Frankenstein. Mary Shelley further works on showing the relationship between the monster and Frankenstein. This relation is portrayed in the accounts presented by Frankenstein about the monster and the life of the monster as portrayed by the monster himself.

Frankenstein is an intriguing novel that was written by Mary Shelley and published in the year 1818. This novel has its roots in the scientific changes that were taking place during that period which is the era of the Industrial Revolution when there were abrupt changes in technology. It integrates the theories of “galvanism”, which is a term used to describe the creation of a being by incorporation of life into muscles by the usage of electrical power. The creation of this novel by Mary Shelley can be closely related to the creation of the monster by Victor Frankenstein in the writing itself and the script also provides a perfect interweaving of the account of Frankenstein about his creation as well as the version presented by the monster about his life.

Mary Shelley had always had an interest in literature and writing ever since she was a small child. She used to sit and write things during her idle time. Her interest continued with her age. At the same time, she was also a daydreamer and used to&nbsp.think of things that were not possible.