Adult Health Nurse Practioner Essay Example for Free

Adult Health Nurse Practioner Essay Due to the rapid changes and complexity in healthcare, nurses are pursuing higher education and specialized training. This specialized training has produced what we now call advance practice nurses. Advance practice nurses can function independently or in partnership with other physicians. These nurses play a vital role in healthcare. There are four types of advance practice nurses; clinical nurse specialist, nurse anesthetist, nurse midwives, and nurse practitioners. The role of the nurse practitioner has changed from being an assistant to meeting the healthcare needs of patients when no physician is available. Nurse practitioners may specialize in a variety of settings, but are not limited to; primary care, acute care, palliative care, infectious disease, and gerontology. Becoming a nurse practitioner requires a Master of Science in nursing, post masters, or Doctor of nursing practice (Britt, 2012). The services provided by nurse practitioners include; diagnosing and treating health problems, adult and well child checks, prescribing medications, teaching health promotion while promoting disease prevention (Britt, 2012). Healthcare reform which has led to increase accessibility of healthcare has created more opportunities for nurse practitioners in the primary care setting (AAON, 2014). Nurse practitioners are visible in the acute and critical care settings. In the acute setting, they are using evidence based practice to manage care of the critically ill (AAON, 2014). According to the American Association of Nurses, â€Å"nurse practitioners are more likely to adhere to clinical practice guidelines that improve patient outcomes (AAON, 2014). Nurse practitioners tent to engage patients in their care by helping them understand t and measures they can take for improvements (Britt, 2012). Despite the enormous contributions nurse practitioners are giving to healthcare, there are barriers to the potential of what a nurse practitioner can give back to their community. The state scope of practice laws are the most significant (Naylor, Kurtzman, 2010). These laws govern practice and prescriptive authority. There are some states more restrictive than  others. Reimbursement is another issue affecting nurse practitioners. There are legal concerns regarding reimbursement for services provided by nurse practitioners (Perry, 2009). Other barriers NPs face include; poor physician attitude, lack of respect, and poor communication. The poor physician attitude may be due to lack of physician knowledge regarding the role of the nurse practitioner (Clarin, 2009). When there is difficulty understanding the NPs role, then there is difficulty with collaboration, which in turn affects the patient. As the scope of practice for nurse practitioners varies from state to state, the nurse practitioners role is becoming more dominant due to the demands because more people are able to afford healthcare. It is imperative for barriers to be removed that would allow NPs to use their training and education to the fullest. Nurse practitioners are an essential component to the healthcare team and medical community. With such emphasis being placed on preventive care, nurse practitioners will be recognized as an asset. References Naylor, Kurtzman, E. (2010), The Role of Nurse Practitioner in Reinventing Primary Care. Health Affairs, 29 893-899 doi:10.1377/hlthaff 2010.0440 Clarin, O. (2009), Strategies to Overcome Barriers to Effective Nurse Practitioner Physician Collaboration, Journal for Nurse Practitioners. 3(8) 538-548 Britt, D. (2012), Family Nurse Practitioner in Primary Care. The Parenting Issue 23 Perry, J. (2009), The Rise and Impact of Nurse Practitioners and Physician Assistants. Economic Policy, 27 491-511 doi:10.1111/j.1465-7287.2009.00162.x

Ethics of Encryption Essay -- Essays Papers

Ethics of Encryption Effects of Encryption on the Constitution of the United States of America In the rapidly developing field of computer science, there is no more controversial issue than encryption. Encryption has become a highly contested issue with the broad use of global networks including the Internet. As more and more sensitive documents are being placed on computer networks, and trusted information is being sent from computer to computer throughout the world, the need for encryption has never been greater. However, the effects of encryption on our lifestyle and the government's role in encryption has been (and will continue to be) debated for years to come. The United States (U.S.) Constitution was drafted to prescribe to the American people, government's powers and limitations. In the form of the Bill of Rights, the people's rights were added to the Constitution to make the document complete and to ensure that the U.S. government does not hold the power to oppress the citizens of this country. The right to privacy, though never specifically mentioned in the Constitution, has been interpreted by the U.S. Supreme Court from the First, Fourth, and Fifth Amendments as well as many other passages in the document. These three amendments are the focus of the debate over encryption. Does the government's plan to limit encryption have an adverse effect on the citizens' rights to free speech, protection from unlawful searches and seizures, or self-incrimination? There are many terms which have been introduced by the field of encryption. Each of these terms are need to understand this discussion. Plaintext is the original document to be transmitted or stored on a computer system. Ciphertext is the encrypted document. ... ... Case for 'Clipper'." Technology Review. July 1995: 48-55. Dorman, Lester et al. "Digital Privacy." http://rescomp.stanford.edu/~pweston/privacy.html. December 1995. Froomkin, A. Michael. "The Metaphor is the Key: Cryptography, The Clipper Chip, and the Constitution." http://www-swiss.ai.mit.edu/6095/articles/froomkin-metaphor/text.html. December 1995. Henick, Ben. "The Constitution of the United States." www.csum.edu/A_S/History/docs/usacon.html." December 1995. Licquia, Jeff. "PGP Frequently Asked Questions." http://www.prairenet.org/~jalicqui/pgpfaq.txt. December 1995. Litterio, Francis. "Statement of Rep. Jack Brooks (D-TX)." http://draco.centerline.com:8080/~Efranl/clipper/brooks-statement.html. December 1995. Morton, Bill. "The Beginner's Guide to Pretty Good Privacy." ftp://ftp.prairenet.org/pub/providers/pgp/pgpbg11.asc. December 1995.

The Tides: a Poetry Analysis

During the Romantic Period of literature, William Cullen Bryant created the brilliant poem, â€Å"The Tides. † This specific poem is the story of watching the tides change. Most of Bryant’s works are nature-oriented and take advantage of multiple literary terms. â€Å"The Tides† has a significant meaning, several romantic elements, and uses many literary devices. The general interpretation of â€Å"The Tides† is about what occurs when the tides change. Bryant uses great description in characterizing the violent seas at high tide. Norbert Krapf analyzed this poem and described the water becoming mysterious, not still and pond-like. Krapf 6) The poet gives the water violent characteristics. â€Å"His imagination transforms the scene into an image of limitation and imprisonment† (Krapf 7). The poem begins as a calm, serene ocean. Increasingly throughout the story, waters become more violent marking as the change of the tides from low to high. The meani ng of â€Å"The Tides† can also be very deep. As the change to high tide strikes, the sea relieves its stress and releases. Humans go through the exact same thing by relieving stress. Norbert Krapf also writes that â€Å"The Tides† is powerful and the sea yearns for release. (Krapf 7)William Cullen Bryant wrote â€Å"The Tides† during the Romantic Era. Bryant gave this poem many Romantic qualities. Describing the sea before and during high tide sees the attitude of â€Å"longing for the past† While the sea is becoming violent, there is a sense of the waters wanting to become as serene as they were during low tide. The â€Å"love for the natural landscape† is described throughout the entire duration of the poem. The narrator depicts a violent scene of the tides as they change into a beautiful scene of nature. Bryant depicts the beauty of the sea and his appreciation for the ocean.The â€Å"concern for individual freedom† is also a romantic at titude seen in â€Å"The Tides. † The ocean waters are described as imprisoned and wanting to relieve their stress. When the tides officially change, the sea becomes free and releases all of its stress. Many literary terms and devices are observed while reading â€Å"The Tides. † William Cullen Bryant writes this poem starting with iambic pentameter and changes to iambic tetrameter. This poem is also written in ten quatrains. The rhyme scheme ABAB is present in â€Å"The Tides. † Personification is seen many times in this poem such as in stanza eight.Bryant describes the ocean’s water as a prisoner yearning for release. Run-on lines are used throughout the poem. â€Å"And, with a sullen moan, abashed, they creep/ Back into his inner caves† (Lines 23-24) is an example of a run-on line. â€Å"The Tides convey through impressionistic imagery a desire to escape the pull of cosmic forces. † (Muller 254) Imagery is used heavily in this poem. Willi am Cullen Bryant’s use of imagery creates a vivid picture of the tides changing. The tones of this poem are beauty, strength, violence, and serenity.The tides wish for peace and serenity, and therefore yearn for the low tide to come again. This is the theme of â€Å"The Tides. † William Cullen Bryant’s diction is seen by his very descriptive words, his rhyme scheme, and his love for nature’s beauty. The literary devices and themes, romantic elements, and general meaning of William Cullen Bryant’s poem â€Å"The Tides† characterize this time period’s writing style. Bryant creates a beautiful piece of literature that causes the reader to think about the different â€Å"thoughts† of a wave when the tides are changing.The love of nature is a romantic element that is depicted many times in this poem. This gives the poem a very Romantic feeling. The imagery Bryant uses does a brilliant job of giving the reader a depiction of the tide s at its break. â€Å"The Tides† is a beautiful work by Bryant and a perfect example of a Romantic poem. Works Cited Krapf, Norbert. â€Å"William Cullen Bryant’s Roslyn Poems. † Under an Open Sky, Poets on William Cullen Bryant. New York: The Stone House Press, 1986. Muller, Gilbert H. William Cullen Bryant: Author of America. Albany: State University of New York, 2008.

The Cost Of Real Money - 1690 Words

However, with the LM curve moving to bring the economy to full employment, it seems impossible, in this case, to have sustained price rises (i.e. inflation) as the monetary side seems to close off the story entirely. One could subsequently argue that, as real wages (w/p) declined in the process, then workers would try to bid their money wages back up and thus regenerate the gap. However, recall that from the four-quadrant IS-LM diagram (our earlier Figure 4), when IS-LM centers on the full employment output level so that Y* = YF, then the labor market clears and thus there are apparently no inherent dynamics to imply a rise in wages. If anything, a Pigou Effect arising from the fall in real money balances ought to push the IS curve to the left and actually generate unemployment so the implied dynamic might actually be a fall in money wages (of course, in the process of the original adjustment, IS and LM could move concurrently to the left and land at YF together, but then we are back to a full-employment centered equilibrium). In short, in an IS-LM context, we can obtain price rises but, at least within the confines of the model, we cannot obtain continuous inflation unless aggregate demand rises again for some reason - and there is no apparent reason why it will do so. The problem, of course, returns to the old issue of what happens in that mysterious labor market which was so murky in the Hicks-Modigliani IS-LM world. 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