Nursing research Assignment Example | Topics and Well Written Essays - 750 words

Nursing research - Assignment Example On the other hand Van Schoonhoven defines the concept as the conscientious, explicit and judicious use of the best current evidence which is available in the decision making process. The decisions made should be applicable to the individual patients; above all the optimality of the evidences is core (Herdman & NANDA International 2011). EBP helps nurses to make informed decisions on the quality of the services they offer, it is very crucial to base judgements and formulate decisions based on the use of EBP as compared to the traditional methods. By doing this it improves the health care system as it basically facilitates and ensures consistency in the decision making process. According to Prior, Wilkinson, and Neville (2010) the system helps nurses to make informed decisions based on an up to date technology, thereby ensuring efficiency and effectiveness in the practice (Herdman & NANDA International 2011). EBP is the right channel towards achieving fully functional nursing services. Each of the techniques imparted on these nurses is a clear functional criterion which will spearhead the whole process of efficiency and effectiveness. Most times patients will have beneficial and improved outcomes where the EBP mechanism has been utilized which typically gives maximum results on different topologies in the practice. By doing this different preference of the individual and the entire society are addressed (Hoffmann, Bennet & Del Mar 2010). Prior, Wilkinson, and Neville (2010) quantitative analysis was the start incarnation to formulate a robust and quantitative question which was intended to provide a clear cut direction to the literature search. This study suggests that a strong question corresponds to the research technique, it also touches on; methods used for research, the interactions and the general outcomes of interests. It is also evident that there are three aspects of consideration; search of relevant evidence, the decision on whether the evidence is

English Literature Essay Example | Topics and Well Written Essays - 1500 words - 1

English Literature - Essay Example John Clare begins his poem with a description of the wild and untamed plains of his youth, â€Å"Still meeting plains that stretched them far away / In uncheckt shadows of green brown and grey† (5-6). As he describes the beauty that he once enjoyed in these sights, he begins to illustrate how the freedoms they once offered have been overtaken by the ravages of capitalism and consumerism, being turned to profit by the â€Å"little tyrant with his little sign† (67). More than simply discussing how the land itself has been bounded in, Clare illustrates how the animals and mankind, particularly the poor, have also been constrained by the temporary blockages that have been put in place by wealthier men in the interest of making a profit. At the same time, he suggests that these wealthier men have discovered in the process that their â€Å"dreams of plunder in such rebel schemes / Have found too truly that they were but dreams† (79-80). Rather than reaping significant profit from ‘their’ lands, the owners have discovered that they have given up something precious, rare and unrecoverable for temporary and insufficient material gain. This seems to be in direct contrast to Stephen Duck’s poem as Duck focuses on the activities of the poor workers, particular those of the threshers, as they struggle all year long to produce profit for their master. The subject of this poem is perhaps set by the inspiration that birthed it, â€Å"’The Thresher’s Labour’ was commissioned by Duck’s local patron, the Reverend Mr. Stanley, as a poem ‘on his own Labours.’

Public Policy in the UK Assignment Example | Topics and Well Written Essays - 1000 words

Public Policy in the UK - Assignment Example Poverty was described as the economic state of â€Å"all the people without income from property or profession and therefore dependent on their manual labor for a living† (Cowherd. 1977; pp.1-2). These poor were distributed across the land and were not clustered together and therefore could not be organized.   The problems arose from rapid urbanization and clustering of demographic units around major industrial centers after the industrial revolution. This increased the visibility of the poor and their destitution, so poignantly documented in Dickensonian literary genre,   on one hand, and led to coalescing of poor into the extra-state organization like trade unions etc. on the other hand. Repression of organized poor during ‘the period between the French Revolution and the later 1820s should be of severe repression as reflected in Combination Acts and the use of Military Force to quell Luddites in 1812’ (Daunton. 1995). However this repressive regime was seen to be counterproductive and it can be seen that ‘from the mid-1830s   to 1850s the repression eased out and major advances for working-class organizations such as trade unions, cooperative societies and friendly societies’ emerged (Crafts.1997). This trend shows that Public Policy response had tacitly admitted the political legitimacy of the organized poor. This admission also meant that an appropriate response was to be given at the state level to demands of organized poor. This point on the historical space-time continuum can be termed as the beginning of welfare policy in the UK. Another dimension of change in the perception of policy makers relates to the impact of Laissez-fare economic policy. ‘By 1830s income and real wages increased and civil rights improved markedly but there was a perceptible decline in mortality conditions and heights, indicating a decline in living conditions of the poor’ (ibid). This presented a new policy paradox to the deci sion makers. The existing belief about the correlation between income increase and the general state of living was not materializing. The state needed to review its bystander status according to Laissez-fare non-intervention principles. The side-effects of Capitalism were becoming starkly observable.

Dunkins brands strategic performance Article Example | Topics and Well Written Essays - 1750 words

Dunkins brands strategic performance - Article Example Dunkin Brands Group is the parent company of Dunkin Donuts (DD) and Baskin-Robbins (BR) that has its headquarters in, Massachusetts in the United States. Dunkin Donuts and Baskin-Robbins were initially owned by a French multinational corporation that was known as Pernod Ricard and afterwards they were bought purchased by the American Multinational company that is known as Dunkin’ Brands. Its history of offering breakfast meals that is supposed to be simple and straightforward has given it an edge over the competitors that are in the same industry such as Starbucks since the company targets the people who are modest and mind about how they spend their money. The company tries to grow in all the aspects so that it can be able to reach as many customers as possible and develop more products that will appeal to these clients in an effort to achieve proper retail placement which normally can be a delicate balance. The company partners with several grocery retailers but does not put its business in the store within a store concept that will include a grocery since they want to be within big places that are frequented by more consumers as the target more people. Dunkin’ donuts has not been left behind as far a technology is concerned since the have employed the use of software that if adopted is able to tell the location of their different stores that are to come up as the software called iSite from geoVue helps the company to analyze where it can put more restaurants that will better serve the people. In the fourth quarter of 2012 Dunkin’ Brands had a variety of highlights that included a 3.2 percent growth in the sales of its Donuts compared to the other stores that are in the United States. In the rest of the world the brand also posted significant success that was exhibited by the opening of 256 new restaurants that included 149 Dunkin Donut restaurants

Rationalism (Rene Descartes) and Empiricism (David Hume) Essay

Rationalism (Rene Descartes) and Empiricism (David Hume) - Essay Example According to the research findings there are two contrastive schools of thought; while one gives premium to reason, the other gives premium to experience. The first school of thought that gives premium to reason is the rationalist school of thought. The second school of thought is the empiricist school. While the major proponent for rationalism is Rene Descartes, the major proponent of empiricism is David Hume. Lacey states that rationalism is â€Å"any view appealing to reason as a source of knowledge or justification.† Instead of appealing to emotions and their sensory organs, rationalists appeal to the intellect. Like all things, there are extremes in rationalism. While the opinion of some rationalists tends to fall largely in line with empiricism, meaning that they share many links with empiricism; the opinion of others see no reasons with empiricism at all. The former category of rationalists is not absolute in the beliefs they hold about the power of reason. The latter c ategory of rationalists is of those that may safely be described as extreme rationalist. They are the ones that believe that all things can be resolved through reasoning. Although, empiricism as a philosophy has already been broached in this essay, it is yet important to explain further. Unlike rationalism which states that most truths and ideas can be attained mainly through reason, empiricism states that all ideas, knowledge and truths can be attained through experience and what can be sensed by using human senses. The typical empiricist will ask 'How do you believe what you've not experienced?' So, for the empiricist, experience is all. It is through experience that one gets evidence to substantiate whatever opinion one clings to. Empiricists believe that there is no just reason to believe a thing or an opinion which one is not able to test. They do not see reasons why anyone would rely solely on abstract reasoning without applying sense-based experiments (Markie 233). To such em piricist who questions why anyone would trust what they have not seen, rationalists would argue that before that which is seen and witnessed (experience and experiments) came to being, there was that which was not seen (reasoning). Asides David Hume, other philosophers that can be categorized as empiricists are Francis Bacon, John Stuart Mill and Thomas Hobbes. Before one assumes any stance in philosophy, one must have premises that back up the point one makes. One must also be sure to know that all those who have held one opinion or the other about any issue have reasons, most times cogent, for sticking to their opinion. Yet, based on arguments that have been advanced overtime, it won't be wrong to assume that rationalsim carries the day. In putting up a paper like this together, it is important that one lends credence to objectivity. By some yardsticks, one may say that empiricists are right. This is because when rationalists carry out what they believe is the key thing—rea soning, one must note that they do not think in abstract, they almost certainly think about things that have been

Expanded Definition Essay Example | Topics and Well Written Essays - 250 words

Expanded Definition - Essay Example Glycogen is the molecular structure of carbohydrates that is stored in mammals. In humans, the bulk of glycogen is accumulated in skeletal muscles. Glycogen is the key energy substrate during exercise intensity that is more than seventy percent of the oxygen intake. Healthy people often eliminate blood glucose fast when there is excess glucose. The glycogen that is stored in the skeletal muscles is limited because the glycogen synthesis prevents accumulation. After exercise, the rate of glycogen synthesis is increased to replete the stores of glycogen. The diminishing of skeletal muscle glycogen after exercise enables healthy storage of carbohydrates after meals and this averts the growth of type 2 diabetes. Glycogen is carbohydrate stored in human cells. Eighty percent of the produced glycogen is stored in the skeletal muscles. As a result, enzyme glycogen synthase activates the conversion of glucose to glycogen and insulin is the enzyme that prevents conversion of glycogen to gluco se in the body (Jensen et al., 21). Moreover, it is the polysaccharides that maintain the physiological blood glucose concentration. The liver directly contributes to the blood level in the body because of the presence of glucose-6-phosphate. Glycogen in the skeletal muscles is broken down and transported to the liver to help in maintenance of euglycemia (Jensen et al., 2). (2008).  Adrenaline potentiates insulin-stimulated PKB activation in the rat fast-twitch epitrochlearis muscle without affecting IRS-1 associated PI 3-kinase activity.Pflugers Arch.  456, 969–978. doi: 10.1007/s00424-008-0471-z.  [PubMed][Cross

European Idea Essay Example | Topics and Well Written Essays - 1000 words

European Idea - Essay Example United States had financed the European war effort through the lend lease agreement in which 50.1 billion US Dollars (almost 700 billion dollars at 2007 prices) worth of materiel was dispatched. However at the end of the Second World War, Europe was in no position to repay the mammoth debt. Also the tremendous rise in industrial effort in United States had led to a high level of production capacity whose only possible buyers could be the European states. Thus it was in American vested interests as well to finance the reconstruction of Europe through various instruments available, one of which was the European Recovery Plan or the Marshall Plan. But to American thinkers, the biggest hindrance to the reconstruction of Europe was the traditional strict protectionist trade structure of Europe. American thinkers rightly believed that quick recovery of European Continent could only be possible by the creation of a United Europe on the lines of United States where all the resources availabl e are synergized to achieve a faster reconstruction and growth. However this could not just be credited to United States as the promoter of European Idea as the entire continent was tired of the countless wars and long standing antagonism in the continent. Movements had started all over Europe for integration of Europe into one federal state or state like structure. However the Europeans wanted to stay away from American sphere of influence as well as the iron curtain of Europe and maintain a third European Pole. But the cold war ensured that this non alignment would be increasingly difficult to maintain and the Europe as on the border of expanding Soviet sphere of influence have to choose United States as its reliable partner and accept the American model of governance. The Marshall Plan was the first step in practically forcing the European idea into the real world. As per Marshall Plan, United States agreed to fund the reconstruction effort in post war Europe only on the condition that if the Europe act together and present a mutually agreed reconstruction plan. Indirectly United States dictated the European states to learn to negotiate towards a common European recovery goal rather than the narrow self interest they had hitherto been following. This had a remarkable effect on the integration of future Europe. The Marshall Plan itself and the institutional mechanism established to implement it became the training grounds for the bureaucrats who later on worked in institutional integration of Europe. The success of the plan demonstrated to all and sundry in Europe, the benefits of economic integration. The free trade and non protectionist environment generated due to Marshall Plan ensured continuous two decades of excellent Economic Growth. Thus Ma rshall Plan stands as one towering example of United States's influence in shaping up the European Idea into a practical reality. North Atlantic Treaty Organization (NATO) became another fundamental effort by United States to shape up European thought into mutual coexistence in political and defence domains. What Marshal Plan achieved in economic domain was achieved by NATO in political / military domains. Though it can be argued that Marshal Plan started the economic integration process which culminated into one European Economy, while nothing of this sort is visible in military / political