Friday, October 25, 2019
methods of persuasion Essay -- essays research papers
Methods of Persuasion When one thinks of government controversy, you cannot help but think of the United States. This issue is usually about how the government deals with oneââ¬â¢s rights. Throughout history there have been many that have struggled for freedom against our so-called controversial government. Three writers each had their own specific experience with this government. Although each of these arguments relies on different methods of persuasion, Henry Thoreau, Virginia Wolf, and Fredrick Douglas all suggested that there is definitely something wrong with the United Statesââ¬â¢ system of government. The following essay will address these authorââ¬â¢s arguments and discuss how the role of each writersââ¬â¢ methods of persuasion played an important role in convincing the readers as well as getting their attention. After spending a night in jail Henry Thoreau talked about the problem with the government and how they dealt with rights. The reason he was put in jail was because he refused to pay taxes that he believed was being spent on the Mexican War. Throughout the text he shows how much he disliked the way government was going. Thoreau had a strong belief that the system was going the wrong way and the only way to put it back on track was to rebel against the rules, just as he had. He wrote that in order to make the changes we must take chances and make sacrifices even if it landed us in jail. Thoreau uses a monologue as his method to persuade the readers. The main goal in his writi...
Thursday, October 24, 2019
Reading Habit Essay
When there were no televisions or computers, reading was a primary leisure activity. People would spend hours reading books , traveling to far away lands in their minds. With time, people have lost their skill and passion to read as there are many other exciting and thrilling options available these days, aside from books. And that is a shame because reading offers a productive approach to improving vocabulary and word power, it helps to learn things that are not taught in school or by a teacher. Reading magazines and newspapers daily informs us with what is going on in the outside world or in the community we live in. Children who love reading have comparatively higher IQs. They are more creative and do better in schools and colleges. Children who start reading from an early age have good language skills, and have a better grasp on the variances in phonics . Reading helps in mental development and stimulates the eyes muscles it involves greater levels of concentration and adds to the conversational skills of the reader. It is an indulgence that enhances the knowledge acquired, consistently. The habit of reading also helps readers to decipher new words and phrases that they come across in everyday conversations. Reading can become a healthy addiction and adds to our information on various topics helping us to stay in-touch with contemporary writers as well as those from the days of yore and makes us sensitive to global issues. It is therefore essential to cultivate the habit of reading from an early age for self ââ¬â development.
Wednesday, October 23, 2019
Hourly Rounding: Does It Really Make a Difference Essay
Hourly rounding is something that has been around for a while. One of the first things we learned in nursing school was that you should check on your patient every hour or every 2 hours (depending on nursing aid assistance). I started my research by looking at what hourly rounding entails. From there I found the majority of articles that think hourly rounding really does affect patient care and only a few opinion articles that think the opposite. Develop a focused question Since there were so many articles on hourly rounding, picking through them to find ones that related to the direction I was going with my research was really difficult. The main question that came into my head when thinking about hourly rounding was, does it really make a difference in patient care or just patient satisfaction? Hourly rounding is used for an assortment of reasons. Anticipating patientââ¬â¢s needs before they have to ring the call bell, along with patient safety are key reasons for hourly rounding. The majority of the articles I found focused on patient satisfaction. Although patient satisfaction is a huge deal, the direction I wanted to go was more with patient safety. Initial and related terms I started out my search by using phrases like ââ¬Å"patient hourly round significanceâ⬠, ââ¬Å"why is hourly rounding important for patientsâ⬠, and ââ¬Å"how does hourly rounding affect patientsâ⬠. This didnââ¬â¢t get me very many articles, so I tried a different approach. I broadened my search by just writing in ââ¬Å"nursing hourly roundsâ⬠and ââ¬Å"nursing roundsâ⬠and this got me a lot of articles on hourly rounding. Evaluation of articles I found after reading my four articles, the critiquing using the Johns Hopkins form was pretty difficult. To me the forms are confusing because I donââ¬â¢t have a lot of experience using them or doing much research. All four articles that I chose to use had adequate information to help me come to a conclusion for the question I formulated. All four articles supported at least one finding from the other articles. This helped me conclude that the research done was adequate information that could be used to evaluate the ore focus of my questions. The studies that were done or talked about in the articles were easy to pick out and straightforward. Identification of outcome Based on my research I learned that hourly rounding during the hours of 0600-2200 and 2-hour rounding from 2200-0600 is effective in providing patient safety, anticipating patients needs, decreasing the amount of call bell rings and increasing patient satisfaction. All of the articles had similar studies done to provide these conclusions. The article that I found most helpful was Hourly Rounding: A Replication Study by Todd Olrich, Melanie Kalman and Cindy Nigolian. This article clearly stated the three studies that were done and their results. All the articles though had similar results, which is how I came to the conclusion that hourly rounding during the day and 2-hour rounding during the night is effective. ââ¬Å"Results indicated both hourly and every 2-hour rounding decreased call-light usage and increased patient satisfaction. Patient satisfaction increased significantly on the units from 79. 9 to 91. using a 100-point scale, patient call-light usage decreased significantly, and falls decreased only when rounding was done hourlyâ⬠(Olrich, Kalman, Nigolian 2012). All but one of the articles talked about doing a base-line measurement first to see how often the call bells rang, how often patientââ¬â¢s fell and how satisfied they were with the care they were getting. The base-line measurement studies went on from 4-8 weeks before the actual studies began. This is a great way in my view to get an overall look at what happened before the hourly rounding was implemented and what happened after. In one of the articles I chose, nurses had a hard time following the hourly rounding format. ââ¬Å"Registered nurses and TPs from both study units overwhelmingly viewed hourly rounding as more work instead of a proactive process that might have benefits for them and their patients. However, some staff members did feel that hourly rounding was a good idea but difficult to accomplish because of competing priorities and tasksâ⬠(Deitrich, Baker, Paxton, Flores, Swavely 2011). This is the only article I found that the nurses had a hard time following the hourly rounding protocol. All of my articles that I chose besides one were research articles. The only one that wasnââ¬â¢t was more of a review of other peopleââ¬â¢s work that had been done. Even though this article was only a review and only talked about the results that were found and not the actual studies that were done, the information was very relevant to my question and easy to understand. ââ¬Å"In 5 of 6 studies (83%) that examined use of call lights, the use was reduced. Fall rates were reduced in 7 of 9 studies (77%) in which falls were evaluated. In 8 of 9 studies (88%), researchers discovered improvements in overall patient satisfaction and likelihood of recommending the hospital, as well as satisfaction with anticipation and attention to personal needs, timeliness of nursesââ¬â¢ response, and management of painâ⬠(Halm 2009). All four articles stated what the nurses and nurseââ¬â¢s aids did during hourly rounding and they were all very similar. Two articles said they attended to the ââ¬Å"4 Pââ¬â¢sâ⬠: pain, positioning, potty (elimination) and proximity of personal items. The other two articles had similar actions during hourly rounding. Overall, the main actions done were: pain assessment, toileting, patient positioning and comfort, environmental check (call light, telephone, TV remote, water, tissue box within reach, bedside table close to bed, and floor free from clutter), and the last thing they all did was ask the patient if there was anything else they could do for them before they left the room and told the patient the next rounding would be in an hour. After doing all of these things, patients overall were more satisfied with the care they got, falls were recorded less because patients werenââ¬â¢t trying to get up on their own, and call bells were going off less. Learning that occurred While doing this research project I learned that patient rounding is significant in increasing patient safety, satisfaction and decreases call bell use. Before this project I had an idea of why nurses checked on patients hourly, but these articles helped me better understand what really needs to me done on these checks besides toileting. I also learned more about how to research a topic. I had a difficult time narrowing down my search but finally got the hang of it by going to the library for a little extra assistance. By being forced to use the Johns Hopkins forms, I learned more about filling them out. Although they are still a little confusing to me, this project helped me understand them more. Conclusion My conclusion from all of this research is that hourly rounding is necessary to help keeps patients happy, healthy and safe.à As a first year nursing student, a lot of the things we do in nursing are foreign to me and Iââ¬â¢m constantly asking myself why nurses do things the way they do. This project helped me to pick one of those questions that I ask myself and really start to understand why. I really think this project helped to better my nursing career. Now that I fully understand hourly rounding, it will also help me to tend to my patients needs more.
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