...McMurphy experiences an ordeal when Cheswick possibly commits suicide; moreover, Randle realizes Nurse Ratched’s power has gone too far and that the other men truly look up to him. In another group discussion, Cheswick becomes defensive towards Nurse Ratched as he implores to have his own cigarettes. He looks for McMurphy’s support, but Randle does not stand up for Cheswick because McMurphy needs to control his behavior to prevent extending his commitment. The other men sympathize: “Not looking like they’re mad with him, or even disappointed, because they can understand as well as I can that the only way he’s going to get the Big Nurse to lift his commitment is by acting like she wants…” (174). McMurphy finally realizes that he is committed to the ward...
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...In the face of the dictator, Doctor Spivey managed to stand firm against the Nurse’s oppression. This evident several times in the book when Doctor Spivey speaks out and presents ideas that conflicts with the ideologies of the Nurse. “McMurphy and I (Doctor Spivey) wondered what would be the attitude of some of the men toward a carnival here on the ward?” (97). Doctor Spivey clearly knows the Nurse’s agenda and is constantly oppressed by the Nurse. However, he chooses this moment to speak out and break his silence in the meeting, suggesting an idea that goes against the ideologies of the Nurse. Doctor Spivey demonstrates to the readers that anyone, even the most frightened and oppressed person, can break his silence and resist the oppression of the oppressor. Despite fears of retaliation by...
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...review witch he thought would only take 60 days, but once he found out that the hospital could keep him as long as they would like he tried to escape. Another main character was the head nurse Mildred Ratched she was very strict and by the book. When they brought McMurphy into nurse Ratched institution it lead to the implantation of Foucault’s mechanisms of control. One aspect of Foucault’s theory one can be seen from the begging is observational hierarchies. The inmates are constantly under supervision, by having complete supervision the inmates are less likely to act out or does something they are not suppose to do. When McMurphy walked in the institute he was escorted by two men in white outfits. The inmates where supervised even while taking a shower or sleeping. They were allowed to play cards or watch television but the nurses were still able to see all the inmates at all times. With the constant supervision the nurse and doctors were able to assess the inmate’s behavior; this is where Foucault’s theory of examinations can be seen. When McMurphy took to other inmates for a joy ride on a boat the doctor’s and the head nurse came together for a meeting to reassess McMurphy. They were assessing weather or not McMurphy was mentally ill or not or even if they want to deal with him. The head nurse wanted to keep McMurphy she did not want to put their problem on another hospital. The institution put forth goals for the inmate to reach depending on if they reach them or not their...
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...However, not all the rebellion in the book was in the form of challenging people. Much of the books rebellion was in the form of talking back to others. McMurphy was very good at sarcastic remarks to others. ¨’But you must understand: everyone… must follow the rules.’ . . . ‘ya know - that is the ex-act thing somebody always tells me about the rules. . . . just when they figure out I’m about to do the dead opposite’¨ (24). McMurphy uses these subtle remarks to challenge power, but not in an over empowering way. Telling Nurse Ratched upfront, that he won’t be following any rules, however he isn’t going to do anything right now. However, sometimes his remarks aren’t always actionless. When he rammed his hand through a glass window McMurphy...
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...This passage vividly describes what hospital smells like. The Chief begins to notice that things in the hospital are running differently now that McMurphy is around. In fact, he begins to notice all these smells after McMurphy confronts Nurse Ratched without his uniform on. McMurphy has made a bet with the other patients that he could make her go crazy by rebelling. All of the other patients think that is impossible because they have never rebelled before. The Chief begins to notice all of the smells: disinfectants, eyewash, “fresh” laundry, and other chemical like scents. Ever since McMurphy has come, Chief has opened his eyes to the reality of the hospital. The structure of this passage interested the most when I read it. When I finished it, I noticed it was a one big sentence packed with commas and words like and instead of periods. I think that Kesey choose to do this on purpose. It lets the reader know that the Chief is rushing to say everything because he has never noticed it before and he doesn’t know how he should feel. Another word that is repeated is and. I think that the Chief is unaware of this when he speaks because he is so shocked with everything that he is realizing after all these years....
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...The person McMurphy was the most helpful to was Bromden. In the short time McMurphy was in the ward, he inspired Bromden to do things we hadn’t seen him do in years. Before McMurphy, Bromden was invisible even though it’s hard to believe since he is six feet and seven inches tall. It was because of McMurphy that he started speaking again after all these years. It was because of him that Bromden is now a free man, and not like the rest of us who would probably spend the rest of our lives in the hospital. “I felt like I was flying. Free. Nobody bothers coming after an AWOL, I didn’t stop” (Kesey 250). If McMurphy never came to the hospital Bromden would have never been able to stop hallucinating. He always used to say things like “when the fog...
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...The setting of the novel is in a mental hospital in Oregon in the years of 1950s. The ward is completely under the head nurse Nurse Ratched’s control. Unlike the outside world, inside the ward Nurse Ratched sets all kinds of rules to constraint the patients’ actions and also preventing their mental recovering. As Nurse Ratched holds the absolute power over the ward, she manipulates all the patients to follow her routine, which gradually blow and destroy their masculinity and individualities. The society which isolated by the outside world symbolizes as a minimized matriarchal society which further expressing the social criticism of Kesey, that in order to make significant changes in society, one needs to have the courage to make sacrifice to what they believe. Point of View and Significance Kesey uses first person point of view of Chief Bromden to tell the entire story. In the novel, Bromden is the...
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...Although Ken Kesey creates Nurse Ratched as a thoughtful and caring nurse throughout One Flew Over the Cuckoo’s Nest, Kesey reveals Nurse Ratched’s authoritative demeanor she holds throughout the ward. The ward runs on a policy-based system that Nurse Ratched has created to ensure the floor works like a machine. But, now that McMurphy has become a part of the ward, he is determined to mess up, even the littlest bit, of Nurse Ratcheds system. Specifically, when Nurse Ratched walks into the ward she finds McMurphy standing in nothing but his towel with his toothbrush in his hand. Nurse Ratched is becoming “madder and more frustrated than ever” because she expected an aid to have “[issue] a change of greens” to McMurphy (89). Here, Kesey has brought...
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...The diction of the novel is mostly colloquial and simple. This is because the caregivers, including Nurse Ratched, often speak to the patients as if they are children. The story For example, when Mr. Taber, a patient asks what the “two little red capsules,” the he was given with along with his regular vitamins, Nurse Ratched replied that “It’s just medication… good for you,” (page 34). She does this because she doesn’t think the patients will understand why they are taking the medicine if they are told what it is. They may also become difficult and refuse to take it, like Mr. Taber did....
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...Sairy Gamp, a midwife created by Charles Dickens in "Martin Chuzzlewit," was depicted as unclean, uneducated, untrained and unreliable. Beginning in the 1960’s, nurses began to be portrayed as sexual, romantic, and cast in demeaning roles by the movie industry. During this era, MASH created the nurse, Margaret "Hot Lips" Houlihan. The name alone paints a picture of a sex object. In the 1970’s movie, One Flew Over the Cuckoo's Nest, nurse Ratched was represented as...
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...Adn vs Bsn: Differences Rachel McAdams Phoenix University September 2, 2010 Adn vs Bsn: Differences may be a Matter of Degree In the late 1850s Florence Nightingale started her own school to train nurses and developed standards by which nurses performed their duties. She may never have envisioned that one day there would be different educational tracks resulting in multiple degrees and disciplines in nursing, each having their own set of criteria for excellence. Associate degree nurse (ADN) and baccalaureate degree nurse (BSN) are the two most common entry level nursing positions. An ADN can be obtained in two or three years whereas the BSN takes four years of education to complete due to additional courses. Differences between the degrees begin with education and mature as the nurse gains experience. Raines and Taglaireni’s (2008) article states ADN and BSN nurses attend the same basic liberal arts and general education courses such as English, literature, history, math, humanities, and arts. Both have basic nursing courses, the same technical skill sets are taught, and nurses must pass the same National Council Licensing Examination for RNs (NCLEX-RN©) which measures minimum technical competency for entry-level nursing practice. Colleges will differ in the exact requirements for each degree but the community college ADN program consists of approximately 75 course credits of which 38 are science and liberal arts prerequisites, and 37 credits are in the...
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...but since 2001 the United States has had a 13% vacancy rate of unfilled , full-time RN positions and this has not changed as in past times ( Fox & Abrahamson, 2009). According to Fox & Abrahamson, 2009,” A web of dysfunction exists that is far more complicated than any single factor, “(235-244). There are many influencing factors to blame for this nursing shortage. One such factor is the population imbalance created by the Baby Boomers aging and leaving the workforce and the smaller Generation X’ers that have to try and care for all of these aging people (Fox & Abrahamson, 2009). Another influencing factor are our aging pool RN’s. Our average RN age is 43 and we have many nurses retiring. Half of RN’s are going to be over 50 by age 2010 and the U.S. does not have enough new nurses to replace them (Fox & Abrahamson, 2009). The third influencing factor is that 65% of our nursing graduates come from associate degree programs. This is in itself not a problem, but there are not enough nursing faculty, which must at least have a BSN degree if not an MSN degree to teach nursing. We are turning away perspective nursing students from programs because there are not nursing faculty to teach them (Roman, 2008)....
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...down the street. To do this many hospitals are looking at how nurses are prepared whether it be Associate degree in nursing (ADN) or Bachelor degree in nursing (BSN) and how this affects patient outcomes. According to Hood, L. J., & Leddy, S. K. (2006) the ADN degree in nursing is a concentrated study of clinical skills at the community college level, while the BSN degree is completed at the 4-year institution, where education is focused on not only skills but also science, liberal studies, research and community health. The ADN was first introduced back in the 1940’s when after the war America found itself in a nursing shortage. Many of women who would have filled nursing positions found other jobs that were now open to them due to the war effort. During this time community colleges and hospitals started programs in which the ADN nurse spent most of their education learning technical skills, in the hospital setting many of the students were taught these skills by on the job training. This training included more practical then theory and there was no continuity in what was taught at the community college level or the hospital programs. Hood, L. J., & Leddy, S. K. (2006). To this day the average healthcare consumer cannot tell you the difference between the ADN or BSN prepared nurse. Now data is available and hospitals attempting to become magnet status or nurse friendly are realizing that the BSN prepared nurse is more versatile have better communication skills and are able...
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...There are many issues that arise when the patient privacy is concerned. In August of 1996, the Health Insurance Portability and Accountability Act (HIPPA) were passed into law (Van der Aa, 2000). The law is intended to improve the efficiency and effectiveness of the health care system by standardizing how to exchange data for specific administrative and financial transactions, while protecting the security and confidentiality of that information (Van der Aa, 2000). The areas addressed for HIPPA are: • Concerns that disclosure of patient medical records could result in embarrassment, insurance declination, loss of employment, or failure to be hired in a new job; • Increasing costs of data exchange in an incompatible and often competing standards environment to exchange administrative and financial data; • Implement processes and systems to reduce fraud (Van der Aa, 2000). HIPPA was signed into law, to help create a standard that will protect patient’s medical records and personal health records. This act is to help the health care employees have more control of a patient’s information and its privacy. This act also gives the patient the right to control their own information. Apart from the right to inspect, amend and correct their confidential health information, patients now have the right to control what information can be released and to whom (Van der Aa, 2000). The following case study is an opportunity to review ethical issues relative to confidentiality. This case...
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...In order to make Middlefield hospital outstanding place to work there must be something’s we need to work on which is the shortage of nurses and to improve the employee morale. These two factors must be improved in order to keep Middlefield hospital open and running and also to make the patient happy. There were some reviews on how people with the company feel. Dr. Rusty Gates which is a internist which moved his practice to a new hospital. Dr. Gates stated that the new hospital staff appear to have more invited in quality of patient care and the patients seem to be much more happy. Eileen Wright, which is the board member of Middlefield hospital, stated that within the last 12 months Middlesex has been declining. She also stated that the director of nursing is having difficulty retaining nursing staff, which is the main problem that we are having at Middlefield hospital. This is her major concern for the company. Last, there was Anne Teaks, which is the registered nurse for Middlefield hospital. She has been with the company for 22 years. She really doesn’t like the shortage of the staff, which occurs on all the shifts. She would like to see a turn around so that the patients can get the care that they need. In order to improve this problem that we are having at Middlefield I would say that Middlefield should improve more and continue to work with schools or nursing, universities, community colleges, and high school this way we will be able to recruit potentials staff....
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