...experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional and client based on the client’s needs. Being a perioperative nurse since year 2000, I can see many changes in nursing policy and also the hierarchy of relationship between the nurse and doctor. The changes in healthcare...
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...MODULE: PP0613 PROFESSIONAL BOUNDARIES BOUNDARIES BETWEEN NURSES AND PATIENT. As health care professionals, nurses strive to inspire confidence in their patients and their families, treat all patients and other health care providers professionally, and promote patients independence. Patients can expect a nurse to act in their best interests and to respect their dignity. This means that a nurse abstains from obtaining personal gain at the patient’s expense and refrains from inappropriate involvement in the patient’s personal relationships. "Boundaries are mutually understood, unspoken physical and emotional limits of the relationship between the patient and the nurse." (Farber, 1997) When these limits are altered, what is allowed in the relationship becomes ambiguous and possibly unethical. The health and well being of patients depends upon a collaborative effort between the nurse and the patient. Patients are extremely vulnerable to boundary violations because they trust us as their health care providers. They come to us in a time of need, presenting with physical, and often emotional, distress. Some patients demand continuous attention but are unaware of their insatiable neediness. (Muskin and Epstein, 2009) A nurse enters a therapeutic relationship with skills and knowledge that include a great deal of personal information about the individual in their care; and the authority to provide the care required by the individual. The community trusts that nurses...
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...English A Barrier Intended to Mark a Boundary Merriam-Webster’s Online Dictionary defines fence as “a barrier intended to prevent escape or intrusion to mark a boundary”. August Wilson’s Fences portrays the barrier around the Maxson family. “The setting is the yard which fronts the only entrance… The yard is a small dirt yard, partially fenced, except for the last scene…” (0.1-0.3). Throughout the play Wilson uses the description and placement of the fence to change the mood in the scene or the attitudes of the characters. “Much of the conflict… arises because the characters are at odds with the way they see the past and what they want to do in the future”(sparknotes.com). Whether the fence is too keep people in or out, there is always a struggle to know what is on the other side. Corresponding to the text, August Wilson’s own life is exemplified. Wilson uses “the settings of all but one of the plays [in] the Pittsburgh ‘hill district’” (Edgar 1328). During the early part of his life was spent living in poverty. Wilson’s father soon left the family by the time he was five leaving his mother, Daisy, to care for the six children. She later remarried and moved to the Hill District. Wilson felt the pressure of being one of the only African-American students and dropped out of school to teach himself in the library. “He educated himself so well that eventually the Library granted him a degree”(Edgar 1328). When writing Fences, Wilson pulled from the 1950s and the Civil Rights...
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...CDC - Basics - Hand Hygiene in Healthcare Settings 10/02/2015 16:14 Hand Hygiene Basics In the United States, hospital patients get an estimated 722,000 infections each year. That’s about 1 infection for every 25 patients. Infections that patients get in the hospital can be life-threatening and hard to treat. Hand hygiene is one of the most important ways to prevent the spread of infections. Healthcare providers should practice hand hygiene at key points in time to disrupt the transmission of microorganisms to patients including: before patient contact; after contact with blood, body fluids, or contaminated surfaces (even if gloves are worn); before invasive procedures; and after removing gloves (wearing gloves is not enough to prevent the transmission of pathogens in healthcare settings). For a full list of hand hygiene indications, please see the recommendations in the Hand Hygiene Guideline (/mmwr/PDF/rr/rr5116.pdf) . Patients and their loved ones can play a role in helping to prevent infections by practicing hand hygiene themselves as well as asking or reminding their healthcare providers to perform hand hygiene. Hand Hygiene Technique Posters How to Wash Your Hands Poster [PDF - 457 KB] (http://www.who.int/gpsc/5may/How_To_HandWash_Poster.pdf) (http://www.cdc.gov/Other/disclaimer.html) How to Rub Your Hands Poster [PDF - 426 KB] (http://www.who.int/gpsc/5may/How_To_HandRub_Poster.pdf) (http://www.cdc.gov/Other/disclaimer.html) Page last reviewed: May 1, 2014 Page...
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...upper class and the lower class. From the data we have been given above the true value end points are 128.5-137.5. Making 128.5 the lower class and 137.5 the upper class. Therefore; Class Interval = 137.5-128.5= 9 Class Interval=9 * Class limits are 129 -137, 138- 146, 147-155, 156-164, 165-173, 174-182, 183 * 137+138 2 137+138 2 Class boundary is the sum of the upper class limit of one class to the lower class limit of the next higher class. And then dividing the sum by two. The first class upper class limit is 137 and second class lower class limit is 138. Therefore; class boundaries = = 137.5 146+147 2 146+147 2 The second class upper class limit is 146 and the third class lower class limit is 147. Therefore; class boundary= = 146.5 The third class upper class limit is 155 and the fourth class lower limit is 156 155+156 2 155+156 2...
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...Van Nguyen Paige Talbot English 099/101 Essay 1 Rough Draft April 17, 2016 One Day to Live Between Two Continents Have you ever traveled to different places that are far away from your homeland? There are many reasons why you should leave your home for a short or long period of time. It can be a trip to local areas or foreign countries. Everyone has particular emotional feelings when they experience their first times to go and live abroad. These experiences affect people’s lives positively. I am definitely not an exception because I also experienced the boundary day that shaped me into a different person when it was the first times for me to fly to and live in America. The warmful weather of summer in Seattle recalls continuous flowing of memories about my homeland. I spent most of my childhood time within this cherished area in South of Vietnam. Because our area belongs to Cuu Long Delta where its topography is crossed by many big rivers, my village includes many rambling old farmhouses that are embraced by a river on their front. At the rear of my village as well as my house, there are an immense number of rice fields spreading thoroughly to the horizon. These rice fields are believed to be the places where our village’s farmers work at. Seasonally, when it is time for harvest, the rice fields carpet turn into yellowish. Also, flying nest builders work hard to build their temporary homes by combinations of leaves and branches. Day after day, everything keeps going on...
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...Customer satisfaction level for online shopping using ACSI’s with respect to Indian shopping trends ABSTRACT Today is the Era of Globalization and the consumer is not bound within boundaries of a particular place to access products available in the outer world, now he can go beyond the boundaries of any market area where he lives, to access the things of his interest. But this virtual connectivity known as “ONLINE SHOPPING OR E-TAILING” is really a challenge for Indian customers to be associated with; they face some real time problems related to trust and quality. But the Indian shopping trend shows some rigid type of behavior towards online shopping. They do not trust this shopping style as they have to see and choose a product virtually and pay for it, without any kind of physical touch, which was really difficult to be done in Indian market, but in past 2-3 years the trends have changed at least in metros and big cities. This paper is aim to measure the customer satisfaction level using ACSI (American Customer’s Satisfaction Index), which will give us a deep insight of the market potential available in Indore for online shopping. It has been observed that Indore is adapting the changes in shopping trends in metros very quickly, they love to shop from home and enjoy online shopping. So the process of analysis of factor affecting customer satisfaction levels was initiated, ACSI Model uses the three manifest variables: Customer’s Expectation, Perceived Values and Over-all...
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...The body transgresses many boundaries; no matter how hard it tries to confine itself to its perfect dimensions. Dana, the protagonist in the novel Kindred by Ocatvia Butler, travels back in time to a different era in which she must learn to adapt or suffer dire consequences. The nameless narrator in the novel Bodies Out of Bounds by Jeanette Winterson leaves her lover when she finds out the latter has cancer. As pointed in the article, “Unbearable Weight” by Susan Bordo, society has hardwired into us that there is such a thing as the perfect body. All of these characters try disparately to attain perfection in their lives. There are various boundaries being crossed in Kindred. The most obvious being the different time eras. Dana is transported to the antebellum South where she meets her ancestors. She does not want to be there. However, she knows that if she does not keep saving Rufus, her very own existence is threatened. So she will do anything, however awful, to ensure that Hagar is born. Dana hopes that Rufus will not grow up to be like his father. The question of whether Dana can save hime from his culture is always omnipresent. Although she would much rather stay and live in her comfortable home in California, she is willing to leave it behind to save Rufus. Dana does not belong in this era and yet the fate of her family and her very self depend on her. The second obvious boundary that Dana crosses is landscape and geography-wise. California still was not part...
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...HISTORY OF TUMBANG PRESO Tumbang Preso (pronounced as: tum-bahng preh-so) or presoan (tumba-patis in most Visayan regions). Is a traditional Filipino children's game. The tumbang preso is still played by the more active kids today. Even adults sometimes play it too, bringing back memories of their childhood. This is a very common game among the youth all over the Philippines. Played in backyards, parks or even in streets with very little vehicular traffic. When the Philippines hosted the World Robot Olympiad in 2010, the game "Tumbang Preso" was played. The equipment needed are an empty milk can, and a slipper or a piece of flat stone as a pamato for each player. To make the game enjoyable and exciting, there should be no more than 9 players. One player guards the milk can (the IT) while the others stay behind the toe-line with their pamatos. The object is for the players to hit and knock down the milk can with the pamato, and for the IT to put back the can inside a small circle a few meters away from the toe-line. When a player is tagged while recovering his pamato, he becomes the IT. HOW TO PLAY 1. An IT, the one to guard the milk can is chosen by throwing the pamato to the toe-line by all the players. Whoever's pamato is farthest from the toe-line is the IT. 2. The hitters will line up at the back of the toe-line and at a signal from the IT, game starts. 3. The pamato must be retrieved immediately once the can is knocked down; otherwise once the IT has placed...
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...SOME PROBLEMS IN CONFORMAL MAPPING D. C. SPENCER 1. Introduction. Attention will be confined to a group of problems centering around so-called schlicht functions—that is, functions regular in a given domain and assuming no value there more than once. The type of problem we consider involves determination of precise bounds for certain quantities depending on the function/, as ƒ ranges over the schlicht functions in question. Since, for suitable normalization of the functions at some fixed point of the domain, the resulting family of functions is compact or normal, the extremal schlicht functions always exist and the problem is to characterize them. Interest was focused on this category of questions by the work of Koebe in the years 1907-1909, who established for the family of funct i o n s / o f the form ƒ(z) = z+a2Z2+aszz+ • • • , schlicht and regular in \z\ < 1 , a series of properties, among them the theorem of distortion bearing Koebe's name. This theorem asserts the existence of bounds for the absolute value of the derivative ƒ'(s), these bounds depending only on \z\. Further efforts were directed toward finding the precise values of the bounds asserted by Koebe's theorem, but success was not attained until 1916 when Bieberbach, Faber, Pick and others gave a final form to the theorem of distortion. At the same time the precise bound for | a2\ was given, namely 2, and the now famous conjecture was made that \an\ ^n for every n. Since 1916 this group of problems has attracted...
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...important than the length of the response or the number of words. Please post your responses in your personal assignment folder under "Final Exam". All examinations are due no later than Wednesday, August 15, 2012, at 11:59 pm Eastern Standard Time. (But I will be happy to get them earlier than the deadline!) Good luck! Examination Questions A. Short Answers. (45 Points) Please respond to three of the following four (4) questions. (15 Points for each response). Responses are limited to eight (8) typed pages. 1. Employing the contemporary fable "The Ambulance in the Valley" (see below) as a case study, respond to the following questions: a) How was the boundary set and how did this decision define "the problem"? How else could the boundary have been set? b) How does the establishment of the boundary establish the preferred interventions? c) In debating the choice, how was the success/failure of the intervention assessed? 2. The manager's essential job is to solve organizational problems and fulfill human needs through people working cooperatively. Unfortunately, schools, professors, and books can help you prepare...
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...husband maintained the land up to the fence line since they acquired the property in 1987. We readily acknowledge that Carl Nolen testified that he maintained his property on the other side of the boundary line after the fence's [**6] construction. However, the opposing witnesses disputed that assertion. [*P13] HN4A trial court, as the trier of fact, is free to believe all, some or none of the testimony of any witnesses. Nolen v. Rase, 2013-Ohio-5680, P12-P13 (Ohio Ct. App., Scioto County Dec. 17, 2013) we find no error in the trial court's ruling regarding the boundary of the two properties. Accordingly, we hereby overrule both of appellants' assignments of error and affirm the trial court's judgment. | The doctrine of acquiescence is applied in instances when adjoining land owners occupy their respective propereties up to a certain line and mutually recognize and treat that line as if it is the boundary that separates their properties. See Robinson v. Armstrong, Guernsey App. No. 03CA12, 2004 Ohio 1463, at P35; McConachie v. Meeks (Sep. 21, 1999), Richland App. No. 98CA90, 1999 Ohio App. LEXIS 4736; Turpen v. O'Dell (Oct. 14, 1998), Washington App. No. 97CA2300, 1998 Ohio App. LEXIS 4909. Acquiescence rests on the practical reality that oftentimes, the true boundary [**9] line location is uncertain and neighbors may...
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...Associate Level Material Plate Tectonics Worksheet Answer the lab questions for this week and summarize the lab experience using this form. Carefully read Ch. 8 of Geoscience Laboratory. Complete this week’s lab by filling in your responses to the questions from Geoscience Laboratory. Although you are only required to respond to the questions in this worksheet, you are encouraged to answer others from the text on your own. Questions and charts are from Geoscience Laboratory, 5th ed. (p. 133-150), by T. Freeman, 2009, New York, NY: John Wiley & Sons. Reprinted with permission. Lab Questions: 8.4 Which has the greater proportion of Iron, Magnetite, or Hematite? Magnetite 8.7 When the reverse switch of a drill is thrown the drill rotates in the opposite direction. How does that affect the drill’s circuitry? It causes a negative current causing the drill to turn in the opposite direction 8.9 Name the 2 other spheres. Hydrosphere- all the water on or near the earth Atmosphere- the air surrounding the earth 8.11 As Columbus’s fleet sailed westward the discrepancy between magnetic north and celestial north changed. Did it increase of decrease? The discrepancy increased because as they sailed the magnetic field decreased. 8.12 Explain the difference in the orientations of the inclined compass needles in figure 8.18. Toward which cardinal direction is the observer facing? East 8.16 During which of these 5 geologic...
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...The Nevado del Ruiz is a volcano in Colombia. The volcano is located in the Andes volcanic chain on the andean volcanic belt. Nevado del Ruiz was formed by subduction on the nazca oceanic plate boundaries. Subduction is “a geologic process in which one edge of one crustal plate is forced below the edge of another.” The Nevado del Ruiz is known as an active stratovolcano. ”A stratovolcano is a tall, conical volcano composed of one layer of hardened lava, tephra, and volcanic ash.” Stratovolcanoes have lava that is very viscous and magma that is acidic, making the eruption very violent. The viscosity increases as the silica content increases. Since stratovolcanoes are very viscous, the lava flows slower and only covers very small areas. Magma...
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...stability analysis. 1 Introduction Recent renewed interest in airships with varied applications in the field of advertisement, cargo transport, surveillance, communication systems, extending Internet access in remote areas is the primary motivation for this study. The estimation of aerodynamic characteristics is important for the design of control and propulsion systems of the airship. Airship analysis has traditionally been done using inviscid potential flow methods coupled with boundary layer corrections based on integral momentum methods have been used to estimate the drag coefficient of airships [1-4]. However, the application of these methods is strictly restricted to non-separating flows and flows at zero or small angles of attack. In real-life applications, the airship does encounter flow separation at large angles of attack, both of which have critical influence on the aerodynamic characteristics of the airship. Though some attempts have been made earlier to develop advanced boundary-layer methods, which can capture some flow separation effects [5], their success has been limited to merely capturing some qualitative features of the flow. Previous work carried out by Suman et al. [6]...
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