...profession. Nowadays, nurses generally became accountable for their own practices and they have been at the vanguard of new role development. However, nursing at times, will cross their boundaries in providing care, as an individual or teamwork to save patient lives. This may result overlapping of roles. Nurses adapting the changing environment and continually develops new skills (Chaboyer et.al., 2001). Doyal (1998) argues on nurses and others medical practitioner is doing physician’s work, which has involved the creation of new roles. As described by Nancarow & Borthwick (2005), the nurses have an opportunity to identify a new role in getting change within their expertise boundary. This paper will explore, discuss and critically analyze on the impact on professional roles on crossing professional boundary that often occur in my practice performs task which is suppose done by anesthetic physicians. The issues that I am going to debates here is on my daily activities, cross professional boundary of preparing, diluting and administering the intrathecal opiate drugs. Occasionally, most of the time, the boundaries usually consider that is not clear issues, whether right or wrong. It depends on a lot of factors and required careful of thinking through of all the issue. Health professionals are individual who...
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...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 context which have created negotiation space for nurses, leading to the evolution of new working relationship with doctors. Allen(2001a,2001b) boundaries...
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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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...Professional Boundaries in a Healthcare Setting Professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior that could reduce the benefit of nursing care to clients, well intentioned or not (as cited in Fronek et al., 2009). Paavillainen & Astedt-Kurki (1997) state that each nurse "ensures that the nurse-client relationship is a therapeutic relationship" and "maintains appropriate boundaries in all interactions with clients at all times" (p. 138). Nurses must maintain their professional boundaries and be aware of events or situations that may threaten them. They should have limitations in their scope of practice. It is staying within their role by refraining from personal involvement with a patient. As nurses, they are limited by their duties and activities as defined by their job scope, so it is very important for them to understand their job description (Gutheil, 2008). The concept of professional boundaries is so important to psychiatric nursing because the health and well being of patients depends upon a collaborative effort between the nurse and the patient (Muskin & Epstein, 2009). It is the nurse’s professional responsibility to understand the dynamics of the therapeutic relationship, to establish the relationship, and to maintain the relationship within therapeutic boundaries. Nurses must understand the differences between a therapeutic relationship and a social or personal relationship (Paavillainen...
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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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...Boundary objects are items of information perceived and used differently by observers in their own light of their own biases experiences or needs. Susan Starr’s definition of boundary objects was representational forms of things or theories that can be shared between different communities to with each holding its own understanding of the representation. One boundary object that I believe is apart of my professional field working football is Technology. To go a little more in depth there are two different companies serving as boundary objects. The first one is Strivr which is a virtual reality design that helps gives football players an extra edge with 3D film outlook. The second is a company called HUDL which helps athletes and coaches watch film on...
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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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...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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...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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...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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...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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