Philosophy of Nursing Leadership Essay

I have worked in healthcare for over thirteen years both as new scare nurse and as an informal leader and as an appointed manager. Throughout this process I have experienced many different feelings towards my managers and experienced several different types of management styles as related to our recent management concept learning. A prior class text book definition states â€Å"Philosophy looks at the nature of things and aims to provide the meaning of the nursing phenomena. Philosophies are the broadest in scope and provide a broad understanding† (Blaise & Hayes 2002 p. 98). Combining a defined leadership theory with my own personal nursing philosophy engages a higher level of understanding about personal concepts and ideas of my past experiences and the possibility for growth as a leader. Peter Drucker’s theory in regards to involving the entire organization in planning and establishing the management process has been implemented for many years at my current employmen t, to include weekly staff meetings with open discussions and an anonymous â€Å"drop box† for problems or ideas to be shared with upper management. We also give one-hundred dollar bonus to any employee who presents a new idea or plan and the hospital corporation agrees to use it. This form of staff participation in leadership by Peter Drucker was used to advise the heads of General Motors, Sears, General Electric, W.R. Grace and IBM, among many others. Often times Drucker offered his management advice to non-profits like the American Red Cross and the Salvation Army. Drucker’s theory in the health care setting encourages individual autonomy and embraces the ideal of leaders not being born but can should be taught and encouraged to use their best judgments for every unique situation. Drucker is quoted as stating â€Å"Leadership is something scientific but has artistic expression.† Artistic expression is individualized and when an organization encourages this individuality of its member’s the results can in turn provided broader solutions and opportunity for growth.  This form of collaboration of many different unique perspective and special skills are imperative in today’s health care system as specifically outlined by the American Nurses Association (ANA) â€Å"recognition of the expertise of others within and outside the profession, and referral to those other providers when appropriate† (2003, p.8) The increasing competitive nature of health care and ever changing technology and change make it imperative for a health care organization to work together as a team for the betterment of the patient outcomes and a hospital’s long term viability. Personal Growth as a Nurse Leader With review of my personal experiences in my nursing career, I can now see the obvious management transitions that took place at the facility I worked at. When I first started working, I basically felt like a â€Å"warm body† only there to perform certain tasks at certain times and felt of no real value to actual hospital’s overall revenue or outcome. Looking back at the management style from that time, I felt no real structure or individual importance toward the outcome of the hospital I worked for. The hospital was a non-profit, government owned facility and the resulting management style is easily related to the Laissez-faire leadership form. With this â€Å"hands off† (Finkleman, p6) form of management comes a great lack of feeling of security or capability to grow and learn as a nurse. Three year after working there a new company bought out our hospital and many extreme changes happened. Computer charting came in, new managers, new rules, new standards and m any people left because of these changes. Not because they were bad changes but because they simply did not want to accept change. With these changes emerged a new management technique that follow the Drucker philosophy of encouraging staff participation, goal setting and leadership learning with in the hospital. I will never forget the first time the hospital administrator came up to me, shook my hand and simply asked how everything on my nursing unit was going. If I had any problems or concerns. This form of management encouraged professional growth and self-esteem. I became more familiar with small skills such as intravenous access, medications, equipment and general patient involvement, I began to find myself more interested in the art of health care and learning. Challenges and learning became my journey and led me to a management position in the  emergency room department. I grew as a person and as a nurse. I learned so many things about health care and genuinely cared for my co-workers. Their input was invaluable and helped us create new policies and systems to give our patients better care. I learned mostly about myself and who I wanted to be as a person and a leader or example to other nurses. I became very confident after ten years in this department and enjoyed the teamwork of this area and wanted to be able to do more with this invaluable acquired knowledge. I came to an understanding of a nurse’s ability to provide their perspectives and past experiences to help other care for the patients. In conclusion, with the educational advancements and experience I hope to continue to learn how to be an effective leader. I would like to see our organization encourage some the emotional intelligence theory philosophy into our practice to encourage stronger relationships between all staff. As stated in (Finkelman, 2011 p 10), â€Å"emotional intelligent leadership is key to creating a working climate that nurtures its employees and encourages them to do their best with enthusiasm, in turn this pays off in improved business performance.† I believe that all people inherently want to be recognized for what they do and need positive reinforcement. With future leadership roles I hope to incorporate both of these leadership theories of including the employees in the organizations plans, group problem solving and building good leaders along with stronger emotional relationships built on encouragement and positive reinforcement to provide an open positive learning environment with s trong inter employee relationships. References Blais, K., & Hayes, J. (2002). Professional nursing practice. (2011 ed., Vol. 6, pp. 2, 27-29, 268). Upper Saddle River, NJ: Pearson. Retrieved from http//www.pearsonhighered.com Finkelman, A.(2006).Leadership and Management for Nurses. (2011 2nd ed., pp. 5-13).Upper Saddle River, NJ: Pearson. Retrieved from http//www.pearsonhighered.com Nursing Times. (2011) Leadership Skills for Nurses. Retrieved from http://www.nursingtimes.net/Journals/2011/j/n/i/Leadership-Skills-for-Nurses. pdf

Theodore Roosevelt's Military Experience Research Paper

Theodore Roosevelt's Military Experience - Research Paper Example One can never undermine the naval reconstruction undertaken by Theodore Roosevelt. As the Assistant Secretary of the Navy Roosevelt was deeply influenced by naval officer and historian Alfred Thayer Mahan and he rendered remarkable services in establishing a modern navy that could protect the interests of the nation around the globe. In fact, Roosevelt strongly believed in expansionism and he held that â€Å"the United States should build up its navy and start asserting its global power† (Shmoop 9). Even though he served the navy as assistant secretary for only one year Roosevelt took special efforts to develop â€Å"contacts with noted naval strategists, planned future strategies for a naval war with Spain, and appointed George Dewey to command the Asiatic Squadron† (Crucible of Empire-PBS Online). All these efforts culminated in the emergence of Roosevelt as one of the most efficient and tactful of American military officers. Theodore Roosevelt’s war in Cuba ha s elaborately been documented by many authors of history. As the Assistant Secretary of the Navy he prepared the navy ready for any wars and he succeeded in convincing the army that intervention in Cuba is necessary. He convinced his navy men that â€Å"it was the moral duty of the United States to end Spanish misrule in Cuba and to stop at once and forever the despotic tyranny of the Spanish Governor-General, Weyler† (Lewis 120). In his autobiography Roosevelt himself confesses that the war in Cuba was inevitable and that it was motivated by humane motives rather than for political interests. In his autobiography he observes that â€Å"Spain attempted to govern her colonies on archaic principles which rendered her control of them incompatible with the advance of humanity and intolerable to the conscience of mankind† (Roosevelt 159). Thus, Roosevelt sought to wipe out the misery, degradation, devastation and destruction that the Cubans had to endure at the hands of the Spanish imperialists. In 1898 the explosion occurred on the USS Maine in Havana Harbor offered a golden opportunity for Roosevelt to prompt the American government to wage war in Cuba. Roosevelt also motivated his men to assist the Cubans who were waging a very important war to gain independence from Spain since 1895. Roosevelt played a pivotal role in the Spanish-American War, the Battle of Manila Bay and his able leadership at the helm of the First Volunteer Cavalry, nicknamed as the "Rough Riders" won him recognition as well as popularity. The voluntary cavalry men under Roosevelt supplemented the depleted U.S. Army in the war and tuned the war in favor of the US army. Roosevelt and his Rough Riders landed in Cuba on 22 June 1898 and by August the Rough Riders turned the war in favor of the American force. At the battle of San Juan Heights Roosevelt led the army from the forefront and the image of Roosevelt charging up the San Juan Hill in 1898 turned out to be a historical icon in the US history and very soon he assumed the status of a national hero. The question whether Theodore Roosevelt should be awarded the medal of honour evoked a lot of debates in the United States. While his own companions offered testimony for his courage and absolute fearlessness in the battlefield it is doubtful why he was not honoured with the Medal of Honor during his life time itself. There are many historians who hold that

Voice-overs and Flashback in Film Noir Essay Example | Topics and Well Written Essays - 1000 words

Voice-overs and Flashback in Film Noir - Essay Example One of the stylistic features common to many noir films is the use of extraordinary narrative devices like voice-overs and flashback sequences. These structural elements are included to underscore or otherwise complement thematic elements of the film. Flashbacks too became an effective medium of remembering and recreating the past, another significant activity in psychoanalytic practice. Apart from the psychological dimension, voice-overs could also be used to emphasize the eerie or dark tone of noir films. With the right tone, the narratorial voice could easily intensify the feeling of doom and generally dark settings of the typical noir film. Flashbacks were also useful in creating suspense or experimenting with the narrative flow, allowing for creative use of plot. This paper will seek to further explore the role played by these two specific stylistic devices with reference to three films: Double Indemnity (1944), The Big Sleep (1946) and D.O.A (1950). Double Indemnity has a simil ar opening to D.O.A with the film starting in medias res to reveal a harassed-looking William Neff enter his office room and begin recording his ‘confession’ addressed to Keyes on his Dictaphone.. The confession triggers off the flashback which presumably will explain the events that lead up to the murder that Neff has just confessed to. Interestingly, just a few minutes into this flashback and the confession of Neff also appears as a voice-over superimposed over the past retelling of events. This film employs both devices then, to build-up its atmosphere. The first of the flashbacks serves to describe what can already be seen on the screen, but with added detail like how the room smelled and how the sunlight made the dust visible. More importantly, it allows access to Neff’s mind and his initial impressions of Phyllis Dietrichson. This voice-over and the next also let the audience know the level of engagement with the crime that Neff had at the beginning and how the plan to murder Dietrichson is initiated entirely by his wife. However, the voice-over that marks the return of the narrative from the past back into the present, with Neff still at the Dictaphone, reveals to the audience that Neff too had been thinking about committing murder since as an insurance agent he believes: ‘In this business you can’t sleep for trying to figure out all the tricks they could pull on you.’ Other than tell us about who did what in the murder plot, the voice-overs also give us significant insight into the criminal’s mind – in this case, Walter Neff’s. As said in the introduction, this was a period of great faith in Freudian psychoanalysis and the idea of exploring one’s sub-conscious was quite popular. The Dictaphone-taped ‘confession’ acts as catharsis for expunging guilt. This is especially evident when Walter says that although he knew everything had gone off perfectly he still felt that it co uld all go wrong. He claims to not be able to hear his own footsteps; that he was walking like a ‘dead man.’ This is a classic instance of the psychoanalytic notion of guilt becoming the driving force behind a person’s actions and being the ultimate reason for that person to give himself or herself up. The Big Sleep does not use either voiceovers or flashbacks but there are several silences in the plot where Marlowe is seen tailing or waiting for action to happen, which act as narrative ‘fillers’. Insights into Marlowe’s psyche are not spoken or recounted as clearly as in Double Indemnity but as Marlowe’s character is sketched out to be hard-boiled but honest, what he says in sincerity can be taken by the audience to be true. For instance,

Medicaid Block Grants Term Paper Example | Topics and Well Written Essays - 750 words

Medicaid Block Grants - Term Paper Example On average, Washington pays 57 percent of the costs. Wealthy states get at least 50 percent of Medicaid costs covered by the feds; poor states get as much as 85 percent (Vestal, n.p.). In return, states must meet minimum standards for benefits and eligibility. For example, states are required to provide Medicaid services to low-income children, pregnant women, some adults with dependent children, people with disabilities and frail elders. Benefits must cover doctor’s visits, hospital stays, emergency room services, diagnostic and outpatient services and long-term care (Vestal, n.p.). Governors have long lobbied for a freer hand on Medicaid, which they say would result in a cheaper, more effective program. Lately, Republican governors have more aggressively pursued the block-grant idea, partly because they’re worried about the cost of adding millions more people to the program beginning in 2014. The federal government will pick up the whole tab for new enrollees for the first three years, tapering down to 90 percent in 2020 and beyond. Governors also are alarmed at Medicaid’s growth rate, which the CBO estimates at 7 percent annually over the next decade. The program, some state officials say, is crowding out other needs, such as education (Carey & Serafini, n.p.). The different types of Medicaid Block Grants are: Block Grants and Welfare Reform.  Federal block grants consolidate various aid programs into a payment to each state based on a formula set by law. This eliminates the ability of federal agencies to allocate grant funds to favored applicants, establish program priorities and set requirements. Block grants give the states increased flexibility to experiment, improve programs and allocate funds to their priorities. Welfare reform is an example of a successful block grant program.  In 1996, the Aid to Families with Dependent Children entitlement program was replaced with the

Writer's choice Assignment Example | Topics and Well Written Essays - 250 words - 8

Writer's choice - Assignment Example Thus, the entrepreneurs save associated costs such as renting shops, distribution, and storage of the products. Finally, the business system enables direct contact with the sellers and customers and limits intermediaries. Therefore, it ensures high service delivery and product quality (Manzoor, 2010). Internet-based selling is equally risky. It is vulnerable to hacking, substandard qualities, and payment challenges. Since parties do not meet or have a formal arrangement, the approach has no guarantee for payment of goods or services. Besides, it is vulnerable to Internet security concerns since scammers might create similar websites to con potential buyers. Finally, e-commerce lacks a mechanism for assessing quality standards of the products. Hence, buyers might get poor quality goods (Manzoor, 2010). I value teamwork, innovation, and individual development. I studied supervision and management course. Therefore, I have practical management skills to enable sustainable organization. My primary strength is the ability to apply leadership through people’s skills. Thus, intend to foster close working relationships, integrate workplace generations such as recruiting, motivating, and retaining staffs. In addition, I have the capability to leverage appraisals to facilitate business performance. The vast knowledge shall enable me to create a database to enhance management and supervision of inventories and staff. I am confident that my skills shall improve the firm’s performance, particularly in regards staffing. Kindly invite me to discuss further details about my experience and other strengths. My name is xxxxxxxxx, and I apprize sound leadership, employee motivation, and diversity. I also aspire to work in your firm and participate in its transformation to an excellent

Apple Services and iOS Systems Information Sharing Dissertation

Apple Services and iOS Systems Information Sharing - Dissertation Example The literature review chapter stated the pros and cons of the information sharing system along with highlighting the loopholes in the iOS and problems faced by users. It was found that third parties applications along with insiders and hackers play an important and significant role in leaking private and confidential information that often affects the privacy of users. It was also found that the majority of users do not have an idea over the breach of security and its implications that can be considered as a major issue. The research methodology chapter presented an overview of different elements of the methodology along with justifying the overall preference in a logical manner. The chapter also offered the importance of each element in terms of accomplishing the proposed research objectives. The findings and analysis chapter revealed that majority of the interviewed participants believed that, breach of security happens mainly because of the use of WiFi, sharing of ID, and access o f information by the insiders of the company, and by the attack of hackers. It was also found that not many were aware of safeguarding their privacy and security and was assumed as a major issue. ... ionale for the Research Topic 7 1.7 Scope of the Research 7 1.8: Proposed Methodology 7 1.9: Outline of the Dissertation 8 1.10: Summary 9 Section 2.0 Literature Review 10 2.1 Introduction 10 2.2 Information Sharing System 10 2.3 Benefits of Information Sharing System 12 2.4 Challenges of Information Sharing 14 2.5 Apple’s Breach of Security 16 2.6: Summary 21 Section 3.0 Research Methodology 22 3.1 Introduction 22 3.2 Research Philosophy 22 3.3 Research Approach 23 3.4 Research Design 23 3.5 Data Collection Methods 24 3.6 Sampling 24 3.7. Ethical Considerations 25 3.7: Strengths and Limitations of the Methodology 25 3.8: Summary 25 Section 4.0 Findings and Analysis 26 4.1 Introduction 26 4.2 Critical Analysis of Interviews 27 4.3: Summary 35 Section 5 Conclusion and Recommendations 36 5.1 Introduction 36 5.2: Conclusion 36 5.3: Recommendations for IOS System and Information Sharing 41 5.4: Recommendations for Future Research 41 5.5: Summary 42 BIBLIOGRAPHY 43 CHAPTER-1: INTRO DUCTION 1.1: Introduction In today’s world, business, and society is driven by the use of technologies that often shape human minds and activities in a significant manner. With the advent of computers, human beings were exposed to numerous opportunities making their life simple. With the introduction of Smartphones, it became all the more easy to get connected to anyone in any part of the world along with doing wide arrays of works like playing games, listening to games, checking emails, making business presentation, and sharing and receiving information through social media, GPS, and GPRS (Browning, 2000). All these things have made life simple yet a bit complicated in many ways.

Compare and contrast Essay Example | Topics and Well Written Essays - 1750 words

Compare and contrast - Essay Example In the first stanza, the son holds his mother as she vomits in a bowl and then attended to cleaning and changing her clothes with the help of his lover who is also the speaker. Since the strings were tied behind the back the speaker tried to remove the blanket from underneath the old woman and feared that her skin could tear off. This shows that the mother had become a mere cripple and her condition was too fragile. When old age is referred to second childhood, it is justified and sometimes ironical too. The poet talks about the paper diaper, the fragility and all these could be attributed to the status of a baby – â€Å"Everything’s so fragile here/a breath could break you.† (Crozier, line 14-15) The poet and her lover are at a loss and cannot really decide what to do. The mother who has once offered her milk to her son is now feeling shy when her son was undressing her. Despite the weakness she turns her face away and covers her breasts and the lover cracks a joke here, saying that he has undressed many other women before and so she need not feel shy. The tubes and needles used here reflect the medical treatment she was undergoing. The last two stanzas describe the poet’s feelings about his lover when she lies in bed besides him and what happens at the end of the day. The vision of tending his mother is so vivid in her memory that she almost smells him of his mother although he is washed. It seems as if she has licked him to prove to all the girls who lie with him that he is still his mother’s son. The poet ironically talks of the old woman’s tongue’ and might be a little sarcastic in her remark, may be because her time for fun has been shared by the old woman and she puns on the actions of licking. We find the mammals licking their off springs in stead of bathing them and a woman may lick the man for the sake of lust. To some