Tuesday, October 15, 2019
American cancer Society and the General Motors Company Problem Essay
American cancer Society and the General Motors Company Problem Analysis - Essay Example American Cancer Society Founded way back in 1913 by a group of 13 doctors and business personalities in New York, The American Cancer Society (ACS) has developed from a small business venture to the much-celebrated organization it is today. The main role of ACS is cancer management under which it knuckles down on cancer prevention and reducing the rates of death caused by cancer. Supplementary to that, the organization further concentrates on providing education to the public on cancer as a whole. Donors majorly fund the American Cancer Society. The World Bank as well as various support groups grants a larger portion of the society’s funds to them. The society receives funds from the services that they offer to the cancer patients (Epstein, 2011). Being a non-profit organization that it is, the organization appears to be unblemished and faultless. However, the society faces a variety of challenges. In the year 2005, there were about 1.37 Million newly registered cases of cance r. The society saw this as an opportunity to make returns out of the cancer patients instead of giving them hope for a better tomorrow. ACS faces allegations citing that it tried to come up with conventional medication techniques of treating cancer instead of focusing on prevention, given that prevention is better than cure. The society has majorly tried to make money out of the large number of cancer patients (Epstein, 2011). The American Cancer Society faces allegations of discrediting potential healthy ways of fighting cancer as proposed by various cancer research experts. The organization has always been in preference of both chemotherapy and radiotherapy, which though are approved mechanisms of fighting cancer, always are largely unhealthy, and end up killing the cancer patient even before killing the cancer cells (Epstein, 2011). To curb the range of problems that are facing the society, ACS is supposed to restructure its leadership. The entire overhaul should hinge on the ide ology that prevention is the best medicine. ACS should in fact focus on supporting educational programs that enlighten the people on how to go about cancer. Just like both HIV/AIDS, and drug and substance abuse, teachers ought to teach cancer education ought from the junior level schools. In like manner, the society should fully embrace research. The society should support cancer research works across various research institutes and all universities. The society should also encourage the population on practicing healthy lifestyles. Doctors argue that the body under the appropriate situations can be its own doctor. The organization put out good words to the public regarding the food types that one should take heed of, that is, the males who suffer from lung and prostate cancer should avoid smoking tobacco and taking too much alcohol. The same goes out to liver cancer patients (Epstein, 2011). The American Cancer Society should employ gene therapy rather than chemotherapy and radiothe rapy. Gene therapy is the practice of cancer control in the genes that cause cancer. Preventive mechanisms are fruitful in controlling disasters as compared to administering treatment. General Motors Formed in September of 1908, General Motors (GM) is among the best automobile firms in the World. It is now a multinational company with its headquarters situated at Detroit, Michigan. The company enjoys 37 branches around the world manufacturing eleven different brands including GMC, Chevrolet, Buick, Isuzu, Vauxhall, Wuling, Baojun, Jie Fang, Cadillac, Holden, and Opel. General Motors is the leading automaker worldwide (Gall, 2011). Despite the success associated with General Motors, the company experiences many challenges that affect the running
President Andrew Jackson Essay Example for Free
President Andrew Jackson Essay Introduction            Jackson, Andrew, the seventh President of the United States. His election in 1828 marked the end of the aristocratic tradition in the Presidency that had prevailed since the nation’s beginning. Jackson, a self- made man, frontiersman, and military hero, was the first President from west of the Appalachians. He was identified with a new kind of democracya democracy embracing the entire population rather than only those who were wealthy or owned property.            Jackson was neither an original nor a profound thinker, and did not always follow or understand the principles of the â€Å"Jacksonian democracy†that bears his name. However, he did know how to interpret the aspirations and viewpoints of the common people who were clamoring for a voice in government. Jackson was skilled and astute politician, who molded a faction, composed mostly of Southerners and Westerners into the Democratic Party. Although politically conservative and a believer in states’ rights, he expanded the powers of the Presidency and was fervently committed to the preservation of the Union.            Jackson had a domineering personality. He was proud, ambitious, and aggressive. Throughout his life, his temper frequently caused him to act hastily or injudiciously, and he was often swayed by personal prejudices. However, his fearlessness, honesty, and loyalty endeared him to wide sections of the populace. His influence was felt well beyond his two terms, and the period from his election to that of Abraham Lincoln is often referred to as the â€Å"Age of Jackson†. Discussions Early Life                        Jackson was born March 15, 1767, in a backwoods settlement called Waxhaw on the border between North Carolina and South Carolina. Jackson said South Carolina was his birth place, but there has been much controversy on the subject. His father, mother, and two brothers had arrived there in 1765 from Northern Ireland. His parents had been linen drapers. His father, for whom he was named, died in an accident shortly before Andrew was born.                        Jackson had attended school for a while before British troops began operating in the Carolinas during the Revolutionary War. Though only 13, Jackson joined a local militia company along with his brother Robert in 1780. Their older brother Hugh had already been killed in the war. After a skirmish with the British in 1781, Jackson and his brother were captured. When a British officer ordered Andrew to polish his boots, he refused and demanded to be treated as a prisoner of war. The angry officer slashed Jackson with his saber, leaving him scarred for life            The brothers were sent to a military prison, where they contracted smallpox. Their mother won their release. But Robert died on the way home. Not long after, Mrs. Jackson died while nursing two of Andrew’s cousins, who were soldiers imprisoned by the British. Andrew was left alone at the age of 14. â€Å"Old Hickory†           Jackson lived at the Hermitage managing his business holdings until the outbreak of the War of 1812, when he volunteered his services and was commissioned a major general of U.S Volunteers. In 1813 Creek Indians massacred the inhabitants of Fort Mims in what is now Alabama. In 1814, Jackson led his troops against the Creeks, routing them at the Battle of Horseshoe Bend. His endurance in the field won Jackson the nickname â€Å"Old Hickory,†after one of his soldiers remarked that he was â€Å"tough as hickory†.            Shortly after being commissioned a major general in the United States Army, Jackson expelled the British from Florida. Then with a motley force that included Jean Lafitte’s pirates, he repulsed a British attack on New Orleans. Ironically, the peace treaty had been signed before the battle was fought on January 8, 1815. Jackson’s victory made him a national hero. In 1818, invades Florida and defeats Seminole Indians. In 1821, was appointed military governor of Florida while also resigned within the year. 1823, he was again elected to U.S Senate from Tennessee and resigns in 1825. Then on 1828 he was elected President of the United States. First Administration (1829- 1833)            Jackson chose his cabinet from among his and Calhoun’s supporters without much regard for their ability. He made little use of the cabinet, except for Secretary of State Martin Van Buren and Secretary of War John. H. Eaton. Instead, he often sought advice from personal friends, who came to be called his â€Å"kitchen cabinet†. Jackson’s replacement of his incumbent officeholders with his friends and allies gave rise to the term â€Å"spoils system†. Jackson did not originate this practice, however, but merely carried it out on a larger scale than previous Presidents had done. During his eight years as President, Jackson replaced about one- fifth of all federal officeholders.            The first crisis of the new administration was caused by the so- called â€Å"petticoat war†. The wives of other cabinet members snubbed Margaret O’ Neal Eaton, wife of Secretary of war Eaton, because she had reputedly had an affair with Eaton while married to her fist husband and because she was a travernkeeper’s daughter. Jackson, remembering the attacks against his wife, angrily came to Mrs. Eaton’s defense. Cabinet members took sides over the issue, with Van Buren aligning himself with Jackson and Eaton in opposition to Calhoun and his supporters. This led to political conflict that continued until Jackson reorganized the cabinet in 1831. The protective tariff, opposed by the agricultural South, was a major issued during Jackson’s first term. Vice President Calhoun contended that South Carolina should nullify or set aside the tariff of 1828, the Tariff of Abominations, because it violated states’ rights. The South Carolina nullificationists were confident that Jackson, a Southerner, would support them, but he was a moderate on the tariff issue, holding some protection necessary. He also believed nullification would lead to dissolution of the Union. In July, 1838, Congress passed a more moderate tariff bill, but it was still considered oppressive by South Carolina. In November, a state convention declared the law null and void. Jackson reacted by sending a warship and revenue cutters to Charleston, warning that â€Å"Disunion by armed force is treason.’ The crisis was resolved when Henry Clay secured passage of a compromise tariff in 1833. This bill satisfied South Carolina, which then repealed the nullification ordinance. Jackson’s early administration had been marked by intense rivalry between Vice President Calhoun and Secretary of State Van Buren, both of whom hoped to succeed him. As Jackson’s first term ended, it became apparent that Van Buren had the upper hand. Calhoun, at odds with the President on nullification, resigned the Vice Presidency in 1832. Jackson had long disapproved of the Bank of the United States, which he regarded as an agency of monopoly and special privilege. When it was proposed to renew the bank’s charter in 1832, four years before its expiration date, he vetoed the measure. Henry Clay made this veto an issue in the 1832 Presidential campaign. The voters supported Jackson, however, and he defeated Clay by 219 electoral votes to 49 and a popular vote of 687, 502 to 530, 189. Van Buren was Jackson’s running mate on the ticker of the Democratic Party. This was the first election in which all candidates were nominated by national conventions. Second Administration            Reassured by his heavy election majority in 1832, Jackson indicated early in his second term that the Bank of the United States would no longer be a depository for public funds and ordered them deposited instead in certain state banks called pet banks by Jackson’s enemies. This act eventually destroyed the Bank of the United States, but it also contributed to a financial panic.            In 1835, for the first time in the history of the nation, the national debt was paid off. The government had a surplus of $37,000,000, much of it deposited in the â€Å"pet†banks. The following year Congress voted to divide the federal surplus among the states. The â€Å"pet†banks faced a crisis when the government began to withdraw its funds, leading to the financial and commercial panic of 1837, which occurred after Jackson had left office. Another cause of this panic was Jackson’s Specie Circular of 1836, which ordered that payment for government land be made in gold or silver rather than in paper money. This act was intended to curb land speculation but hurt the Western banks. In foreign relations, Jackson faced few major problems. Relations with Great Britain went smoothly. A long- standing claim against France for damages to American shipping during the Napoleonic Wars caused a crisis in 1835-36 but was settled favorably. Texas won independence from Mexico in 1836, but the United States was not yet involved in its affairs, although Jackson recognized its independence on his last day of office. III. Conclusion            Jackson was a few days short of 70 years of age when he left office-the oldest President until Dwight D. Eisenhower. He was more popular when he retired than when he took office as President. Although in ill health, he remained active in party affairs. An opposition party-the Whigshad been formed during his Presidency, and from that point on the two- party system remained in effect. Jackson died on June 8, 1845. References: Latner, R. B. The Presidency of Andrew Jackson (University of Georgia, 1979). Remini, R.V. Andrew Jackson and the Course of American Empire, 1767-1821(Harper Row, 1977). Remini, R.V. Andrew Jackson and the Course of American Democracy, 1833- 1845(Harper Row, 1984). Sabin, Louis. Andrew Jackson: Frontier Patriot (Troll, 1985). Schlesinger, A. M. The Age of Jackson (Little, Brown, 1945).
Monday, October 14, 2019
Elements Of Struggle Between Passion And Reason
Elements Of Struggle Between Passion And Reason In nineteenth century literature a lot of importance was given to passion and emotional appeal in preference to reason and logic. Creative writing and fiction were usually charged with passion and struck a chord with the readers. For any work of fiction or non-fiction the main content needs to have a reasonable plot, theme, structure and organization for it to be of sustained popularity and wide readership. The books included in this study, Cry, the Beloved Country by Alan Paton and Frankenstein by Mary Shelley have elements of both passion and reason even though a clash between these two elements is evident in both stories. Cry, the beloved country, for the unborn child that is the inheritor of our fear. Let him not love the earth too deeply. Let him not laugh too gladly when the water runs through his fingers, nor stand too silent when the setting sun makes red the veld with fire. Let him not be too moved when the birds of his land are singing, nor give too much of his heart to a mountain or a valley. For fear will rob him of all if he gives too much (Paton 101). In the above lines from the story, the writer brings about the struggle between the feelings of ownership and belonging of the protagonist, Stephen Kumalo, and the fear of his beloved country falling apart because of racial discrimination and racial hostilities between the whites and the blacks in South Africa. The other theme of clash is between the route to progress and development for the blacks in urban centers like Johannesburg at the cost of the breaking up of families and tribes in rural South Africa. The dichotomy is between progress and urbanization on the one hand and preserving traditions and strengthening relationships on the other. The main themes are of the clash between the privileged and the colonized, the haves and the have-nots. In Frankenstein, Mary Shelley has drawn the readers attention towards the clash between science and the occult. Victor Frankenstein who creates the monster represents reason and the monster represents passion. Learn from me, if not by my precepts, at least by my example, how dangerous is the acquirement of knowledge and how much happier that man is who believes his native town to be the world, than he who aspires to become greater than his nature will allow (Shelley 50). In the above lines, the author has tried to elaborate on the pitfalls that the mere quest for knowledge devoid of responsibility and control can have on mortal lives. So the struggle in this story is between reason in the form of science and scientific invention against the passion of the monster which is a creation of the scientist. Frankenstein is a story of an irresponsible scientist who in the pursuit of knowledge creates a monster that nobody is able to control and the monster continues to perpetrate atrocities and chaos. It is a lesson for the reader to bear in mind that curiosity and the mission to gain knowledge is good but the seeker of knowledge must also be capable of taking responsibility and have courage to bear negative consequences in case a need arises. There are a couple of common themes in both these novels. The colonizing of black people in South Africa and disbanding families and tribes in order to profit from cheap labor created the monster of racial hooliganism and lawlessness in Johannesburg. The whites created the black labor force but did nothing to ensure that they remain happy and rooted. The abject poverty and dire living conditions of the black workers created the rift between the rich mine and factory owners and the displaced black laborers. Similarly in Frankenstein Victor Frankenstein created the monster but did nothing to provide a sense of belonging and ownership which encouraged the monster to feel disowned and become wild. The themes of colonialism and imperialism are present in both novels. It is the struggle between the white and black, the rich and poor, the rulers and the ruled in Alan Patons story while the theme of the creator and the created permeates Mary Shelleys novel. Isolation and the sense of lack of belonging have created both the monster and Absalom. The monster seeks the love and acknowledgment of his creator while Absalom leaves his village, Ndotsheni, to seek knowledge and employment. So both the monster and Absalom feel isolated from their people and take to ways that harms others more than they can control. Stephen Kumalo is the pastor of a small village in South Africa and lives in his own world, quite disconnected with the times and happenings in urbanized centers like Johannesburg. When he comes to Johannesburg to help rehabilitate his sister, Gertrude, he is brought face to face with the realities of life in South Africa. He realizes that his world was collapsing and that the main tragedy of his people was that things like relationships and innocence were breaking down and no one was doing anything to mend them. He says, It suited the white man to break the tribe, but it has not suited him to build something in its place (Paton 46). Stephen Kumalo is a man obsessed with a singular quest to seek his son and rebuild the community. Similarly, Victor Frankenstein is obsessed with seeking knowledge and acquiring power. He wanted to play God and test his ability to give life to an animal (Shelley 51). The conclusion of both the stories engenders calm and relative hope. In the end Absalom realizes his mistake and is reconciled to his fate and Stephen Kumalo is able to bring his sister and Absaloms pregnant wife back to the village to try and rebuild his tribe with the help of James Jarvis. The monster in Frankenstein grieves over the death of his creator and is reconciled to his self-imposed exile in the North Pole and subsequent death. He realizes that his atrocities in order to seek revenge did not yield the desired results and he continued to be abandoned and isolated. In both stories, there is a sense of catharsis with Absalom writing home to his parents and the monster grieving over his master. Even though both ends are tragic there is a faint ray of hope in both novels.
Sunday, October 13, 2019
Ghibertis Baptistry Doors 3rd Set :: Essays Papers
Ghibertis Baptistry Doors 3rd Set The work of art that I chose to do my research paper on was Ghiberti's 3rd set of Baptistry Doors. These doors are known as "The Gates of Paradise." The doors were commissioned in 1427; they were finally completed and installed in 1452 at the eastern entrance of the Baptistry of San Giovanni. The replication of the doors is located in San Francisco, at Grace Cathedral. The doors consist of ten square panels, gilded together. Surrounding the panels are small heads, floral motifs, and niches that contain miniature statues of Prophets. Leonardo Bruni created the iconographic formula, taken from stories of the Old Testament. Ghiberti followed the plans and created 10 scenes ranging from the Creation of Adam and Eve to the reign of King Solomon. The top left panel is the scene of the Creation, Temptation and Expulsion of Adam and Eve. The top right panel is the scene of Cain murdering Abel. The next panel is of Noah and the Flood; then Abraham sacrificing Isaac; Jacob and Esau; Joseph being sold into slavery by his brothers; Moses receiving the Ten Commandments; Joshua and the battle of Jericho; David and Goliath; and finally Solomon and the Queen of Sheba. All the panels were gilded in gold, giving them a uniform and seamless perspective. Ghiberti was a master of using perspective in his works. The attention to detail is apparent when you examine closely the sculpted figures in each panel. They all seem three-dimensional. The way in which Ghiberti sculpted each figure, gives them a shadow against the background which is key to the three-dimensional perspective of each figure. The way in which the panels were positioned on the doors is interesting. Instead of using smaller panels, which would allow for more scenes, Ghiberti chose to use large panels that are easy to see. The miniature figures and heads surrounding the ten panels is another interesting point. The full body figures are Prophets. There are 20 prophets surrounding the panels. Most likely they were also taken from the Old Testament. Each of these prophets is in the motion of some type of action. Their action is probably what they were known for and why they became Prophets. Again, Ghiberti gives each a three-dimensional pose. He is past the old ways of symmetry and each figure looks realistic in pose.
Saturday, October 12, 2019
Comparing the Struggle for Freedom in Adventures of Huckleberry Finn an
Struggle for Freedom in Adventures of Huckleberry Finn and Native Son Throughout history, great authors have served as sentinels for racism and prejudice in American society. The Mark Twain novel, Adventures of Huckleberry Finn, a graphic story of 1840s America that depicts the plight of an uneducated black slave named Jim moved many to empathize with African-Americans. Compassion against the evils of slavery soon spread across the country. A war-torn America abolished slavery in 1865. However, Richard Wright’s 1940 novel, Native Son, a compelling story of the life and death of another black man, Bigger Thomas, makes a convincing argument that slavery in America was still very much alive during that period. Civil rights legislation and enforcement would not come until years later. A generation apart, Jim and Bigger embody the evolution of the black man struggling to be free in American society. On Twain’s Mississippi of the 1840’s, slaves are regarded more as property than human there is no freedom for the black man. Jim is trapped in a society that trumpets racial hatred; for example, Huck’s father said, â€Å"they told me there was a state†¦where they’d let the nigger vote†¦I says I’ll never vote again†(Twain 35). Early in their travels, Jim and Huck mirror the chasm in black and white relations that plagues America at the time. Blinded by prejudice, Huck seems incapable of recognizing that, much like himself, Jim is scared and running from a life of few choices, towards a dream of independence. Instead, he can only see what society allows him toâ€â€the blackness of Jim’s skin. He is reluctant to be seen with Jim because he knows â€Å"People would call [him] a low-down Abolitionist and despise [him] for keeping mum†(50). Even afte... ...e and what kind of work he [can] do†(Wright 394). Bigger’s society collectively denies him freedom to better his life with â€Å"restrictions placed upon Negro education,†authorities â€Å"that make it plain in their every act that they mean to keep Bigger Thomas and his kind within rigid limits,†and real estate operators who have â€Å"agreed among themselves to keep Negroes within ghetto-areas of cities†(394). Unlike Jim, Bigger can’t escape his slavery by running to the free north. His slavery is all-encompassing. Jim only sees freedom at face value, so his can be achieved. He can only hope for freedom in its simplest form†¦ release from the physical shackles of slavery. Bigger’s freedom begins where Jim’s leaves off. Works Cited Twain, Mark. Adventures of Huckleberry Finn. New York: Harper & Row, 1885. Wright, Richard. Native Son. New York: Harper & Brothers, 1940.
Friday, October 11, 2019
Accounting Statement of Purpose
Hello! I am going to apply to Msc Accounting and Finance Management programme. I would be grateful if you could give me feedback. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::: I studied a Bachelor's degree in Accounting. During the undergraduate degree I took a variety of subjects in taxes, finance, auditing, economics, accounting and business management. Taking a variety of subjects in university allowed me to see where my interests and strengths lie.The subjects that grabbed my attention during the final year in the university were taxation, business management and finance. It was through doing these subjects that I discovered I would like to pursue my career in either of these fields. As part of my desire to have a broad knowledge in business management, I wrote the final-year dissertation focused on this field. Which was titled â€Å"How far proper management lead your business to success†. In July 2007, I was hired by one of the big four accountancy firms, where I develop an employment as tax consultant.Through this job, I have understood the important role played by the accountancy in business. Definitely book-keeping, preparing financial statements, establishing and maintaining accurate financial records provide a general overview of how business is doing. In my experience I have realized that accountants specialized in taxation besides technical-legal knowledge, they must have wide knowledge of accounting and its procedures as well as theory to properly evaluate financial information.With this knowledge the consultants must be able to ensure if records are accurate according with government regulations, identify companies' opportunities and provide advice on improving efficiency. The reasons mentioned above besides my long-term goal to pursue a career as a controller encourage me to seek for a professional accounting and finance management program, which allow me to obtain the abilit y to effectively analyze accounting records, interpret financial statements as well as acquired a wide overview regarding management functions within an organization.Selecting a graduate school is not an easy task; there are certain aspects to look at while considering a school. After comparing some accounting and finance programs provide by Dublin universities. I found the MSC at Griffith College like the one that meet my academic and professional goals. Other reasons to choose this colleges are: its prestige, it is recognized as one of the top private universities in Dublin, program' structure which fully meets my academic and professional objectives, the subjects that caught my attention are: international financial management.I am certain that the MSC in accounting and finance management provided by Griffith College will provide a lot of advantages besides helping me to achieve my academic and professional objectives, such as: improve foreign language skills, opportunity to work with people from diverse backgrounds, exposure to new learning environments, cultures, obtain an international perspective and by this way understand other points of view, enhance future job prospects. I am certain that the wide knowledge that the Msc in accounting and finance management provides, will give me with the necessary tools to succeed in my career.
Thursday, October 10, 2019
A Comparison of Nurses Essay
A Comparison of Nurses Educated at the Associate-Degree Level versus the Baccalaureate-Degree Level A career in nursing has many possibilities and depending on where one is employed there may be different educational requirements. There are many nurses in the workforce with only their associate’s degree in nursing, but as time passes it seems that the baccalaureate degree is becoming more of an expectation. This brings up the question- is there a difference in the competency of the associate-level nurse from the baccalaureate-level nurse? Studies are showing that there is a difference and patient outcomes are affected by this difference. Differences between the Associate Degree in Nursing and the Baccalaureate Degree in Nursing In order to compare the competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level, one must first compare the requirements to obtain these degrees. The Associate’s Degree in Nursing, abbreviated ADN, is a two-year degree usually earned through a community college. It requires 60 credit hours to complete and upon completion the graduate can apply for licensure through the state in which they will practice. The Bachelors of Science in Nursing, also called BSN, is a four-year degree obtained at a university. It includes the same areas of study and has the same license upon completion of the NCLEX as the ADN nurse, but delves further into nursing theory as well as pathophysiology and technical skills. Many employers require the bachelor’s degree for higher positions in nursing such as clinical managers and nurse specialists. Differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level As explained above the bachelor’s degree in nursing requires two more years of education and a much deeper study of nursing theory and pathophysiology than the associate’s degree. The question is does this extra education and focus on nursing theory make a BSN nurse more competent than an ADN nurse. Research suggests there is a significant effect of nurse experience and a significant effect of the percentage of BSN nurses in each hospital (Kendall-Gallagher, Aiken, Sloane &Cimiotti, 2011) in regards to better patient outcomes. To understand the difference one must look at the basic nursing process and how knowledge of nursing theory and pathophysiology affects it. The basic process taught in nursing school in providing patient care is assessment, plan, intervention and evaluation. Assessment is one the first things a nursing student learns. The associate-level and bachelor-level nurse will both have learned this skill in the very first days of nursing school. Both nurses will also be competent with the last step, evaluation of the interventions. The advantage a BSN nurse will have lies in the middle two steps- plan and intervention. The plan and interventions a nurse provides is affected by their decision-making skills and this is based on their education. Plan and Intervention. To determine a patient’s plan of care, one looks at the abnormal assessments and then uses their knowledge of pathophysiology to determine the plan of care. While the BSN nurse will not necessarily have more clinical hours in assessing the patient, they will have taken more classes in pathophysiology than the ADN nurse and therefore may notice a disease process more readily than the ADN nurse. This is where the interventions will occur. Interventions are determined by the nurse based on their decision-making skills. Decision-Making Skills Nursing is a field in which one is given a great amount of autonomy. Therefore much of a patient’s care is affected by a nurse’s decision-making skills. One’s ability to make decisions is affected by many things including past experiences, environment and education. The focus here is education and how the additional study for the BSN affects nurses’ decision-making skills. The BSN nurse will have studied pathophysiology and nursing theory in greater depth than the ADN nurse. This extra knowledge is then applied to the decisions a nurse makes for their patient. These decisions have a great impact on patient outcomes and recent studies have indicated that there is decreased morbidity, mortality, and failure-to-rescue rates in hospitals that employ larger percentages of baccalaureate prepared nurses (Altman, 2011). Effect of baccalaureate-degree level nurses on patient outcomes In the acute situation the BSN nurse can use their knowledge of pathophysiology in addition to their decision-making skills to decrease morbidity and mortality. Taking into account the greater picture, a more holistic approach based on the BSN nurse’s familiarity with nursing theory, will improve patient outcomes. For example let’s look at a hospital admission for a congestive heart failure exacerbation. Both the ADN and BSN nurse will assess the patient and notice classic signs like shortness of breath and edema. Both nurses will plan on diuresis and paying close attention to respiratory status. The difference will come with the holistic approach that a BSN nurse is more likely to take. The emphasis on the nursing theories that a BSN nurse has studied will allow them to look at the patient as a whole, rather than dealing with only stabilization of symptoms. The knowledge of nursing theory the BSN nurse has will allow them to delve further into why this patient admitted and what they can do to prevent a readmission. The BSN nurse asks questions as to what caused the exacerbation. It may be that the patient needs more teaching on diet and medication compliance. They will ask the patient about their home situation. It’s possible the patient is having financial burdens that have kept them from filling their prescriptions. The BSN nurse is more likely to look at the home situation. The patient may have depression with the diagnosis and need some resources for social support. In regards to King’s theory, nursing’s central goal is to help individuals maintain their health so that they can function in their roles (Creasia, 180). By helping the patient function in their role, the nurse empowers the patient to lead a healthier life. The patient is sent home educated with the resources needed to lead a healthy life and therefore reduces unnecessary hospital admissions. This in turn allows the space available for hospital admissions that are necessary and leads to a healthier community. REFERENCES Altmann, Tanya K. (2011). Registered nurses returning to school for a bachelors degree in nursing: Issues emerging from a meta-analysis of the research. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39, (2): 256-72. Creasia, J; Friberg, E. (2011). Conceptual Foundations: The Bridge to Professional Nursing Practice. (5th Edition). St. Louis, Missouri: Mosby, Inc. , an affiliate of Elsevier Inc. Kendall-Gallagher, Deborah; Aiken, Linda H. ; Sloane, Douglas M. ; Cimiotti, Jeannie P. (2011). Nurse Specialty Certification, Inpatient Mortality, and Failure to Rescue. Journal of Nursing Scholarship, 43, 188-94.
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