Wednesday, January 29, 2020

Good for Another Essay Example for Free

Good for Another Essay We were in our final year in secondary school, and we were asked to pay for WAEC and NECO fees. Some paid for WAEC only, some paid for NECO only, while some paid for both. Three weeks before the closing date, me and my friend went out for break, though it was prohibited to eat your breakfast in the class but me and Ada often eat there. That day, when we went into class, we were surprise to see one of our classmate; Sarah crying. We asked her why she was crying and she told us her parent cannot afford to pay for her WAEC or NECO fees. I was touched by the way she was crying and I promise her I would pay for her, I told her I would tell my parents and I was sure they will pay for her. Me and Ada told her to wipe her tears before the rest of the student came in from break. That day, when I reached home I told my mother about it and she promised to pay for her WAEC only, that she would give me the money in two days. We all graduated from secondary school and we all made our result and almost all of us furthered our education to Universities of various types. I lost contact with Ada and Sarah since then but, you know; Life have to go on. I was at the school cafà © one day when I saw Sarah, oh my God! I can’t believe I was seeing her, we were so happy to see each other again after our life in secondary school. We talked for so long, and through our chatting I discovered her Dad was now rich, and she was studying Law. We exchanged phone numbers and hostel Numbers. We became friends again. At the end of second semester in school, I went home only to find out my father was dead, he was hit by a bus the night before the day I came home. I wept, oh my God! I did not only wept because I lost my father, I also wept that my education might stop, I wept that all my years in school might be wasted. I wept that I fell sick and was admitted at the hospital for a week. A week after I was discharged from the hospital, I heard registration for next semester will be closing in one week. I told my mother, but she told me she cannot afford the fee. I was devastated, I was afraid that my greatest fear is coming to reality. I decided to go to Sarah for help, but to my greatest surprise, she told me she wanted to use the money she had for something else. It hurts me so much that I wept right in front of her. All she could tell me was she can’t give me the money. I wept home and told my mother what Sarah told me, she could not believe this, she could not believe this was the girl she helped some years back. She told me to wipe my tears, and that life goes on. I was dropped out of school and I started apprenticeship in a salon shop not far from our house. After two years, I invested my own salon and with more effort and the help and support of my mother, my shop grew up. My salon became one of the best of the well known salon. I was in my salon one day when Ada came in, I did not even notice her. I was busy working when I heard someone call my name, I turned and saw Ada, I shouted and hugged her. Oh Goodness, I was seeing Ada again after so many years. We chatted for a while and she told me she saw Sarah, she told me Sarah was dropped out of school and arrested by the Police, that she was caught with Cocaine. I told her what happened to me, how I was dropped out of school, she was surprise that Sarah could do such a thing to me, me of all people. I told her I was well over it, and Sarah deserved all that happened to her. Though I am successful in life but, I will never forget how I was dropped out of school. I may forgive Sarah but, I will never forget what she did to me.

Tuesday, January 21, 2020

The United States Must Abandon Nuclear Power Essay -- Argumentative Pe

The United States Must Abandon Nuclear Power The United States must re-examine many policies previously accepted as reasonable, especially its own national energy policy. As the largest overall and per capita energy consumer in the world, the U.S. needs to decide upon a reasonable source of energy for the foreseeable future, especially since its energy needs will increase dramatically during that time. With political instability likely to remain the norm in the Middle East, oil continues to be an energy source of questionable reliability; in addition, current estimates of worldwide reserves suggest we may in fact run out of oil entirely in the next fifty years. Natural gas reserves are in fairly short supply too, and costs limit its uses as well. Another major alternative, coal, has become the nation’s leading energy source (providing more than 55% of the country’s electricity), and projected supplies could last for hundreds of years (Sweet 49). However, the tremendous output by coal-fired plants of CO2—the major â€Å"greenhouse† gas—along with other atmospheric pollutants makes it equally as undesirable as oil. The final major source of energy on which the U.S. currently depends is nuclear power, and many (including the author of a Time magazine article in the April 29, 1991 issue) see it as a viable alternative, provided solutions are found to a few â€Å"minor† difficulties. Once the facts are known, though, it becomes clear that nuclear power (both fission and fusion) is not the answer to our current U. S. energy dilemma, primarily because it presents great risks and creates tremendous pollution hazards, and, further, because it also will continue to support the status quo of huge multi-national corporations dominating e... ...Dangers of Nuclear Power. London: New English Library, 1986. Croall, Stephen. Nuclear Power for Beginners. New York: Pantheon Books, 1983. Curtis, Richard, and Elizabeth Hogan with Shel Horowitz. Nuclear Lessons: An Examination of Nuclear Power’s Safety, Economic and Political Record. Harrisburg: Stackpole Books, 1980. Faulkner, Peter, ed. The Silent Bomb. New York: Random House, 1977. Greenwald, John. â€Å"Time to Choose,† Time 29 April 1991: 54-62. Shrader-Frechette, K. S. Nuclear Power and Public Policy: The Social and Ethical Problems of Fission Technology. Boston: D. Reidel Publishing Company, 1980. Stoler, Peter. Decline and Fail: The Ailing Nuclear Power Industry. New York: Dodd, Mead and Company,1985. Sweet, William. The Nuclear Age: Atomic Energy, Proliferation and the Arms Race. Washington, D.C.: Congressional Quarterly, Inc., 1988.

Monday, January 13, 2020

Impact of the Institute of Medicine on Nursing Practice Essay

Impact of the Institute of Medicine on Nursing Practice, Education and Leadership The Institute of Medicine of the National Academics in Conjunction with the Robert Wood Johnson Foundation launched a campaign to provide solutions in response to the need for evaluating and alteration of the nursing profession. Future needs of our growing population from diverse cultures and demographics dictate the need for registered nurses to adapt and transform in response to advances in health care. This is done by promoting health with most favorable, efficient patient outcomes centered on patient care. The limitation of nursing practices today prevents nurses from effectively responding to the continuously evolving, rapidly changing, health care system which compromises patient safety and optimal outcomes. The IOM and RWJF determined four key messages in their discussions. Nurses should practice to their full potential regarding education and training. Higher levels of education and training should be attained through an improved and seamless academic program. Nurses should play an important role along with medical doctors and other health care professionals in reforming health care. Health care informatics and data collection need improvement to facilitate development of policy and efficient workforce planning. These suggested reforms will certainly impact nursing education, nursing practice, and the nurse’s role as a leader ( IOM, 2011). The foundation of the IOM’s report is to restructure nursing roles to become more efficient, cost effective, and adaptable in response to the growing population and technological advances seen in health care. Education is the key to preparing nurses for the new roles and responsibilities they will encounter. The expanded roles and expectations of the nurse call for educational reform as well. Incorporation of competencies at the educational level include leadership, basic health policy, evidence based care, quality improvement, and systems thinking ( IOM, 2011). The goal of the IOM is to increase the  number of nurses with Bachelors Degrees to eighty percent by the year 2020. Some bariers to this goal are as follows. There is a shortage of faculty, placement for students to perform clinical duties is limited, lack of competent programs to prepare nurses for higher degrees and technological advaces in patient care, and lack of workforce planning. Workforce planning is the competence of an organization to meet emerging needs. Educational institutions are not meeting these needs due to cost and qualified fculty (Wikipedia, 2014). As a result clinical experience is imperitive for fulfilling educational needs. The advent of the Affordable Care Act of 2010 endorses a shift from treatment of patients in an acute care setting to focusing on management and prevention of chronic illness. There is evidence based practice to suggest a more holistic approach which involving patient and family centerd care is more effective in treating patients rather than the hospital or healthcare model (Holmes, 2011). Due to this new model the IOM encourages nurses to advance education to the fullest extent, continue and maintain education to develop new competencies, and reform nursing school curriculum to meet these new patient care delivery models (Holmes, 2011). The IOM suggests that it is imperitive that nurses are able to practice to the full extent of their education and training ( IOM, 2011). As the population grows, physicians will not be able to perform at a competent level and provide complete patient care without a substantial number of nurses. Reliance on nurses is necessary to reform the health care system. Barriers such as regultatory restrictions regarding scope of practice, professional resistance by physicians, and insurance company reimbursment pactices hinder RNâ⠂¬â„¢s and Advanced Practice Nurse’s from practicing to the full extent of their education and compromise patient outcomes (Richard Ridge, 2011). Autonomy is an issue in some states regarding APN’s role. Some states require physician oversight to diagnose, treat, prescribe, or make referrals. Compensation for services is also an concern. Independent insurance providers, Medicaid, and Medicare compensate APN’s at reduced rates or not at all and may not cover prescribed prescriptions unless a physician signs off. Professional resistance is also an problem. The Scope of Practice Partnership lobbies against state expansion of the APN’s role stating they lack medical education, clinical knowledge and cognitive and technical skills which are acquired only in medical school ( IOM, 2011). These restrictions make it difficult to meet the demands of patient care. Outdated insurance practices also pose an obstacle by restricting insurance reimbursement to APN’s. Some recommendations to remove these barriers include conforming scope of practice regulations from state to a national level. Enlighten medical doctors on the future of health care and the need for autonomous APN’s. Providing information about successful patient outcomes as well as the decrease in hospital readmissions may sway the opinion of doctors regarding APN practice. Include Medicare and private insurance coverage of APN’s. Refer to evidence based practices to justify coverage. In order to institute IOM’s reform it is imperative the role of the nurse also transition into that of a leader. The development of leadership skills should be instilled at every level of nursing education and clinical mileu. The educational curriculum needs to incorproate theory and business practices, exposure to political dynamics, and management of multifocal relationships to ensure competency in high level collaborative skills (O’Grady, 2011). We will be responsible for assessing and implementing change in patient centered care systems which requires full partnership with other disciplines to reform policy. It is time for nurses to shape policy rather than conforming to it. As the population grows, and demographics shift to include a vast number of geriatric patients, the need for health care reform is imperative to provide optimal patient care. The IOM’s report recognizes the integral role nurses play in our healthcare system. The IOM suggests changes in areas such as education, leadership, and scope of practice to safegaurd the future of healthcare. Implementing these suggestions will transform the role of the nurse into a competent leader who is responsible for health policy change, and an educator to patients, family, and community. It is time we take responsibility for change rather than accept it for what it is. References Holmes, A. M. (2011, April). Future of nursing special: Transforming education. Nursing Management, 42. 34-38. Retrieved October 16, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/pdfjournal?AID=1150962&an=00006247-201104000-00008&Journal_ID=&Issue_ID= IOM (Institute of Medicine). (2011, October 05). The future of nursing: Leading change, advancing health. Retrieved from http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx O’Grady T. P. (May, 2011). Future of nursing special: Leadership at all levels. Nursing Management,42. 32-37. Retrieved October 19, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/journalarticle?Article_ID=1163290 Ridge, R. (2011, June). Future of nursing special: Practicing to potential. Nursing Management, 42.32-37. Retrieved October 16, 2014, from Lippincott Nursing Center: http://www.nursingcenter.com/lnc/pdfjournal?AID=1176058&an=00006247-201106000-00008&Journal_ID=&Issue_ID= Wikipedia, The Free Encyclopedia. (2014, September 27). Retrieved October 19, 2014, from Workforce planning: http://en.wikipedia.org/w/index.php?title=Workforce_planning&oldid=627275816

Sunday, January 5, 2020

Dream Job Description - Free Essay Example

Sample details Pages: 2 Words: 562 Downloads: 1 Date added: 2019/02/20 Category Career Essay Level High school Tags: My Dream Job Essay Did you like this example? 1) Analyzing professional capacity and dream job description Answer: I am Sai Dev Kasaraneni, pursuing my master’s degree in civil engineering with construction and project management as my specialization from Lamar University, Beaumont, TX. I have done my bachelor’s degree in Jawahar Lal Nehru Technological University Kakinada and worked as a site engineer at Bhanu Constructions from June 2017 to April 2018. The dream job for me is to become a Construction Manager in a top construction company which handle massive construction projects. While working as a site engineer I discovered myself that I can handle situations well in the field and can communicate with technical and nontechnical staff and workers with ease and meet deadlines. That is the main reason that channelized me towards Construction and Project Management. Also I have done certification courses in PRIMAVERA, STAAD.PRO, RIVET, EVERSTRESS, EVERFE, PAVEMENT ME which are some of the important software used by civil engineers. PRIMAVERA is a project management software which involves calendars assigning projects and cost estimation of projects which is a must learn software for any construction manager these days Don’t waste time! Our writers will create an original "Dream Job Description" essay for you Create order 2) Job description similar to my dream job. Answer: Heavy Highway and Bridge, Project Engineer, Webber, Irving, TX. Source : Glassdoor.com Description of job: The project engineer provides support to project manager and project superintendent in setting goals, communication, planning, organizing, implementing and tracking of the project. Maintaining plan drawings and revise them. Performing material take offs. Communicate between owner and client representatives. Calculate pricing and issue contracts and purchasing of orders for subcontractors and suppliers. Maintain a high organized work area and management of multiple projects simultaneously. Reading and interpretation of documents such as safety rules, operation maintenance. Presenting information in a n effective way in one on one and small group situations to clients and employees of the organization. Qualifications: Degree in civil engineering or construction management. Moderate to high level efficiency in operating PRIMAVERA 3 6. Being able to communicate in English both written and verbal. Ability to define problems, collecting data and drawing conclusions. Ability to apply basic algebra and geometry concepts and utilize construction math concepts. Ability to physically maneuver by foot at construction site with obstacles. a) Why am I qualified for this job in terms of experience and expertise? Answer: Reasons that qualify me for this job. I am a civil engineer with construction management as my specialization in masters so it meets their requirement. They require a professional to work in the field so my past experience as a site engineer helps me. The project is a heavy highway project, I am currently pursuing Advanced Pavement Analysis And Design which directly relates to the job. Worked on EVERSTRESS, EVERFE and PAVAMENT ME software which are pavement analysis and design software. Good communication skills both verbal and written. Communication between client and owner which I have already done when working as a site engineer. Handling situations when ever needed. Communicating the technical and nontechnical staff. Achieving the goals before deadlines which I have done earlier working as an engineer. b) Specific strengths that directly matches the job description. Have a certification in PRIMAVERA 6 which is one of their main requirement. Knowledge about Advanced Pavement Analysis and Design. Knowledge about the guide lines for design by Texas Department Of Transportation (Tx DOT). Strong leadership skills and handling situations properly. Proficient in English in both verbal and written.