Nursing Leadership College Essay Example | Topics and Well Written Essays - 750 words

Nursing Leadership College - Essay Example This being a very reasonable business strategy, hospitals have downsized their nursing staff. The registered nurse-patient ratio is definitely decreasing at this time when there are more patients who are sicker. Registered nurses are thus required to delegate nursing tasks as more health care facilities utilize UAPs to attempt to resolve cost-containment issues. Delegation is defined as the process of transferring a specific task to be performed in a situation to another competent individual (Delaune & Ladner, 2006). However, the ultimate responsibility and accountability of the patient's health care still lies on the registered nurse. It is only the task that is delegated, not the responsibility (Delaune and Ladner, 2006). UAPs are allowed to perform nursing procedures provided that it is under the supervision of a registered nurse but the nurse is still accountable for this delegation (Best, Cohen, Dykes, Fredrick, & Heller, 2000). There are only a number of procedures that are allowed to be delegated to UAPs. More invasive procedures and procedures that require the nurse's professional judgement may not be delegated. An argument, however, still remains of whether this strategy is really cost-efficient than having more registered nurses in the staff. Nurses develop judgements using critical thinking to determine what to observe directly or indirectly for patient responses to come up with the proper nursing diagnosis and plan of care. This is one of the many reasons why even the most experienced and most competent UAP cannot measure up to even a new nurse ("Nurisng Legal Issues," 2006). The strategy of replacing registered nurses to UAPs may be cost-effective for the hospital. However, the quality of care that patients receive may be compromised. As there are more patients and lesser nurses, the practicing registered nurses are more tired and stressed. In addition to having more patients, these nurses have the additional responsibility of supervising the UAPs under their wing. If these unlicensed assistants make any mistake and compromise the health of a patient, it is the nurse who is still accountable. The use of unlicensed assistants helps the hospital in their cost-cutting ordeals, but does not help the nurse or the patient. If any, it only gives the nurse more workload and responsibility, and less personalized attention and care for patients. The utilization of UAPs would be more efficient if there are still more nurses. On the other hand, administrators claim that having more UAPs would relieve nurses of menial tasks such as taking temperatures, changing bedpans and feeding patients so that they can concentrate on assessment and devicing the plan of care (Gordon, 1995). This, however, redefines the nursing process to a kind of dettached and impersonal care, and cuts off the importance of the relationship that is built by the nurse with the patient to give utmost personalized care. The American Association of Nurse Attorneys has proposed that only the UAPs who have undergone competent training and evaluation be allowed to practice alongside nurses (The American Assoc

Swan lake Essay Example | Topics and Well Written Essays - 500 words

Swan lake - Essay Example The performance seemed to have been based on expression of the early and the late 1800’s Romantic ballets. The actors’ body movements, their facial expressions as well as the performance costumes, perfectly matched those that were used in during the era of Romantic Ballets of the 1800’s. Apart from the costumes, facial expressions and body movements, the actors also had facial and body make-ups that gave the Swan Lake performance a mood of the late and the 1800’s where, majority of the actors were women, with sharply painted lips, properly defined and eyebrows. On the other hand, men were also decorated with different make-ups that defined their age differences as well as social status. Additionally, the performance had a perfectly coherent classical background music that gave its audience various moods. The music generally gave a feeling of sadness added by the sad facial expression exhibited by some of the actors. In terms of lighting, the performance involved the use of different lighting colors, basically indicating the different moods of the idea passed across by the actors. The lighting was properly integrated with the background music in the sense that when, the music played at a faster frequency, a different background light was flashed. The performance had a happy ending, usually evident in most love stories. This is another feature that gave it a feel of the Romantic ballets that were common in the early and the late 1800’s. In as much as the performance had various features associated with Romantic ballets, the there was too much use of certain colors specifically, the white color that was used majorly by the lady actors. This color was too conspicuous and created a sense of boredom. In addition, there were some dull colors used by the male actors that made the performance quite dull and boring, thus reducing the overall quality of the performance