How to write a thesis paragraph for a research paper
Thursday, September 3, 2020
Meet Belise - Our New Minimalist WordPress Theme for Restaurants
Weve been occupied since our ongoing dispatch of Hestia, a marvelous material plan subject. While Hestia was a generally useful business topic, weve gone specialty with Belise, our most up to date expansion to the ThemeIsle shop. The Belise WordPress subject is centered around cafés, bars, and other food-related business. Its our first raid into the specialty, and were eager to give you everything that this topic can do.In this post, youll get familiar with the subjects usefulness just as get a look at some off camera stories and contemplations from our capable advancement team.What is Belise and who did we construct it for?In a nutshell, Belise is a premium WordPress topic for eateries, bistros, bars, bistros, tea housesanything identified with food and drink! It has a moderate and inviting plan, with white and beige shading emphasizes. The format and the general appearance are exquisite and permit you to put the attention on your delightful food and drinks.With Belise, you can sho w individuals your best food through excellent photograph exhibitions or the portfolio segment, stay up with the latest about up and coming occasions, permit clients to book tables on the web, and show your contributions in a perfect and basic menu.When it goes to its structure, the subject furnishes a full-width header with a reservation button, tasteful photograph displays, opening and shutting hours introduced in a pleasant table, a wonderful occasions list, a full-width embolden lace, and an incredible online storeâ for the individuals who need to take orders online.You can buy Belise legitimately from ourâ theme look for $99, which likewise incorporates the entirety of the other 20+ premium topics weve created.Get Belise +â 20 premium topics for $89Why and how we assembled BeliseBelise is ThemeIsles first endeavor to fabricate something focused towards eatery proprietors, while additionally staying adaptable enough that it tends to be adjusted for different uses too (more on this later!).The thought behind BeliseOriginally conceived from our CEOs thought of handling another specialty for the ThemeIsle store, Belise is the aftereffect of four months of work from our improvement group. Everybody attempted to make Belise a triumph, with Bogdan Popa heading up the general coding process.Its worth referencing that this topic is Bogdans first venture since he joined ThemeIsle back in October a year ago, and he worked admirably. We are on the whole glad for the finished result from Bogdan and the remainder of the team.So, marry love to wish generous congrats to Bogdan for his initially live WordPress subject since going ahead board. He imparted to me that he delighted in chipping away at this topic so much since he learned numerous new ideas during Belises development.One fascinating methodology Bogdan brought to Belise was to utilize a Jetpack module called Nova Menu for the food menu, an instrument that is not extremely well known among the WordPress subjec t designers. It is really utilized by one single topic (our own being the second) and he didnt have any documentation accessible when he built up that specific segment. So he took the module and made it coordinate the general topics structure. The outcome? Unadulterated magnificence. Heres Bogdan:Jetpacks Nova Menu appeared to be a reasonable decision since it coordinated Belises structure well overall and it looked extraordinary as well. So I redid and balanced it a piece and you perceived how it went eventually.Behind the locations of our name choiceYou may see a comparability between Belise the topic and the nation of Belize. That is no incident! We as of late ran over Belizes differing and alluring food culture and figured the name will coordinate our subjects reason perfectly.Whats more is that Belizes shore line is edged by the Caribbean Sea (and since we are the WordPress piratesyou associate the dots).Heres Wikis word on Belizean cuisine:Belizean cooking is an amalgamation o f all ethnicity in the country, and their separately wide assortment of nourishments. It may best be portrayed as both like Mexican/Central American cooking and Jamaican/Anglo-Caribbean cuisine.Of course, we didnt get the opportunity to explore different avenues regarding the conventional food of Belize, nor have we at any point tasted any of their plans. Be that as it may, the possibility of such assorted variety appeared to be near what we were attempting to achieveâ in the primary spot, which is the reason we went with it for the name.ThemeForest submissionApart from being accessible here at ThemeIsle, Belise is additionally live on ThemeForest, from where you can download it without anyone else for just $49. Along these lines, on the off chance that you like to just purchase Belise without the whole bundle that contains the entirety of our premium WordPress subjects, you can download it from ThemeForestà instead.Get Belise for $49Belises featuresLets dive a piece into Belises center to see the entirety of the incredible featuresâ that come bundled with it.Responsive structure. Clearly. ðŸâ¢âElegant portfolio by means of Jetpack. The portfolio proves to be useful at whatever point you need to grandstand your items dishes, drinks, whatnots. The portfolio works with the assistance of the Jetpack plugin.Food menu incorporated by means of Jetpack. In the event that youre building a café site, at that point indicating the menu is a flat out must, no two words about it. The menu page in Belise is spotless and negligible, which lets you put your dishes as a matter of first importance. The menu itself works by means of the Jetpack module and its Nova Menu module.Events segment by means of the Events Organizer module. In the event that your eatery or bar has occasions of any sort (music, challenges, workmanship exhibitions, and so on.) at that point you will without a doubt appreciate the likelihood to feature these occasions with Belise. This is accomplish ed through the Events Organizer plugin.WooCommerce prepared. Possibly you dont need to simply serve food at the table yet additionally take orders for home conveyance or sell different items out and out. Since Belise is 100% WooCommerce well disposed, that is anything but difficult to do.Custom hues. You likely need your site to coordinate your brands hues. Dont stress! We brought you boundless shading choices, so don't hesitate to blend/consolidate them the manner in which you like no limitations at all.Live customizer upheld. Any change you make can be seen continuously, without leaving the customization page. No mystery included while altering your website.Intuitive contact structure by means of the Pirate Forms module. Offer your customers a basic and fast approach to get in touch with you. For a café, client input is basic to improving your administration. We incorporated our Pirate Forms module with Belises configuration to make a dazzling contact page.Translation prepared. B elise can be converted into any language, so youre never restricted to simply English.Custom foundations. Change your destinations foundation to a custom shading or picture from your PC. Its everything up to you what your site resembles in the end.Aà multipurpose WordPress themeEven however weve manufactured Belise explicitly for eateries, its in no way, shape or form constrained to that utilization. Belise has a multipurpose plan and gives all the highlights that youd expect in a multipurpose WordPress subject. Our essential objective is consistently to manufacture an item to meet the entirety of our clients needs and give them the adaptability expected to make a dazzling site.Bogdan accentuated this perspective himself:Belise is a topic that we present as an eatery topic, and we built it in view of this viewpoint, yet it very well may be adjusted for some other reason because of its extraordinary adaptability and the wide look of its interface.If you tweak it, it works for nearly anything. Don't hesitate to utilize Belise for music groups, celebrations, online shops, resume and portfolio destinations, or organizations like new companies or inventive offices. Or then again anyplace else your creative mind takes you!Sites that utilization BeliseHere are a few instances of early employments of Belise by our customers:à à Have a cool site worked with Belise? Let us know.Check out the free form of BeliseIf you like Belise, yet you dont have a very remarkable spending plan to put resources into your next subject, weve got some extraordinary news: theres likewise a free form of itâ available: Belise Lite.And prepare to be blown away. It is so highlight rich as the exceptional subject. We need you to capitalize on Belise, regardless of what your spending plan is.Download Belise Lite for freeWhats next for Belise?New café modules and pluginsOn an alternate note, we are wanting to improve Belise much more by including more modules, modules, and components that wi ll make the topic shockingly better for eatery sites utilizing WordPress. We havent set a cutoff time for this yet, yet its in our arrangements for the close future.And that finishes up our presentation of Belise, the latest topic in the ThemeIsle family. We would be more than happyâ if youd investigate and imparted your musings to us. Likewise, stay tuned for much more news and discharges that are in transit.
Saturday, August 22, 2020
FEU Admission Policies for incoming Freshmen Essay Example for Free
FEU Admission Policies for approaching Freshmen Essay The accompanying arrangements for confirmation and maintenance will be powerful School Year 2012-13 and apply to all approaching rookies and transferees entering the school in that school year. 1. All approaching first year will be dependent upon the Universityââ¬â¢s confirmation necessities, as regulated by the Admissions Office 2. Understudies seeking after a degree in Accountancy will be enlisted at first in the Bachelor of Science in Business Administration-Major in Internal Auditing program (BSBA-IA). 3. To be qualified for admission to higher investigations in the BSBA-IA program, BSBA-IA understudies will breeze through a passing assessment to be managed by the Institute after they have taken Fundamentals of Accounting Part 2. This is generally planned close or toward the finish of the 1stSemester in the second year of the educational program. Understudies took a crack at other BSBA majors who have finished 12 units of Fundamentals of Accounting Parts 1 and 2 may take the assessment and be admitted to the BSBA-IA program whenever qualified. The consequence of the passing assessment is conclusive and not expose to advance; no retakes are permitted. Non qualifiers will be encouraged to move to another BSBA major. Non capability after this first passing assessment is a changeless exclusion from the BSBA-IA program. 4. To stay in the BSBA-IA program the understudy must meet the entirety of the accompanying necessities: A. GWA of 2. 0 or better in all bookkeeping, law, and tax assessment subjects, with no evaluation lower than 2. 5 in any of these subjects B. Understudies may proceed in the program just if the non-qualified subjects are re-selected and the necessary passing evaluation is achieved. C. Finish a thorough assessment toward the finish of every scholastic year covering every single significant subject in the year level for the scholarly year; fruitless examinees might be encouraged to move to another major, re-enlist a few courses, or retake the assessment. Understudies who don't meet the evaluation prerequisite are banished from taking the far reaching assessment. 5. All fourth year BSBA-IA understudies who have finished all course prerequisites will be qualified for graduation with the BSBA-IA degree. To be admitted to fifth year BS Accountancy, the understudy must breeze through a composed extensive assessment to be taken toward the finish of the 4thyear, BSBA-IA, Non-qualifiers may retake the exhaustive assessment any number of times to fit the bill for fifth year BSA 6. To meet all requirements for graduation with the BSA qualification, the understudy must breeze through a thorough composed assessment toward the finish of the fifth year; non passers may retake the assessment any number of times until at long last qualified. Understudies who come up short for the third time will re-enlist at any rate 6 units of fifth year subjects as suggested by the Dean or Associate Dean. Finishing the composed complete assessment is a flat out prerequisite for graduation.
Friday, August 21, 2020
Horatio In Hamlet By William Shakespeare Essays - Fiction
Horatio: In Hamlet By William Shakespeare Horatio's job in the play Hamlet, which was composed by William Shakespeare, is critical. In any case, Horatio was the individual who educated Hamlet concerning the phantom. He likewise had the activity of watching Claudius while the play was going on so as to check whether he indicated his blame. Ultimately, toward the finish of the play, Horatio needed to come clean with everybody about Hamlet. Hamlet couldn't do it without anyone's help since he passed on alongside eight different characters. Hamlet could never have thought about the phantom of Old Hamlet in the event that it were not for Horatio. Marcellus and Bernado, who were just monitors; they looked for the counsel of Horatio all together that he would likewise observe this spirit. Since Horatio was such an old buddy of Hamlet's, he was the one picked to let him know. ?Let us bestow what we have seen today Unto youthful Hamlet; for, upon my life, This soul, moronic to us, will address him. (I, , l 180-187) Horatio, at that point disclosed to Hamlet the report about the phantom of Old Hamlet and that is the point at which the entire show of the play started. Hamlet states, ?I implore all of you, If you have up to this point covered this sight, let it be viable in your quietness still;(I, iii, L 269-270) This scene is likewise noteworthy on the grounds that Horatio is the main other individual who saw the apparition as well as comprehended what he told Hamlet. After the phantom mentioned to youthful Hamlet what occurred, Hamlet needed to structure an arrangement to make sense of if the apparition was from paradise or damnation. He at that point chose to utilize the players as snare so as to perceive how the King acted to the play. After the arrangement was set up, Hamlet asked Horatio to go along with him and watch his uncle during the play so as to see his response Claudius' response was clear, Give me some light. Away! (III, ii, L 295) This strengthens Hamlet's perceptions about the King's blame. Horatio then gives news back to Hamlet about the Kings response. Presently, Hamlet may design his vengeance. Hamlet chose to execute Claudius while he was accomplishing something malicious. Whenever Hamlet at long last got the opportunity to slaughter him, he contemplated internally, And now I'll do't. Thus he goes to paradise, And so am I *revenged* That would be filtered: A scalawag executes my dad, and for that, I, his sole child, do this equivalent miscreant send to paradise. (III, iii, L. 80-93) Hamlet expected to trust that Claudius will do malevolent, at that point he would slaughter him. At the point when Hamlet bites the dust alongside numerous different characters in the play, he gives Horatio the errand of explaining to everyone why Hamlet had faked frenzy. He told Horatio, But I do forecast th' political race lights on Fortinbras; he has my withering voice. So let him know, with th' occurrentes, more and less, which have solicited?the rest is quiet. (IV, ii, L 393-395) At one point Horatio needed to complete the harmed wine, yet Hamlet persuaded him to recount to his story. It is presently demonstrated how significant Horatio's job has been all through this play. Horatio, Hamlet, and the phantom of Old Hamlet were the main individuals who really knew why Hamlet was acting the manner in which he was. This play contained numerous basic topics identifying with a feeling of remorse. Hamlet is the primary work of writing to take a gander at the lie and trick of regular day to day existence, without snickering and without simple answers. (Friedlander, p.1) English Essays
Wednesday, June 10, 2020
6 Common Mistakes in a Dissertation Proposal
6 Common Mistakes in a Dissertation Proposal What can prevent you from getting a high mark in your Dissertation Proposal? 1. No problem statement. Many students just pick a topic that seems fun and not too difficult to explore. However, your dissertation must attempt at resolving a particular problem. The problem should be current, important and clearly explained in the first paragraph of your introduction. 2. Lack of novelty. Apart from stating the problem, you need to find a novel angle to approach it from. Think carefully of what might have been missed by others and how your dissertation can fill the gap. 3. Overly broad topic. Trying to add much value and stand out with your project is understandable. However, this ambition can lead to choosing a topic too big to be adequately covered in a single dissertation. Mind the scarce time and donââ¬â¢t promise more than you can deliver. The university staff are too well-aware of what can be achieved within the given limits. A humbler and more realistic aim stands a better chance of approval. 4. Too few sources. For a winning proposal, you will usually need no less than 10 strong academic sources (both books and journal articles) per 1,000 words. â ⬠5. Old sources. Tutors often frown upon proposals where most references are older than 3-5 years. It is best to cover the latest research. 6. Research method is unclear. The readers of your proposal should be able to see clearly not only WHAT you want to accomplish, but also HOW you are going to do it. Make sure to specify how you are planning to collect and analyse your data, how many responses you will need and how they are to be obtained. Explain why you have selected these methods. At 15 Writers, we offer a custom Dissertation Proposal writing service. If you need help getting started with your Dissertation. Click here to order yours today.
Sunday, May 17, 2020
The Da Vinci Code by Dan Brown Book Review
The Da Vinci Code by Dan Brown is a fast-paced thriller where the main characters have to decipher clues in artwork, architecture, and riddles to get to the bottom of a murder and save themselves. As a thriller, it is an O.K. pick, but not as good as Browns Angels and Demons. The main characters discuss unsubstantiated religious ideas as if they are facts (and Browns Fact page implies that they are). This may offend or annoy some readers. Pros Fast pacedInteresting riddlesUnique idea for suspense novel Cons Predictable outcome if you have read other Brown booksUnbelievable storyMisleading Fact pageCharacters propose unsubstantiated religious theories that will be offensive to some Description Robert Langdon, a Harvard symbologist, gets caught up in a murder investigation in the LouvreSecret societies, family secrets, clues hidden in artwork, and a Church conspiracyA suspense novel that is easy to read, if not believable The Da Vinci Code by Dan Brown:Book Review I read The Da Vinci Code by Dan Brown years after its initial release, so my reaction is probably different than those who discovered it before the hype. To them, perhaps, the ideas were novel and the story exciting. For me, however, the story was so similar to Browns Angels and Demons that I found it predictable and was able to guess some of the twists early on. As a thriller, it definitely kept me reading at points, but I never got as lost in the story as I would have liked. I would only rate the mystery as O.K. and the ending as somewhat disappointing. The Da Vinci Code is a thriller, and should be taken as such; however, the premise of the story undermines the tenets of Christianity, thus the novel has stirred up a lot of controversies and spawned several nonfiction works debunking the theories discussed by characters. Does Dan Brown have an agenda other than entertainment? I dont know. He certainly set the stage for controversy with the Fact page at the beginning of the novel, which implies that the ideas discussed in the novel are true. (Brown has since backed off the implications of the Fact page on his official website. There are also several points where the tone of the novel is sort of condescending in the presentation of its religious and supposedly feminist ideas. For me, the controversial ideas just came across as annoying in light of the mediocre story.
Wednesday, May 6, 2020
The Breakdown of Family Life - 877 Words
ââ¬Å"There is an increasing concern about what some politicians have described as the breakdown of family life and they have suggested that the only way to fix a broken society is to place more emphasis on marriage and a return to traditional values.â⬠Examine what are commonly believed to be traditional values . How far, and for what reasons, do you agree that we are currently witnessing the breakdown of traditional family life in Britain? Traditional values simply means coming from tradition rather than any specific philosopher, moralist or writer. Since the 1970 s, traditional values have become synonymous with family values and imply a congruence with mainstream Christianity, and have been inâ⬠¦show more contentâ⬠¦The Archbishop of York used this argument in a piece in the Guardian when referring to the complementary nature of men and women . However, if this is the case, it is therefore unfair for heterosexual couples to marry if either is infertile as they cannot pro-create either. Arguments based on the traditional family life will always be insulting to homosexuals as there is no proof they are not capable of being able to raise children and be good parents regardless of their gender. According to the Office of National Statistics, more people are living alone, are being raised by single parents, and an increasing amount of grown up children are still living with their parents than in previous years. The nuclear family has been described by one expert as a museum piece , emphasising the fact that it is a part of history now. Figures showed that 30 percent of women under 30 had given birth by the age of 25, while 24 percent had married, showing having children is more of a first major milestone to adult life than getting married. These statistics in comparison to 1971 show an extreme difference: three quarters of women were married by 25, and half had given birth. The statistics also showed that the number of adults living alone doubled in generation, from 6 percent to 12 percent due to divorce, death or marrying at a later age. In reference to the above statement, the nature of family has changed significantly in the past 30 years so the government are correctS how MoreRelatedThe Effects Of Violence On Young Adults1575 Words à |à 7 Pagesdisorganized, disintegrating family lives. This often leads to aggression and opposition toward others outside the family. Young adults in todayââ¬â¢s society are in a constant struggle with the simplest issues in life. This is due to the childââ¬â¢s inability to have a strong parental attachment to one or both of their parents early on in his or her life; furthermore researchers have linked this to violence in young adults. Issues in Todayââ¬â¢s society The breakdown of the family ensures that these young adultsRead MoreSetting And Attachment Theory Of A Family966 Words à |à 4 PagesAND ATTACHMENT THEORY A. John Bowlby. C.Main and Solomon B. Mary Ainsworth II.SECTIONS ON TRANSITIONS A.Moving to School B.Starting and Moving Through Day Care C.Birth of a Sibling D.Step Families/ Adoption or Foster Care E.Moving Home F.Living Outside of the Home G.Family Breakdown H.Loss of Significant People I.Moving Between Settngs or Carers I.There are a number of Significant theories of ATTACHMENT that we should be aware of when considering children s overall development.ATTACHMENTRead MoreReflection Of Persepolis1165 Words à |à 5 PagesSatrapiââ¬â¢s graphic autobiographyà Persepolisà concentrates on her life during and after the Islamic Revolution as well as her journey to self-identification. Additionally, Satrapiââ¬â¢s life perfectly captures the painful experiences many Iranians went through living under an authoritarian regime. However, her experiences also highlight the social and psychological hardships many immigrants continue to face. So, highlighted specifically in Satrapis life were two different experiences during the downfall of theRead MoreEssay On Broken Family758 Words à |à 4 Pages1.3. Broken Family/Marital Breakdown/Family Breakup: A Broken Family consists of a biological family that has separated for specific reasons that may result in single parent families, step families or blended families. Concept of Broken Family: Marriage is a system of binding a man and woman together for the reproduction, care (physical/emotional), and socialization of offspring. Marriage is a social and legal contract between a couple and the state in which they reside that regulates their economicRead MoreEssay on Family Unity And Moral Values1210 Words à |à 5 Pages Family Unity and Moral Values nbsp;nbsp;nbsp;nbsp;nbsp;The increase in the number of divorces and the decrease in the number of marriages does not reflect a breakdown of the family unit in the United States and the decay of moral values. quot;I dont think divorce is as big of problem as politicians make it out to be. Yes, many couples get divorced, but their children can still have stability and grow up to be good people.quot; (Price) The breakdown of the family unit in the United StatesRead MoreThe Myth of the Nervous Breakdown Essay1021 Words à |à 5 Pages The nervous breakdown, a mysterious affliction that has been a staple of American life for more than a century has been wiped out by the combined forces of psychology and pharmacology. The question remains however, why do people keep breaking down? The term nervous breakdown is inexact. Nervous breakdowns are no longer thought to be conditions of the nerves, but of the mind. It seems psychology, over the years, has separated the term nervous breakdown into more definite categories. TodayRead MoreSummary Of August Wilsons Fence1095 Words à |à 5 PagesThe significance of play ââ¬Å"Fenceâ⬠by August Wilsonââ¬â¢s start from the setting part partially he was trying to show the structure of troy family. ââ¬Å"The yard is a small dirt yard, partially fenced, except for the last scene, with a wooden sawhorse, a pile of lumber, and other fence-building equipment set off to the side. Opposite is a tree from which hangs a ball made of rags. A baseball bat leans against the tree. Two oil drums serve as garbage receptacles and sit near the house at right to complete theRead MoreSpirituality Is The Fundamental Element Within The Formation Of Indigenous Identity1301 Words à |à 6 Pagesbeen severely damaged. Since 2009, Deadly Choices have effectively empowered Aboriginal and Torres Strait Islander people to make healthy choices for themselves and the ir families. Deadly choices offers an effective path to help Indigenous people reconnect to their land, culture and beliefs through the identification of the breakdown of spirituality and thus, providing a variety of educational programs about health and leadership to support in the recovery of their lives. Furthermore, the employmentRead MoreMarital Breakdown and Divorce Essay1094 Words à |à 5 Pages Marital Breakdown and Divorce Over the last 40 years, sociological research has provided statistics suggesting a significant increase in the number of marriages ending in divorce. In this essay I aim to justify this increase and explain why statistics may give a misleading picture. The way I have decided to structure this essay is firstly to look at a brief history of the laws governing divorce over the last century, then to discuss the statistics and finally to concludeRead MoreWhat are the consequences of the breakdown of the traditional family for American society?1236 Words à |à 5 Pagesthe consequences of the breakdown of the traditional family for American society? Definition of family: The Western world regards the family as consisting of two or more people who consider themselves related by blood, marriage, or adoption; also known as a nuclear family. The extended family includes grandparents, aunts, cousins, etc. The changing family: At one time families worked together on farms, family trade, etc. They worked as a family to provide for the family. Parents instilled in their
A Reflection of Five Weeks of the Co-Operative Nursing Experience free essay sample
A Reflection of Five Weeks of the Co-operative Nursing Experience Rebecca Tutt, RN University of Texas at Arlington In partial fulfillment of the requirements of N3300 Specialized Topics in Nursing (Co-Op) Beth Mancini, RN, Ph. D. March 7, 2013 Online RN to BSN Introduction The co-operative nursing assignment has given me the opportunity to use my critical thinking, decision-making, leadership, and clinical nursing expertise learned throughout the RN-BSN program. The fostering of critical thinking as one of the terminal learning goals of nursing education based on the idea that critical thinking is important not only in the nursing workplace, but also in nursing educationâ⬠(Shin, Jung, Shin amp; Kim, 2006, p. 233). My critical thinking skills have been enhanced throughout the program due to class assignments and the use of professional nursing journals. Critical thinking was used to set the three goals that will be reviewed in this paper, from data-gathering skills to decision- making skills. Leadership and communication skills are essential for my role as nursing supervisor in an ambulatory primary care clinic. The RN-BSN program leadership and management class has been valuable in my growth as a leader. Nurses in management roles ââ¬Å"must be skilled communicators and relationship builders, have knowledge of the health care environment, exhibit leadership skills, display professionalism, and demonstrate core leadership competencies (Sullivan, 2012). I used these leadership skills while completing my team dynamics goal that will be reviewed in this paper. Throughout the last five weeks of the co-operative nursing experience, I have seen my skills, behaviors, and attitude change. Prior to starting the three projects for this class, I was still lacking confidence at times when coaching members of my nursing team. I became timid and listless, which became obvious since it was not my normal behavior. All three of these characteristics have improved while working on both the professionalism and team dynamics goals. In coaching a medical office assistant last week for not meeting the expectations of her job, I kept a professional attitude and remained confident. The medical office assistant corrected the issue immediately and has continued to meet the expectations of her job since the coaching session. Evidence Based Practice The evidence based practice goal that I set was to identify one patient education topic in my primary care clinic that needed improvement. I planned to monitor incoming patient telephone calls and survey the patients after visit summaries for two weeks to identify the topic. I was able to quickly identify my topic as patient education regarding an accurate medication list and understanding the completion of medication reconciliation at each office visit. In the outpatient setting, safe medication management presents a greater challengeâ⬠(Leonhardt, Bonin, amp; Pagel, 2007, p. 8). While speaking with patients on the phone, I found that we were not doing a good job of educating them about the importance of an accurate medication list. A significant number of patients were taking over- the-counter and herbal medicati on that could have interacted with some of their prescriptions, but they were not on the current medication list in the electronic medical record [EMR]. These conversations reinforced that additional patient education was needed. I collaborated with staff; researched patient education of medication list, and read peer reviewed nursing journal articles to compile an appropriate resource guide for the nursing staff to use as an educational tool with our patients. A key strategy recommended by national and international patient safety experts is to engage patients in the medication process through a collaborative relationship with their providers (Leonhardt, Bonin, amp; Pagel, 2007). I collaborated with the Clinical Staff Assistant [CSA] supervisor to start engaging the patients about the medication from check-in through their office visit. To do this, we implemented giving the patient a copy of the current medication list we had on file and asking the patient to review and make corrections to the list as needed. When patients are brought back for rooming, the nurse or medical office assistant will review the printed list with the patient prior to documenting in the EMR. During the office visit, we will review polypharmacy and are adding a document to our resources section of the EMR egarding polypharmacy and accurate medication list that will be given to all patients. I have always been aware of the importance of accurate medication list, but was not reviewing this often enough in our patients EMR. As a result of this project, I have made an audit tool for myself as nursing supervisor to complete every two weeks. I will check the EMR to make sure the medication list was reviewed accurately and I will check to make sure the patient education tool added to the resources is being given to all patients. Improvements in patient safety in the clinic setting require physicians, nurses, and administrators to commit to identifying structural and process changes that make it easier to provide consistently safer careâ⬠(Schauberger, amp; Larson, 2006, p. 421). Professionalism The professionalism goal that I set was to develop a preceptorship program for my clinic that would provide socialization, team support, and clearly defined expectations of professional behavior and performance for new nursing staff. To achieve this goal, my plan was to seek guidance from the American Academy of Ambulatory Care Nursing [AAACN] and the clinical nurse educator assigned to the clinic through the administration. I also used nursing journals for reference and research of nursing preceptorship programs. ââ¬Å"The importance of nurse preceptors in helping to educate new nurses cannot be overemphasized as they mentor new nurses and help them to visualize the range of roles they will perform in a variety of clinical settingsâ⬠(Paterniti, 2006). The preceptorship program was a large task to tackle. I started by meeting with LaBecca Doyle, RN, BSN, MA, clinical nurse educator. She was insightful and gave me tips on how to research preceptor programs. At that point, I started researching program styles and looked to see if any of the clinics in our building had a program that could be modified to fit my clinic. I then began looking at the current staff to see who had the right skill set to be a preceptor in the ambulatory setting. After selecting three nurses, one from each POD, I set up a meeting to collaborate on this project. I brought all of the articles and outlines regarding preceptor programs to the table. The collaboration with the nursing staff was contributory to achieving the goal of implementing a preceptorship program within our clinic. We all agreed on making a binder with an outline of the program, which would include the description of the preceptorââ¬â¢s role, position relations, role responsibilities, an orientation agreement between the preceptor and the orientee, an agreement between the preceptor and the nursing supervisor, and instructions to the preceptor. I began working diligently on the project and was able to complete the binder prior to a new nurse starting on May 7, 2013. As a result of pursing this goal, my leadership skills, collaboration skills, communications, and relationship skills have been enhanced. The support by the preceptorââ¬â¢s colleagues and the nurse-manager are imperative to meeting the organizations expectations to prepare the new nurse to function independently (Paterniti, 2006). Additional changes to my role after the implementation of this program will be to meet weekly, when we have new hires, with preceptors and new nursing staff. The preceptor will remain with the new nurse for four weeks, but ââ¬Å"time, environment and expertiseâ⬠(Modic amp; Schloesser, 2006) will also play a factor in the orientation time. A nurturing environment is essential for optimal growthâ⬠(Modic amp; Schloesser, 2006), so making sure each nurse is given to best scenario to success will be my job as the nursing supervisor. All of this will allow me to build important relationships with the staff as well as to review the program and see if changes are needed. Team Dynamics The team dynamics goal that I set was to identify the nursing role of team empowerment and the relationships between team members, team environment, and job satisfaction within POD 3 of my clinic. I planned to achieve this goal by observation, interaction, and a survey to empower the team members with clear and jointly developed goals. I wanted to make sure there was an appropriate mix of skills and expertise within the team, and reward team performance appropriately. In completing the observation phase of my goal, I was able to look at the POD 3 team, as I had not done before. I not only observed their nursing and medical office assistant skills, I also looked at their interaction with each other. During this time, I was able to see that communication was not always accurate. When providers came out of patients rooms and directed the wrong nurse to complete a task, they became frustrated because they had their own provider to support. This experience, even though trying, was still contributory to my end goal. To have a team that is truly working together, we had to have the physicians on board as well. My initial thought was to only look at nursing; I realized I needed to look at the physicians as well. I went back to my original goal and decided to add the physicians in the mix of team dynamics. I plan to collaborate with the nursing staff to see what they think will help resolve this problem. ââ¬Å"When nurses are able to contribute to practice decision-making, including policy development and equipment selection, they are likely to have a stronger connection to their work setting, thus promoting retentionâ⬠(Friese, amp; Himes-Ferris, 2013, p. 153). I have also planned a lunch for the end of May with all of the nursing and provider staff from POD 3 to collaborate on how we can communicate better as a team. In assessing job satisfaction of the nursing staff in POD 3, I made a survey to be completed anonymously and placed it in a sealed box. I read many nursing articles regarding job satisfaction and based the survey from those articles. The results were overwhelmingly positive with great comments about their peers and provider. One nurse stated, ââ¬Å"This is the best team I have worked with in a long time and it makes me look forward to coming to work each dayâ⬠(C. P, personal communication, May 3, 2013). Although the majority of the survey results were positive there did seem to be a problem with the location of nursing staff to providers. I looked at the seating assignments and feel like a few adjustments can be made. I also believe that this change may help with the problem of the provider seeking out the wrong nurse to assist him. As a result of pursuing this goal, I have enhanced my observations skills as well as my leadership skills. After the first observation of POD 3, I realized that I too walked around with blinders on. I was solely focused on if the nursing staff was completing the tasks they were assigned, and if they were using the EMR correctly. By stepping back and observing, I learned that this team is empowered by each other. Their skills sets are complimentary of each other allowing them to assist each other in various ways without having to seek out additional help from other PODââ¬â¢s. The lead nurse in this POD is interactive with all of the team members and appears to communicate effectively with everyone. I think pursing this goal has increased my knowledge as a team leader and I have built better relationships with all of the nursing team. Conclusion and Impact on Practice I found that reflective journaling of each day made me stop and look at how I was performing as a nursing leader. I gained insight and confidence from journaling because it let me see my accomplishments for each day and it allowed me to see that I was leading by example. It also showed my continued growth in professionalism, which was seen on many occasions while interacting with staff on all levels. At first, writing goals to achieve in a five week period made me nervous. I have continuously incorporated healthier time management skills using Coveyââ¬â¢s Model, which I learned about in Professional Nursing Aamp;B. I have been successful at managing my time, but I had no idea where I would find time to complete the three goals. By using this model and other time management skills, I was able to complete the three goals and maintain my daily nursing supervisor tasks without a lot of extra stress. This increased my confidence as a nurse and a leader. I believe the experience gained from setting goals of evidenced based care, professionalism, and team dynamics has helped expand my organizational skills as well as my nursing knowledge. My philosophy of nursing has only been enhanced from all of the RN-BSN program classes. I believe the core of nursing is the actual care and caring for the patient. In my opinion, patient-centered care allows nurses to give the highest quality care. Patients want nurses who are engaging them to be involved in their own care as well as being caring, compassionate, trustworthy, and advocates for them. ââ¬Å"The nurse strives to provide patients with opportunities to participate in planning care, assures that patients find the plan acceptable and supports the implementation of the planâ⬠(American Nurses Association [ANA], n. d). While searching for my patient education topic for this paper, I found many of our clinic patients wanted to be more engaged in their care. They wanted to understand the importance of possible interactions of over- the-counter medications with prescription medications as well as why they should tell their healthcare team when they are adding and deleting medications from their daily regimen. Each step in the co-operative nursing experience as well as all of the other RN-BSN classes has influenced my nursing practice in a positive manner. My effective listening skills were enhanced while speaking with patients and members of my nursing team. I have gained a better foundation and understanding of evidenced-based practice through the research articles, which has reinforced my philosophy of quality care for the patient. I have become a better leader for my nursing team by being more knowledgeable of professionalism in nursing. I enhanced my knowledge of team building skill and activities through the successful completion of my team dynamics goal. Over the last five weeks, I have grown as a nurse and a person, which will allow me to continue to be an effective nursing supervisor as well as a competent individual contributor to nursing. References American Nurses Association. 2010). Code of ethics for nurses with interpretive statements. Retrieved from http://nursingworld. org/MainMenuCategories/EthicsStandards/ CodeofEthicsforNurses/Code-of-Ethics. pdf Friese, PhD, RN, AOCN, FAAN, C. R. , amp; Himes-Ferris, MPH, L. (2013). Nursing practice environments and job outcomes in ambulatory oncology settings. THE JOURNAL OF NURSING ADMINISTRATION,à 43(3), 149-154. Retrieved from http://deepblue. lib. umich. edu/bitstream/handle/2027. 42/96543/Nursing practice environments and job outcomes in ambulatory oncology settings. pdf? sequence=1 Leonhardt, MD, MPH, K. , Bonin, RHIA, CPHQ, D. , amp; Pagel, RN, BSN, P. 2007). How to create an accurate medication list in the outpatient setting through a patient-centered approach. Retrieved from http://patientsafety. org/file_depot/0-10000000/20000-30000/24986/folder/65244/medtoolkit. pdf Modic, M. B. , amp; Schloesser, M. (2006). Preceptorship. journal for nurses in Staff Development,à 22(1), 39-40. Paterniti, T. (2006). The successful nurse preceptor. Pulse,May, 25-29. Retrieved from http://www. hypnosisdfw. com/PULSE0506. pdf Schauberger, M. D. , M. S. , C. W. , amp; Larson, R. N. , M. S. , P. (2006). Implementing patient safety practices in small ambulatory care settings. Joint Commission Journal
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