Monday, January 27, 2020

Self Reflection on Developing Confidence

Self Reflection on Developing Confidence Competence is difficult to measure and define because it is a complex concept (FitzGerald et al., 2001). As many people wrongly think, competence is not simply the satisfactory performance of a set chores; competence is much wider than that. Australian Nursing and Midwifery Council (2011) defines competence more extensively as the putting of skills, knowledge ,attitudes, values and power to perform that base productive and or better accomplishment in a professional area. Competence is one of the five main constructs of caring behaviours. To be able to demonstrate caring attitude as a well-trained professional nurse, one must first be a competent practitioner of the nursing profession. For a nurse to be fully competent there is the need to have a sound knowledge based on my area of specialty in other to function independently with confidence. Smith Straham (2004) identifies that the ability to teach requires considerable amount of confidence in ones professional career. A nurse who lacks confidence as a tutor is not probable to give up control of the ward or classroom to students. High self-efficacy is also really needed from me as tutor. One most significant aspect about teaching is that it also helps you develop your knowledge. Feeling unsure and uncertain as a nurse is not a good quality, I need to gain confidence as well as I have gained experience. As a staff nurse teaching student nurses is an important part of my duty, student will always turn to me for assistance and guidance in clinical care. Normally student nurses find it easier to approach newly registered nurses to ask for support and counselling. RELATING MY SKILL TO SECTION With latest exclusion of stimulated experience, traditional methods to clinical education in nursing have not been changed substantially for years. In this olden model, faculty instructors give instructions and evaluate learning for a group of 8 to 10 students and work as clinical experts and supervisors for them. Patient assignments are always received in advance and clinical experiences are planned for by reviewing procedures, pathology, drugs and nursing interventions. When teaching I interact with the student through the patient assigned to them but I lack confidence which is unprofessional. My priority though is my patient care first and the learning student a secondary concern. Their primary relationship normally is with faculty members. My duty also as a tutor in the ward is to work simultaneously with the students each day. Sometimes the presence of students in the ward can be seen as burdensome and interferes with my ability to provide patient care. Raines (2006, Pp. 8) stressed that nurses make a huge difference in also helping students have clinical competence and skills. When student nurses are allocated to staff nurses they begin to appreciate the full range of professional nursing roles and responsibilities but in a case where the staff nurse assigned to a student nurse lacks confidence what would the student feel? Clinical practice competence and skill competence both relies on role competence (ORourke, 2006). COMPETENCE AND NMC (NURSING AND MIDWIFERY COUNCIL) The National Council of State Board of Nursing (2005) defines competence as the power to act and apply Knowledge, interpersonal, directing and psychomotor skills to nursing practice role.Tiley (2008) noted that there is no definite and welcomed definition of competence in nursing education and practice. Notwithstanding competence is defined in unlike ways, there is a common goal: to guarantee nurses have the information, skills and power to perform duties expected and required for their practical settings. The word competence is acquired from Latin and it means having important qualities and abilities to function in a distinguishing ways. Nagelsmith (1995) explains the basis of professional competence as a set of vital and appropriate knowledge, skills and attitudes. There are different essential features needed to achieve competence: Perseverance of Knowledge, skills and abilities needed for graduates of nursing education programs, based on principles and legal necessity; Pertinence to current practice; Registration and licensing examinations by board of nursing; Board of nursing persistent education requirements for licensing; Employer watching carefully of required staff development modules, finishing of courses, demonstrations and examinations; Guidelines and accreditation for nursing practice. In addition, competences are required in practice as a profession because it is needed to always exercise ones professional responsibility and practice. Nursing and Midwifery council (NMC) included competence as a constituent in professional practice because as a professional you must keep your skills and knowledge current throughout your working life. Specifically you should take part as a matter of usual practice in learning activities that grows your competence and accomplishment. To practice capably in learning activities that develops your competence and performance. To practice capably one must have the knowledge, skills and abilities needed for lawful, safe and productive practice without direct supervision. One must recognise the extent of his or her professional competence and only attempt practice and accept responsibilities. It was also stated that if an area of practice is beyond ones level of competence or outside your area of specialization, you must get help and supervision. One also has a responsibility to assist the progress of students of nursing, midwifery and health visiting and others to cultivate their competence. Having accountability to deliver care based on current proof, best practice and where appropriate, validated research when available. RATIONALE WHY I NEED TO DEVELOP COMPETENCE IN THE CHOSEN AREAS Safe nursing practice in my chosen area, mental health at this level is typified by the use of nursing process to treat people with truly existing or potential mental health problems or psychiatric disorders to: advance and promote health and safety I should be able to evaluate dysfunction: help persons to get back or improve their coping abilities, increase strengths and stop further disability. In contributing to safe practice to the people in the society i have to develop my competence in a wide sphere of interventions ,including health promotion and health maintained plan of action, intake screening and assessment and triage, case management, milieu therapy, promotion of self care actions, psychobiologic interventions, health teaching, giving advice, critical situations care and psychiatric restoration. The nurse maintains accountability for maintaining competence in this area of mental health nursing practice through life long learning. Competence is an essential component in my professional responsibilities. Professional responsibilities also need me to recognise limitations and put myself in settings and duties that allows me to function safely. Minimum vital competence for safe practice is also essential for me they include essential features such as basic principles of nursing, critical thinking, interpersonal relations and areas of ethics. There is a lot of risk involved working as a mental health nurse; preventing suicide depends on the nurses ability to know about a persons suicidal risk status. In most cases mental health nurses are the most competent to attempt a full risk assessment of a suicidal patient. The general health professional is frequently placed in place of activity where potential patient suicide risk is sure through direct account from the patient, noting of behaviour or from patient history examination. In this clinical place of activity, the general nurse or allied health professional responsibility is to carry out a brief risk assessment and then refer to the suitable mental health professional for an inclusive psychiatric assessment (Department of Health, 2004). SELF ASSESSING AND MAINTAINING COMPETENCE IN THE CHOSEN SKILL In the field of nursing competence is required for nurses to make safe clinical decisions. Other methods for evaluating competence include self-assessment and the development of professional portfolios. The usefulness of self-assessment has helped me to maintain and improve competence in the aspect of teaching student nurses who wants to learn more in the area of mental health nursing. My individual competence has improved as I become more experience and the knowledgeable. In complying with my duties as a mental health nurse in supporting other skills development i will participate in team meetings where equal opportunities are given to share knowledge and ideas with colleagues. I will also engage in a teaching programme either as an instructor or a study under a preceptor. In addition improve my clinical practice by with self or others.

Sunday, January 19, 2020

Macroeconomics Assignment Essay

1)Fiscal policy is the government’s policy with respect to spending and taxation. It is set by the federal government. It impacts our economy in a couple of ways. Since government spending is a component of aggregate demand government spending on goods and services has a direct effect on the level of aggregate demand. Taxes also effect aggregate demand, however they do so indirectly. When tax’s rise or fall, they change the disposable income of households, which alters consumption. 2)All the different government agencies present congress with the total amounts of money they would like to run their agencies for the next fiscal period. Congress haggles and tries to balance a complete budget by approving & disapproving the various amounts. Eventually the budget goes to the Senate for approval & then to the President. 3)Automatic stabilizers are elements of fiscal policy that automatically change in value as national income changes. Three examples of automatic stabilizers are progressive income taxes, welfare benefits, and unemployment benefits. 4)Fiscal policy is different in different economic systems. The government tends to play a larger role in investment spending in developing countries. A reason for this is that state owned enterprises account for a larger part of the economic activity in developing countries then they do in developed countries. Developing countries tend to rely more on government rather than the private sector to build their schools, roads, and hospitals then developed countries do. In developed countries the government tends to spend more on social services then in non developed countries. Governmental taxes also vary. In industrial countries social security taxes are common, while in developing countries they are rare. In developing countries the taxes on international t rade are very important. Fiscal policy differs greatly depending on the economic system. 5)Progressive taxes mean as income rises so does the rate of taxation. Regressive taxes mean the tax rate falls as income rises. Proportional taxes mean the tax rate is constant as income rises. Taxes are usually progressive because they help offset the effect of lower income on spending. 6)Money has many functions. It can be a medium of exchanges, a unit of account, a store of value, and a standard of deferred payment. As a medium of exchange it is willingly accepted for the payment of products and services. As a unit of account we price goods and services in terms of money. This makes comparing relative values easy. As a store of value it is not perishable. It is durable, and has the ability to retain value over a period of time. As a standard of deferred payment debt obligations are written in terms of money values. 7)Liquidity refers to liquid assets. It is a measure of asset that can easily be exchanged for goods and services. It’s important to individuals and businesses to have liquid assets in order to easily make purchases. 8)A financial intermediaries are middle men between savers and barrowers. The role of them in our economy is to provide a safe place for us to deposit our money and earn some interest on it, and to have someone to barrow from if necessary. My bank functions as a financial intermediary by playing the role between a saver and a barrower. I may deposit 100$ in account, making me a saver. The bank may then turn around and loan 90$ to someone else needing to barrow. The bank charges higher interest rates on those who barrow then it pays to those who deposit, this is how the bank makes its profit as the middle man. 9)There are a few different factors that could cause the actual expansion of money to differ from the expansion multiplier. One is if banks hold more reserves than the minimum required, they lend a smaller fraction of new deposits, this reduces the effect of the deposit expansion multiplier. Currency drain (money being withdrawn from the bank and kept in cash) also reduces the deposit multiplier. The deposit expansion multiplier indicates the maximum possible change, not necessarily the real change.

Saturday, January 11, 2020

“An absolutely ordinary raibow” by Les Murray Essay

In Les Murray’s ‘An Absolutely Ordinary Rainbow’, there is a clear unconventional portrayal of the hero, and he shows many heroic concepts as a result of the dramatic techniques used to convey the notion of the weeping man not being society’s ‘conventional perception’ of a hero. The poems persona is simply an un-named ‘observer’ who tells the story, in a third person present tense narrative form (â€Å"they†) which assists in portraying the notion that a weeping hero actually did walk the earth and that its just not an event created in the mind, of the peoples and society’s reactions to this weeping man and the affects he has had on the people. The subject matter of this poem is the nature of this weeping man. A concept of the hero this poem communicates is that a hero is strong, he possesses the heroic quality of power. Les Murray develops this notion of a hero through un-conventional heroic forms. The first technique employed by Les Murray is listing. This technique is used to highlight the superiority and power the weeping man has over the people- heroic quality’s which come under the notion of his strength. because there is no actual description of the man’s physical superiority, his heroic strength lies in more mental aspects( uconventional heroic traight). This makes he’s quality of power even greater and more heroic because he has something which not everyone else can obtain and is thus harder to come by, he’s quality is special, unique and because of its power it is greatly feared (the strength which lies in a persons mind). The power and strength held in the man’s mind is so great that even â€Å"The fiercest manhood, the toughest reserve, the slickest wit amongst us trembles with silence(at the man)†. This listing emphasizes that he’s strength is greater than any other that exists. Evidence of the man’s immense mental strength is shown through listing and contrasting. The result of the sheer extent of his mental power is highlighted through him converting the once pessimistic skeptics of him,  Ã¢â‚¬Å"ridiculous, says a man near me†, into â€Å"believers†. What shows the power within his mind is so great and heroic, is in the way he executes and uses he’s quality. Through unconventional methods, rather than he speaking words to the people, he’s mind is so strong that he needs only show he’s mighty emotions to get his message across â€Å"he cries out†¦ not words but grief, not messages but sorrow†. Les Murray has contrasted the two opposites of communication, verbal(words,messages) and non verbal(grief,sorrow), ‘not’ and ‘but’, emphasize the superiority of the non verbal means. Therefore, the mans mighty power is he’s emotions, his weeping. The second concept of the hero put forward in the poem is of normality, it defies the orthodox visions of a hero which make him out to be a supernatural being. This poem presents that a hero is human and as the name of the poem suggests he is â€Å"ordinary† on the outside, however â€Å"he’s heroic qualities lie within-George V Higgins- Studies of poetry 2nd edition†. The hero’s normality is shown in the juxstapositioning of the allusion to Christ and supernatural beings through symbols which they are renowned for â€Å"some will say a halo or force stood around him† and the short blunt statement of â€Å"there is no such thing†. The specific positioning of the dogmatic statement â€Å"there is no such thing† boldly eliminates any truths behind the hero having any of these supernatural powers of halos and forces. Another technique used to emphasize the hero’s normality and to show that he is just an ordinary person is the use of diction and syntax in the final stanza. â€Å"He simply walks between us mopping his face†¦.man who has wept†. The word choice of ‘simply’ indicates connotations of naturalness, plainness and commonness towards the hero, while the position of ‘simply’ adds emphasis to the meaning that he is just an ordinary man among them, and â€Å"with his writhen face and ordinary body† has done something incredible, he has wept. Through he’s spontaneous weeping Les Murray presents a 3rd concept of the hero which is of a hero being mysterious and attention grabbing. The heroes mystery to the people is what he has to say or show, which in this case is hidden inside his weeping and furthermore the reason for his weeping. His ability to grab peoples attentions is shown through the observers constant curiousness and apprehensiveness. This is shown through the repetition of allusions to very popular social meeting places in Sydney and curious talk of this weeping hero going round and round these places reaching the minds of so many people â€Å"the word goes round repins, the murmur goes round Lorenzinis†. Also, the peoples immense desires to uncover the mysteriousness of the hero are shown through the metaphor where by the people are so enthralled with the weeping man that they yern and long his â€Å"tears† (his message, his reasons for weeping) â€Å"as children for a rainbow†. Through the hero’s use of his mysteriousness he achieves the heroic deed of being able to grab a sceptic peoples undivided attention, and have them in a position where he places himself in power to influence them in whatever means he wants. Through the use of techniques, Les Murray communicates interesting concepts of this unconventional hero effectively. The weeping man’s quality’s of being able to influence others and attain their attentions through his strength in sending across messages in unconventional ways make him heroic because he is just but a simple and ordinary man. Whether or not the weeping man achieved his un mentioned purpose is irrelevant, he is still a hero because he’s purpose may of just been to cause this widespread feeling of belief among disbelievers, which he accomplished and is shown in the last line â€Å"evading (converted) believers†.

Thursday, January 2, 2020

Servant Leader By Robert K. Greenleaf - 1310 Words

Introduction Servant leadership begins when a leader is selfless and understands the nature of being a servant. The term servant leadership was coined by Robert K. Greenleaf in â€Å"The Servant as Leader† essay which was published in 1970. The mindset of a servant leader is one who wants to give back to others first and believes in selfless service. The ability to lead and aspire to be selfless is a skill every leader does not have. Over time, servant leaders like Nelson Mandela and Angela Merkel have been seen in their perspective countries. From childhood to young adults, both Mandela and Merkel has should servant leader qualities in their demographics. Listening and learning from other are two of the essential skills needed to be a servant leader. When running and/or leading an organization, having experience in listening to their followers/peers is fundamental in understanding servant leadership. The nature of servant leadership is not only the character of the leader but the positives behaviors and matter in which the leader conducts themselves. Relationships are significance to a servant leader, it is vital to have individuals around the leader that has some of the same values and goals. As stated by Greenleaf, â€Å"The servant-leader is servant first†¦ It begins with the natural feeling that one wants to serve, to serve first. Then conscious choice brings one to aspire to lead. That person is sharply different from one who is leader first, perhaps because of the need toShow MoreRelatedSummary Of The Servant As Leader By Robert K. Greenleaf1459 Words   |  6 PagesPrior to his appointment as the Secretary of Veterans Affairs (SECVA) Robert (Bob) McDonald was already well-known for his advocacy and promotion of the concept of â€Å"Servant Leadership† a term first coined by Robert K. Greenleaf in 1970. The author first wrote about the concept of Servant Leadership in an essay titled â€Å"The Servant as Leader.† In his essay, Greenleaf recounted his reason for writing the essay, stemmed from the belief that the country was in a leadership crisis and he had a responsibilityRead MoreServant Leadership By Robert Greenleaf And Dirk Van Dierendon ck Essay1491 Words   |  6 Pageseveryone has a different definition of servant leadership. Some focus on specific characteristics required of leaders, others are more interested in the interactions with others. Nevertheless, there is more recently a large emphasis on servant leadership in ministry. Servant leadership is an incredibly integral part of being a healthy leader in ministry. Servant leadership requires you to be attentive, be a model of specific characteristics outlined by Robert Greenleaf and Dirk van Dierendonck, and theRead MoreServant Leadership By Robert K. 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Therefore, how do managers and leaders facilitate the engagement of their employeesRead MoreRole Of Serving And Leading Into One Philosophy Of Servant Leadership1265 Words   |  6 Pagesfollowers and leaders are thought to be powerful decision makers and as contrast as serving and leading can seam to be at first thought they can have much more overlapping roles. Helping others so they will in turn help you is by no means a new concept; it is one that has in fact been around for at least the last two thousand years. However, it was Robert K Greenleaf that took that general idea and reshaped t he roles of serving and leading molding then into one philosophy of Servant Leadership (KeithRead MoreMy Personal Model Of Leadership1593 Words   |  7 Pages â€Å"Where there is no community, trust, respect, ethical behavior is difficult for the young to learn and from the old to maintain† (Robert K Greenleaf). 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Leadership that moves to serve can impact educational organizations and strengthen a culture of educational professiona l learning. Crippen (2010) shares, â€Å"Servant leadership situates itself comfortably within