Friday, December 27, 2019

Evidence Based Practice - 4004 Words

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn. Evidence-based Practice (EBP) is†¦show more content†¦I did not choose PsychInfo or Social Care Online and several specialist databases as I did not want to get any articles that focus on other perspective other than nursing. I asked the search engine to look for heart failure in the title section of articles and also lifestyle as secondary to it. I also used quotation marks to specifically search for heart failure rather than search each word individually. To further refine my search, I went onto the chronic heart failure filter. Using these search criteria, I was able to pick the primary evidence that fits best to my aims. I used the Cochraine Library to search for my secondary evidence as it is best to look for systematic reviews which is a form of secondary evidences. I used the advance search feature of the database. I performed the search using heart failure with quotation marks in the title section of articles. I also used quality of life and exercise in the abstract of possible articles as keywords. As well as this, I used the search engine’s function to only show results restricted to systematic reviews. Using these search criteria, I successfully chosen my secondary evidence. The primary evidence that I have chosen is a study conducted by Brodie et al (2008) about how a physical activity ‘lifestyle’ intervention based on motivational interviewing, compared to standard care, can improve quality of life for people with chronic heart failure. The authors of this article included an account of itsShow MoreRelatedEvidence Based Practice And Practice1007 Words   |  5 PagesItroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, â€Å"What is the evidence for this intervention?†. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into theRead MoreEvidence Based Practice For Nursing Practice2023 Words   |  9 PagesHeitkemper Bucher (2014), â€Å"Evidence-based practice is a problem-solving approach to clinical decision making. It involves the use of the best available evidence in combination with clinical expertise and patient preferences and values to achieve desired patient outcomes.† Using evidence based practice in nursing is extremely important, because evidence-based practice is the result of others trying a practice one way but needing to change some of the guidelines to make the practice safer and over all betterRead MoreEvidence Based Practice in Nursing1565 Words   |  7 PagesTitle: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. 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This process enables them to obtain appropriate and relevant evidence to support medical decisions. For example, to support the medical management of preterm births within the Aboriginal and Torres Strait Islander community (â€Å"Health of Australia s Aboriginal Peoples†Read MoreEvidence Based Practice For Nursing Practice2100 Words   |  9 PagesEvidence-Base practice (EBP) is defined as: â€Å"based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach† (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-drivenRead MoreApplication Of Evidence Based Practice1689 Words   |  7 PagesIntroduction Evidence Based Practice (EBP) is the process nurses use to conduct research and find recent and credible evidence to support best practice (McCutcheon, 2009). The process of EBP will be applied to the case study about a nurse who did not use EBP in her nursing process. This is important because providing EBP is a core philosophy in the ANMC competency standards for the registered nurse (The Nursing and Midwifery Board of Australia, 2016). The report will on build assignment one whereRead MoreEvidence Based Practice Essay4468 Words   |  18 PagesThe author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. 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Thursday, December 19, 2019

The Pursuit Of Happiness Is The Universal Search For A Life

The pursuit of happiness is the universal search for a life an individual can feel content and satisfied with. However, as stated in class, happiness is a fleeting emotion rather than a prolonged state. Once an individual achieves a sense of happiness it is only a matter of time before they return to the starting point of their quest. Therefore, happiness alone is not enough to elicit a good life. On a similar note, in 2004, Professor Martin Seligman gave a TED talk that addressed the current direction of psychology. He believed the extent of psychology had become the ability to â€Å"make miserable people feel less miserable† rather than â€Å"[making] relatively untroubled people happier.† As a result, he and his colleagues developed positive psychology, a branch of psychology that promotes the components of happiness, well-being, and fulfillment to achieve a satisfactory life. The purpose of this project is to learn about your well-being and discover ways to increas e the quality of your life through positive psychology. For the first section of this project, I performed a self-assessment of my well-being using Seligman’s five pillars of positive psychology: Positive emotion, engagement, meaning, relationships, and accomplishment (Grison, Heatherton, Gazzaniga, 2015). I identified the characteristics of each pillar and compared them to similar criteria in my life. This process provided me with an in-depth understanding of my life in relation to the model. Following theShow MoreRelatedHumanities Through the Arts: Artistic Criticism Essay examples1063 Words   |  5 Pagespeople and America’s society focused on self-indulgence and happiness like never before. The Great Gatsby, written by F. Scott Fitzgerald, is the ideal portrayal of this time era. 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Wednesday, December 11, 2019

Constitutional and Administrative Law

Question: Discuss about the Constitutional and Administrative Law. Answer: Introduction: Pablo owns a house in a suburb region called Pelican Point, which is located at the back of the Sydney Harbor. Pablos next-door neighbor owns a house right onto the cliff located at the back of the Sydney Harbor. The neighbor wanted to construct some stairs down the cliff facing the beach and built a small cottage on the waterfront to enjoy the beach in privacy. He submitted development consent for the same before the Pelican Point council. Pablo being the neighbor and the president of SLAPS an organization safeguarding the penguins, was strictly against the submission as the development shall block his view down to the water and it would affect the colony of little penguins residing in that area. He made a submission on his behalf and on behalf of SLAPS requesting the council to refuse to assent to the development proposal, as it would have an adverse impact upon the environment, species and him. However, the Pelican Council did not consider Pablos consideration by stating the reasons for the same. Judicial Review Judicial review plays a significant role in Australian Government system as it ensures accountability of the public officials and the legitimacy of their actions. Judicial review has been introduced by the Administrative Decisions (Judicial Review) Act, 1977 (ADJR Act) which provides the procedure to be followed in Judicial Review. A party having sufficient interest in the matter in dispute to which the judicial review relates may be involved in the judicial review process (Choper, 2013). Judicial review can seek on the grounds of irrational, illegal, improper procedure and violation of any procedural or substantive legal expectation ((Douglas Head, 2014). The parties involved in a judicial review process are entitled to one or more of the following reliefs or remedies (Cane, 2015). They are: A declaration An injunction Damages Mandatory order Prohibitory order Quashing order However, since judicial review is considered as the last resort, the claims for remedies are often becomes critical as during the judicial review proceedings, the court not only determines the legality of the claim but also determine whether such claim can be granted (Leyland Anthony, 2016). In the given scenario, Pablo and SLAPS can resort to judicial review in order to challenge the decision of the Pelican Point Council and to seek alternate remedy or remedies for the same. The judicial Review process usually includes four stages scope, standing, grounds of review and remedy. If Pablo and SLAPS seek judicial review of the decision held by the Pelican Point Council, he would seek a court order to set the decision aside or to hold back the action of the Pelican Point Council. However, a court usually does not direct any governmental department or agency regarding which course of action is to be followed by such department or agency (Pearce et al., 2015). While determining whether to allow judicial review for the matter, the court shall examine the procedure followed by the pelican point council while making the decisions (Groves, 2014). Firstly, the court shall determine whether the methods adopted by the Pelican council is in consistence with procedural fairness and is based on the principles of natural justice. Secondly, the factors taken into consideration by the Pelican point council while making such decision were in accordance with the relevant statute. Lastly, the while making the decisions, the decision makers were acting within the powers conferred upon them by the legislation (Auburn, Moffett Sharland, 2013). The role of the courts in the judicial review process is to decide whether the decision made by the government agency or department was rightly made (Pritchard, 2015). It does not review or re-make the original decisions on its merits. However, after the judicial review it is possible that the Pelican Council can give the decision but the subsequent decision shall be in strict adherence to the legislation, which is the Environmental Planning Act 2015 (NSW) in the given scenario. The court does not permit any random person to initiate a judicial review of any decision made by the Government relating to any specified administrative decision or action (Barnett, 2014). The person bringing the case before the court for to seek judicial review must have a sufficient or relevant interest in the case (Stewart, 2014). In the given scenario, Pablo and Slaps both have sufficient and relevant interest in the decision taken by the Pelican Point Council regarding the development consent for constructing a cottage near the beach. Pablo, as the neighbor of the applicant has sufficient interest in the case, as the cottage shall block his view of the Sydney Harbor. SLAPS or the Sydneysiders Love Adorable Penguins Society Incorporated was created to prevent any form of developments on the Sydney Harbor, thus protecting the little Penguins colony in that area. Pablo being the president of the SLAPS has a relevant interest in the case as the council has not considered the fact that the development of the cottage in the area shall affect the environment and the penguins as well. Pablo and SLAPS may seek judicial review because the decision made by the Pelican point council is: Irrational- the decision made by the pelican point council is irrational. The purpose of the Environmental Planning Act 2015 (NSW) laid down under section 5 of the Act stipulates that the Act shall encourage proper management and conserve artificial and natural resources including natural areas, forests, water, cities, agricultural land in order to promote economic and social welfare of the society and to maintain a better environment. Whereas, the Pelican Point Council has disregarded the fact that the development of cottage would affect the little Penguins who, if are not allowed to gather on the beach would have to travel further or swim to another place. This may be dangerous as either they may be eaten by in the water or would be tired of they have to travel far. Further, SLAPS claims that if the cottage is built, it might encourage other people to build and the items washed out of the cottage would end up as trash, which would be detrimental for the marine life including the li ttle penguins. Therefore, the decision made by the Council is so unreasonable that no relevant authority would make such decision. Improper Procedure- the decision made by the council was not made in compliance with the Environmental Planning Act 2015 (NSW) and neither the decision is based on the principle of natural justice. The Pelican Point Council has infringed the statutory provisions stipulated under section 5 and 79 C of the Act. The principle of natural justice refers to fair hearing which states that every person has a right to a fair hearing, that is, before deciding a case the decision maker must hear the contentions made by the other side (audi alteram partem) and no one can judge in his own case ( nemo judex in causa sua) (Marume et al., 2016). In the given scenario, SLAPS requests that Pablo must be given an opportunity to show the penguin colony to the Pelican Point Council and to understand the plight of the penguins and inspect their habitat in person. However, the Pelican Point Council did not consider looking or hearing what Pablo had to say regarding the plight of the penguins and their habi tat. They decided to the matter based on the written submissions and rejected SLAPS contention to hear Pablo, thus, infringing the principle of natural justice. Breach of substantive and Procedural legislation- However, Environmental Planning Act 2015 (NSW) itself contains a provision under Section 94 which stipulates that if the consent authority is of the opinion that the development would enhance the demand for public services or facilities within the specified area, the consent authority may allow such development consent submission. Such submission is accepted subject to a condition that the person making such submission makes a monetary contribution. If the procedural legislation itself includes unfair provisions, it cannot be expected from the public authority to exercise fairly (McDonald, 2015). The statute contradicts with its own provisions. On one hand, it stipulates that the objective of the Act is to safeguard the natural resources, animals and the environment under section 5 of the Act. On the other hand, it states under section 94 of the Act that if any development proposal increases the demand for public services or facilitie s, such development proposal shall be granted. Moreover, the Council is also of the opinion that their policy does not consider protection of penguin and a development application cannot be refused merely on that ground. In addition, the council is competent to charge Pablos neighbor development contribution under section 94 of the Act to keep boats from getting close to the cottage. If Pablo and SLAPS claims remedies against the decision made by the Pelican Point Council, the court shall determine the fact whether such claim is justifiable and whether the claim for remedies can be granted. However, if the court is of the opinion that remedies may be granted in the case, then Pablo and SLAPS shall be entitled to one or more of the following reliefs: Quashing order the court may pass a quashing order to nullify the original decision passed by the Pelican point council. Mandatory order- the court may also pass a mandatory order directing the council under review to carry out its legal duties effectively. Injunction- the court may also pass an injunction order to restrain the council and the applicant from developing cottage in the beach area. Reference list Auburn, J., Moffett, J., Sharland, A. (2013).Judicial Review: Principles and Procedure. OUP Oxford. Barnett, H. (2014).Constitutional administrative law. Routledge. Cane, P. (2015). Records, Reasons and Rationality in Judicial Control of Administrative Power: England, the US and Australia.Israel Law Review,48(03), 309-328. Choper, J. H. (2013).Judicial review and the national political process: A functional reconsideration of the role of the Supreme Court. Quid Pro Books. Douglas, R., Head, M. (2014).Douglas and Jones's administrative law. Groves, M. (Ed.). (2014).Modern Administrative Law in Australia: Concepts and Context. Cambridge University Press. Leyland, P., Anthony, G. (2016).Textbook on administrative law. Oxford University Press. Marume, S. B. M., Jubenkanda, R. R., Namusi, C. W., Madziyire, N. C. (2016). The Principles of natural justice in public administration and administrative law. McDonald, L. (2015). Reason, Reasonableness and Intelligible Justification in Judicial Review.Sydney L. Rev.,37, 467. Pearce, D. C., Paterson, M., Zifcak, S. P., Telford, P. (Eds.). (2015).Australian Administrative Law. Pritchard, J. (2015, January). The rise and rise of merits review: Implications for judicial review and for administrative law. InAIAL Forum(No. 79, p. 14). Australian Institute of Administrative Law. Stewart, D. (2014). Statutory authority to contract and the role of judicial review.U. Queensland LJ,33, 43.

Tuesday, December 3, 2019

Scotch Thistle Essays - Invasive Plant Species, Agricultural Pests

Forage Production Scotch thistle (Onopordum acanthium) also known as cotton thistle or woolly thistle is native of Europe and eastern Asia and is probably an escaped ornamental plant. Scotch thistle stands are dense and practically impenetrable due to the weed's spiny nature and large size. It spreads by seed and generally inhabits moist sites or drainages in dry locations. It was introduced in the 1800s to the United States and it crowds out native species and crops. Scotch thistle is a branched, robust biennial (or sometimes annual) although it can behave as a winter or summer annual or a short-lived perennial under certain situations. Often grows 8 feet or more in height and 6 feet in width. Main stems may be up to 4 inches wide at the base. Stems have vertical rows of prominent, spiny, ribbon-like leaf material or "wings" that extend to the base of the flower heads. Leaves, which are armed with sharp, yellow spines, are up to 2 feet long and 1 foot wide. Upper and lower leaf surfaces are covered with a thick mat of cotton-like or woolly hairs, which give the foliage a gray-green appearance. Plants flower in mid-summer from July to September. The globe-shaped flower heads are borne in groups of 2 or 3 on branch tips. Flower heads are up to 2 inches in diameter, with long, stiff, needle-like bracts at the base. Flowers range in color from dark pink to lavender. Seeds are smooth, slender, and plumed. As a biennial, Scotch thistle typically lives for two growing seasons. Seeds usually germinate in the late fall, but germination can occur at other times, as well. Seedlings that appear in late autumn behave as true biennials, but seedlings produced during late summer or early autumn behave as annuals. During its first year, Scotch thistle produces a rosette with a taproot that may extend down 1 foot or more. Early in the second year, the plant bolts. Plants produce 8,400 to 40,000 seeds. Reports on seed longevity in the soil vary from unknown to up to 20+ years. Seeds are dispersed locally by wind; humans, water, livestock, and wildlife are involved in longer-distance dispersal. Seeds are sensitive to light. While some seeds will germinate in the dark, studies indicate that most germination occurs with alternating light/dark cycles, with 8 hours being the optimal day length Scotch thistle is a wasteland weed that generally inhabits moist sites or drainages in dry locations. If not controlled, it presses into farmland or forms dense canopies in any area overgrazed or not under intense cultivation. It is a major agricultural weed in the western United States. If the soil is moist enough, it has the ability to re-sprout when its roots are cut up during cultivation. In the western U.S., Scotch thistle infests wet meadows and pastures, as well as more arid big sagebrush sites. Scotch thistle is often associated with waste places, as well as rivers, streams, canals, or other waterways. It can also be abundant in dry pastures, fields, and rangeland. In particular, the plant thrives in light, well-drained, and sandy or stony soils. Temperature and moisture, rather than soil nutrient concentrations determine the ecological performance of Onopordum species. It is a major issue in rangeland management in northeastern Oregon, Idaho, and Utah. Scotch thistle can sp read rapidly. For example, it was first found in Utah in 1963. By 1981, it covered approximately 6070 hectares in 17 counties. Eight years later, it had spread to cover more than 22,540 hectares in 22 counties. Small areas can be eradicated by digging. Plants must be cut off below the soil, leaving no leaves attached. Mowing has limited effectiveness for controlling Scotch thistle. It usually only prevents seed production if done either immediately prior to flowering or when plants are just starting to flower. When mowing is conducted too early, it may only delay flowering. However, when plants are cut too late in the flowering process, viable seed may still develop in the capitula following cutting. Because there can be a wide variety in the maturity of plants, a single mowing is unlikely to provide satisfactory control. Establishing and maintaining dense, vigorous, competitive pasture can effectively prevent Scotch thistle establishment. Healthy pasture is