Wednesday, February 26, 2020

Resolving the nursing shortage Essay Example | Topics and Well Written Essays - 500 words

Resolving the nursing shortage - Essay Example The author’s discussion point out to the lack of motivational support for new nursing professionals and the lack of competitive professional incentives. In such cases, many nursing graduates do not pursue the career or enrichments that are necessary to maintain and develop skills. One of the interventions proposed is in the development of effective professional and educational partnerships such as those developed by the University Health System Consortium joined with the American Association of Colleges of Nursing sponsored residence programs that allow new graduates not only a venue to practice their learning but also exposes them to the potential and rewards of the nursing profession. Based on the results of two cohort studies on the participation of nursing graduates in the year-long residence program, participants expressed greater commitment to the nursing profession due to exposure of the program and greater satisfaction in nursing as a career. One of the best indicators of the success of the program is in increasing retention rate of resident nurses to 89% from previous turnover rates ranging from 40 to 50%. Dracup and Morrish however also recognize that instituting similar comprehensive programs can prove to be challenging particularly in cases were there are existing deficiencies in professionals, resources and expertise for the programs. The conclusion was that such efforts that consider professional and personal development at the beginning of the nurses’ careers is an effective means of encouraging them to pursue their careers and competencies which are critical if demands of the profession are to be adequately met. Dracup and Morrish’s concerns and views are echoed in a significant number of researches. In independent studies done in Virginia and Nebraska, similar conclusions to support the development of programs that will encourage young

Monday, February 10, 2020

Urban Water Cycle Essay Example | Topics and Well Written Essays - 500 words

Urban Water Cycle - Essay Example The Consent Decree does not contain a completed schedule both for upgrades and construction. In other words, the Decree is not by all means a full resolution of claimed violations. In the Decree, Akron is required to submit an updated long-term control plan detailing the construction of every project. Akron was required to upgrade its Water Pollution Control station so as attain a minimum secondary treatment capacity of 130 million daily by not later than October, 15, 2017. In the same way, Akron was also needed to separate the sewers for the combined sewer outflow outfalls at Racks 8, 13, 21, and 25, as well as 30 within eight years of lodging the decree. The city was imposed with fines amounting to more than $1 billion for more than 4,000 violations of the federal Clean Water Act over the years (Davidson, ‎Howard and ‎Jacobs 825). Therefore, the courts held that the decree as not fair, adequate, reasonable, and in the best interests of the public. The ruling implies tha t rates of more than 300,000 Akron together with the suburban residents who make use of the city’s sewer system would be boosted on a less expensive plan. The sewer clean-up was necessary since it was a threat to the ecosystem of the Cuyahoga Valley National Park. Cleveland area is also dealing with the same problem. The Akron/Cleveland CSO area covers about 167 square miles and includes majority of the Akron metropolitan area. The population is about 352,000. When it rains heavily, the industrial and domestic wastewater exceeds the capacity of the Akron Waste Water Treatment overflowing into the Ohio Canal, Little Cuyahoga River, Cuyahoga River, and Camp Brook. It may cost the City of Akron about $1.4 billion to implement its long-term control plan. In the plan, the green infrastructure would reduce the storm water from getting into the sewers. They would rely