Concepts that demonstrate professionalism in nursing practice

Professionalism in Nursing

ASSIGNMENT OVERVIEW:
Story telling and narratives are an effective way to gain an awareness or insight into personal knowing by considering the experiences of individuals. “Narrative helps us to hear the hearts of the persons who come to our care as well as helps us hear our own hearts.” (Nisker, 2004, p. 294).
This assignment requires you to explore concepts that exemplify professionalism in nursing practice by reading stories written by Tilda Shalof, a Registered Nurse. Below you will find a list of examples of some concepts that are considered part of professional nursing practice.
Responsibility Accountability Advocacy
Professional Caring Respect Privacy
Truthfulness Client well-being Knowledge
Leadership Therapeutic Nurse-Client Relationship Mutuality
Person-centered care

This assignment will enable students to:
1. Identify and describe concepts that demonstrate professionalism in nursing practice.
2. Using examples from the book identify 3 concepts that are part of professionalism in nursing practice and describe what they mean according to relevant nursing literature.
3. Develop the ability to express thoughts and ideas in written scholarly format, consistent with the criteria for academic scholarly papers. Refer to the BScN Program Handbook Guidelines for Grading Scholarly Papers
Nisker, J. (2004). Narrative ethics in health care. In J. Storch, P. Rodney, R. Starzomski (Eds.). Toward a moral horizon (pp. 285-309). Toronto, Canada: Pearson Prentice Hall

ASSIGNMENT DESCRIPTION:
This assignment is completed in two parts. Read at least the first three narratives (chapters) from the book listed below and write an essay synopsis and a final complete scholarly essay.
Selected Book: Read at least the first 3 chapters from:
Shalof, T. (2004). A nurse’s story: Life, death and in between in an
intensive care unit. Toronto, ON: McClelland and Stewart.

ASSIGNMENT COMPONENTS:
There are 2 components to this assignment.
Part 1: Synopsis of Scholarly Essay:
(Synopsis: short paragraphs giving a view of the whole)
For completion of this component, the student will:
1. Read at least the first three narratives (chapters) from the selected book and choose 3 concepts from given list.
2. Develop a synopsis of your scholarly essay: Included: Introduction, 3 paragraphs, Conclusion (See grading criteria for synopsis)
Part 2: Final Version of Scholarly Essay
For completion of this component, the student will:
1. From the 3 concepts associated with professionalism in nursing practice that have been identified in the synopsis, describe what each concept means to you.

3. Discuss how each concept has been illustrated in Shalof’s professional practice stories. Describe what these concepts mean according to nursing related literature. Using course readings and relevant nursing literature to support your ideas, discuss how and why these examples from the novel reflect each of the 3 concepts associated with professionalism in nursing practice.
Suggested use of literature from the College of Nurses of Ontario and the Registered Nurse’s Association of Ontario.
3. Discuss the ways in which your readings and what you have learned from your courses and experiences has informed your personal views of the chosen concepts at this stage in your professional journey compared to when you began in September.

Concepts that demonstrate professionalism in nursing practice

Professionalism in Nursing

ASSIGNMENT OVERVIEW:
Story telling and narratives are an effective way to gain an awareness or insight into personal knowing by considering the experiences of individuals. “Narrative helps us to hear the hearts of the persons who come to our care as well as helps us hear our own hearts.” (Nisker, 2004, p. 294).
This assignment requires you to explore concepts that exemplify professionalism in nursing practice by reading stories written by Tilda Shalof, a Registered Nurse. Below you will find a list of examples of some concepts that are considered part of professional nursing practice.
Responsibility Accountability Advocacy
Professional Caring Respect Privacy
Truthfulness Client well-being Knowledge
Leadership Therapeutic Nurse-Client Relationship Mutuality
Person-centered care

This assignment will enable students to:
1. Identify and describe concepts that demonstrate professionalism in nursing practice.
2. Using examples from the book identify 3 concepts that are part of professionalism in nursing practice and describe what they mean according to relevant nursing literature.
3. Develop the ability to express thoughts and ideas in written scholarly format, consistent with the criteria for academic scholarly papers. Refer to the BScN Program Handbook Guidelines for Grading Scholarly Papers
Nisker, J. (2004). Narrative ethics in health care. In J. Storch, P. Rodney, R. Starzomski (Eds.). Toward a moral horizon (pp. 285-309). Toronto, Canada: Pearson Prentice Hall

ASSIGNMENT DESCRIPTION:
This assignment is completed in two parts. Read at least the first three narratives (chapters) from the book listed below and write an essay synopsis and a final complete scholarly essay.
Selected Book: Read at least the first 3 chapters from:
Shalof, T. (2004). A nurse’s story: Life, death and in between in an
intensive care unit. Toronto, ON: McClelland and Stewart.

ASSIGNMENT COMPONENTS:
There are 2 components to this assignment.
Part 1: Synopsis of Scholarly Essay:
(Synopsis: short paragraphs giving a view of the whole)
For completion of this component, the student will:
1. Read at least the first three narratives (chapters) from the selected book and choose 3 concepts from given list.
2. Develop a synopsis of your scholarly essay: Included: Introduction, 3 paragraphs, Conclusion (See grading criteria for synopsis)
Part 2: Final Version of Scholarly Essay
For completion of this component, the student will:
1. From the 3 concepts associated with professionalism in nursing practice that have been identified in the synopsis, describe what each concept means to you.

3. Discuss how each concept has been illustrated in Shalof’s professional practice stories. Describe what these concepts mean according to nursing related literature. Using course readings and relevant nursing literature to support your ideas, discuss how and why these examples from the novel reflect each of the 3 concepts associated with professionalism in nursing practice.
Suggested use of literature from the College of Nurses of Ontario and the Registered Nurse’s Association of Ontario.
3. Discuss the ways in which your readings and what you have learned from your courses and experiences has informed your personal views of the chosen concepts at this stage in your professional journey compared to when you began in September.

Managed care taken hold more slowly in long-term care than in other segments of health care

Unit 5: Week 5 – Chapter 11 Review Questions Homework

DISCUSSION QUESTIONS AND ANSWERS
The following are the Discussion Questions found at the end of this chapter along with answers to those questions.
1.   What do we mean when we say that the long-term care system is reimbursement-driven?
2.   Who is covered by Medicare? Medicaid?
·         Medicare:

·         Medicaid:
3.   What long-term care services does Medicare cover? What restrictions are placed on them?
·         Skilled nursing care in nursing facilities and subacute care

·         Home health care

·         Hospice care

4.   What long-term care services does Medicaid cover? What restrictions are placed on them?
5.   What is the “spend down” provision of Medicaid, and why is it controversial?
6.   What is the purpose of waiver programs?
7.   What are public–private partnerships?
8.   Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9.   What are the most common forms of managed care organizations?
10. What is the managed care bill of rights and why is it needed?

Managed care taken hold more slowly in long-term care than in other segments of health care

Unit 5: Week 5 – Chapter 11 Review Questions Homework

DISCUSSION QUESTIONS AND ANSWERS
The following are the Discussion Questions found at the end of this chapter along with answers to those questions.
1.   What do we mean when we say that the long-term care system is reimbursement-driven?
2.   Who is covered by Medicare? Medicaid?
·         Medicare:

·         Medicaid:
3.   What long-term care services does Medicare cover? What restrictions are placed on them?
·         Skilled nursing care in nursing facilities and subacute care

·         Home health care

·         Hospice care

4.   What long-term care services does Medicaid cover? What restrictions are placed on them?
5.   What is the “spend down” provision of Medicaid, and why is it controversial?
6.   What is the purpose of waiver programs?
7.   What are public–private partnerships?
8.   Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9.   What are the most common forms of managed care organizations?
10. What is the managed care bill of rights and why is it needed?

Managed care taken hold more slowly in long-term care than in other segments of health care

Unit 5: Week 5 – Chapter 11 Review Questions Homework

DISCUSSION QUESTIONS AND ANSWERS
The following are the Discussion Questions found at the end of this chapter along with answers to those questions.
1.   What do we mean when we say that the long-term care system is reimbursement-driven?
2.   Who is covered by Medicare? Medicaid?
·         Medicare:

·         Medicaid:
3.   What long-term care services does Medicare cover? What restrictions are placed on them?
·         Skilled nursing care in nursing facilities and subacute care

·         Home health care

·         Hospice care

4.   What long-term care services does Medicaid cover? What restrictions are placed on them?
5.   What is the “spend down” provision of Medicaid, and why is it controversial?
6.   What is the purpose of waiver programs?
7.   What are public–private partnerships?
8.   Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9.   What are the most common forms of managed care organizations?
10. What is the managed care bill of rights and why is it needed?

Pricing and Application of a Chooser Option

Term Project: Pricing and Application of a Chooser Option MSF 524, IIT Stuart School of Business Fall 2017 Professor Sang Baum “Solomon” Kang In this semester, I will discuss about the term project during our regular classes. Furthermore, please, feel free to ask any questions during my office hours or via e-mails. In your term project, you will program Matlab and write white papers in order to perform tasks related to derivative pricing and financial risk management. Working on the term projects, you will have hands-on experience of programming Matlab in the context of financial derivatives and risk management and hone your professional writing skill. For the purpose of this term project, you should use Matlab for calculation; other math/statistical software is not allowed. The term project will be intentionally announced at a relatively early part of this semester because you will have clear expectation of what you can learn from this course. Throughout this semester, you will learn how to perform tasks set forth in the term project. Submit the term project by Dec 9, 2017 (Sat) 11:59pm. A late submission is not acceptable. Submit both Matlab codes and white papers as a team of no more than three individuals. When submitting, please, submit your white paper and a zip file containing your Matlab codes via Blackboard. The evaluation criteria will be announced in advance. At the end of this semester, you may want to list your term projects in your resume and use them as a marketing tool for your job search. Term Project Description Assume that you work for a (fictitious) large investment bank called Stuart & Partners. Assume that you are a (quantitative) structuring analyst who is willing to offer a customized derivative securities to your client. Your clients have different views on the expected stock returns, and the market volatility – some clients are bullish and others are bearish; some expect high market volatility and some expect low market volatility. Their investment horizons are two years – a client may be bullish in the first year but bearish in the second year. So, you are considering to structure compound option deals for your clients and recommend your structured deals to your clients. Chooser Option In a risk neutral world, a non-dividend-paying stock price follows d ( ) = ( ) + ( ) ( ) where constant r is the annualized continuously compounded risk-free interest rate, is volatility, and ( ) is a Brownian motion. 2 A “chooser option” is an exotic compound option. An originator in your desk is trying to offer a “chooser” option to your client. (For the definition of “chooser” option, see Chapter 4.5.4 of Brandimarte (2006).) The structure of the “chooser option” is as follows:  At time 0, a client pays the option premium.  At time 1, the client chooses either the call option at strike or the put option at strike .  At time 2 , the client who chose the call (put) option at time 1 has a right but not obligation to buy (sell) the underlying asset at strike ( ). Hence, the payoff of the “chooser option” at time 2 is max( ( 2 ) − , 0) { ℎ ℎ ℎ 1} + max( − ( 2 ), 0) { ℎ ℎ ℎ 1} where ( 2 ) is the underlying asset price at time 2, and {∙} is the indicator function which returns 1 when a given statement is true and 0 when a given statement is false. The motivation of her client is as follows:  The client was initially interested in a straddle to “buy” volatility. (For the definition of straddle, see Chapter 11.4 of Hull (2012).)  Because the client believes the straddle is too expensive, the client is interested in purchasing the “chooser” option which should be less expensive than the straddle. You are interested in calculating the fair value of the chooser option using the following parameters:  The initial underlying price (0) = $50;  Strike price of underlying options = = $50;  Risk-free interest rate r=0.025;  Expiration of the chooser option 1=1 year from now;  Expiration of the underlying options 2=2 years from now; Assume that the contract size is 100 shares of the stock. Heterogeneity in Beliefs In a physical world, a non-dividend-paying stock price follows: d ( ) = ( ) ( ) + ( ) ( ) ( ) 3 where ( ) is client ’s subjective belief on the draft, ( ) is client ’s subjective belief on volatility, and ( ) is a Brownian motion. You have 5 clients who have different subject believes on the draft and volatility. As a structuring analyst, you want to propose the strike prices ( and ) to each client. When you price a compound option to determine the option premium, you should use the risk-neutral pricing. However, you also need to do some risk-return analysis for your clients to persuade them. There is not a single way of risk-return analysis using Monte-Carlo simulation – for example, you may want to calculate the simulated mean profit, the mean return to the investment, the mean excess return, the standard deviation of the excess return, the Sharpe’s ratio, and the 95% value at risk. For this project use (0) = $50, r=0.025, 1 = 1 year, and 2 = 2 years. Again, ( )s and ( )s are client-specific where 0 ≤ ≤ 2. The clients’ ( )s, and ( ) are given as follows: Client ID Client Name When 0 ≤ < 1 When 1 < ≤ 2 1 Mrs. Smith ( ) = + 0.03 & ( ) =0.15 ( ) = + 0.005 & ( ) =0.30 2 Mr. Johnson ( ) = − 0.03 & ( ) =0.20 ( ) = − 0.01 & ( ) =0.18 3 Ms. Williams ( ) = − 0.03 & ( ) =0.18 ( ) = + 0.03 & ( ) =0.12 4 Mr. Jones ( ) = + 0.02 & ( ) =0.35 ( ) = + 0.02 & ( ) =0.10 5 Miss Brown ( ) = + 0.03 & ( ) =0.15 ( ) = − 0.05 & ( ) =0.15 With these being said, please, do the following tasks: a) Because the close-form solutions, if any, cannot incorporate the time-varying ( ), you need to use numerical methods to use those agents’ time-varying ( ): Programing Matlab, please, price out the chooser option in the following three methods we learn in this semester: ①. Simple Monte-Carlo simulation: For the simple Monte-Carlo simulation, control the relative error within plus/minus 0.1 percent. ②. A “smart-lattice” version of CRR binomial tree: For the binomial tree, set the subinterval to be one calendar day ( 1 365 year). ③. The implicit finite difference method: For the implicit finite difference method, set the time subinterval to be one calendar day ( 1 365 year) and use reasonable parameters of dS, S_min, and S_max. 4 Then, discuss the calculation speeds of these three methods. b) Use various variance reduction techniques to improve the speed of the MC simulation in a) and make a recommendation of the variance reduction technique of your choice. (Hint: There is not a single right answer for this task. Use your creativity. I will measure calculation time when I grade this task, though.) c) Use a trinomial to improve the accuracy of the binomial method in a). Set the subinterval to be one calendar day ( 1 365 year) and use a reasonable “size parameters.” Discuss if the accuracy is improved related to the binomial method in a). d) As a structuring analyst, you want to propose the strike prices ( and ) to each client. If you believe buying a chooser option is a bad idea for a specific client, you should justify your claim. (When you recommend strike prices, please, do not recommend a strike price outside plus/minus 25% of the ATM strike because a deep out-of-the-money option valuation may be inaccurate.) When you price a compound option to determine the option premium, you should use the riskneutral pricing. However, you also need to do some risk-return analysis for each of your clients to persuade them. When you do the risk analysis for your client, you should do Monte-Carlo simulation using a physical measure against your client’s ( )s, and ( ). There is not a single way of risk-return analysis using Monte-Carlo simulation – for example, you may want to calculate the simulated mean profit, the mean return to the investment, the mean excess return, the standard deviation of the excess return, the Sharpe’s ratio, and the 95% value at risk. Through your risk-return analysis, you should make a convincing cases for each of your 5 clients. If you want, you may compare recommendation for each client with an alternative compound option strategy such as “buying a straddle”. If you want, you may compare your case for each client with the case using the “average” belief of your 5 clients. e) For Stuart & Partners, propose another business opportunity directly or indirectly using the pricing models and risk analysis you programmed in a) – d). Try to relate your proposal to an academic paper, a magazine/ newspaper article or interview with a real world professional. Write one white paper to address a) to e) in the above. The white paper should contain the following sections: 1) Executive Summary 2) Introduction 3) Methodology: Chooser Option, Binomial Tree, Monte-Carlo Simulation, and Finite Difference Method 5 4) Numerical Results and Discussion 5) Recommendation for Improving the Calculation Speed of MC simulation and Binomial Tree 6) Recommendation for the Strike Prices. 7) Proposal of another Business Opportunity 8) Conclusion 9) Appendix 10) Tables and Figures 11)Reference Sections 3) and 4) in your white paper correspond to task a); section 5) corresponds to tasks b) and c); section 6) corresponds to task d); section 7) corresponds to task e). All the tables and figures should be in section 10). Reference: Brandimarte, P. (2006). Numerical Methods in Finance and Economics, a Matlab-based Introduction, 2nd edition. John Willey and Sons: New Jersey. Geske, Robert. “The valuation of corporate liabilities as compound options.” Journal of Financial and Quantitative Analysis 12, no. 04 (1977): 541-552. Geske, Robert. “The valuation of compound options.” Journal of Financial Economics 7, no. 1 (1979): 63-81. Haug, E.G., 2007. The complete guide to option pricing formulas. McGraw-Hill Companies. Hull, J. (2015). Options, Futures and Other Derivatives, 9th edition. Prentice Hall: New Jersey. Kang, Sang Baum and Hong Luo. “Heterogeneity in beliefs and expensive index options (March 13, 2015).” Available at SSRN: http://ssrn.com/abstract=2578167 or http://dx.doi.org/10.2139/ssrn.2578167. Kang, Sang Baum and Pascal Létourneau. “Investors’ reaction to the government credibility problem: A real option analysis of emission permit policy risk.” Energy Economics 54 (2016): 906-107. Rubinstein, Mark. “One for another.” Risk 4, no. 7 (1991): 30-32. Selby, M.J. and Hodges, S.D., 1987. On the evaluation of compound options. Management Science, 33(3), pp.347-355.

The major industries of the city and the prospects for long term growth

Deadline: Saturday 25th March 2017

Write a paper about the economic history of a Canadian town or city of your own choosing (Please write about any City in Ontario). You might want to discuss the economic growth and development of your city. Discuss the major industries of the city and the prospects for long term growth. Discuss how your city fares during recessions.

Each term paper should be about 6 (1500 words) pages in length, double spaced. You are free to use any source materials that you find relevant, and that are properly documented. Use at least 3 different sources. You cannot use Wikipedia as a resource.

The grade for this term paper is based only on the written paper and the turnitin.com submission. Style, grammar and spelling will account for 30% of the grade assigned to the paper. Use 12-point font, with regular margins.

The term paper is worth 30% of your final grade. Term papers are to be submitted both in hardcopy and also electronically through turnitin.com. If a student does not wish to submit electronically through turnitin.com, the hard copy of the paper must be accompanied by a photocopy of the title page of each work cited in the paper and of the first page cited in each source. You must submit a hard copy and an electronic copy to receive a grade. Late term papers will be penalized 1 mark per day (out of the 30 marks for the term paper).

You should follow the format in standard style manuals, and be consistent throughout the paper. You can use any academic citation style you choose, including APA. The term paper should include a bibliography, footnotes or end notes, and papers without this proper documentation will not be accepted.

Significance of Nursing Paradigms within the Profession

NR501 Week 2 Discussion

Significance of Nursing Paradigms within the Profession (graded)

This week you will be discussing the Metaparadigm concepts and how each of these impacts your practice. Metaparadigms that are included for the profession of nursing includes; health, person, environment, and nursing. The structure of the Metaparadigm provides a meaningful and logical way to clarify one’s beliefs concerning each of the components. This allows you to see how these beliefs come together as a whole and shape your professional nursing practice. For the first question this week, you will demonstrate an understanding of the term metaparadigm. The traditional metaparadigms are person, health, environment, and nursing, by your discussion may expand to more non-traditional metaparadigms including: social system; role; interpersonal relations; caring; and cultural context. There are many clinical issues in which the connection to one component will be more pronounced, but the other three will still have some role. Think of the Metaparadigm as a structure to demonstrate the holistic nature of nursing.

As you begin, take a moment and reflect on the following course/program outcome:

Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO #1)

This lesson presents the four paradigms of the nursing profession—person, environment, health and nursing profession. Select an area of the nursing profession (i.e. education, executive, and informatics, healthcare policy, advanced clinical practice) and apply EACH of the paradigms to the selected area. Be sure to apply EACH of the paradigms and include an example that demonstrates the application to the practice area. Don’t forget to support your initial posting with scholarly references.

Drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients.

Order Description

Asthma and Stepwise Management
Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.
To prepare:
Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.
Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.
Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
By Day 7
Write a 2- to 3- page paper that addresses the following:
Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.
Explain the stepwise approach to asthma treatment and management.
Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://ift.tt/1R3EiD8). All papers submitted must use this formatting.

Humanistic nursing practice Important tools for success in nursing education organization, accountability, time management

Molloy humanistic framework taking whole being into context, valuing the individual in the context of humanity, environment, and health gives meaning to humanistic nursing practice Important tools for success in nursing education organization, accountability, time management How is nursing curriculum different from other types of curricula? always being built upon How does ANA define nursing? the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations What do knowledge, decision, and psychomotor skills relate in nursing? It is the competency and applying these skills within the context of the patient How can advocacy be described? advocating for the patient needs, supporting their decision, always educating on safety and prevention What are standards of practice for nurses? to protect the public How do State Boards influence nursing education? indicates minimal level of knowledge or competency deemed necessary by the state to practice nursing without injury to clients What is the primary purpose of licensure for nurses? legal authority to practice a profession in the US comes from each state or territorial government, independent decision making, NY became the first state Who writes the Nurse practice Acts in each state? the Legislature Lillian Wald Henry Street settlement, the founder of American community nursing Florence Nightingale mother of nursing Dorothea Dix created the first generation of American mental asylums Clara Barton red cross What best describes the historical prospective of nursing? since beginning of time everything that has happened has related to nursing and where it is now Why is the image of nursing still important? publics view point on past experiences, always a positive response What is the significance of nursing pins? each school has an individualized pin after you graduate What organization develops the various standards of nursing? American Nurses Association What is the importance of joining the Student Nurses Association? networking/mentors, voice in professional issues, professional obligation, committee membership, decision making What is multidisciplinary health care? Teamwork, collaborating What is competency and what does it entail in a nurse? the behavior that a student is expected to attain, to promote the quality of care and patient safety What does nursing research primarily focus on? basic and applied, patient centered, evidence based practice What does the Social Policy Statement ANA support? Social Context of Nursing, nursing definition, knowledge base for nursing practice, scope of nursing practice, standards for professional practice, application of the statement How can nurses attempt to stop the nursing shortage? by giving a positive outlook on nursing What are some of the nursing roles open to nurses today? provider of care, counselor, manager, educator, leader, collaborator, advocate Why has there been a shift to community health nursing? The high cost of in house hospitalization What does the term knowledge worker mean and what does this involve in nursing? a person whose job involves handling or using information (critical thinking) and applying it How did the 1948 Brown report on nursing influence nursing education? Nursing should be accredited and established in a university What is one factor leading to a smaller applicant pool for nursing students? there is not enough nursing faculty, the salary is much lower What has a negative impact on the image of nursing? The media What are tasks in nursing? taking care of the patient How did Florence Nightingale influence nursing? founder of modern nursing, established first nursing philosophy based on health maintenance and restoration, first nurse researcher, changed society’s view of the nurse, nurses became respected and appreciated 5 core competencies 1. provide patient-centered care
2. work with interdisciplinary/interprofessional teams
3. employ evidence-based practice
4. apply quality improvement
5. utilize informatics