Friday, January 31, 2020

Prayer in School Essay Example for Free

Prayer in School Essay John Knox Press, 1996. 45-218. In this book the author gives an epic description of the controversy surrounding the debate on prayer in public schools. It touches on the legal aspects as well as the interpretation of among other articles the first amendment. Alley uses history and preceding events to bring out his argument against prayer in public schools terming the practice as an abuse and harassment of the minority by the majority who are keen on imposing their own definition of faith. He asserts that the law on first amendment religion issues has adequately and consistently clarified the differences that exist between church and state. He cited some cases such as Barnette, McCollum, Everson, Engel and Schempp to mention but a few as having set precedence thus preventing future conflict. However, one reads anti Christianity overtones which bring up the question of objectivity due to his obvious bias. He has successfully presented one side of the debate with a personal tone. The book strongly opines that any form of religious inclinations in public schools is incompatible with the constitution as well as with the principle of democracy. Murray, J. William. Let us pray: A plea for prayer in our school. New York: William Morrow Co, 1995. 11-97. In the first pages of his interesting book, Murray tells of his atheist past that was directed by his mother Madalyn Murray and how he, as a 14 year old was a plaintiff against the Baltimore School system. The suit led to the Supreme Courts decision that outlawed public school prayer and bible reading. Murray later converts to Christianity and embarks on a mission aimed at undoing the ‘damage’ done by his past. He becomes a strong proponent of prayer in Schools arguing that this is the one way of rooting out the moral decay in the society. Among other arguments, he presents the debate as conflicting discomforts. ‘The discomfort of minority faiths or nonbelievers at hearing prayer in school versus the discomfort of Protestant Christians at being prohibited from public prayer’. He allows that the drafters of the constitution are misinterpreted by those who claim that they intended to eradicate prayer from public institutions. Rather, he cites influential figures such as John Locke and Tocqueville as strong believers in the value of prayer in providing positive guidance to the society. His recommendations are however weak since the freedom he seeks could be confused with what is provided for in the constitution. Again the founding fathers he cites are understood to have given us the current laws and so his enlisting them undermines his very argument. Cookson, Catharine. Regulating Religion: The Courts and the Free Exercise Clause. New York: Oxford University Press, 2000. 54, 67-75. In this book, Catherine Cookson delves into the issues of the law and the authority of state as laid down in the constitution on one hand and the obligations of conscience on the other. She embarks on a project to provide the solution for a recurrent problem. She examines the history of the Christian tradition as well as more contemporary political development of religious freedom (186). Her argument on the free exercise clause is vivid and thought provoking as she seeks the balance between the majority’s right to religious expression and public prayer and the minority’s discomfort arising from that kind of expression. U. S Department of Education. Guidance on Constitutionally Protected Prayer in Public Elementary and Secondary Schools. Available on-line at: http://www. ed. gov/policy/gen/guid/religionandschools/prayer_guidance. html Accessed on 12. 04. 07. This article deals with the legal aspect of the debate on prayer in schools. The article endeavors to provide information on the current state of the law concerning constitutionally protected prayer in the public schools, and therefore spell out the extent to which prayer in public schools is lawfully protected. The Case against School Prayer. Available online at: http://209. 85. 135. 104/search? q=cache:RTckL_PUwSEJ:ffrf. org/nontracts/schoolprayer. php+prayers+in+schoolhl=enct=clnkcd=1gl=ke. Accessed on 12. 04. 07. In this article the author delves into the arguments against school prayer. The author advances the argument that prayers are private and yet there is nothing private about a public school. Therefore the two are incompatible and should not mix. He/She asserts that public schools cater for students with varying backgrounds and religious inclinations and they should not be subjected to rules that promote one form of religious expression. According to the author of the article, Public prayer leads to discrimination of the minority and a denial of their right to worship. The article refutes the claim that prayer in school has any value in checking societal excesses. The conclusion calls for total separation of church and state arguing that this is one way of preventing divisiveness in the society. Works Cited Campbell, Ted A. Christian Confessions: A Historical Introduction. Louisville, KY: Westminster John Knox Press, 1996. Questia. 12 Apr. 2007 http://www. questia. com/PM. qst? a=od=87116157. Cookson, Catharine. Regulating Religion: The Courts and the Free Exercise Clause. New York: Oxford University Press, 2000. Questia. 12 Apr. 2007 http://www. questia. com/PM. qst? a=od=104449729. Murray, J. William. Let us pray: A plea for prayer in our school. New York: William Morrow Co, 1995. U. S Department of Education. Guidance on Constitutionally Protected Prayer in Public Elementary and Secondary Schools. Available on-line at: http://www.ed.gov/policy/gen/guid/religionandschools/prayer_guidance.html Accessed on 12.04.07

Thursday, January 23, 2020

Somerset Maugham Essay -- Biography Biographies Essays

Somerset Maugham Somerset Maugham was born on January 25, 1874 in Paris where his father was the solicitor to the British Embassy. However, he was orphaned at the age of ten and lived with his uncle, the vicar of Whitstable, in England. Maugham was educated in England studying literature and philosophy at Heidelberg University. In 1897 he qualified as a surgeon from St. Thomas’ medical school and practiced for a year in the slums of London. However, he abandoned medicine after the success of his first two novels. Maugham is best known as a successful novelist and playwright, but he never gained serious recognitions for his works. The young author lived in Paris for ten years before publishing his first novel Liza of Lambeth in 1897. His first play A Man of Honour went into production in 1903 and by 1904 four of his plays were running simultaneously in London. The plays were interested with social satire and he was considered an extremely gifted playwright during this time. These early successes provided a foundation for his later works. His semi-auto bibliographical breakthrough novel Of Human Bondage in 1915 is considered one of his best works. The story follows the life of Philip Carey who loses his parents early in life and tracks his progress into early manhood. In 1919, he published the novel Moon and Sixpence that was loosely based on the life and experiences of the painter Paul Gauguin. This French artist rejected the social contracts of European society and departed to Tahiti where his unconventional scenes of Tahitian life captured the interest and imagination of numerous Europeans. Maugh am himself made a trip to Tahiti to become better acquainted with the circumstances surrounding Gauguin’s experienc... ...ajor novels that Maugham wrote. There is also a list of all the works Maugham produced during his lifetime. Knitting Circle Somerset Maugham. South Bank University. 11 November 2002 http://www.sbu.ac.uk/stafflag/wsmaugham.html>. This is a South Bank University page that sums up some major events in Maugham’s life and focuses on the issue of his sexual preference. This page has highlights some key events between Maugham and Gerald Haxton. There is also a short list of Maugham’s works at the end of the page. Annotation: A fabulous reference site including philosophy resource links by historical time period, philosophic subject, tradition, or school of thought. Books: Bronowski, Jacob. The Origins of Knowledge and Imagination. Yale University Press. New Haven: 1978. Everson, Stephen. Epistemology. Cambridge University Press. New York: 1990.

Tuesday, January 14, 2020

Err Booklet Abc

Bi: DESCRIBE THE TERMS AND CONDITIONS OF YOUR EMPLOYMENT CONTRACT AS SET OUT IN YOUR CONTRACT OF EMPLOYMENT OR EMPLOYMENT AGREEMENT My employment is conditional to a clear CRB disclosure carried out by my employer; it is subject to the employer receiving 6 personal and professional references through a strict vetting initiative. It is essential to drive and carry valid insurance, tax and MOT certificates including business class one insurance.Any holiday is to be requested a minimum of one month prior to the date and is at the discretion of the manager. Sickness is to be reported as soon as possible to ensure clients visits are reallocated in a timely fashion. I must ensure that during my employment, my outside interests do not engage with a conflicting business to the company, ensure confidentiality at all times, remain loyal to the business and within a six month period of leaving do not solicit business from Home Instead Senior Care.Bii: DESCRIBE THE INFORMATION WHICH NEEDS TO BE SHOWN ON YOUR PAYSLIP/STATEMENT It will need to include, yours and your employers names, a breakdown of your payment, deductions including PAYE tax, NI and any pensions, Tax paid to date – PAYE & NI, date of pay, tax period, your tax code and NI number. The last details will include your Net pay and state how much holiday you are still entitled to. Biii: IDENTIFY TWO CHANGES TO PERSONAL INFORMATION YOU MUST REPORT TO YOUR EMPLOYER Change of address and change of name (surname if you marry and change it) Biv: DESCRIBE THE PROCEDURE TO FOLLOW IF YOU WANTED TO RAISE A GRIEVANCE AT WORK.YOU MAY DESCRIBE THIS IN WRITING OR PRODUCE A FLOW CHART OR DIAGRAM Bv: EXPLAIN THE AGREED WAYS OF WORKING WITH YOUR EMPLOYER IN RELATION TO THE FOLLOWING AREAS; 1. DATA PROTECTION The company will hold details of the employee and clients in both paper and electronic form under the Data Protection Act 1998. This will remain confidential at all times. As the employee I agree in my contract to adher e keep any information confidential at all times regarding client information, only passing on where necessary to the people involved. Failure to do so will result in disciplinary or dismissal. 2. GRIEVANCEEmployers will raise any grievances when necessary in a professional manner and employees are encouraged to raise grievances without fear at all times. Employees and the employer follow the grievance policy at all times. 3. CONFLICT MANAGEMENT When conflict arises CareGivers are asked to not approach the subject in front of clients and to try and resolve calmly, if to no avail they are to seek assistance from a senior member of the team. 4. ANTI-DISCRIMINATORY PRACTICE Employees are encouraged to work in a non-discriminatory manner and to report any issues as soon as they arise. This is for employees, employers and clients. 5.HEALTH & SAFETY Employees are given health and safety training before commencing work in the community and are encouraged to report any issues immediately. 6 . CONFIDENTIALITY Employees are to adhere to the confidentiality policy at all times or they could face disciplinary action or possibly dismissal. Confidentiality is essential with clients as it helps to build their trust although vital information should be passed on where necessary to the correct people. 7. WHISTLEBLOWING Whistleblowing encourages and enables employees to raise serious concerns within the company rather than overlooking a problem or ‘blowing the whistle' outside.Employees are advised to speak to their designated senior CareGiver or a member of the management team with any issues rather than other colleagues. Bvi: EXPLAIN HOW YOUR ROLE CONTRIBUTES TO THE OVERALL DELIVERY OF THE SERVICE PROVIDED Being a senior CareGiver means I am partly responsible in ensuring the quality of service remains at a high level by carrying out regular spot checks on CareGivers and completing Quality Assurance questionnaires with the clients to make sure they are satisfied with the care the y are receiving. Where any issues arise actions are taking to resolve them.Bvii: EXPLAIN HOW YOU COULD INFLUENCE THE QUALITY OF THE SERVICE PROVIDED BY: A) FOLLOWING BEST PRACTICE WITHIN YOUR WORK ROLE; This would encourage anybody I am training to work to high standards that I personally would set and would ensure clients are kept safe and happy at all times. This could also promote the company through word of mouth. B) NOT CARRYING OUT THE REQUIREMENTS OF YOUR ROLE. This could put yourself and clients in danger and could have a damaging effect on the companies business. The level of care would decrease setting low standards and would leave clients vulnerable to all sorts of risks.Bviii: DESCRIBE HOW YOUR OWN WORK MUST BE INFLUENCED BY NATIONAL FACTORS SUCH AS CODES OF PRACTICE, NATIONAL OCCUPATIONAL STANDARDS, LEGISLATION AND GOVERNMENT INITIATIVES. The national factors give you guidance, standards and rules to follow in your work practice. Legislation tells you what you must/must not do. Codes of Practice and Occupational Standards form the values of the company; legislation states the level and quality of care, government initiatives impact the clients more directly. If the above aren’t followed the level of care would be poor and unsafe for clients to receive.Without guidelines, laws and rules carers wouldn’t know what is and isn’t acceptable within their care duties and could also be putting themselves at risk. Bix: A) IDENTIFY TWO REPRESENTATIVE BODIES WHICH INFLUENCE YOUR AREA OF WORK. Care Quality Commission B) DESCRIBE THE ROLE OF THE TWO REPRESENTATIVE BODIES YOU HAVE IDENTIFIED. CQC licenses services if they meet essential standards and will constantly monitor whether they continue to do so. They formally review services if they receive information that is of concern and as a result decide they need to check whether a service is still meeting one or more of the essential standards.They also formally review them at lea st every two years to check whether a service is meeting all of the essential standards in each of their locations. Their reviews include checking all available information and intelligence they hold about a provider. They may seek further information by contacting people who use services, public representative groups and organisations such as other regulators. They may also ask for further information from the provider and carry out a visit with direct observations of care.

Monday, January 6, 2020

Power Can Change A LeaderS Personality - Free Essay Example

Sample details Pages: 3 Words: 931 Downloads: 7 Date added: 2019/04/04 Category Literature Essay Level High school Tags: Lord of The Flies Essay Did you like this example? Lord of the Flies Nowadays, power is an essential force in political life to guarantee a stable society. The leaders of our countries every day carry the heavyweight of responsibilities that comes with power. Overtime, power takes control of the leaders lives and affect them emotionally and physically. Don’t waste time! Our writers will create an original "Power Can Change A LeaderS Personality" essay for you Create order But what impact does power and its responsibilities have on a leader? To demonstrate the impact power has on a leader, the novel Lord of the Flies, written by Sir William Golding, in 1954 is a great example to shows how power can change a leaders personality. This book is about a group of schoolboys, trapped on a deserted island, after a plane crash with no adults survivors. Once all assembled, they decide on electing a leader and find a way to be rescued. They choose a boy named Ralph as their leader, and Ralph designates another boy, Jack, to be in charge of the boys who will hunt food for the entire group. At this point this means that Jack has also some power on the other boys. Here a stable society is created with a government made up of one leader and his subordinate. As one can imagine after a few days of utopian society life, the heavyweight of power and its responsibilities have an impact on the leaders, making them have a change in their behaviors and lose their most important leadership abilities which lead to the loss of power. The impacts of power and leadership responsibilities on a leader are their change of behavior. For example, Golding uses the sentences Jack turned fiercely. You shut up (42) in order to show how even a tiny amount of power can easily make a person, especially a leader look or sound mighty to others. Later on, Jack shows his real face to Ralph by saying Who cares? Bollocks to the rules! (91) something showing that now Jack has enough power to rebel against the rules set up at the beginning of the book. In addition, the author tries to show the change of behavior of another leader, one with much more civilized manners than Jack but also giving in to the darkness. Ralph the elected leader of the boys society is also represented as a leader influenced by power when the author points out Ralph too was fighting to get near The desire to squeeze and hurt was over-mastering (115). Following this change of civilization to savagery, the author goes back to Jacks barbarian behavior by noting how Power lay in the brown swell of his forearms: authority sat on his shoulder and chattered in his ear like an ape (150). Golding here uses a particular word choice to portray how powerful and untouchable Jack became after becoming the only powerful chief on the island. The author uses a strong word choice to illustrate in his book how power affect a leader behavior is a proof of how easily power can be a destructive force and can change a civilized person behavior into a primitive barbaric behavior. One of the most important requirement and responsibility of a great leader is to be self-confident, but when their power is challenged or questioned, or even taken away from them, it is easy to lose this self-confidence. Leaders most of the time use their power to accomplish their vision, yet when these ideas are not well seen by the society it is something that can influence their confidence. Using this idea, Golding illustrates Ralphs loss of self-confidence and even lost of hope Theres no help Piggy. Nothing to be done (128). When civic failure happens or when power is lost, a leader fells lost and has doubts about everything surrounding him. To demonstrate how a leader can be doubtful on his leadership abilities and decisions, the author states that Ralph was puzzled by the shutter that flickered in his brain (141). Sometimes, when leaders realize their loss of power, they start to belittle themselves and Golding in his book mentions Ralphs reaction talking to Piggy after accepting his complete loss of power Ralph laughed sharply. ?Youre still chief. Ralph laughed again (157). Golding uses imagery to set a mood of weakness in which a leader falls into when losing his leadership abilities like being a confident leader and no longer have any power over his society. He shows how power can make one lose the most important attributes that makes him/her a good leader for the society. In a nutshell, one can observe what impact power has on leaders and how it can change them. What can be conclude is that the heavyweight of power and its responsibilities have a great impact on the leaders of a society, making them change their behaviors and lose important leadership abilities which then lead to the loss of power. In the novel Lord of the Flies by William Golding, many analyses have been made, provided with evidences to confirm the earlier hypothesis that power changes leaders and can easily destroy their lives and their self-esteem. With many examples from the entire book, we can see how two leaders in possession of power can change quickly and can go back to the primitive times where nobody was civilized and could live in the same community. These examples also provide evidences on how destructive power can be on a human being. Overtime, power can take control of the leaders lives and affect them emotionally and physically. This is what the leaders of our countries or communities should think of and find ways to avoid the damage caused by the dominant control of power over human nature.

Sunday, December 29, 2019

A World Without Fossil Fuels, Greenhouse Emissions And...

Imagine a world without fossil fuels, greenhouse emissions and global warming. Cosmic radiant energy? What? No natural gas, oil, coal, or any other fuel used to power industrial machines? Free energy? Oh! That will never happen and the â€Å"Captains of Industry† will make sure of it! An innovator of a modern era was reawakening theories of ancient man. While many people did not support Nikola Tesla, his â€Å"Green Energy† invention was brilliant; it was a way to save the planet and free mankind from the clutches of the Big Oil companies. Nikola Tesla, a Serbian immigrant, came to the United States in June of 1884; he met with Thomas Alva Edison in Edison’s Manhattan lower Fifth Avenue office. â€Å"Tesla, who had just stepped off the boat the previous day with four cents in his pocket and a dream of easing the world s toil through the new science of electricity.† Edison, a firm believer in direct current electricity, would hire on Tesla. Tesla, â€Å"hoped to interest his illustrious host in his vision of how to generate and distribute electricity on a large scale through alternating current.† Tesla would last only a couple of months working for Edison and there the rivalry would begin. Edison had invested heavily in equipment utilizing direct current and would not entertain Tesla’s ideas for adapting the alternating current. In 1888, Tesla attracted the attention of George Westinghouse. â€Å"He had financed a modest system using alternating current but it was limited to downtown Buffalo,Show MoreRelatedSolutions to the Global Climate Change Essay1389 Words   |  6 PagesGlobal warming has become a world wide issue and an issue that is causing great controversy. It is an increase in the earths atmospheric and oceanic temperatures widely predicted to occur due to an increase in the greenhouse effect resulting especially from pollution (Dictionary). 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This change is climate is caused due to various natural reasons and if the above mentioned cycle continues to happen without much change there is nothing to worry, but in the recent past several abnormalities have been noticed in the way the climate around us has changed. There has been a noticeable change in the climate in the past few years all around the world. The summers have become much hotter and the winters are getting colder, many scientists have been researching about the causesRead MoreEssay on The Threat of Global Warming1667 Words   |  7 PagesThe Threat of Global Warming Through the eyes of most scientists, global warming is seen as a very serious and severe threat. The actions taken by humans, such as industry and consumption of fossil fuels plus the increase in population and agriculture have played a big part in global warming. If something is not done soon the results could be very bad.   Ã‚  Ã‚  Ã‚  Ã‚  By the middle of the twenty first century, there is evidence that the Earth will be warmer than it has been at any time in human history

Saturday, December 21, 2019

Marketing Plan Elements - 1007 Words

* Defining your ideal customer (target market) – Think about the characteristics of your ideal customer – what is it you like about working with them and why? * Understanding the competition and what makes you better (differentiation) – There are a lot of people who do what you do so what do you offer that others do not? What do your clients appreciate about what you do? Figure out what it is and lead with that difference in all of your marketing efforts. * Knowing what you want to achieve with marketing (marketing goals) – Write down your marketing goals and make them specific. Pick one or two that are critical and make them the focus of your marketing efforts. According to statistics, if you write them down, you are 95% more†¦show more content†¦Product * The product must also have some features and components in it that are its differentiating factors. That is, it must be different from the products already available in the market. The company must research to find out what exactly the customers desire and provide a similar commodity for them. Various specs of the product, such as size, color and packaging, must be appealing to the consumer. Price * To draw the maximum numbers of customers to the product, it must be correctly priced. The customers attach a value for the money they are paying for the product. Therefore, the price of the product must be appropriate. This way, the company would be able to entice the maximum customers. The company must first analyze the price sensitivity of the customers. This establishes that by a small change in price whether the customers would remain loyal to the company or would shift brands and preferences. Place * The markets where the product is going to be served needed to be elaborately planned. The company decides on all the retail outlets and web portals where the product is going to be available. The company also defines its distribution channels and networks. The dealer commissions are negotiated and fixed. The dealers are made aware of the specifications and features of the product. Promotion * The customers need to be made aware of the existence of theShow MoreRelatedSocial Media Marketing Plan Needs 5 Key Elements Essay865 Words   |  4 PagesMedia Marketing Plan Needs 5 Key Elements By Lori A Manns | Submitted On December 28, 2013 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Lori A Manns As with any business strategy, you need a plan for successRead MoreImplement Marketing Strategies998 Words   |  4 PagesBSBMKG514A Implement and monitor marketing activities [ Revision Number: 1 ] BSBMKG514A Implement and monitor marketing activities Modification History Not applicable. 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A marketing plan is a written document that summarizes what the marketer hasRead MoreMarketing Plan827 Words   |  4 Pagesï » ¿Marketing Business Environment Marketing Planning: An Overview of Marketing 6 main questions to ask in order to create your marketing plan: 1. Where are we now? (Business Mission, Marketing audit, SWOT analysis) 2. How did we get here? (Business Mission, Marketing audit, SWOT analysis) 3. Where are we heading? (Marketing audit, SWOT Analysis) 4. Where would we like to be? (Marketing objectives) 5. How do we get there? (Core Strategy, Marketing mix decisions, Organization, ImplementationRead MoreWorking With Pioneer Town Planners Pvt Essay1592 Words   |  7 Pagesorganization’s working environment and how organization works and achieve their goals. 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Friday, December 13, 2019

My Nursing Ethics Kelly Martinez Grand Canyon University Free Essays

My Nursing Ethics Kelly Martinez Grand Canyon University: Introduction to the Study of Ethics 10/14/2012 My Nursing Ethic PASSION: Why am I here? As a child I was always attracted to the smaller, weakened animal I found in my yard, i. e. dying birds, kittens, bugs, etc. We will write a custom essay sample on My Nursing Ethics Kelly Martinez Grand Canyon University or any similar topic only for you Order Now The animals we owned were never neutered which resulted in a numerous amount of puppies and kittens. I was intrigued by the cycle of life. Originally I wanted to become a veterinarian. The financial strain on my family made it apparent that it would not be possible. As fate would have it, there was a two year waiting list for nursing school, but I was readily accepted into a two year respiratory program. At the end of the respiratory program, I stayed for one more year to specialize in NICU. As time passed, I became very passionate about the patient care aspect; however the nurse always pulled rank on my practice. It was at this point in my career that I knew I wanted to be the nurse. I felt I knew everything there was to know about nursing; luckily I was mentored by a group of seasoned nurses who molded me to be the nurse I am today. They taught me who I was and what I was made of. I learned that I had very strong traditions of the Contemporary medical care culture. I was raised a strict Catholic and believe that the Physician held the same status as that of the Priest. Both were held in the highest regard and you never questioned their word. You were religious about visitation, immunizations and treatment. I never questioned the physician in regards to treatment plan or care. I was a stickler for following the rules no matter what my own personal morals or beliefs were. MOTIVATION: What moves me to act? For the most part, I worked in a predominately white middle class community hospital which had roughly the same ethical morals, values and beliefs as I did. Rarely did we care for a minority. As I matured and began to recognize what my nursing ethics were all about, I began to question physician orders when I felt they were not in the best interest of the patient. I began to question treatments that I was performing which seemed to have little or no effect. Because of my strong moral convictions, when a family member questioned the treatment I was providing, which I didn’t have a real answer for except, â€Å"your doctor ordered it† made me uncomfortable. I was unhappy with this response as was the family. I needed answers for myself as well as the patient. I needed to believe that I was practicing medicine to the best of my ability. I had a moral obligation to my patients to do the right thing regardless of the physicians written orders. I was the one caring for the patient and their families for 72hrs. t a stretch, while the physician was there for only 15 minutes. I came to understand the patient’s culture, values and beliefs. I wanted to advocate for their wishes. I need to do more than carry out orders written in a chart. INSPIRATION: What keeps me in motion? Because of my personal values and beliefs and how it related to my nursing philosophy I felt obligated to stand up for what I believed in. As luck would h ave it, I was at the beginning of the, â€Å"Evidence Based Practice†, era. I jumped on every class, committee, and program I could find to support my nursing convictions. I taught one of the first â€Å"Culture Sensitivity† classes at my facility. I rewrote the ICU visitation policy to include families during CPR if they were so inclined. I attended classes on wound care and followed home care nurses to learn how they treated unstageable non healing wounds. I was no longer willing to follow doctor’s orders just because they were written in a chart. I needed to know that the care I provided was morally and ethically sound. LOYALTY: Whom do I serve? One late Sunday afternoon I received a very obese restless, combative full arrest from the ED. I was challenged to keep him in the bed and from pulling out his ET tube. I turned to his family for assistance in finding out why he was so angry. His wife was a very small timid abused woman who was afraid of her own shadow. He was an abusive alcoholic and a diabetic. He was non-compliant with any medical regimen. His legs were swollen with weeping wounds. He refused any medical treatment and had told his wife if she took him to the hospital he would surely kill her. Because of this woman’s own personal morals and convictions, when she thought he was near death, she called 911. I reassured her that she had done the right thing. I called the doctor to receive orders for comfort measures and also ask if he was aware of the patient’s wishes for medical treatment. He was very clear that he knew the patient’s wishes to be a No Code, however; due to his age and diagnosis, he also knew this patient could be cured of his medical aliments. Ironically, the patient pulled out his ET tube with his tongue. As soon as the tube was out, the patient arrested. I started CPR as per protocol. I encouraged the physician to talk with the wife and respect the patient‘s wishes. I was in a moral dilemma with caring out physician orders vs. the patient’s wishes. I was uncomfortable ordering care for a patient that I clearly knew did not want it. The physician was in his own dilemma because he knew the patient’s medical status could be cured if he was given the chance. After much debate, the patient was re- intubated and made a full DNR. Later I heard the patient worked his ET tube out again with his tongue and died. The physician did not speak to me for a very long time because of this incident. It is because of this journey that I now oversee the Palliative Care Department. I assist patient in understanding the implications and ramification of their advanced care directives. References: Characteristics of Ethical Dilemmas, (2012). Retrieved on October 14, 2012, from www. nln. org/ce/mcgovern/tslg015. htm Doherty, R. , Purtilo, R. (2011). Ethical dimensions in the health professions. (5th ed. ) (57-58). St. Louis:Mosby. http://www11. georgetown. edu/research/nrcbl/pcbe/bookshelf/reader/chapter3. html How to cite My Nursing Ethics Kelly Martinez Grand Canyon University, Essay examples