Andre Dubus IIIs House of Sand and Fog Essay -- Andre Dubus III House

Andre Dubus III's House of Sand and Fog "House of Sand and Fog," by Andre Dubus III, explores the catastrophic repercussions of a complex misunderstanding between three characters. The conflict initially involves a dispute between Kathy Nicolo and Massoud Behrani over the â€Å"rightful† ownership of a house. The county wrongfully evicts Kathy and Behrani then buys her house at an auction. When Deputy Sheriff Lester Burdon enters the situation, events quickly slip out of control. Superficially, Lester’s character is important to the novel because he acts as a catalyst, propelling the plot into unexpected action. But Lester impacts the novel in a more profound way, because were it not for his insecurity and selfishness, the rest of the characters could have been spared an avoidable tragedy. Lester’s commitment to help Kathy at all costs undeniably alters the outcome of the novel. By providing her with money for a motel, and later with shelter at a friend’s cabin, he allows her to continue avoiding the reality of the situation. If Lester had never met Kathy, she would have been forced to be upfront with her lawyer. Instead, Kathy tells herself â€Å"there a limit to how much [her lawyer] wants to help,† and continues to tell Connie Walsh that she is staying with friends (88). Knowing the severity of Kathy’s plight could have prompted Connie Walsh to more ardently pursue the county on Kathy’s behalf. Because of Lester, however, the truth is kept from the lawyer. Additionally, although proclaiming his love for her, Lester becomes a negative influence on Kathy. Under the false sense of security he provides, Kathy, a recovering alcoholic, allows herself to start drinking again after an abstinence of three ye... ...observes the situation as merely a problem that requires a quick fix, and he sets about â€Å"fixing† the situation instead of fulfilling Kathy’s emotional needs. In the tradition of a Greek tragedy, Lester’s insecurity is his hamartia, his tragic flaw. His egocentrism stems from this, causing him to overlook the needs of others in his quest for self-justification. This is not to say that the awful outcome of the novel can be attributed to Lester alone. All three main characters fail to understand one another and rush to false assumptions based on cultural differences. But the fatalities of the scenario can be traced back to the overreactions of Lester. In the form of Lester Burdon, Dubus imbues his story with a potent warning against dishonestly with oneself. Only when a man truly understands himself and accepts his flaws can he attempt to overcome them.

Great Gatsby and Araby Essay

In â€Å"Araby,† an allegorical short story from his compilation, Dubliners, author James Joyce depicts his homeland of Ireland as a paralyzing and morally filthy environment. The young protagonist is an unknowing victim of society’s preoccupation with materialism, and in his rush to grow up accepts its distorted views of wealth and love as truth. Conversely, Jay Gatsby, from F. Scott Fitzgerald’s The Great Gatsby, tries to win back the heart of Daisy Buchanan through his obsessive attempts to repeat the past. In each work, the male lead resorts to monetary extremes to capture the attention of his female counterpart under the false notion that love can be purchased. While the boy hopes that a gift will win the affection of his friend’s sister, Gatsby desperately strives to woo Daisy with his bootlegging spoils. Some are able to escape the influence society exerts, while others remain fixated on vanity. Each author manipulates color and shade to epitomize t he materialism of adulthood and the confusion of love of wealth with genuine love. The protagonist of â€Å"Araby† fantasizes about growing up enough to attain the love of his friend’s sister. Because the young boy believes he is in love, he elevates himself above his peers. He isolates himself in his dark attic and watches his companions â€Å"playing below in the street,† their cries â€Å"weakened and indistinct † (Joyce 24). Although he tries to ignore them, the voices of his childhood freedom still reach the boy no matter how much he tries to separate himself. The boy discounts â€Å"some distant lamp or lighted window gleam[ing] below† on his peers, abandoning the light of childhood while he exercises a feeling of superiority (Joyce 23). By distancing himself from his coequals, he embarks on a vainglorious quest to prematurely reach adulthood, thereby reducing the value of childhood innocence. His quest, however, succeeds only in pressing him further into the darkness of adult ideals. Adults face greater challenges and have more responsibility than children do; it is easier for them to forsake their morals than to leave materialistic values behin d. Because they ignore their values, adults are of a far lesser innocence than the children they are meant to teach and thus exert a negative influence on their unknowing pupils. The boy learns from his surroundings that purchasing love is the only acceptable path to attaining happiness and growth. Mangan’s sister â€Å"turns the silver bracelet round and round her wrist,† drawing the boy into the superficiality of adulthood (Joyce 24). However, because he sees the girl as â€Å"defined by light,† he mistakenly confuses the ideas of wealth and happiness (Joyce 22). The combination of materialism and happiness makes it difficult to determine the meaning of either. Rather than developing a relationship based on mutual interest, the boy tries to buy the girl’s love. When he is unable to purchase a gift for her, he finds himself in a â€Å"completely dark† environment (Joyce 26). The boy immediately epiphanizes that he is â€Å"a creature driven and derided by vanity,† signifying that light can emerge out of darkness (Joyce 26). His cognizance no longer allows surrounding influences of materialism to grip him; he realizes love is not a commodity. Mistakes are necessary for moral growth, therefore the young boy needed to suffer vanity and the consequences of his own greed to realize that wealth alone cannot fulfill happiness. His challenges become the outlet through which he ascertains the shallowness of the adult world, ultimately subjugating his influences. By vanquishing them, the boy discerns the genuine love depicted by light. Fitzgerald juxtaposes the obsessively nostalgic Jay Gatsby with Joyce’s young boy who hastily looks forward to adulthood. Despite Gatsby’s seniority, he and the boy both believe they can purchase their beloveds’ affection. Gatsby views wealth as the equivalent of self-worth; his doomed sense of hope justifies his illusion. He optimistically watches the green light at the end of the Buchanan’s dock, â€Å"minute and far away,† with his â€Å"arms stretched out toward the dark water† (Fitzgerald 26). Gatsby reaches for Daisy with profound determination, but bases his resolve on the crooked belief that his grandiose home and expensive clothes will win her love. His materialistic concerns create an impassable gap, placing true love out of reach. Lights on the other side of the water appear greener and grander, causing Gatsby to ignorantly believe that is where happiness originates. The intrinsic confusion of wealth and happiness deprives Gatsby of a truly fulfilled life. Thinking his new affluence will please Daisy, Gatsby draws her attention to his new Rolls Royce. However, the association of Gatsby’s yellow car with â€Å"restlessness†¦with power†¦and finally with death† (Parkinson 41) foreshadows destruction. Even after Daisy accidentally kills Myrtle Wilson with the yellow car, Gatsby still fails to see the uncontrollable dangers of greed . Wealth only consumes those who attain it, spitting failure into their faces when it ceases to satiate their avarice . Gatsby’s picturesque opulence deteriorates to frustration because money cannot make him happy. Rather than accepting this conclusion, he dons an elegant wardrobe â€Å"which echoes Daisy’s attributes of white, gold, and silver† (Parkinson 47). Gatsby believes his â€Å"white flannel suit†¦and gold colored necktie† will attract Daisy under the guise of suave elegance (Fitzgerald 89). The double entendre, however, is that the gold necktie resting around his throat parallels wealth’s threat to choke off his credibility, sanity, and ultimately, life-force. Although Gatsby actively perpetuates his superficial ambition, Daisy simply allows life to unfold around her. Fitzgerald parallels Daisy’s floral namesake with her white exterior and tainted yellow interior. Wealth rots her to her core, though she maintains a pretense of purity, always â€Å"dressed in white† (Fitzgerald 127). Daisy enjoys her trivial existence only because she has the means to do so. Without wealth to distract her from her meaningless life, she would feel empty and worthless. Contentment based solely on the availability of money inevitably crumbles and fades away, landing in the colorless, desolate Valley of Ashes. With an ever-looming presence, the sign of Doctor T. J. Eckleberg looks over this valley of lost dreams through faded yellow glasses. No matter how willful the dreamer, visionaries with greedy ambitions must endure cruel judgment. These individuals poison their own lives and become soulless shells, unable to muster the same determination again. The green light he strives for becomes â€Å"distant and unattainable† even though Gatsby never truly gives up on winning back Daisy (Parkinson 46). The spoils of his wealth decay to worthlessness and loneliness; in failing to realize his mistakes, he leaves behind a sparsely attended funeral and an unprincipled legacy. Despite all that he fought for, Gatsby forsakes true happiness for the false love he derives from exploiting wealth.

Quality Improvement in Nursing Essay

Answering the call light (also called call bell a handheld like that is attached to the patient room wall, above the headboard of the bed) in a timely manner by the nursing staff in hospital setting is necessary to prevent falls that can harm, prolonged stays, and unnecessarily increase the cost of healthcare. However, researches concerning call light uses as it relates to patient safety, patient-care management and patient satisfaction are limited (Meade et al. 2006). Patients and their families emphasize that nurses should monitor patients constantly and provide assistance and answer a call light in a timely manner (Yoder, 2011). Note that the falls may be caused by several factors such as physiological, psychological and/or environmental-related to each individual patient (Joint Commission, 2005). The nurse initiating this project will focus on the rate of falls related to a delay in response to the call light. The hospital, where the Quality Improvement Project (QIP) is done, uses the Hill-Rom system to operate and record the time it takes to respond to a call light prior to the incident as base for the (QIP). The nurse will identify opportunities to improve the quality of care delivered as well as the response time to a patient’s needs. The nurse working on the project used the study done by (Tzeng & Yi Yin, 2009) as a model to follow. In fact, Tzeng & Yi Yin suggested that the goal of the quality care is to reduce the response time to the call bell to a number that is unlikely to lead to a fall. During their project, the authors explored the contribution of the call bell use rate and the average response time to the fall rate, the injurious fall rate and patient satisfaction scores that occurred in four adult inpatient acute care units (Tzeng & Yi Yin, 2009). Improving the responsiveness to the call light and reducing the fall rate is important for both the safety of the patient and the reputation and success of the organization. Yoder proposed that the patients are becoming more sophisticated and view themselves as â€Å"consumers† who can take their business elsewhere (Yoder, 2011). Since the hospital is a Magnet and applies the shared governance model, there is an organizational structure for nursing quality that can facilitate the project. In fact, each unit has a designated staff member for the Unit’s Council Quality Champion (UCQC). This unit representative functions as a quality improvement resource for the unit council, and performs unit-based monitoring and analysis as well as collaborating with unit staff members on improvement plans. This allows for an opportunity to network and share best practice (MLHS, 2010). The nurse handling the project can set up a meeting with the UCQC, and ask for input from other members such as patient care manager (leadership in implementing changes), physicians (after assessing the patient, leaving the bed in high position), housekeeping (placing caution signs on a wet floor), pharmacy (flagging medications that can contribute to falls such as sedatives, hypnotics, beta blockers), and dietary service (placing trays within the reach of the patient). The multidisciplinary team allows for a better planning approach to the subject and prevents malpractice (Yoder, 2011) The information recorded from the patient room call light system was used in this study. The rate of inpatient falls, which have long been perceived as a nursing-sensitive quality indicator, is defined as the rate at which patients fall during their hospital stay per 1000 patient-days (American Nurses Association, in Tzeng & Yi Yin, 2009). As the nurse working on the QIP a notification to the institutional review board will be sent if further approvable are necessary. The only statistical data the nurse could obtain from the manager are related to the numbers of falls per 1000 patient days with injury. The data gives us information about the rate of falls in reference to the average rate of falls in the hospital. In this unit there is awareness at the managerial level that the longer the call light is on the higher the incidence of fall is. If there is a fall with injury, the manager has the ability to go back and check how long the call light was on prior to a fall. However, this information is not used to prevent and emphasize the relationship between the length of time a call light is on and the rate of fall. Most nurses and patient care technicians are not aware that the manager can back-track the call light and find out this information. To measure the rate of falls to the length of time a call light is answered, the nurse working on the project choose the histogram. This illustrates the length of time in the Y axis and the rate of falls in the X axis during the period of study (time frame). The histogram itself will include a control group, average answers, and delay answers to call light. This example was imported and modified from a previous study done comparing the numbers of call lights and nursing rounds by (Meade et al. 2006). A realistic goal of this study is to reduce the fall related to a delay in answering the call light to less than the standard national data base that can be found in National Database of Nursing Quality Indicators (NDNQI). The nurse will be able to compare the data obtained on the unit to similar hospital units by referencing (benchmarking) to the national data from NDNQI. There will be a follow up study and gradual modification of the plan in order to achieve the outcome. The team has to set measurable outcomes and quality indicators. According to Yoder, the goal of quality improvement necessitates a standard of practice and a measurable patient-care outcome or nursing-sensitive outcome (Yoder, 2011). Yoder signaled that the quality management stresses improving the system rather than assigning blame to employees (Yoder, 2011). Thus, communication is a very important step and strategies in the discussion. It allows both the manager and followers to see the appropriate changes needed without appointing blames. The results of the project can be shared with other floors, included in the computer based training, or presented by nursing leaders during in-service with the staff. Posters could be used to illustrate the importance of the response time to patient’s call light. In recent years some hospitals have initiated hourly rounds to reduce the noise and interruptions caused by unnecessary call lights. (Meade et al. 2006). Meade concluded that with one-hour rounds, there was a significant reduction in the number of falls that occurred on the units. Others tools used in the hospital to prevent falls are yellow bracelet, non slip red socks, and yellow sticker placed on the chart.   As the plan is implemented the team continues to gather and evaluate data to document and compare in order to find out if the outcomes are being met. Revisions are performed if new problems arise during the implementation of the project and a time frame is set during the realization of the project. In conclusion this QIP can be implemented on the floor by educating the staff about high costs that result from a fall, specifically ones leading to injuries or even death. Also, as patient’s advocates the nurse has to work on securing the patient safety by responding to their needs and reducing the call light response time. Nursing staff must recognize that call lights are legitimate ways for patients to test the responsiveness of the hospital system regarding their needs (Deitrick et al. 2006). References ————————————————- Deitrick L, Bokovoy J, Stern G & Panik A (2006) Dance of the call bells: using ethnography to ————————————————- evaluate patient satisfaction with quality of care. Journal of Nursing Care Quality 12, ————————————————- 316–324. Retrieved from CINAHL with Full Text database ————————————————- Joint Commission (2005). Defining the problem of falls. In Reducing the Risk of Falls in Your ————————————————- Health Care Organization (Smith IJ, ed.). Joint Commission, Oakbrook Terrace, IL, pp. ————————————————- 13–27. ————————————————- Meade CM, Bursell AL & Ketelsen L (2006) Effects of nursing rounds on patients’ call light use, ————————————————- satisfaction and safety. American Journal of Nursing 106, 58–70. ————————————————- MLHS (2010).https://webapps.mlhs.org/nursing/page69.aspx ————————————————- Tzeng H; Yin C. (2009). Relationship between call light use and response time and inpatient falls ————————————————- in Acute care settings. Journal of Clinical Nursing. 18(23): 3333-41 Retrieved from ————————————————- CINAHL with Full Text database ————————————————- Yoder-Wise, P. (2011). Leading and managing in nursing. St. Louis, MO: Mosby ————————————————-

Which Is Better, True Belief and Knowledge?

In Meno, Socrates and Meno have a discussion on virtue and they encounter a problem. If virtue is teachable, it must be knowledge. However, since there are no teachers and students of virtue, virtue must not be taught. So they think that virtue is not knowledge. And then they start the discussion on what is true belief and knowledge. In this essay, I would evaluate Socrates’s explanation on why knowledge is better than mere true belief and the reasons that I agree with Socrates’s proposition. Socrates’s explanation To begin with, Socrates first questions whether true belief is something no less useful than knowledge.Socrates notes that true belief and knowledge guide to the true action. He illustrates the idea by an example. To clarify Socrates’s example, I will apply his example on our campus. Suppose I need to guide a friend to Chong Yuet Ming Physics Building. I have no idea where it locate and I haven’t been to there. Now, I can visit the buildi ng if someone with the knowledge of the path guides me there or I have the knowledge of the path. But a true belief, which may be the intuition, perception, will also be equally effective in reaching the destination.If my belief is that the destination is northwest of the main building, and I convince my friend to the destination. From an outside observer, he cannot distinguish whether I have the knowledge of the path or I just luckily arrive there according to my true belief. Socrates states that â€Å"correct opinion (true belief) is no less useful than knowledge† because no matter which proposition, either true belief or knowledge, someone’s action still can be guided correctly. Although I do not agree this statement, I will discuss it in later paragraph. So, what makes the different between true belief and knowledge?Socrates thinks that the difference between them is the justification, which is the reasoning or the rationale for your belief. The person with knowled ge has the ability to account of the why behind the truth whereas the person with mere true belief knows only the truth. If someone has knowledge, then he has the ability to account for the action and his mind retains knowledge. It will be secured for future use. However, although true belief guide you to a right action, the belief will go away from you mind easily. Socrates proposes that if one does not tie the true beliefs down, they will run away and escape.If tied, true beliefs stay where they are put. Moreover, once they are tied down, they become knowledge. True beliefs are grasped by the mind only fleeting before they are corrupted or lost. But we can tether them by working out the reason. If we has the reason for the believe, then the true belief is justified and become knowledge. Evaluation for Socrates explanation Firstly, I would like to discuss about Socrates’s proposition that knowledge and true belief always guide to the right action. I shall argue that it would be better that true belief guides to the right action in a better way than knowledge guides.I believe that knowledge does not always guide to the destination. For example, I have knowledge of only one path to Chong Yuet Ming Physics Building. According to the knowledge, I walk along the path. It is not guaranteed I can arrive the building. Maybe murdered happened and police has blocked the road for investigation. Maybe the path that in your mind is not up-to-date and that particular path now leads you to another building, say Ming Wah Building. In this case, even you have knowledge of going to the building, you cannot go there. True beliefs, however, always guide you to the right action.As long as we have true beliefs, we always can be guided correctly. For example, as long as I am lucky enough, I can visit Chong Yuet Ming Building even there is only one path to the building. Through, I still agree that knowledge is better the mere true belief. People cannot lucky all the life in r eality. That means we cannot solve all problem by our belief. We need knowledge to live. For ideal case, an ignorant housewife can invest her money by merely her belief and win the market all time. However, does it happen in the reality? Even it happens, there are just very little cases.Without knowledge, it is difficult to live in the world. Comparing a ignorant housewife and a professional experienced investor investing the stock market, they may both lose money. For the investor, he may be wrong in some decision and lose money. But if he could have a lesson from that, he may gain and revise his knowledge of the stock market. Next time, he may keep doing this in a row. Finally, the probability to earn money increases. For the ignorant housewife, if she do not learn from the fault, or tie down the true belief, the probability of earning money would not increase.Therefore, if someone learn from the fault and form a better knowledge on that field, it will be better to him because the probability of doing the right action increases. In addition, we should not focus too much on the result too much. If we just focus on whether one finally achieve destination only, it may suggest that result is the ONLY thing we should take consideration. If that is the case, then we may agree that people can earn money by kidnapping, stealing or robbering. But we shall agree that earning money by such process is not accepted.Then, I think that achieving the goal by some process may not be good even the goal can be achieved. Hence, we should also consider the process which guides to the destination or result, but not just merely the result. I think that why knowledge is better than true belief is that the process of the right action who is guided by knowledge is better than that who is guided by true belief. Looking back to the example, what is the difference between someone guided knowledge and guided by true belief if they both arrive the destination is the experience and the var iation of the path.Consider a person with merely true belief, he may make decision by something like I should go this way and I hope the way is not dead-ended. Why I have been walking so long time and haven’t arrived yet? Did I made some wrong decision? When can I arrive? I have no idea how to go there, and etc. Although he finally arrive the building, he had hard feeling at all. He may feel depressed, anxious, doubtful, and uncertain. Also, there is lots of variation for the paths. He may walk a very long path to the destination. For example, someone take a bus to somewhere.He believes that he need to get off the bus at the 3rd stop and walk along the road. However, the best way is to get off the bus at the 7th stop. He leaves the bus 2 stops earlier. Although he has true belief and arrive the destination, it may not good to him because he has been walked a very long and unnecessary way. Knowledge, on the other hand, guides someone with appropriate process. If someone with k nowledge, says he know the map of campus in the example, can effectively arrive the destination without anxious, doubtful feelings.Someone may argue that having knowledge may not arrive the destination effectively because you may only have knowledge of a circuitous path. I shall say that it may be the case, just similar as true belief. People having true belief may or may not arrive destination effectively, so as people having knowledge. But at least the person may not have hard feelings, which already make knowledge better than true belief. Though there is some argument which I think is not correct in Socrates’s explanation, there are still lots of evidence to show that knowledge is better than mere true belief.

Critically review literature relating to leadership styles for your Essay

Critically review literature relating to leadership styles for your own nation and two other nations of your choice, considering - Essay Example This is due to the fact that such differences influence how employees view their leaders, the kind of attitude they have towards work, their expectations, as well as other significant issues. Leadership across cultures therefore calls for cultural adaptability on the part of managers, since managerial work gets more complex across cultures. According to Deal and Prince, â€Å"cultural adaptability is the willingness and ability to recognise, understand, and work effectively across cultures† (2011, n.p.). Cultural adaptability therefore supports that despite the fact that management across cultures is a complex task, success can be attained through satisfaction of the diverse employees, achievement of goals, and completion of tasks. Managers who want to be successful in a global environment are therefore called to embrace cultural adaptability as a value. This paper reviews leadership across Thailand, the United Kingdom (UK), and Germany focussing on how managers from Thailand may need to change their leadership style, when working in subsidiaries in the United Kingdom and Germany. ... rs, Nardon, and Sanchez-Runde point out that the challenges faced by managers leading in a multicultural environment include lack of clarity on which culture to follow and maintain, the challenge of coming across many cultures within a short time making it difficult to learn about them due to time constraints, and the event of multicultural encounters taking place virtually through video conferencing and computers rather than through physical interactions (2013). Lack of clarity on which culture to embrace mostly takes place if an international project team, comprises of individuals from different cultures. Melkman and Trotman also support that â€Å"in large multi-national companies, young managers will often find themselves working in virtual teams with colleagues from all over the world, sometimes without ever meeting face to face† (2005, p. 4). This makes it difficult for these managers to discuss what each one of them believes are the roles of a leader and come to an agre eable conclusion, as well as how to measure success and a range of other essential factors. In addition, Melkman and Trotman point out communication is also a challenge (2005). According to Biech, â€Å"communication in a multicultural setting is much more complex and can result in inefficiencies† (2011, n.p.). Complexity in communication increases greatly when a team and customers are dispersed within different geographical regions. Deal and Prince assert that despite the fact that it is impossible for managers to exactly know how different people in different places behave, they should possess cultural adaptability skills (2011). Bhattacharyya supports this point when he asserts that at any time that managers of a certain company are need to travel and work in a culturally different country â€Å"it

What is the difference between positive economic analysis and Essay

What is the difference between positive economic analysis and normative economic analysis Give one example each of positive and normative economic issue or question or statement - Essay Example Data collection and analysis is used to assert the validity of the statement by backing up the claim made using facts. For example, inflation rate in the economy can be said to be 6%. This statement presents a fact that can actually be proven by evaluating price changes in the economy over a given period of time. In this analysis, claims made by normative statements and/or theories cannot be neither be tested nor empirically proven. Normative statements in most cases employ factual information to make economic claims, but the statements by themselves are not factual. They are therefore logical claims but lack evidence. Normative analysis encompasses high value judgment and personal beliefs. In this regard, they are hard to falsify or verify. People who make normative statements basically present their own opinions, based on their morals and standards of life (Mukherjee 19). Unemployment is better compared to inflation is an example of a normative statement. This statement has no basis of being tested. Therefore, it cannot be empirically

Professional Portfolio Assignment Example | Topics and Well Written Essays - 1000 words - 1

Professional Portfolio - Assignment Example She/he worked side by side with me for 8 months and I admire the strong sense of dedication and responsibility she displayed both to the hospital and her/his patients. I am sad to inform you that our institution is currently undergoing a restructuring and some of the employees have to be released and (Your Name) is one of the people we have been forced to release. She/he insisted that she would be pleased to work with your institution and that is why I endorse her to you. As a nurse, (Your Name) displayed professionalism that impacted her patients and all people around her/him. Everyone here respects him/her the entire nursing staff here like her/his work. This is because he/she has been used severally as a resource by other nurses for difficult crisis and cases. (Your Name) has always done more than expected to ensure that he/she is able to deliver the best service care to the patients She/he is a very reliable medical professional with enough knowledge about her/his job and treats every person with respect. She/he is a wonderful person to work with and, despite the fact that we would miss her and her strong passion, I strongly recommend her to you. (Your Name) is well educated and has valuable experience to be a great medical nurse. In the event that you need any more details, kindly feel free to call me at _______ or email me at ________________. It is my great honor to recommend (Your Name) as a staff nurse at Bethel Medical Center. Despite the fact that I will miss (Your Name)s skill, professionalism and expertise in my practice, I believe that she/he will be able to implicate the same effort and impact the community in your institution. I am certain that (Your Name) is the kind of nurse that will effectively serve the community well whenever patients come looking for treatments related to her area of expertise. (Your Name) has been a very crucial asset to my practice. She/he has been able to develop exceptional abilities and skills in