Access, cost, and quality of quality for APN

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Discuss the access, cost, and quality of quality environments, as well as recent quality initiatives (See Chapter 24 and Table 24.1). Student is to reflect on the relationship between quality measures and evaluation and role development. In addition, describe this relationship and note how the role of the APN might change without effective quality measures.

Expectations

 

Joel, L. A. (2018). Measuring Advanced Practice Nurse Performance Outcome Indicators, Models of Evaluation, and the Issue of Value. In Advanced practice nursing: Essentials for role development (4th ed.).

Length: 1500 words, double-spaced, excluding title and reference pages (required)

  • Format:  APA 6th Edition

 

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Reflection paper | Nursing homework help

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The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

1. Discuss your options in the job market based on your educational level.

2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.

3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.

4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.

5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  Abstract and wrap up conclusion are necessary.

Should religious beliefs be a matter of faith?

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The bullet points below the topic are intended entirely as springboards to help write about the topics: you do not have to address all of the points, but they should help if you feel lost or are having trouble getting started. In contrast to papers that you may have written in other classes, philosophy papers are mostly concerned with the Why? rather than the What? In other words, Im looking for ability to think critically about the information in your paper and explain and defend your papers argument.
TOPIC: A popular idea suggests that religious beliefs, unlike scientific beliefs, should be merely a matter of faith. However, in this class in this class weve seen several different approaches to religion, evidence, and reasons. In this paper, tell me what you think. Do you think that religious beliefs require evidence, or should they be matters of faith (c.f. Clifford and James)? Are there good, philosophical or scientific reasons to believe in God? In answering this question, you may want to consider:
    William Cliffords argument in The Ethics of Belief regarding evidence and epistemic responsibility and William Jamess counterproposal in The Will to Believe
    The three theological arguments and responses that weve looked at so far such as the cosmological argument, the design argument, or the ontological argument. Do any of these arguments give us good reasons to belief in god or accept religious beliefs?
    Pragmatic reasons for belief such as Pascals Wager, the medical benefits of religious belief, or Jamess claims about religion. Do these offer good reasons to believe in God?

(Grading Rubric):
Successful paper will do the following:
1.    Argue and defend a clear singular position throughout your paper articulated in your thesis statement (rather than merely present a bunch of unconnected information). As a helpful tip, whenever you use a source or cite an argument/fact, ask: How does this help me prove or challenge my argument?
2.    Have a clear thesis statement that argues a specific point: e.g., In this paper, I will argue that Freud was correct when he claimed that religion is only wish-fulfillment. Your thesis statement should come by the end of your first paragraph. Papers without a clear, concise thesis statement will lose points.
3.    Your paper should present arguments and/or evidence that supports your thesis statement. This step should be at least 50% of your paper or more. Evidence can come both from course readings, lecture points, or independent research. I am more than happy to help you if you need some direction! Papers without arguments or evidence that support your papers thesis will lose points.
4.    Your paper should also present counterarguments that challenge your thesis. Counter arguments can either be a new fact that challenge your thesis (e.g., Critics of Freuds argument point to Freuds failure to consider fact X) or can challenge one of the arguments or pieces of evidence you provide in (3) above (e.g., This evidence is challenged by Y, One objection to my argument is Z). Papers that do not offer counter arguments for the writers thesis will lose points.
5.    Your paper should respond to the counter arguments in (4) to show that you understand and have a response to objections to your thesis/arguments (e.g., A response to this objection is X).  Papers that do not respond to counter arguments will lose points.
6.    Your intro should be short, concise, and to the point. No fluff and no more than one paragraph. Remember that your intro paragraph is a vehicle for your thesis. Use it to get to your thesis and then spend your paper developing and defending your thesis.
7.    Your conclusion should be short mostly serves to wrap up your paper. It should be no more than one paragraph.
Note: More critical thinking skills and argumentation than number of sources; however, it is still highly encouraged to do further reading into the topic and you must cite the page numbers and sources MLA.

Easements and License, law assignment help

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DUE MAY 21 by 8 pm

Easements and Licenses:
1. Using the LexisNexis tab,
find and summarize a case that deals with either Easements or Licenses to use property (i.e. – for real property use –
not drivers’ license!). From the case that you find, you need to provide a summary of the Facts, Legal Issue, Decision, and Reasons for Decision in your answer.

article below

The Daily Record (Baltimore, MD)

February 20, 2012 Monday

Commentary: Recent cases provide guidance on prescriptive easements

BYLINE: Edward J. Levin

SECTION: COMMENTARY

LENGTH: 1426 words

The Maryland Court of Special Appeals recently decided two cases about prescriptive easements. In the first, the Court held that the provisions of a written easement agreement could be expanded by prescription. In the second, the Court held that a use that was originally permissive could be terminated by the burdened owner, even if the owners of both the burdened and benefited properties had changed.

Beyond the boundaries

In Turner v. Bouchard, No. 1573, September Term, 2010 (Md. Ct. Spec. App. Dec. 2, 2011), the Court of Special Appeals held that a person could expand an express easement with a prescriptive easement over adjoining property where that person’s use of the expansion area was adverse, exclusive, and continuous for more than 20 years.

The parties were owners of adjacent lots in Lusby, Calvert County. In 1975, Luther and Dorothy Muth sold a lot (Lot 16) to the Bouchards. (Mrs. Bouchard has since died; Mr. Bouchard continues to own the property.) At the same time the Muths conveyed to the Bouchards a separate, recorded easement over a small portion of the adjacent lot (Lot 17) to serve as a driveway for ingress and egress. In 1980, the Muths conveyed Lot 17 to the Bouchards and the parents of the Turners, the defendants in the case. In 1984 the Turners’ parents purchased the interests of the Bouchards in Lot 17. In 2005 the Turners bought Lot 17 from their parents.

From the beginning of their ownership of Lot 16, the Bouchards, and later their tenants, used more of Lot 17 than was described in the easement agreement. That additional property is called the Disputed Area.

The Bouchards filed suit in the Circuit Court for Calvert County to establish their rights in the Disputed Area. The circuit court held that the Bouchards had a prescriptive easement and, therefore, the right to continue to use the Disputed Area. The Turners appealed.

The Court of Special Appeals affirmed in an opinion written by Judge Albert Matricciani. It held that the person claiming a prescriptive easement initially has the burden to show that the easement had the requisite character for the necessary period of time, but once the movant has done so, the burden shifts to the owner of the burdened land to prove that the use was permissive. The circuit court found that there was no evidence that the Turners had given permission for Bouchard’s use of the Disputed Area.

The Court of Special Appeals analyzed the following three elements of prescriptive easements in the context of Turner:

1. Adverse. The “adverse” requirement means that the use of the easement must be without license or permission of the landowner. Turner contended that because there was an express easement over a portion of Lot 17, Bouchard’s use of the Disputed Area was permissive. The Court of Special Appeals rejected this argument and held that without other evidence that Turner had granted Bouchard a right to use the Disputed Property, Bouchard’s use of it was adverse.

The court held that the failure of the Turners or their parents to protest the use of the Disputed Area before 2006, when they posted “No Trespassing” signs, in light of their knowledge of that use (or opportunity to find out about it), was acquiescence, not permission.

2. Exclusive. The Court of Special Appeals held that the “exclusive” requirement means “the claim of user must not depend on the claim of someone else,” citing Shuggars v. Brake, 248 Md. 38, 45 (1966). In Shuggars, the Court of Appeals said, “Even though a claimant may not have been the only user, it is sufficient if he used the way under a claim of right independently of others. ” Given this definition, the Court of Special Appeals found that Bouchard satisfied the “exclusive” requirement.

3. Uninterrupted and Continuous for 20 Years. In order to satisfy the requirement that the use be “uninterrupted and continuous” for 20 years, the easement need not be used every day, but “the claimant must exercise the right more or less frequently according to the nature of the use to which enjoyment may be applied. ” The circuit court had found the adverse use began again in 1984, when the Bouchards sold their interest in Lot 17, and that it continued for 22 years until the Turners protested in 2006. From 1980 to 1999, the Bouchards rented Lot 16 to others, and the tenants used the Disputed Property as the Bouchards did. The Court permitted the Bouchards to tack the time that their tenants used the Disputed Property onto the period when they themselves used it.

The Court of Special Appeals concluded in Turner, “While the law may disfavor easements by prescription, that policy cannot be twisted to protect landowners who sleep on their rights. ”

The Court found that as to the Disputed Area, the Bouchards had satisfied the three requirements to establish a prescriptive easement — adverse, exclusive, and continuous use for 20 years — and it therefore affirmed the circuit court’s decision.

Permission thwarts prescription

Rupli v. South Mountain Heritage Society, Inc., No. 2555, September Term, 2009 (Md. Ct. Spec. App. Dec. 22, 2011), involved the failed efforts of landowner Brenda Rupli to continue to use the well that was located on her neighbor’s property in Burkittsville, Frederick County.

Before 1973, the neighbor’s predecessor had granted permission for the prior owner of Rupli’s property to use the well. Both properties changed hands, and in 2005 the new owner of the property with the well, South Mountain Heritage Society, Inc., instructed Rupli to disconnect from its well. She refused to comply.

On September 14, 2009, South Mountain sought declaratory relief in the Circuit Court for Frederick County concerning the use of the well and to quiet title to the well. Rupli alleged that the conditions for a prescriptive easement were met. However, in the opinion of the circuit court, the original use of the well was pursuant to permission, and Rupli had the burden to show adverse use, which she was not able to do. The circuit court granted summary judgment in favor of South Mountain.

On appeal, Rupli argued that the transfers of both parcels of property from the persons who owned them at the time of the grant of the license converted her use of the well to an adverse use.

Writing for the court, retired Judge James Kenney noted that in some states, the transfer of either the burdened or benefited estate creates an implicit revocation of permission and triggers a presumption that the subsequent use is adverse.

However, the Court of Special Appeals stated that the creation of a prescriptive easement is not favored by the law. It held that, in Maryland, “notwithstanding the revocation by implication of the license following the conveyance of the servient [burdened] or dominant [benefited] estate, or both, if the original possession is not adverse, the presumption of permissive use continues in the absence of affirmative evidence that the character of the use has changed. ”

Without such evidence, the Court of Special Appeals affirmed the decision of the circuit court and denied Rupli any right to the well.

Practice pointers

As noted above, a requirement of a prescriptive easement is that its use be adverse to the interest of the owner of the burdened estate. Therefore, that person may defeat a claim of a prescriptive easement by granting permission to the user. This can be done orally, but from an evidentiary perspective, it is better for the owner of the burdened estate to set forth in writing that the user has permission or a license to use the property, or a portion of it, for a particular purpose. The owner of the burdened estate should make clear that the permission or license is revocable at any time.

Depending on the property and its use, the owner of the burdened estate may want to have the writing provide that the user will be liable for, and indemnify the owner against, any damages; that the user will maintain insurance and name the owner as an additional insured; and that the user must maintain the property and restore it when the permission is terminated.

For the purpose of making a record, the user should sign the writing to acknowledge receipt, and if the writing addresses issues relating to liability, indemnification, insurance, maintenance, and restoration, the user should certainly sign it.

Edward J. Levin is a member of Gordon Feinblatt LLC and a Fellow of the American College of Real Estate Lawyers. The author wishes to thank Cheri Wyron Levin for her advice and editorial suggestions on this article. © Edward J. Levin 2012. All rights reserved.

 

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