Tuesday, December 24, 2019

Black History Should Not Be Celebrated - 1846 Words

February is the time of Valentines Day and the occasional leap year, but many people know it as Black History Month. Black History Month is one of the only national holidays in the United States of America that is for the acknowledgement and honour of African Americans in this its history. It is the time of the year when great African American figures are given praise and taught as â€Å"black history† in the school curriculum. Though its intentions are to celebrate accomplished African-Americans and their contributions, it is a poor method of sharing and learning black history. Black History Month should not be celebrated because it separates African American history from American history and belittles it by only giving it the shortest month of the year where its significance in, and influence, on this nation can be recognized and acknowledged.( Brands: Black History Month Is Best Celebrated Year-round. Brands: Black History Month Is Best Celebrated Year-round. N.p., n.d. Web . 12 Mar. 2015. http://www.campaignlive.com/article/brands-black-history-month-best-celebrated-year-round/1333990.) Dr. Carter Woodson, a pioneer in African American history and the â€Å"Father of Black History†, founded Black History Month in 1936. Woodson was the son of slaves and worked in coalmines and quarries as a child. He went to black schools and taught himself English fundamentals and arithmetic by the time he was 19. After finishing high school after only two years, he went on to the UniversityShow MoreRelatedEssay on The Harlem Renaissance and Its Societal Effects 1133 Words   |  5 Pagesalso have specialized talents and should also be able to display their gifts. The Harlem Renaissance also obtained the notoriety expeditiously that participants of this movement needed to change America’s perspective of black environments. Above all, the Harlem Renaissance â€Å"New Negro Movement† was a cultural movement that celebrated black life and culture. This movement helped gain a new significance and vigorous race relation in the United States; it awakened black commu nities all over the world--Read MoreThe Harlem Renaissance : The Height Of Black Culture950 Words   |  4 PagesThe Harlem Renaissance was the height of black culture. It was a time period where blacks and their creativity were finally excepted. Socially, artistically and musically blacks changed the way America saw African americans. The 1920s was the decade that blazed the birth of the modern music era. Jazz, Blues ,Broadway, and Dance Band were extremely popular in 20 s. Most infamous Jazz group were The Kings Men. They were the most popular group in the Jazz world. Originating from south sideRead MoreIs Black History Month Being Honored Correctly Essay915 Words   |  4 Pagesthe rights and citizenship for black people. Some people take it as a time to condemn all Caucasians for the harsh treatment the African Americans received on the road to success. 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He felt that African-Americans had lost touch with their African heritage. He began to study ways that they could help themselves and each other. Dr. Karenga wanted to unify his people and instill a pride in their joint culture. He felt that there should be a special time of the yearRead MoreBlack History After American History900 Words   |  4 PagesBlack History Month started off, as Black History Week in 1926 in 1976 it became a month. It is known that many minorities have suffered in America, Canada, and the United Kingdom especially African Americans; therefore, a month was created to raise awareness of their culture and the role they played in American history. There are other minorities such as Latinos and the Gay/Lesbian community who have suffered and played a hug e role in American history who deserve an annual celebration of achievementsRead MoreCasey Jones . Lowe. 4Th Period. 30 March 2017. Black History1088 Words   |  5 PagesCasey Jones Lowe 4th Period 30 March 2017 Black History Month Black History Month makes us learn a lot about African American history right? Well, unfortunately you are wrong. Many influential people go unrecognized such as Robert Smalls because we cannot fit him like many others in the short month of February. Myself like many other Americans of all races and ethnicities believe that Black history month is an ineffective way to learn about all of the accomplishments of African Americans. We giveRead MoreThe Legacy Of The Olympic Games1743 Words   |  7 PagesKyle Walsh History 261 Adam Johnson 3 April 2015 The Salute Seen Around the World For nearly as long as humans have been around, some form of athletic competition has also existed. Dating back to the ancient Romans, people would travel from all around to see their men compete. Since 1894, the International Olympic Committee has organized the worldwide event we know as the modern Olympic Games. The games have for a long time been a center point of many protests, revolving around the current eventsRead MoreAfrican American History : African Americans1269 Words   |  6 Pagestransformed history or made a mark on our country. African Americans have displayed heroism and bravery for what we believe in. Without Black History Month as a holiday, these people would not have been recognized for all of their many achievements. We must continue to celebrate the achievements of African Americans, and we must correct the inconsistences of the past. Black History Month should be kept as a national holiday as long as we are the United States of America. Black History Month was not

Monday, December 16, 2019

Joints and Body Movements Free Essays

Joints and Body Movements Laszlo Vass, Ed. D. Version 42-0014-00-01 Purpose: What is the purpose of this exercise? In this exercise I will exam how joints function and thereby discover how they allow for movement in the body. We will write a custom essay sample on Joints and Body Movements or any similar topic only for you Order Now Joints are where two bones come together. The joints hold the bones together and allow for movement of the skeleton. All of the bones, except the hyoid bone in the neck, form a joint. Joints are often categorized by the amount of motion they allow. Some of the joints are fixed, like those in the skull, allow for no movement. Other joints, like those between the vertebrae of the spine, allow for some movement. Most of the joints are free moving synovial joints. In this exercise I will exam how joints function and thereby discover how they allow for movement in the body. Are there any safety concerns associated with this exercise? If so, list what they are and what precautions should be taken. Basic lab precautions, including keep a clean workspace and washing your hand when dealing with raw poultry. In order to ensure that this occurs layout the equipment beforehand in a clean sterile environment and follow safe work practices. Exercise 1: Questions A. As you observe the skull, explain how the structure of the sutures between the cranial bones is related to the overall function of the cranium. Children’s heads needs to squeeze through the birth canal during delivery, humans during infancy have evolved with a soft skull composed of many different bony plates that meet at regions called cranial â€Å"sutures†. These sutures also allow the skull to grow rapidly during the first year of life, at which time the bones start to slowly fuse together. This allows the skull to continue to protect the skull during early development. B. Why are synarthroses an important component of fibrous joints? These joints are weight bearing and the joints provide stability and cushioning. Synarthrotic joint is to provide a stable union between bony surfaces. The suture and synchondrosis actually become more stable when ossification of the joint takes place. Exercise 2: Questions A. Cartilaginous joints exhibit amphiarthroses. Why is this important? Amphiarthroses provides an articulation between bony surfaces that permits limited motion and is connected by ligaments or elastic cartilage, such as that between the vertebrae. B. Structurally, how are cartilaginous joints similar? Cartilaginous joints are connected entirely by cartilage. Cartilaginous joints allow more movement between bones than a fibrous joint but less than the highly mobile synovial joint. Cartilaginous joints also form the growth regions of immature long bones and the intervertebral discs of the spinal column. Exercise 3: Questions A. Which type of synovial joint has the least amount of movement? Plane joints permit sliding or gliding movements in the plane of articular surfaces. The opposed surfaces of the bones are flat or almost fat, with movement limited by their tight joint capsules. B. Why are diarthroses important for synovial joints? Diarthrosis permits a variety of movements. All diarthrosis joints are synovial joints and the terms diarthrosis and synovial joint are considered equivalent. C. Which synovial joint is most movable? A ball and socket joint is a joint in which the distal bone is capable of motion around an indefinite number of axes, which have one common center. It enables the bone to move in a 360 ° angle. D. What are the four structural characteristics that all synovial joints share? Synovial joints all have synovial fluid, articular cartilage, articular capsule, synovial membrane, capsular ligaments, blood vessels, and sensory nerves. Exercise 4: Questions A. Which of the body movements was the most difficult to perform? Why? Inversion which is a gliding joint and provides little movement. B. Hinge joints like the elbow and knee have limited movement. Why are these types of joints more prone to injury? Hinge joints in the elbow and knee contain a lot of anatomical structures packed into a tiny space and when challenged with heavy and constant use, it thus especially prone to injury and infection. C. When performing flexion on the arm, the biceps muscle (on the anterior of the arm) contracts. What happens to the triceps muscle (on the posterior of the arm) as this action is performed? As you perform flexion on your arm the triceps muscle relaxes. D. Both the shoulder and the hip are ball and socket joints. Why does the shoulder have a greater range of motion than the hip? The muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it the most mobile joint in the human body. The shoulder can abduct, adduct rotate, be raised in front of and behind the torso and move through a full 360 ° in the sagittal plane. Exercise 5: Observations Sketch your chicken wing: Label the bones, muscles, tendons and joints. Exercise 5: Questions A. What effect will the tearing of a tendon have on its corresponding muscle? The corresponding muscle will shrink due to the decreased activity tendon. This is because when the tendon is torn the area around the tendon ill not be in very much use until the tendon is repaired which can take a good while unless professionally handled. The muscle will go back to its original size once the tendon heals and the muscle is used more. B. Why are ligaments harder to heal than tendons? Tendons heal faster than ligaments. The reason is that tendons are connected to the muscle, which will allow them to receive a larger blood flow. Ligaments are connected to bone which supplies less blood. Blood is the key -what carries nutrients in order to repair the tissue. C. Compare and contrast tendons and ligaments. Ligaments connect bone to bone and tendons connect bone to muscle. D. What is the function of fascia? It is responsible for maintaining structural, provides support and protection, and acts as a shock absorber. The function of muscle fasciae is to reduce friction to minimize the reduction of muscular force. Fasciae: a) Provide a sliding and gliding environment for muscles. b)Suspend organs in their proper place. c) Transmit movement from muscles to bones, and d) Provide a supportive and movable wrapping for nerves and blood vessels as they pass through and between muscles. [ E. What effect would the loss of articular cartilage have on a joint, its bones and their corresponding muscles? It causes the breakdown of the cartilage in joints. It also called degenerative arthritis. Cartilage is the joint’s cushion. It covers the ends of bones and allows free movement. If it becomes rough, frays, or wears away, bones grind against each other. As a result, the joint becomes irritated and inflamed. Sometimes the irritation causes abnormal bone growths, called spurs, which increase swelling. Conclusions Explain how skin, bones, and muscles are related to each other. Why is this relationship important to the understanding of the skeletal and muscular systems? Joints are where two bones come together. The joints hold the bones together and allow for movement of the skeleton. All of the bones, except the hyoid bone in the neck, form a joint. Joints are often categorized by the amount of motion they allow. Some of the joints are fixed, like those in the skull, allow for no movement. Other joints, like those between the vertebrae of the spine, allow for some movement. Most of the joints are free moving synovial joints How to cite Joints and Body Movements, Essay examples

Saturday, December 7, 2019

Healthcare Delivery Systems Free-Samples for Students-Myassingment

Question: Discuss why Leadership is Increasingly Important in Healthcare and What Role do Followers Play in Enabling Effective Leadership. Answer: Leadership in Health Care Healthcare delivery systems strive to achieve improved patient outcomes through the various administrative and clinical approaches. However, it is a difficult task to realize a new model of leadership by merging the leadership and clinical approaches in the healthcare systems. Over the past several years, caregivers and stakeholders have tried to resolve errors in patient care that lead to deaths that can be avoided (Agrawal, 2009), but little has been achieved concerning the same so far. To solve patient safety, sustainability of finances, capacity, and evidence-based practice, healthcare institutional leaders have to collaborate with clinical leaders. However, this has been difficult to achieve around the world because of the tensions that exist between the groups. Healthcare organizations around the world are based on entities that are bureaucratic and arranged in hierarchies of administration (Yuter, 2011). Nevertheless, the organization is usually faulty since it neglects import ant issues such as collaboration, interdisciplinary engagement, and promotion of trust. As such, it is a challenge to all healthcare systems around the world regardless of the type of system that can be socialized, centralized systems, or free market public and private systems (Hartley et al., 2008). Several reports have been generated so far recommending the placement of the patients at the center of care, emphasizing the importance of quality and safety of care by making it a central concern, and promoting clinically guided care at the bedside. Because of the increase of new demands in the healthcare entity, the bodies are trying to develop ways of combining the client management capabilities of caregivers with the financial needs of todays healthcare delivery systems around the world. As such, it is recommended that shared governance models are implemented, frontline clinical empowerment is promoted to help in making changes, and clinical leadership is advanced. Present Methods of Integrating Clinical and Administrative Leadership Shared governance is one of the action plans used today to combine the administrative and clinical leadership. Shared governance is a leadership approach that gives healthcare professional the power to influence their work and extends the same control into central sections that were highly influenced by managers in the past (Myers et al., 2013). The various forms of governance have different influences as determined by the setting that they are applied. In most cases, the various forums supervise practice guidelines, protocols, and policies. In many cases, the entities that exercise governance serve as recommending bodies instead of having the power to execute changes because they work outside the line management context. The shared governance has positive influences since it leads to increased empowerment as well as job satisfaction (Santos, 2013).The other approach used to integrate clinically, and administrative leadership is the frontline staff empowerment and has since been give n credibility over time. Many nurses have been able to come up with ideas that can improve the safety and increase patient-centered care delivery. This is after the funding and development of literature that gives nurse tips and guidelines for improving care. The empowerment also led to the development of rapid response teams that play essential roles in reducing hospital acquired infections while at the same time improving the surgical outcomes (Regan Rodriguez, 2011). The frontline nurses need to be given training, authority, and resources to improve safety and patient care within the hospitals. Besides, the willing participation of the stuff in the frontline nursing empowerment leads to greater achievements in the healthcare system. The power to implement change is critical, and this is the essential element that dictates the effectiveness of the frontline teams (Sherman et al., 2011). In cases where there is no authority to apply the various changes, it is important that recommendations are given through the bureaucracy while awaiting the decisions. Although the nurses are educated to embrace evidence-based practice, they rarely use this knowledge because of the restriction they have in providing care. In normal circumstances, nurses are expected to analyze the evidence and make decisions according to their understanding after thinking critically and intelligently. However, they are not allowed to this in their job (Baumann, 2010). Besides, they usually lack adequate time and resources that they can utilize to work according to the principles of evidence-based practices because of the patient needs and staff limitations. Stakeholders around the world are trying to address the imbalance between clinical and administrative leadership by focusing on the increase of competence of the clinical leaders as well as their number. The effort targets the development of leade rship of both the physician and nurse. However, many frontline staff has been disillusioned around the world because of the increase in managerialism and centralism. As such some countries have devised ways to counter the reality. For instance, in the United Kingdom, physician leaders are being recruited under the enhancing engagement in medical leadership project (Kabir et al., 2008). On the other hand, several programs in the United States are developed to encourage the competency of the physicians in the healthcare environment. The various programs are driven by the need to improve outcomes and reduce costs as well. Besides, the development of physician leaders aims at supporting the participation of doctors at a faster rate. However, the programs face some challenges in some cases since some doctors are not ready to share their thoughts toward the leadership roles in hospitals since they are accustomed to freedom of action in their practice. Clinical leader roles and leadership education have to be encouraged around to the world to be parallel to the focus in the physician leadership education. For instance, there is the Clinical Nurse Leader (CNL) developed in the United Sates. The role of the CNL is to help monitor healthcare results accountability for a particular group within the hospital. It also sets a design, application, and follow of patient care plans in a research-based information approach. Clinical leadership is regarded as the link to quality improvement in the United Kingdom and Australia (Ferguson, 2007). Such moves aim at giving nurses the ability to make decisions concerning service delivery and patient care and facilitate processes such as quality improvement at the bedside. However, it is important to note that nursing leadership has been prevented by the past medical subordination, lack of readiness to embrace clinical leaders, and feminized professional roots despite the formalization of training an d role development in the healthcare system. It is important that improved patient outcomes, safety culture, and clinician driven change are put as the primary objectives of the systems to achieve success in the healthcare organization. As such, many accrediting organizations tend to include the various needs in their programs. The various measures add value and possibility of improving clinical leadership. However, they only address small process changes since the structural and organizational pressures disempower them leading to a competition between the financial sustainability and patient-centered care in the healthcare system. Besides, the physicians are used to autonomy, and this makes them view participation in team efforts with other clinicians and working towards organizational priorities as less important (Hamilton et al., 2008). Leadership Challenges in Healthcare Organizations Although the various stakeholders such as the government and regulatory bodies push for improved patient outcomes, the healthcare system lacks a comprehensive remodel of the leadership processes and systems. In many cases, leadership is compared to industry and such viewed as a role instead of a process that can be implemented through other ways art from the administrative hierarchy approaches. Therefore, it is hard to make necessary changes in healthcare by ignoring the healthcare context while demanding for leadership from the clinicians (McDonald, 2014). Leadership is one of the essential areas for development, and this makes, it necessary to develop conditions that can support and improve new leadership models. It is equally important that the nursing profession is disempowered to support the implementation of governance and leadership. In many instances, nursing as a profession is not respected as other professions are respected. Therefore, it is not possible to achieve improved care delivery outcomes by using the clinical leader without the nursing discipline gaining respect like other disciplines and transforming the organizational culture of the working places of the nurses (Katrinli et al., 2008). The professional background of an individual determines the attitudes they have towards healthcare systems. In most cases, the nurse clinician, general managers, and nurse managers support the standardization of clinical systems and teamwork to achieve improved safety and outcomes (Zwanenberg, 2017). However, some medical constituents who do not support collaboration have rejected the systemizations of clinical initiatives. Besides, it is common to find conflicts over goals and decision-making in cases where physician leaders work with managers instead of improving the various relationships. It is not easy to achieve change because of the complications that arise from the autonomy of doctors that paralyzes safety and quality improvement processes. However, it is possible to reach such when the administrative leadership supports clinical leadership. Another great challenge faced by the healthcare organization system is financial problems. Financial problems have been the highly ranked concern around the world (Saarnio, 2016). In most cases, the financial interest is followed by patient outcome quality and safety. The role of the healthcare managers is to monitor the measures of safety and quality achievement as often as it is done to support the financial concerns, therefore, it essential that the managers have to be members of the quality team that can focus on the critical processes. For instance, they can concentrate on reducing time wasting and improving effort instead of focusing on staff and supplies as the only key areas that can help address the need to cut costs. Healthcare systems around the world have a need for improved service, increased innovation and integration. However, the processes solution for these requirements does not have empirical evidence of success. All that has been done so far is an attempt to reform at the strategies for decision-making without proper acknowledgment of the administrative structure and processes that limit the transformation. However, it is hard to transition from a top-down leadership style to a leadership that embraces both the non-clinical executives and business values together with the clinical value systems to have a leadership as a process shared between business and clinical areas (Jones, 2007). To achieve effective change, the various players including clinicians, boards, seniors, patient, and finance officers collaborate to face the different issues within the system. In addition to the proposed structural changes, it is important to address other issues such as the adoption of new leadership methods that promote actions that combine the various stakeholders and key players. Healthcare System Transformation Leadership Framework To achieve significant improvements such as advanced collaborations, leaving of old models, advanced innovations, and notable transformational change in the healthcare delivery systems it is important to improve the understanding of leadership and implementation of leadership. Some entities are built around principles of stability. However, such policies must be avoided at all costs by healthcare organizations since such systems are not flexible and cannot change (Al-Abri, 2007). As such, the healthcare system has to embrace the shared leadership practice to accommodate the built-to-change system. The practice of shared leadership is helpful because it enables the movement of members in new directions as well as the dispersion of leaders across the country (Al-Sawai, 2013). The shared leadership has several advantages including the spread of information and power in the organization, promotion of quality leadership succession, and easy detection of the needs of the clients because of the closeness of the leaders (Cox, 2016). Todays leadership requires the use of dispersed unit leaders as opposed to the traditional central centers of command. The new method of dispersing leaders across organizations helps them in improving their knowledge from team members as well as the original participants. The shared leadership can enjoy mutual influence and empowered change among the leaders since it does not depend on orders given by the senior management alone. Therefore, the shared leadership can be said to be an activity that combines the influence from the horizontal and vertical influence. According to the Center for the Creative Leadership (CCL), leadership is a process that an organization or a community can use to set directions, create alignment, and gain commitment (West et al., 2015). One of the ways of realizing shared leadership is through the promotion of clinical leaders as well as clinical governance. However, this is not the case because physicians cannot be engaged well, administrators and clinical lack trust between themselves, lack of the empowerment of the nursing profession, and the team authority limits weaken the attempts the attempts to initiatives thus requiring new approaches to promote leadership across the organization. The reason for this is that shared leadership needs trust, commitment, and potency. Therefore, the individuals involved in the shared leadership must be knowledgeable and empowered and must have the required authority and resources. The Complexity Leadership Theory (CLT) can be applied to explain well the shared leadership. According to CLT bureaucratic healthcare systems and complex adaptive systems (CAS) are a network of interacting that are neutral and interdependent but combined with the collective changing common goal and prospect (Uhl-Bien et al., 2007). They are also systems that can change and usually have hierarchies that overlap due to the dynamic network of CAS that is interactive. CLT is useful since it can help in distinguishing management from leadership by considering the context, the organizational patterns, and variations between leaders and leadership. Bureaucracies work in the sense that administrative leadership has to integrate with the unofficial leaders and processes that can be realized the organization applies necessary changes after individuals collaborate with teams to create the various needs (Giltinane, 2013). This is referred to as adaptive leadership and is supported by the Critical Leadership Theory. It helps in developing advanced ideas and changes that can support organ izational success. Besides, the type of leadership can be implemented at any level within the organization and individuals and teams in the frontline can organize this kind of leadership. Another kind of leadership supported by the CLT is the enabling leadership form of leadership. Enabling leadership can be regarded as the collaboration between the adaptive and administrative leadership that enhances the use of advanced knowledge and process at work (Boylan, 2016). It also assists in balancing the regulatory ideas and process that have to be supported by the administrative leadership. Besides, CLT recognizes the lack of harmony between the organizational leadership and adaptive processes and strives to achieve alignment between the two (Uhl-Bien et al., 2007). Healthcare systems need to have strong administrative leadership that can support the adaptive processes that will allow the various individual such as clinicians, engineers, information technology teams to practice the frontline leadership. Besides, healthcare systems must move from the perception of entanglements as problems that need quick solutions rather than opportunities for improvement and discussion. Furthermore, CLT views friction and perspective disparities as an unexploited potential that can be used to support innovation and improvement in healthcare organizations. Furthermore, it helps in defining analysis of leadership from ladder and linear views to a dynamic and non-linear understanding of how individuals, as well as occurrences, affect the changes that were planned earlier (Uhl-Bien et al., 2007). Adaptive and administrative processes have a serious entanglement that must be understood by the leaders in the bureaucratic organizational forms. Besides, the corporate leaders have to design structures that can allow the adaptive function to operate efficiently. It is also the role of enabling leaders to promote adaptive dynamics and incorporating adaptive outcomes in the formal systems. The reason for this that the enabling leader can operate on the platform between the administrative and adaptive leadership (Bailey et al., 2014). Besides, the adaptive leaders can control adaptive changes by being proficient in identifying rising practical outcomes. Furthermore, it is important that leaders appreciate the fact that leadership is based on contexts and as such, they should learn to interact efficiently with the ever changing and complex environments that they operate in their practice. The objective of healthcare systems is to achieve improved patient outcomes. As such, many health systems strive to improve their services to realize their goals. One of the ways of achieving the goals is through having leadership that is capable of organizing the various units and individuals in the organizations. However, several challenges are facing the healthcare systems in their attempt to have quality leadership. The problems include lack of comprehensive remodel of leadership processes, professional background attitudes towards leadership, and financial issues among others. However, the various challenges can be addressed by using shared governance, frontline clinical empowerment, and clinical leadership. Reference Agrawal, A. (2009). 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Ferguson, L., Calvert, J., Davie, M., Fallon, M., Fred, N., Gersbach, V., Sinclair, L.(2007). Clinical leadership: using observations of care to focus risk management and quality improvement activities in the clinical setting. Contemp Nurse, 24(2):212-224. Giltinane C. L. (2013) Leadership styles and theories. Nursing Standard. 27(41), 35-39. Hamilton, P., Spurgeon, P., Clark, J., Dent, J.; Armit, K. (2008). Engaging Doctors: Can doctors influence organisational performance? Coventry: NHS Institute for Innovation and Improvement. Hartley, J., Martin, J., Benington, J. (2008). Leadership in Healthcare: a review of the literature for health care professionals, managers and researchers. SDO. Retrieved from https://www.netscc.ac.uk/hsdr/files/project/SDO_FR_08-1601-148_V01.pdf Jones, R. (2008). Nursing leadership and management (1st ed.). New Delhi: Jaypee. Kabir, C., Potty, A., Sharma, R. (2008). Current opportunities for the development of leadership skills for doctors. 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Saarnio, R., Suhonen, M., Isola, A. (2016). Nurse managers visions of future challenges in health care organizations. Journal of Nursing, 3(2). Santos, Jose Luis Guedes dos, Erdmann, Alacoque Lorenzini, Andrade, Selma Regina de, Mello, Ana Lucia Schaefer Ferreira de, Lima, Suzinara Beatriz Soares de, Pestana, Aline Lima. (2013). Nursing governance: an integrative review of the literature. Revista da Escola de Enfermagem da USP, 47(6), 1417-1425. Sherman, R. O., Schwarzkopf, R., Kiger, A. J. (2011). Charge nurse perspective on frontline leadership in acute care environments. International Scholarly Research Notices. Uhl-Bien, M., Marion, R., McKelvey, B. (2007). Complexity Leadership Theory: Shifting leadership from the industrial age to the knowledge era. Leadership Institute Faculty Publications. West, M., Armit, K., Loewenthal, L., Eckert, R., West, T. and Lee, A. (2015) Leadership and Leadership Development in Healthcare: The Evidence Base. London, Faculty of Medical Leadership and Management Yuter, S. (2011). A Self-Organizing Group Within a Hierarchical Organization. Doctoral Dissertations. Zwanenberg, Z.(2010). Leadership in Social Care. London: Jessica Kingsley Publishers.