Sample Solution
It has been three decades since evidence-based practices (EBPs) were first introduced in the healthcare literature (Evidence-Based Medicine Working Group, 1992). EBP is the recognized and desired standard for international transdisciplinary healthcare providers and is supported by national, international, and professional healthcare organizations and regulatory agencies, such as the American Nurses Credentialing Center (ANCC, 2022), the American Nurses Association (ANA, 2022), the Centers for Disease Control and Prevention (CDC, 2021), the National Academy of Medicine (NAM, 2022). The goals of evidence-based decision-making (EBDM) are to reduce variations in practice, enhance the quality of care, improve patient outcomes, and reduce costs (Melnyk & Fineout-Overholt, 2019). Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes. Evidence-based practice can provide an exceptional opportunity to optimize patient care and outcomes by creating and leveraging the right quality improvement culture and tools, nurses’ education, and training in the overall care process.
Although Catherine Earnshaw is raised with Heathcliff and develops feelings of affection for him, she still cannot deny Heathcliff’s true, savage nature. When Isabella declares her love for Heathcliff, Catherine warns her about his malicious and unkind character. Catherine says “Tell her what Heathcliff is: an unreclaimed creature, without refinement, without cultivation; an arid wilderness of furze and whinstone… Pray, don’t imagine that he conceals depths of benevolence and affection beneath a stern exterior.. he’s a fierce, pitiless, wolfish man.” From Catherines statement the reader understands that Catherine believes Heathcliff to be an evil man and she tries to stop Isabella from pursuing him so that she does not get hurt by his actions.
It is clear that Heathcliff is a vengeful man. He seeks vengeance on Hindley Earnshaw for Hindley’s treatment of him when he inherited Wuthering Heights. Hindley is cruel towards Heathcliff because his father had always preferred Heathcliff to Hindley. After Hindley inherits Wuthering Heights he makes Heathcliff work on the land like a slave, causing Heathcliff to seek revenge on him. Although Hindley dies, this is not satisfactory enough for Heathcliff and he plans to treat Hindley’s son just as Hindley treated Heathcliff. Heathcliff says to the boy “Now, my bonny lad, you are mine! And we’ll see if one tree won’t grow as crooked as another, with the same wind to twist it!” The fact that Heathcliff would intend to treat an innocent child so harshly speaks volumes about his evil nature and shows that he would mistreat Hindley’s son, just to get vengeance.
Heathcliff is an extremely selfish character, only concerned with his own needs and desires. This is displayed after the death of Heathcliff’s one true love. When he is told that Catherine has died in child birth, he is only interested in his own grief. He proclaims “…Catherine Earnshaw, may you not rest as long as I am living…” Heathcliff would rather Catherine come back from the grave to haunt him as a ghost than allow her to rest peacefully. He would deny her knowing the peace of death just to satisfy his needs. Heathcliff also shows no concern for the wellbeing of Catherine’s new born daughter or her husband because he does not even mention them while he is grieving catherine, highlighting his selfish attitude.
