What is the doctorally prepared nurses role in quality improvement and research within the context of healthcare policy? How do you envision yourself functioning in this sphere?
Nurses role in quality improvement and research
Doctor of Nursing Practice (DNP) prepared nurses are uniquely positioned to meet the institute of medicine`s (IOM`s) call to nursing. The DNP is designed for nurses seeking a terminal degree in nursing practice and offers an alternative to research-focused doctoral programs. DNP-prepared nurses are well-equipped to fully implement the science developed by nurse research prepared in PhD, DNS, and other research-focused nursing doctorates. DNP-prepared nurses typically focus on a scholarship of practice, or translating evidence to practice, often using quality improvement methodologies, with an aim to improve and transform healthcare delivery and patient outcomes.
so argue that the reader is not inclined to accept Nabokov’s monstrous male hero as they are aware of the damage to Lolita’s childhood, and instead feel a sense of shame and disgust towards his narrator as a result of their protective stances concerning the child. Throughout the text, Humbert refers to her through nicknames, such as ‘Lo’, ‘Lola’, ‘Dolly’, clearly showing the theft of her identity, and as a result the reader is never exposed to Lolita’s true character. This is aided by the objectification of the child to an aesthetic object, ‘a salutary storm of sobs’, which dehumanises Lolita and prohibits the narrator from becoming aware of the extent of the damage he has inflicted on her. The use of the sibilant phrase furthers the idea of Lolita as having an elusive nature, as her identity slips away from her as a consequence of her suffering. Additionally, the reader is exceedingly aware of Humbert’s manipulative and terrorising approach to the child, with Nabokov’s use of the controlling line ‘let us suppose they believe you’ taking a condescending tone to make clear to the reader Lolita’s entrapment within her situation. This is enhanced with the repeated rhetorical questions, ‘But what happens to you, my orphan?’ which reveal the manipulating and devious portrayal of the monstrous narrator. References to Lolita’s upset and horror also cause the reader to sympathise with her in place of accepting Humbert, and Nabokov cultivates a sense of hopelessness and desperation with the simple phrases, ‘again I hear you crying’, ‘in the middle of the night she came sobbing’. He uses the setting of darkness to indicate Lolita’s lack of comfort and danger, characterising her as innocent in her manipulation and creating the desire amongst the readers to protect and comfort the lonely child, implying that the Nabokov only intends for Lolita to be accepted. Alternatively, it could be said that Lolita is characterised as manipulative and deceitful, signifying that she is compliant in their sexual relationship. Within Humbert’s narrative, he characterises her as ‘cruel’, ‘crafty’ and ‘calculating’, using the alliterative adjectives to reflect the harsh and brutal nature of Lolita towards her protector. Nabokov also suggests that Lolita does gain some power through taking advantage of the narrator’s desire for her, implying that she is aware of and exploits her sexual appeal, shown through the addressing of Humbert as ‘dad’ throughout the text. Further, her confrontational and argumentative character is evidenced to reflect her strength, ‘I ought to call the police and tell them that you raped me’, however this phrase ultimately has a poignant effect on the reader, making it clear that she is aware of her suffering and hopelessness. As a result, while Nabokov sug