Nursing/evidence-based practice

Describe how family nurse practitioners could incorporate the utilization of evidence-based practice (EBP) into their caregiving activities in an effort to enhance patient outcomes.

Sample Answer

Evidence based practice which is a problem-solving approach in the way that health care professionals deliver care is based on studies and patient care data with clinician expertise and patient preferences and values. It provides scientific approach that helps nurses to deliver

Human Forms in Nature: Ernst Haeckel’s Trip to South Asia and Its Aftermath

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By Bernd Brunner

Ernst Haeckel and his sixteen steamer trunks landed at the harbor of Colombo “in the brilliant light of a cloudless tropical morning” on November 21, 1881, following a four-week venture by means of Trieste, Suez, Aden, and Bombay. The zoologist had high expectations: during the coming four months on Ceylon—presently Sri Lanka—he wanted to find a good pace and fauna in “that most elevated and most heavenly assortment of structure” which existed on the island. Haeckel’s energy was reasonable: he was entering the guaranteed place that is known for his naturalist dreams.

Truly, Ceylon around then was not characterized by dream sea shores, an overwhelming wave, or many years of contention between the nation’s Sinhalese and the Tamil occupants—all points we regularly partner with Sri Lanka today. In Haeckel’s time, the tear formed island country off India’s southwestern coast encapsulated the idea of “the tropics”. It was a position of paradisiacal bounty overflowing with things that were new and regularly splendidly shaded: creatures, plants, natural product, flavors, and even gemstones. The domain of wealth appeared to be a fantasy world from some other time. It was likewise a place where there is boundaries, where the warmth and stickiness gave fruitful conditions to a large group of perils—little-comprehended ailments that could rapidly turn hazardous, sicknesses of bugs, savage creatures stalking through the thick vegetation, sharks swimming seaward, and heavy storms.

As he later reviewed in his book A Visit to Ceylon, Haeckel wanted to exchange “the limitation of our fake public activity” for a presence “amidst the straightforward offspring of nature . . . shaping some origination of that visionary primitive heaven into which mankind was conceived.” After all, he accepted that humankind had begun close to Ceylon on the speculative landmass of “Lemuria” in the Indian Ocean. This conviction absolutely affected his choice to venture out to Ceylon—alongside the way that his good examples, Alexander von Humboldt and Charles Darwin, never made it to that edge of the world.

For Haeckel, at the time forty-seven years of age and the most significant boss of Darwin’s hypothesis of development on the European mainland, the excursion to Ceylon spoke to the satisfaction of a since quite a while ago held however at first unclear want that took solid shape over numerous years. “As an eight-year-old kid, I cherished no book more than Robinson Crusoe,” he once reviewed, “and a forlorn life in nature on an inaccessible island had a huge impact in a considerable lot of my youth dreams.” It is evident that he got his tropical fever early, and that it increased over decades.

Be that as it may, his excursion was additionally propelled by prompt logical concerns. Five years sooner, Britain’s Challenger endeavor had finished. In spite of its worldwide yearnings, this trailblazing commitment to marine research ignored the Indian Ocean. Haeckel didn’t partake in the journey, however he was later authorized to examine and characterize the Radiata examples, for example, jellyfish and starfish—that had been gathered. Haeckel needed to add a few parts to the subsequent report. At last, he had a scope of purposes behind going to Ceylon: a yearning for experience he had sustained since adolescence, logical desire, and—when we remember the outlines he would later make—creative aspiration too.

When Haeckel arrived at Ceylon, in any case, it was the island’s rich planting society that originally drew his consideration. “Regularly I have liked myself in some excellent wild spot with tall trees on all sides, wreathed and congested with creepers,” he composed. “In any case, a hovel covered under the parts of a bread-natural product tree, a pooch or a pig mentioning of the brushwood, kids at play and stowing away under the caladium leaves, have sold out the way that I was in a local (Sinhalese) garden.” The biology of these useful nurseries, known as gewattas, has just been explored intently in late decades. The apparently disorganized blend of trees, shrubs, vines, and herbaceous underbrush is really a harmonious framework where every component has a spot and satisfies a reason. Developed utilizing low contributions of work and composts, they are incredibly gainful, particularly when the full scope of their abundance is considered: from kindling to nourishment and flavors.

Sri Lanka is home to a shockingly different exhibit of conditions: from thick tropical rainforests to coral reefs, from tidelands to savannahs, from mangrove backwoods to sand hills. Haeckel set to work, acclimating himself with nearly all that they contained. He was particularly intrigued by the palms, those “sovereigns among plants”. In the slopes whose lower extends were secured with glades and rice fields, he found thick brushland where the trees “have grown up with no sort of request, and in such wild disarray—so went head to head with creepers and climbers, with parasitic plants, orchids and different holders on, each hole shut with a conservative system of hedge and brake—that it is very difficult to unwind the bunch and recognize the firmly tangled stems.” According to Haeckel, stepping into this tangled development was a perilous endeavor. He was assaulted by mosquitos, chomped by ants, and tormented by all the weeds and thistles conveyed by the plants to “bar the route into their puzzling maze”. It was here that Haeckel originally witnessed the great Gloriosa superba, “the noxious climbing lily of Ceylon, with its brilliant red crown”. Huge dark gorillas and swarms of green parrots encompassed him, and he murdered “a gigantic reptile over six feet in length (the solitary Hydrosaurus salvator)”— an animal looking like a crocodile—with a shot to the head. He additionally experienced the talipot tree or “century palm”, with its tall trunk like a slim marble section. The talipot blossoms just once, as a rule between the ages of fifty and eighty, when a pyramidal hedge made out of a huge number of yellowish-white blossoms rises up out of its crown.

At the point when Haeckel went through four days at the greenhouse of Peradeniya—situated close to the focal point of the island, on the edges of the previous regal city of Kandy—he perceived the spot as “a praiseworthy characteristic driving house” and thought of it as the core of the plant heaven that was Ceylon. Be that as it may, while the nursery was and is an exceptional spot, Haeckel’s most astounding experience on the island occurred outside its limits. Setting up a zoological research center in Weligama, on the island’s southern tip, Haeckel set off to investigate the close by waters. A portion of these journeys were short outings to separate examples from the sea’s surface, yet now and again, he likewise cruised out for as long as four hours in a conventional vessel. When he landed at his goal—a point forty or fifty nautical miles from the shore (south, towards “Lemuria”)— he hectically gathered jellyfish and hatchlings. His stockpile of example bottles was immediately depleted. However, in spite of the abundance of ocean life he discovered, his investigation of the examples fortified his conviction that the living things existing in the world’s different seas took after each other considerably more intently than the land animals from landmass to mainland.

Haeckel put aside the most recent month of his stay to investigate the island’s high-height areas. His objective was to visit “the most out of control portions of the primitive woods” past the span of human development. One spring morning, he moved through thick woodlands and past surging streams and cascades to the highest point of the 8,000 meter Pidurutalagala, the most elevated point on the island. There were astounds available, including five-foot-long sky-blue night crawlers, the splendidly shaded woodcock, and a sort of debris dim monkey. On the Horton Plains, a principally wilderness secured zone that is presently a national park, new heaps of compost flagged that wild elephants were close by. During the days that followed, Haeckel and his sidekicks went through the tangled brush along elephant trails. Lamentably—or maybe luckily—they never experienced an elephant crowd.