Theories as the Basis for Nursing Practice Essay Example for Free

Theories as the Basis for Nursing Practice Essay Abstract Theory development is the fundamental step for expansion of nursing knowledge. The knowledge has been borrowed from different disciplines to build the nursing theories. The categorization of theories is based on their scope of practice. The grand nursing theories are the most complex and abstract in their nature. Middle range theories are inducted mostly from grand nursing theories. Orem’s self-care model is clear and descriptive; the theory has been applied, analyzed in a precise method to various areas in the current nursing practice successfully. A comprehensive knowledge of nursing theories is an integral part of graduate nursing. Initially I was also wondering just like the graduate student in the beginning of chapter 2 in (McEwen amp; Willis, 2011) about the application of theory to nursing practice. However the initial theory classes were lot of information in a short duration. Over the time of the course it became clear that theory development in nursing has been crucial to nursing emerging as a profession. The knowledge for nursing theory development has been based on silent knowledge, where the role is limited to following physician orders, received knowledge; this is the information from other fields like sociology, psychology, physiology and anthropology. Later on the theory development was based on individual experiences, practical skills and procedures and empirical data and evidence based practices (McEwen amp; Willis, 2011). Initially it was extremely difficult to comprehend the grand theories, however, as mentioned by Professor Williams (2012) analyzing the grand theories in the context of meta paradigms like human, environment, nursing and health made it quite interesting and simple to understand M. Y. Williams (personal communication, October 12, 2012). The analysis of theories based on the concept development and the logical relationships between the concepts, provides the opportunity to conduct further research in the nursing practice. Grando (2005) described the use of Orem’s theory to guide nursing practice as an example of modern nursing to distinguish nursing from medicine. Grando (2005) successfully implemented a self-care deficit model while treating patients to maintain mental health functioning. She developed a tool based on conditioning of the basic human factors leads to self care requisites like changing behaviors, re framing the habits and managing feelings. Grando (2005) was able to cultivate self care agencies like adequate knowledge, judgment and perception modification to facilitate aintenance of mental health. SCNDT has been successfully implemented in various settings like care of the patient with learning disability. Orem’s model was used in the nursing process to assess the needs of a patient named Sara suffering with Asthma and formulated the nursing diagnosis and care plan based on the needs identified. â€Å"The human needs are categorized into food, air, water, shelter, rest, social interaction, prevention of hazards and maintaining adequate normal function level† (Horan, Doran amp; Timmins, 2004, p. 35 ). The patient was asked to maintain a diary of all the teachings and the interventions to track the progress of the care plan. The conclusion of the study was: It proved as a useful frame work in this situation because Sara was involved in the entire process. From this she became aware of issues relating to her self- care needs and how to meet them. The authors have found that using Orem’s (2001) model in this practice setting has greatly enhanced Sara’s self-care abilities and acknowledgement of deficits plus, preventing possible future problems.

thomas cole Essay -- essays research papers fc

Thomas Cole Painting landscapes was very important during the 19th century. Thomas Cole was one of the most important figures in landscape painting in the United States. He went to many places searching for nature, which he painted to show the unmatchable beauty nature creates. His works of art helped people see and take pride in their great land, which was called America. Cole’s works were often made people feel like they needed to go out in nature and discover the inspiring world of mother earth. Thomas Cole, born on February 1, 1801 in Lancashire, England, found himself at fourteen working as a textile printer and wood engraver in Philadelphia Pennsylvania. Cole returned to his parents in 1819 in Ohio; this is were he learned how to oil paint and how to use different kinds of oil painting techniques under the supervision of a portrait painter, Stein. Cole was very impressed and impacted by the landscapes of the â€Å"new world† and how magnificent they were compared to where he came from, which was England. Cole found that art came naturally to him and eventually taught himself how to observe nature and still life. He started by illustrating American trees, plants, animals, and even Native Americans. With his sketches of nature he made several different paintings including his famous â€Å"The Course of Empire†, â€Å"The wood chopper†, and â€Å"The Oxbow.† In early 1826, Thomas Cole was most famous for being the creator of the National Academy of Design. As the founder, Cole was urged by fans to paint American scenery, but Cole desired to create a landscape painting that could express moral and religious meanings. He painted and painted and then in 1836 he married and settled in Catskill, New York to Maria Bartow. In Catskill he made a beautiful landscape painting of the Catskill Mountains and Hudson River. He is said to have made a big impact on artists like Frederick Church and Albert Bierstadt. Sadly, Cole died early of a disease on February 11, 1848. But his life wasn’t fruitless, he helped lead the first school of landscape called the Hudson River School into the making; were many more leading artists came. Thomas Dougherty, Asher Brown Durand, Albert Bierstadt, and others came from the Hudson River School and they all became romantic realists and painted about the American country sides. These realists joined detail panoramic images with moral insights, which ... ...ce with some trees shot out on the nearside of the painting. The image is painted as if the viewers are taken in a moment of time. The artist can’t be seen at a first glance because he is greatly tiny in the picture, but he is in the image. It seems that Cole tries to get the viewer to see beyond their field of vision to see nature’s colors, lights, and artistry. The storm can be seen as humans who will eventually wipeout the wild and replace it with its own possessions. Thomas Cole is one of the best realists out there. He made Americans and non-Americans see beauty in nature, opportunities, possibilities, and a future in America. He didn’t only inspire a nation, but he also inspired many artists to reach their goals in the art world. Cole was a brilliant, talented artist, and did a mighty fine job in effecting the art world. Works Cited The Hudson River School: American Landscape Artists. New York: Smithmark Publishers, 1996. http://faculty.evansville.edu/ Lucie-Smith, Edward. American Realism. New York: Harry N. Abrams, Inc., 1994. Stokstad, Marilyn. Art History. Rev. ed. Vol.2. New York: Harry N. Abrams, Inc., 1995. 973-974. Yaeger, Bert D.

Maria Theresa of Prussian law

Starting in and around the year 1740 with the crowning of Maria Theresa as empress, began the buildup of the Prussian army. In the eighteenth century commenced the rein of the â€Å"Prince of Prussia†. By mid century, despite only having 3 million inhabitants it had the third strongest army in Europe. It was planning to take over Austria. According to the author, Ozment, the key to Prussia’s dominance and success was due to its ability to conquer and build because of long lived kings. Frederick I crowned himself the King of Prussia in 1701 and openly challenged Austria.His son, Frederick William I brought back Prussian virtues of discipline, obedience and piety. Between him and his son, the army quadrupled in size. An integration of religion and social reform transformed the country. This served to enlighten and educate the populace. Prussia attacked Austria three times, won the Silesian war, increased its landmass by half and revenues by a third. Prussia later suffered a few defeats when attacked by other European countries in the battle of Kolin and others.But the embattled Prussia returned at Rossbach, thought to be their greatest victory. By war’s end, a large amount of the country was destitute and 1/10th of its prewar population had perished. But Frederick aimed to build and rebuild. His reign was deemed enlightened absolutist because it was â€Å"hierarchical and strong-armed, yet optimistic and progressive for the times†. The ruler enabled free press, economic development and the codification of Prussian law.. Frederick believed that the power of Prussia was in its army and he developed it. He also created a strong centralized government and even ruled over the Prussian nobles who wanted their estates, serf and etc. He was also philosophically aligned with John Locke, another enlightened thinker and â€Å"father of liberalism†. Frederick also followed the model that a ruler was authoritative over individuals because he represented and enforced order in order to make individual freedoms possible.

Powerful External Influence Has Stifled Women s Desires...

Powerful external influence has stifled women’s desires throughout American literature. This denial of possessing a much wanted love creates a passion that outlasts all but death. Both Katherine Porter’s Ellen Weatherall in â€Å"The Jilting of Granny Weatherall† and William Faulkner’s Emily Grierson in â€Å"A Rose for Emily† experience this longing for something more. Subject to the trappings of their surroundings, Emily and Ellen’s love affairs permanently affect the women but ultimately allow them to achieve total control of their lives. Small community settings in both â€Å"The Jilting of Granny Weatherall† and â€Å"A Rose for Emily† enable the townspeople to concern themselves with the personal affairs of others. After George leaves Ellen Weatherall, she feels the only way to avoid becoming subject to town gossip is to find another man to marry. After all, she thinks, â€Å"What does a woman do when she has put on the white veil and set out the white cake for a man and he doesn’t come?† (233). Instead of allowing people to feel sorry for her, Ellen carries on with her life and finds another man to love, John. Although she is still in love with George, she settles for this man and this marriage to avoid becoming a pitiful spinster. Emily Grierson, however, tries to ignore the town’s bias against Homer. At first the community is in disbelief, feeling that a Grierson could not possibly marry a Northerner of modest means (248). She is seen as a disgrace for behaving dishonorablyShow MoreRelatedOrganisational Theory230255 Words   |  922 Pagesexploring organization theory the book increases the understanding of a field that in recent years has become ever more fragmented. Organization theory is central to managing, organizing and reflecting on both formal and informal structures, and in this respect you will find this book timely, interesting and valuable. Peter Holdt Christensen, Associate Professor, Copenhagen Business School, Denmark McAuley et al.’s book is thought-provoking, witty and highly relevant for understanding contemporary organizationalRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagesand permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permissi on(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations by manufacturersRead MoreDeveloping Management Skills404131 Words   |  1617 Pagesbuilt-in pretests and posttests, focus on what you need to learn and to review in order to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Kim S. Cameron UNIVERSITY OF MICHIGAN Prentice Hall Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul SingaporeRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 PagesJersey 07458 Compilation Copyright  © 2003 by Pearson Custom Publishing All rights reserved. This copyright covers material written expressly for this volume by the editor/s as well as the compilation itself. It does not cover the individual selections herein that first appeared elsewhere. ii Permission to reprint these has been obtained by Pearson Custom Publishing for this edition only. Further reproduction by any means, electronic or mechanical, including photocopying and recording, or byRead MoreMGT1FOM Key Management Theorists26579 Words   |  107 Pagestabulating machine, probably building on the ideas of Jacquard and Babbage. In concept, Babbage’s computer had all the basic elements of a more modern version. It had a store (or memory device), a mill (or arithmetic unit), a punch-card input system, external memory storage, and conditional transfer. In retrospect, ‘‘Babbage’s genius was not in the calculating power of his engine but in the mechanization of the organizing and logical control of the arithmetic function.’’ Babbage also conceived an ‘‘apparatusRead MoreExploring Corporate Strategy - Case164366 Words   |  658 Pagesundertaken, using the case material. When planning the use of these cases within programmes, care needs to be taken to balance the time taken on such strategic analysis so as to allow the time required to analyse the main issues for which the case has been chosen. Where the text and cases are being used as the framework for a strategy programme (as we hope they will), it is essential that students are required to undertake additional reading from other sources and that their ‘practical’ work is supplemented

Transcendentalism Essay - 1545 Words

Research Skills Paper – Transcendentalism Introduction: The transcendentalism movement first came to be in the mid-19th century as a rebellious reaction to the Age of Reason, illustrated by Thomas Paine, and an overall conformist mindset in their rational way of thinking. Primarily started in New England, Ralph Waldo Emerson was a key component in this new philosophical era of intuitive, spiritual thinking. His unique style of literature (such as Self-Reliance and The American Scholar) as well as Henry David Thoreau’s Walden brought objective ideas into the open, while critiquing the general state of intellectualism and spirituality at the time. The core of the values of transcendentalism can be stemmed from a mix of Hindu teachings and†¦show more content†¦To be great is to be misunderstood† (Emerson, 63). In this quote, you can analyze that Emerson knew that the idea of this type of thinking would not come so effortlessly to people and there would be objectivity. However, others would join him and the ones who did would stick to their new belief rather than going back to their original ways just because people did not agree with them. An example of this would be the author, Henry David Thoreau, a friend of Emerson’s and his book Walden. Instead of writing a book that speculated on the meaning of life, he was hoping to know it from experience. He did this by escaping to a place of true introspection, by living in a cabin a couple kilometers from Concord, Massachusetts along Walden Pond for two years. He continued Emerson proposed ideology by living it himself in a place where he considered to commune with nature and be completely self-reliant. He writes, â€Å"I went to the woods because I wished to live deliberately, to front only the essential facts of life, and see if I could not learn what it had to teach, and not when I came to die, discover I had not lived† (Thoreau, 22). Thoreau achieved this value of transcendentalism by promoting peace and harmony beyond on eself and found himself engulfed in a spiritual journey without modern conveniences and traditions of conformity life. As I read these essays by these famous authors, this got meShow MoreRelatedEssay on Transcendentalism1619 Words   |  7 Pages Transcendentalism nbsp;nbsp;nbsp;nbsp;nbsp;Many people have theories and philosophies about life in general. There have been hundreds of thousands of books published by many different people on the ideas of people in the past and the present. Transcendentalism falls in amongst all of these ideas. There have been articles, essays, poems, and even books written about this subject. Transcendentalism has effected many people since the philosophy was first introduced. The idea was complex andRead MoreEssay on Transcendentalism vs. Anti-Transcendentalism778 Words   |  4 PagesIn the mid-1830s, Ralph Waldo Emerson created a belief called Transcendentalism. He wrote the essay, â€Å"Self Reliance† and Henry David Thoreau, another Transcendentalist wrote an essay called, â€Å"Walden.† Both works of literature focus on the Transcendentalism belief. In â€Å"The Minister’s Black Veil† by Nathaniel Hawthorne, Hawthorne reveals both Transcendentalism and Anti-Transcendentalism throu gh the attitudes of the characters. Therefore, â€Å"The Minister’s Black Veil† can be compared and contrasted withRead MoreTranscendentalism Essay1866 Words   |  8 Pageswe will work with our own hands; we will speak our own minds† This message encompasses the whole ideology of transcendentalism. The transcendentalist were a group of individuals attempting to pave their own path in the world. Without them the progression of women’s rights, anti-slavery laws and various religious movements would slow tremendously. The American history of transcendentalism is often attributed to the struggles of a single man. In early 1831, Boston pastor, Ralph Waldo Emerson, who hadRead MoreTranscendentalism Essay1384 Words   |  6 Pagesis the condition of a consciousness. One answer to creating this essential growth in spirituality is Transcendentalism. Transcendentalism is the rebellion of one’s soul against the societal laws that humanity upholds. It is the integrity of a being and the healing of a scarred mind through nature. Ralph Waldo Emerson was a major figure in transcendentalist literature and wrote two separate essays, one being named â€Å"Self-Reliance†, and the other â€Å"Nature†. Spiritual growth of all kinds is motivatedRead MoreEssay on Transcendentalism945 Words   |  4 PagesTranscendentalism The highly religious philosophy of Transcendentalism developed as the response of a group of people who felt that it was unnecessary to practice a religion (and live a life) that was based on fear. The first Transcendentalists set out to create a more liberal way of life that allowed for personal growth, justice and freedom. To truly understand the implications of Transcendentalism and why Transcendentalists believed what they did, one must first look at the root of TranscendentalismRead MoreEssay on Transcendentalism1016 Words   |  5 PagesEmerson and Thoreau and their Perspectives of Transcendentalism Imagine a world where each individual thought for himself, not allowing other outside influences to mold his ideas. We currently live in a society in which a single clip on television, quote from a newspaper, or opinion from a peer can consequently determine how one thinks or the outlook they have on a topic. In Self-Reliance, Emerson states, A man should learn to detect and watch that gleam of light whichRead MoreThe Transcendentalism Movement Essay658 Words   |  3 PagesI picked the Transcendentalism Movement because I found it to be very interesting. From all the different literary movements we had to choose from Transcendentalism seemed the most revolutionary. It was an entirely new way of thinking for America back in the 1800’s. The Transcendental Movement started around 1835. The movement was all about individualism and spiritualism. The idea was that you could achieve true spirituality with god not through the doctrines of man but through communionRead MoreTranscendentalism Essay807 Words   |  4 Pagesis struggling to find their inner self can trust several of the ideas of transcendentalism. In fact, Thoreau and Emerson include the ideas of optimism, intuition, and originality in many of their pieces of literature. It is clear that a teenager who is struggling developing their character should connect with the transcendent ideas from Thoreau and Emerson. Students struggling with themselves can benefit from Transcendentalism articles in order to help them become more optimistic. Thats because theRead More Transcendentalism Essay563 Words   |  3 Pages Transcendentalism Back in the 1800s, people trusted in their innersoul. it was called transcendentalism. People like Emerson and Thoreau were transcendentalism. They didnt think with their heads. They do things like in their first impression. If they sees that a tree is violet, they will paint it violet. During that era, Romanticism was party of it too. Ideas of Romanticism with transcendentalism. In our everyday life, we use transcendentalism. We use our head to think and our hart to feelRead MoreTranscendentalism Essay617 Words   |  3 Pagesï » ¿Transcendentalism is a movement that started in New England in the early to mid nineteenth century. It was created as a protest against the general culture at the time, straying away from the mindless doctrines of the churches. I think that Thoreau, Emerson, Whitman, and Dickinson did a good job of explaining what Transcendentalism is really about, which is that death is coming for everyone. Our Town stands out to me because it doesn’t use any props, and its strong symbolism that makes a point

The Effects Of Cognitive Ability On Social Media Use

The recruitment of participants shall come from the University aged population, 18-26. This aged will be chosen because they are living in an environment with a prevalence of technological apparatuses, and they are more likely to be engaged in the pursuit of further education at a post-secondary institution. In light of this, we will seek to gain a representative sample of this population. With this is mind, we will seek to gain participants through traditional and contemporary advertising, this includes asking for participants through print media, through email, and by phone, the entire process being randomized. The intent is to acquire a random sample that represents the population, both in demographic/socioeconomic terms and in terms†¦show more content†¦For example, participants shall be provided with a series of unrelated words, to review for a specific time period, and then asked to write down as many as they can remember. Tests like these have good test-retest reliabi lity (Ma et al. 2017, 2). Also, it appears to measure working-memory. Turning now to social media, social media shall be operationalized as a user-oriented platform, for the purpose of this experiment we will be going to focus on the aforementioned popular social media platforms, but including time spent on social media outside of this domain. Suffice it to say, that if it looks like social media, it probably is. Finally, social media use will be determined by the random assignment of the participants to one of the three conditions. In order to provide accurate conditions, participants shall fist complete a questionnaire pertaining to their social media use, from this data we will take the average and make our manipulations from it. For example, if it is found that the average time spent on social media is two hours, we will have a low social media condition of one hour or less, and a high social media condition of three hours or more, the intent is to ensure our manipulations are realistic and large enough to determine if there is an effect. This questionnaire will be tested before the commencement of the study to ensure it has reliable test-retest reliability. Besides this,Show MoreRelatedHow Technology Has Impacted Modern Society1493 Words   |  6 Pagesvery things that makes us human?† In actuality, with the availability of leisure activities and information through the internet, technology has negatively impacted our mental health by endorsing social isolation, which one can argue correlates with rising rates of depression and empathic and cognitive losses. As aforementioned, technology has impacted the mental health of the digital generation by increasing societies lack of human connection. The modern age is distinguished by the proliferationRead MoreEssay on Transtheoretical Model and Chronic Stress Management1537 Words   |  7 Pageshigher than normal. Cortisol is a hormone released from someone with chronic stress, which can which can negatively affect the body’s ability to function. Getting sick is another negative factor of being overly stressed. Chronic stress compromises your immune system and stress hormones affect the body’s ability to fight off illness due to the fact that thymus’s ability to stimulate and coordinate the white blood cell activity. Chronic stress may be a factor in cases of heart disease and obesity.Read MoreTechnology : Child s Dream Or Nightmare?974 Words   |  4 Pagescreated a way for less human interaction from ordering food in the drive-thru to the creation of social media and texting. Technology has created a way of communicating without the ability of seeing and understanding a person’s emotions. The technology epidemic is creating negative energy towards children in today’s society; it is changing children’s emotions, influencing obesity, effecting cognitive ability, producing unsafe situations, and disconnecting parental relationship. Emotions generated byRead MoreMedia’s Influence on Children and Adolescents Essay examples574 Words   |  3 Pagesand social media, the present generation is â€Å"born† in it. By this statement, it is implied that children today are much closer to technology and media than adults are, and so, are more likely to be affected by it. Perhaps, the highest impact on the physical, cognitive, and social-emotional development of children and adolescents is by media due to its ready availability through Smart phones, tablet PCs and other portable devices. This paper attempts to evaluate some of the influences of media on variousRead MoreEffects of Television on Child Development: Comparing Adverse and Positive Consequences of Watching Television1138 Words   |  5 PagesEffects of Television on Child Development: Comparing Adverse and Positive Consequences of Watching Television Studying the effects of children watching television has been a popular field of research for many years and is becoming increasingly important as more of children’s time is spent on television. There are strong arguments for both the benefits and the detriments of television exposure. One of the most common arguments against television is the suggestion that it increases violence. OtherRead MoreThe Development Of A Child899 Words   |  4 Pagesstimulating cognitive abilities. People unknowingly utilize music to assist in building their intelligence on a daily basis. Someone may listen to his or her favorite song while exercising or practicing for athletic competitions. Similarly, one may listen to music while studying. This subconscious listening not only relieves one’s stress or energizes his or her emotions, but it improves the cognitive skills of the listener. In his work titled â€Å"The Effect of Mozart s Music on Social Learning BehaviorRead MoreAn Addic tive Amount Of Social Media1595 Words   |  7 PagesThe use of Facebook, Instagram, Twitter, and Snapchat comes as naturally as breathing to teens nowadays. But for some users, these online networking services are deemed to be so addicting, that it affects their cognitive function during the day, and ability to get an acceptable amount of sleep each night. When a person doesn’t achieve a proper amount of sleep, it substantially alters their health. Lack of sleep can cause fatigue, forgetfulness, weight loss or gain, serious health problems, and cognitiveRead MoreObserving An Average College Student Essay1627 Words   |  7 Pagesallowing students to carry all five of their massive textbooks, along with all their notes and assignments, in a 4-pound shiny piece of technology; the issue is not in that, however, but in the tendency of students to use this source of media to prowl the internet and social media, distracting themselves from their schoolwork. It may be true that n ot every student utilizes their technology to scour Amazon or scroll through tumblr during a lecture; it goes without saying however that the potentialRead MoreImportance Of Selection Measures And Performance Management Practices1463 Words   |  6 Pagesimportant point to remember is that it indicates a point of difference. Broadly, diversity refers to points of difference between demographic variables such as gender, age, and race; but it also can include dimensions of sexual orientation, physical abilities, political beliefs and other ideologies. Another way to explain diversity is that it can be divided into two categories; inherent diversity and acquired diversity. According to an article titled â€Å"How Diversity Can Drive Innovation† from the HarvardRead MorePersonal Statement And Field Studies979 Words   |  4 Pagestime and effort was not applied. In order to keep a balance between work and time spent on electronics that is not relevant to work; people need to prioritize on what is most important. By spending one-two hours a day on Internet browsing or social medias upon having chores or work completed, people will feel less overwhelmed. Not only does the Internet consume a lot of our valuable time, it also causes many people to loose track of their surroundings. When people are publicly surfing the web

Hepatitis C Virus Free Essays

With the WHO goal of HCV elimination seeming more achievable with the new DAA therapy, nurses are uniquely positioned to be the final and vital spoke to get the machine running efficiently. History has shown that nurse led programs in HIV treatment were successful and many developed and developing countries have adopted nurse led models in the fight against HIV. Nurses have the education to be a useful ammunition in the fight against HCV infection. We will write a custom essay sample on Hepatitis C Virus or any similar topic only for you Order Now Nurse led programs can be a cost effective alternative and also help to decentralize HCV care and improve access. Certainly, progress in HCV care has been appreciable. Nurses have been integrated into the system in novel ways and numerous studies have shown that the effect is an improved rate of recognition of the infection, treatment uptake and adherence and achievement of sustained virologic response (SVR). Nurse are currently supporting physicians in treating HCV patients. Yet, this is not enough in bringing about any observable change in the epidemic of HCV. With the shortage of physicians and specialists, it is imperative to bring about policy changes that will allow nurses to treat HCV. What is lacking is the involvement of nurse practitioners (NPs). This is the age of DAA and no time has been better than today in involving NPs in the fight against HCV by giving them prescribing authority for DAA. Study conducted in United States (US) showed similar treatment outcomes for HCV infected patients with care by NPs, PCPs and specialists (Sarah et al, 2017) concluding that HCV treatment provided by NPs was as safe as that provided by specialists. An Australian study (Lloyd et al, 2013) conducted between 2009 to 2010 utilizing a nurse led program in prisons with specialist supervision via telemedicine also showed safe and effective HCV treatment outcomes. The newer regimens of DAA which have lesser adverse effects can be easily prescribed by nurse practitioners who have the relevant education and experience. NPs in Australia have already been given the authority to prescribe DAA (Gastroenterology Society, 2017), and US and Canada can take important lessons from the success of this policy change. Nurse practitioners working in nurse led models in prisons, rural areas, and with hard to reach groups like PWID can bridge the gap due to non-availability of specialists.Expanding the scope of practice of NPs is especially relevant today in order to improve uptake of high risk groups into treatment. PWID have a high prevalence of HCV (systematic review 60 – 80% of IDUs in 25 countries had anti HCV while 80% IDUs had anti HCV in 12 countries https://www.sciencedirect.com/science/article/pii/S0140673611610970 ) and are the core group of transmitters. Treatment uptake is low in this group and yet the success of HCV programs is not going to be substantial if issues of HCV detection and treatment in PWID are not addressed effectively. PWID have many barriers to accessing health care, including but not limited to criminalization, poverty, mental health issues, addiction related issues, stigma and marginalization. But they are more likely to be engaged with community level health care providers like primary care physicians and nurses (Milne et al, 2015) in low threshold settings where they do not have fear of stigma or criminalization. Expanding the role of NPs to improve capacity to provide HCV care in these settings will lead to shorter wait times, improve information sharing with patients, advance engagement with the health care team and deliver better treatment outcomes. Prison environments have a huge concentration of HCV infected inmates. 24% of federal prisoners and 23% of provincial prisoners were positive for HCV antibody (Trubnikov 2011). Prisoners are at high risk of passing on the infection due to sharing of drug paraphernalia and are able to spread the infection once out in the community. Rural and remote areas also have disproportionate allocation of health services putting those living in these areas in the demographic of marginalized. Patients are less likely to travel large distances to start and complete treatment. Nurse led models in these two settings are urgently needed to improve HCV care. Nurse led model: a protocol based treatment program can be developed and tailored to cater to the needs of specific populations in community care clinics, OST centers, prisons, rural/ remote areas. The protocol can include relevant history taking, clinical assessment, investigations including the nurse performing transient elastography and triaging patients to determine the risk of each patient. Based on this the nurse would either start treatment, do a one on one consultation with the physician or refer the patient to consult with the physician using telemedicine. Follow up assessments should be conducted and referred for any adverse effects. In prison environments, patients who are released before the end of treatment should be referred to the community center and appropriate continuation of care must be in place. With shorter DAA regimens and better tolerated drugs, more number of prisoners may be offered HCV treatment and more number of inmates may be motivated to complete treatment upon release. Future research should focus on impact of nurses in protocol driven treatment of HCV, nurses dong fibro scan as compared to physicians, efficacy of DOTs therapy in HCV for those populations with adherence issues. Increased funding for specialty education for nurses in viral hepatitis to improve HCV care would definitely improve capacity in the fight against HCV. Lack of treatment for the marginalized is unfair and inexcusable. Nurse led programs in HIV care provided improved outcomes in all indicators and is evidence that they will be crucial in the war against HCV. Nurse practitioners need to rise to the challenge and advocate for better patient care among those affected with HCV by demanding prescribing authority for DAAs. Nurse led model in HCV care is an effective strategy to attain the WHO goal of elimination of HCV by 2030. How to cite Hepatitis C Virus, Papers