Lyrics of Who Says Selena Gomez and the Scene Wouldnt wanna be anybody else, hey.

. You made my insecure. To me I wasnt good enough. But who are you to judge. When youre diamond in the rough. Am sure you got some things. You like to change about yourself, but when it comes to me I wouldnt want to be anybody else. Nananana, nananana Im no beauty queen, Im just beautiful me. Nananana, nananana You got every right to a beautiful life. Come on! Who says! Who says youre not perfect, who says youre not worth it. Who says youre the only one thats hurting. Trust me thats the price of beauty. Who says youre not pretty, who says youre not beautiful. Who says! Its such a funny thing. How nothings funny when its you You tell me what you need. But it can widen out the the truth. Its like a work of art. But never get to see the lights. Keep you beneath the stars Will let you touch the sky. Nananana, nananana Im no beauty queen, Im just beautiful me. Nananana, nananana You got every right to a beautiful night. Come on! Who says! Who says youre not perfect, who says youre not worth it. Who says youre the only one thats hurting. Trust me thats the price of beauty. Who says youre not pretty, who says youre not beautiful. Who says! Who say youre not star potential, who says youre presidential. Who says you cant be in movies, listen to me, listen to me. Who says you dont pass a test, who says you cant

be the best, who said, who said. Would you tell me who said that, yeah. Who says. Who says! Who says youre not perfect, who says youre not worth it. Who says youre the only one thats hurting. Trust me thats the price of beauty. Who says youre not pretty, who says youre not beautiful. Who says! Who says youre not perfect, who says youre not worth it, who says youre the only one thats hurting. Trust me thats the price of beauty. Who says youre not pretty, who says youre not beautiful. Who says!

Lyrics of The Lazy Song Bruno Mars Today I Dont Feel Like Doing Anything I Just Wanna Lay In My Bed Dont Feel Like Pickin Up My Phone So Leave A Message At The Tone Cause Today I swear Im Not Doin Anythin Im Gonna Kick My Feet Up Then Stare At The Fan Turn The TV On Throw My Hand In My Pants Nobodys Gon Tell Me I Cant Ill Be Lounging On The Couch, Jus Chillin In My Snuggie Click To MTV So They Can Teach Me Howda Dougie Cause In My Castle Im The Freakin Man Oh Oh Yes I Said It I Said It I Said It Cause I Can Today I Dont Feel Like Doing Anything I Just Wanna Lay In My Bed Dont Feel Like Pickin Up My Phone So Leave A Message At The Tone Cause Today I Swear Im Not Doin Anythin Nothin At All Woo Hoo Ooh Woo Hoo Ooh Ooooh Ooh Ooh Nothin At All Woo Hoo Ooh Woo Hoo Ooh Ooooh Ooh Ooh Tomorrow Ill Wake Up Do Some P90X Meet A Really Nice Girl Have Some Really Nice Sex Shes Gonna Scream Out This Is Great! (Oh My God! This Is Great!) Yeah I Might Mess Around, and Get My Collage Degree I Bet My Old Man Would Be So Prouda Me But Sorry Pops Youll Just Have To Wait Oh Oh

Yes I Said It I Said It I Said It Cause I Can Today I Dont Feel Like Doing Anything I Just Wanna Lay In My Bed Dont Feel Like Pickin Up My Phone So Leave A Message At The Tone Cause Today I swear Im Not Doin Anythin No I Aint Gonna Comb My Hair Cause I Aint Goin Anywhere No No No No No No No No No Ohhh Ill Just Strut In My Birthday Suit And Let Everything Hang Loose Yeah Yeah Yeah Yeah Yeah Yeah Yeah Yeah Yes I Said It I Said It I Said It Cause I Can Today I Dont Feel Like Doing Anything I Just Wanna Lay In My Bed Dont Feel Like Pickin Up My Phone So Leave A Message At The Tone Cause Today I swear Im Not Doin Anythin Nothin At All Woo Hoo Ooh Woo Hoo Ooh Ooooh Ooh Ooh Nothin At All Woo Hoo Ooh Woo Hoo Ooh Ooooh Ooh Ooh

The art and science of nursing

Jenifer Wilson-Barnett a Sir Though interesting, Ann Bradshaw's essay (Feb 7, p 438)1 is misleading because it is logically inconsistent and does not address the real challenges facing nursing. Fundamentally, Bradshaw's argument is that nurses are becoming over-educated and seeking professionalisation through university courses which focus on theories at the expense of practical skills, and that this has led to a loss of caring and altruism. She associates, quite mistakenly, desire of nurses for academic achievement and recognition as incompatible with a desire to provide patients with nurture and the exercise of practical skills and infers a causal link between the two. Bradshaw draws heavily on her own empirical work, and cites students who request more support in practical learning, but ignores substantial research evidence that shows graduates in nursing studies value their education as a good foundation for nursing practice and for continuing professional development. If what is taught in the classroom does not improve the care of patients then it is, surely, the selection of what is taught that is at fault, not the principle of a university education. We should not forget that Florence Nightingale was both carer and scholar, and today the university is the natural setting for these activities to be pursued and integrated with benefits for patients.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2805%2979428-9/fulltext#article_upsell

The Art of Nursing

The Art of Nursing Incorporating past ideas with current findings By Gina M. Bright, PhD, RN, OCN Florence Nightingale's book, Notes on Nursing, powerfully claims "the art of nursing" makes "nursing possible."1She devotes each chapter to a recuperative measure that should be incorporated in the care of patients, such as proper noise level, lighting, cleanliness and nutrition. In 1860, Nightingale could not have predicted the evolution of the nurse's role into educator of scientific information, administrator and evaluator of complex treatments, and operator of complex technologies. The Science of Nursing Nightingale's Victorian England did not have antibiotics, monoclonal antibodies or nucleoside reverse transcriptase inhibitors. In the 21st century, nurses cannot adequately and safely care for

patients without a decent knowledge of the medical science that underlies our nursing practice. Today, nursing is as much "a science as it is an art."2 Advanced degrees in nursing in part reflect this scientific side of our profession, especially evident in the current push for APNs (advanced practice nurses) to obtain DNPs (doctorates of nursing practice). The American Association of Colleges of Nursing purports "a strong scientific foundation" is necessary for "current and future practice issues."3The DNP is expected to provide an even more sound foundation than APN preparation has for decades. Realistically, all nurses need a certain degree of scientific knowledge regardless of level of practice. An oncology staff nurse, for example, cannot adequately educate a patient with nonHodgkin's lymphoma about rituximab without an understanding of how it works and its potential side effects. Art & Science If the art of nursing makes nursing possible, as Nightingale claimed a century and a half ago, we should explore how relevant it still is, especially in light of current professional trends seeking to scientize nursing even more. This author believes most nurses still view nursing as an art and a science, and they do not want this vital dialectic to tilt too drastically in either direction. The art of nursing for Nightingale ultimately is to be found in "the everyday management of a sick room."1This "management" alone distinguishes us from other healthcare team members. We are the only practitioners with comprehensive oversight of all of the disciplines that converge in the modern sick room: medicine, dietary, social work, pharmacy, physical therapy and the chaplaincy, to name a few. We coordinate these essential services for the recuperation of our patients. We also organize the delivery of medications, other treatments and psychosocial support to many patients in different settings. Artistic Nursing Practices Nurses seamlessly incorporate certain practices in the management of a sick room that make this art of nursing possible: observation, communication and advocacy. Nightingale stresses we will be "useful" as nurses if we have "the habit of ready and correct observation."1One qualitative approach in nursing research today embodies Nightingale's notion of observation: interpretive phenomenology, which "seeks to understand, rather than explain or predict, participants' worlds."4To understand our patients' worlds, we need an awareness of cultural diversity that includes, but is not limited to, an individual's race, ethnicity, gender, sexual orientation, religion, socioeconomic status, educational level and personality traits. These factors influence people's interactions with and reactions to the world, especially the medical world where we meet them. If we do not understand aspects of different cultures, we are ill equipped to accurately observe our patients. Understanding, or at least attempting to understand, our patients' cultures and our own should "establish a working relationship" with them.5Only then can we engage patients in conversations about their specific experiences with medical treatments. This active communication, the second

artistic nursing practice, enables us to more effectively coordinate and organize their care. Passive communication provides us with a more complete picture as we listen to our patients "both nonverbally and verbally."5We need to notice facial expressions and body posturing in conjunction with the patient's chosen words and tone of voice. A patient who denies pain yet grimaces during our conversation tells me he is experiencing pain but does not feel comfortable verbally expressing it. This observation should alert me to the possibility that he may not feel comfortable discussing other sensitive subjects. As our profession has developed, advocacy has "become entwined with the art of nursing, which is based more on ethics than on task completion."6We certainly have tasks to complete such as charting our medications, but we also deal with ethics when we discuss the benefits versus the risks of a bone marrow transplant with an AML patient and the healthcare team, for example. And when we express the patient's concerns and wishes regarding the transplant to his family and the medical team, we are acting as the advocate. Advocacy is really the culmination of our artistic nursing practices because as we understand our patients' cultural positions through observation and communication, we grow more qualified to protect them and speak on their behalf. Nurturing Our Art The art of nursing may be even more relevant today than it was in Nightingale's 19th century England because our American society is more culturally heterogeneous. Therefore, we need to feed our ability and talent in caring for culturally diverse patients. Reading literature can nurture this art of nursing. The act of reading itself is an act of interpretive phenomenology as the reader seeks to understand the world of the book. When we closely observe the characters' emotions, thoughts and interactions with their worlds, we hone our own ability to observe, communicate with and ultimately advocate for our patients in the context of their unique cultures. Reading culturally diverse literature will grant us more insight into aspects of some cultures we may encounter in our practice. (See Culturally Diverse Literature.) We cannot practice the art of nursing without the science, and we cannot practice the science without the art. The most famous physicist to date, Albert Einstein, offered that children's intelligence levels could be enhanced by "reading them fairytales."7Einstein recognized that art and science complement each other, and we are fortunate to embody both disciplines in our daily nursing practice. References for this article can be accessed at www.advanceweb.com/nurses. Click on Education, then References.