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Both Sams' start out with some podcast news that consisted of what's been happening between us and Cardiac Cane (1:29). Then they discuss some NHL News with the trade of Chris Tanev to Dallas and Winnipeg's troubling numbers with STMs (6:57). They then talk about Hurricanes News with the huge news of the Hurricanes possibly getting Elias Pettersson from Vancouver (11:36). Lastly they recap both wins that ended their three game road trip against Minnesota (23:29) and Columbus (28:38).If you have any questions or just want to contact us please email us at: thecaniacreport@gmail.comOur Twitter: https://twitter.com/TheCaniacReportOur Instagram: https://www.instagram.com/thecaniacreport/Donation Link: https://paypal.me/sgwallace917?country.x=US&locale.x=en_US
Both Sams' start out with some podcast news that consisted of what's been happening between us and Cardiac Cane (1:29). Then they discuss some NHL News with the trade of Chris Tanev to Dallas and Winnipeg's troubling numbers with STMs (6:57). They then talk about Hurricanes News with the huge news of the Hurricanes possibly getting Elias Pettersson from Vancouver (11:36). Lastly they recap both wins that ended their three game road trip against Minnesota (23:29) and Columbus (28:38). If you have any questions or just want to contact us please email us at: thecaniacreport@gmail.com Our Twitter: https://twitter.com/TheCaniacReport Our Instagram: https://www.instagram.com/thecaniacreport/ Donation Link: https://paypal.me/sgwallace917?country.x=US&locale.x=en_US Learn more about your ad choices. Visit megaphone.fm/adchoices
Hello Colorado Rapids fans. This week on Holding The High Line, Robin Fraser Out! Rabbi and Red banter about the 2-0 loss to RSL and the club losing the Rocky Mountain Cup. Then we break down the breaking news of Fraser being fired by the Rapids. How'd we get here? How much is Fraser at fault? What's his legacy as Rapids manager? Is this team a bottom group of players? Where do we go from here with Chris Little as interim and with the coaching search? Also how about that letter to STMS from Pádraig Smith? We discuss. That press conference tomorrow at 11:30 should be something. We end the show with a handful of Ask HTHLs. P.S. Thanks to Joe Lowery for the kind words on Backheeled.
Your Optimistic Voices Podcast Host, Yasmine Vaughan, discusses appropriate training for Short Term Mission (STM) Teams to ensure ethical missions with Guest, Andrea Kroeze. Helping Children Worldwide engages with individuals interested in short and long term missions overseas and provides training for STM deployment.In our Season One episode with Eli Oswald of Faith to Action "Do No Harm" we discussed ethical STMs in orphan response. In our Season One episode with Tory Ruark of Standards of Excellence "Certified Ethical" we discussed the 7 Standards of Excellence in STM. In today's Episode, we will talk more about standard 6, appropriate training. An excellent short-term mission prepares and equips all participants for the mutually designed outreach, and is expressed by: Biblical, appropriate, and timely training On-going training and equipping (pre-field, on-field, post-field) Qualified trainersAndrea Kroeze has been on staff with Touch the World since 2004 and currently serves as the Training & Curriculum Coordinator where she finds innovative ways to train and prepare students to serve locally and globally. Andrea is also the Head Instructor of The Missions Academy, an online learning platform that equips people to do short-term missions better. Andrea and her husband Jesse have three children, two of whom were born in Uganda, Africa, when they served as overseas missionaries there for 5 years. In Uganda they learned about life in another culture, more than ever about God, and formed some of the most meaningful relationships of their lives. While living overseas, Andrea developed a deep love of culture and it's now one of her favorite topics to learn about and teach. She's currently pursuing her Masters degree at Fuller Seminary in Theology and Ministry with a concentration in youth, family and culture.www.touchtheworld.orghttps://shop.touchtheworld.org/pages/missions-resources (Missions devotionals and Re-Entry Journals)www.themissionsacademy.com (online missions training) MissionWorks General Website: https://missionworks.global/MissionExcellence Website: https://missionexcellence.global/7 Standards: https://missionexcellence.global/7-standards/ TTW's Core Mission Principles For Long-Termers training: https://www.traininternational.org/pre-field Instagram @mamakroezeHelpingchildrenworldwide.org
Continuing this two-part series, Kevin and Derek discuss the mandateshort-term missions have to impact the harvest field AND the harvest force. Thisepisode will help you grasp the benefit of Short Term Missions as adiscipleship method for churches and missions organizations, while alsoproviding steps and guidelines on how to implement STMs with strategy.Philemon 1:6Looking to Partner with FAMM? Learn more: https://www.gofamm.org/partnerConnect with FAMM:Instagram: https://www.instagram.com/gofammFacebook: https://www.facebook.com/forallmankindWebsite: https://www.gofamm.org/Questions about this episode? Email us at info@gofamm.org
Bonjour et bienvenue sur Avant J'étais Prof, le podcast des enseignantes et des enseignants qui ont osé la reconversion. Dans ce vingt-troisième épisode, j'ai le plaisir de recevoir Manon. Elle a 32 ans, et elle a enseigné les sciences et techniques medico sociales dans le secondaire avant de trouver un emploi salarié. Aujourd'hui, Manon travaille dans un organisme de sécurité sociale et on peut dire qu'elle a quitté l'Éducation nationale de manière un peu précipitée. Dans cet épisode on parle d'affectations, de préjugés, de conditions de travail, de baisse de salaire et de qualité de vie. Bonne écoute ! Si le podcast vous plaît, merci de le commenter et de le noter sur votre application d'écoute favorite. Et si vous pensez qu'il pourrait être bénéfique à quelqu'un que vous connaissez, n'hésitez pas à le lui partager. Suivez le podcast sur Instagram et Facebook . Soutenez le podcast sur Tipeee . Cet épisode a été monté et mixé par Alice Krief .
Nicolas Misdariis, directeur adjoint de l'Unité Mixte de recherche STMS (sciences et technologies de la musique et du son) de l'Institut de recherche et coordination acoustique/musique (IRCAM), nous présente la chambre anéchoïque de l'IRCAM, construite dans les années 70. Un lieu entouré de mythes, comme par exemple qu'en y restant un peu trop longtemps, on pourrait devenir fou... Crédit photo : Philippe Barbosa. Voir Acast.com/privacy pour les informations sur la vie privée et l'opt-out.
Fernando Segal connected with Emma Doyle recently when he invited her to speak at his Tennis, Business and Technology Conference centred around INNOVATION in ACTION! He has a wealth of experience in the tennis industry (more than 40 years) and he is a tennis development expert recognized worldwide for his accomplishments and philosophical concepts. In this episode, he shares stories about one of his mentors, Coach Tony Pickard, who was the long-term coach of former world #1 Stefan Edberg and his philosophy on WHAT MAKES A GREAT COACH? "Create big relationships" - we hope you enjoy this episode on The Coaching podcast. Some of Fernando Segal's career highlights include: · Founder of the “SEGAL INSTITUTE” for the formation of leaders in Tennis Development and strategic tennis transformations with many international clients. · He is the author of 11 published books on different tennis topics. · Has lectured on his concepts, experiences and theories at various ITF world conferences, national tennis congresses and courses in more than 45 countries. · He has been a member several times of ITF Committees and other International Committees that he is part of such as GPTCA, IMSCA, STMS, Sports Alliance and others. · More than 6000 tennis coaches are using his theories around the world. He will publish his 12th book in late 2021 "The 4 tennis players to develop players." · Additionally, he has worked with National Tennis Federations as National Tennis Director and Chief Development Consultant: Argentina, Brazil, Mexico, New Zealand, and others. He is the only Tennis Development Coach from Latin America who has worked in the three largest countries in Latin America. (ARG / BRA / MEX). · From his Development Programs, Junior players have been developed who have won 16 Junior Grand Slams and then were Top 10 ATP / WTA and other Top 100. · n March, he received the GPTCA Award as “Tennis Coach of the year” 2021. GPTCA is the official body of the ATP to certify coaches · He is President of the GPTCA for Argentina, Chile and Mexico, the official body of the ATP for Certification of High-Performance Tennis Coaches. He is also a member of the scientific and administrative council of four different organizations around the world. · He has lectured in more than 45 countries and continuously presenting at World Tennis Summits and National Tennis Conferences. He made several online presentations in 2021 for different congresses and National Tennis Organizations. · "SEGAL INSTITUTE" with his direction created the 1st. WOLRD TENNIS CONFERENCE 2021 by GPTCA / SI with the participation of the best coaches in the world such as: Goran Ivanisevic, Toni Nadal, Ivan Ljubicic, Gilles Cervara, Apostolos Tsitisipas, Nick Bollettieri, Boris Becker, Janko Tipsarevic and many others. WTC was held at the end of March 2021 with 1100 coaches from 74 countries participating and was chosen the best in history. · Currently, the Segal Institute is organizing with its management, TBD TENNIS INNOVATION WEEK 2021 (Technology, Business & Development), the virtual event, which integrates 3 events, the most important in innovation and transformation of tennis in the world that will be held in the TennisONE App Platform in October 2021. · Likewise, the TBD Talks Host is a tennis innovation and development program on the TennisONE platform in the USA that is transmitted to more than 100,000 members of the application. · He has founded and directs projects such as: IDTC, Tennis Stars, 33 Tennis, Segal Leadership Academy, and others. · Fernando is a leader on Tennis Worldwide, who are currently leading several tennis projects with a presence in several countries with projects in operation. His main priority is to help to develop and transform a new generation of tennis leaders with concepts and principles to be applied with several ongoing projects. You can register for the Innovation Conference (Oct 27 - 30, 2021) here: www.tbdtennisinnovationweek.com or TennisONE App. The Coaching Podcast discount Code is: TBDSEGIN to have of $5 off bringing the total price to only $35 USD. Together we can always do better for tennis!! TBD is innovation in action!
Episode 49: Dementia in Primary Care. Dr Ryan Townley explains what to do when a patient reports “memory problems”, including labs, imaging, and more. Question of the month: Fever and Cough.Introduction: DementiaBy Hector Arreaza, MDToday is April 26, 2021.Dementia is an umbrella term that includes many conditions that have in common a cognitive decline affecting ADLs. It is an acquired condition that presents after the brain is fully developed. As our population ages, the topic of dementia has become more pertinent. Recently we had an introduction about the link between poor sleep and dementia, episode 42. The next two episodes will be about dementia.Today we would like to discuss further this relevant topic. We talked with Dr Ryan Townley, who is an assistant professor in the Department of Neurology at the University of Kansas Medical Center, and the director of the Cognitive and Behavioral Neurology Fellowship. We will discuss dementia screening, how to evaluate our patients who report “memory problems”, including additional testing and imaging, when to send to a neurologist or neuropsychologist, and some things we can do for prevention of dementia. This episode is not intended to be a comprehensive lecture about dementia, but it may motivate you to keep learning about this topic. I hope you enjoy it.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Question of the MonthWritten by Hector Arreaza, MD, read by Terrance McGill, MDThis is a 69-yo male patient, with controlled hypertension. He comes to an urgent care clinic for acute onset of fever (102 F), cough, and shortness of breath which has progressively worsened over the last 3 days. He does NOT smoke tobacco, but smokes recreational marijuana once a month, and drinks 1-2 beers a week. He goes to the doctor once a year for check-ups. He takes benazepril 10 mg daily for his hypertension. He does not believe in vaccines and his last shot was a tetanus shot 5 years ago. No surgical history. He retired as an accountant 5 years ago. Vital signs are normal except for tachycardia of 110 (his baseline is 85) and temperature of 101.5 F (38.6 C). He has bibasilar crackles on auscultation. You perform labs in clinic and he has a white count of 13.5, and a chest x-ray shows a right lower lobe consolidation. He has a negative rapid COVID-19 test. What are your top 3 differential diagnoses and what is the acute management of this patient’s condition?Let’s repeat the question: What are your top 3 differential diagnoses and what is the acute management of a 69-year-old male, non-smoker, who has fever, cough, shortness of breath, tachycardia, bibasilar crackles, elevated WBCs, a right lower lobe consolidation, and a negative rapid COVID-19 test?Send us your answer before May 7, 2021, to rbresidency@clinicasierravista.org and the best answer will win a prize!____________________________Dementia in Primary Care. With Ryan Townley, MD, and Hector Arreaza, MD.Ryan Townley, M.D., is an assistant professor in the Department of Neurology at the University of Kansas Medical Center and is the director of the Cognitive and Behavioral Neurology Fellowship. He is also the Alzheimer's Clinical Trials Consortium Associate Director and Primary Investigator at the University of Kansas Alzheimer's Disease Center. Dr. Townley is certified by the American Board of Psychiatry and Neurology. He joined the KU Medical Center faculty in August 2019. Prior to medical school, he earned a bachelor of science in neurobiology from the University of Kansas. He graduated from the University of Kansas School of Medicine, where he earned the 2013 Dewey K. Ziegler Award for Excellence in Neurology presented by the KU Department of Neurology and was honored with the American Academy of Neurology's Outstanding Neurology Medical Student Award. He then completed his neurology residency, an internal medicine internship, and a two-year cognitive behavioral fellowship at the Mayo Clinic School of Graduate Medical Education. He is the author of many publications and has presented more than two dozen lectures and posters nationally and around the world. His clinical and research interests include atypical Alzheimer's diseases, normal pressure hydrocephalus, frontotemporal lobar degeneration and dementia with Lewy bodies. He also has interests in patient, resident and medical student education, and preventative health against neurodegenerative disease.Questions discussed during this episode:What to do when someone complains of "memory problems" in primary care?When should a primary care doctor refer a patient to Neurology for evaluation of dementia?Dementia vs Normal aging. What are the types of dementia?When should a primary care doctor start medications for Alzheimer's disease? First-line pharmacologic treatment of Alzheimer's disease. Prevention of Alzheimer's disease: Resources mentioned in this episode:AD8 Dementia Screening Interview: It is a tool given to an informant (ideally) or to the patient. It can be self-administered or administered by someone in clinic or by phone.AD8 in English: https://www.alz.org/media/Documents/ad8-dementia-screening.pdfAD8 in Spanish: https://championsforhealth.org/wp-content/uploads/2017/01/AD8-Screening-Spanish.pdf Mini-Cog: It is a 3-minute instrument that can increase detection of cognitive impairment in older adults. It can be used effectively after brief training in both healthcare and community settings. It consists of two components, a 3-item recall test for memory and a simply scored clock drawing test. It does not substitute for a complete diagnostic workup.Mini-Cog in English: http://mini-cog.com/wp-content/uploads/2018/03/Standardized-English-Mini-Cog-1-19-16-EN_v1-low-1.pdfMini-Cog in Spanish: http://mini-cog.com/wp-content/uploads/2018/03/SPANISH-Mini-Cog.pdf Montreal Cognitive Assessment (MoCA): Dementia screening tool, no longer free, it requires training and certification. Available in several languages: https://www.mocatest.org/ Saint Louis University Mental Status Examination (SLUMS): Screening tool for dementia, training advised and available for free, available in Epic.Training video: https://www.youtube.com/watch?v=z4ctoWU-qzwSLUMS in English: https://health.mo.gov/seniors/hcbs/hcbsmanual/pdf/4.00appendix8slumsform.pdfSLUMS in Spanish: https://www.slu.edu/medicine/internal-medicine/geriatric-medicine/aging-successfully/pdfs/spanish-pr.pdf Short Test of Mental Status, The University of Oklahoma Health Science Center, https://www.ouhsc.edu/age/Brief_Cog_Screen/documents/STMS.pdfDementia prevention, intervention, and care: 2020 report of the Lancet Commission, The Lancet, Vol 396, Issue 10248, P413-446, AUGUST 08, 2020. https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext Dementia Update Course: July 23, 2021, and September 3, 2021. Register at: https://www.eeds.com/portal_live_events.aspx?ConferenceID=634196____________________________ Conclusion.Now we conclude our episode number 49 “Dementia in Primary Care”, Dr Ryan Townley explained different tools we have to assess patients with “memory problems” and explained some interesting concepts in the assessment of cognitive impairment. Talking about dementia, don’t forget to answer our question of the month. Send us your top 3 differential diagnosis and acute management of a 69-year-old male with fever, cough, tachycardia, and right lower lobe consolidation. Send your answer before May 7, 2021, and win a prize! Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Ryan Townley, Ariana Lundquist, and Terrance McGill. Audio edition: Suraj Amrutia. See you next week!
Jon Robinson and Mike Vrabel answer questions from STMs. Mike and Amie talk Titans Radio Draft prep and more. It's all on The OTP, presented by Farm Bureau Health Plans.
Description: Mike Rhoades from Praying Pelican Missions shares with us about the uniqueness of serving in rural communities. Listen to hear about partnering with churches in rural communities, how mission teams can support the work of the local church, and how to be prepared for your mission trip. Notes: website - www.ppm.org, phone number - 888.ppm.4090, (1-888-776-4090) email - info@prayingpelicanmissions.org Bio: Mike currently serves as the Director of Marketing and a member of a leadership team that puts on the annual Borderless Conference. Prior to serving with PPM, Mike was on staff with several churches. He was a founding member and worship leader at Relevant Community Church in Elkhorn, NE, after which he served as the Associate Pastor of Youth and Young Adults at Grace Chapel Community Church in Hermitage, PA for just under five years. He holds a B.S. in Marketing from the University of Nebraska Kearney and a Masters in Christian Ministry from Liberty University. Mike lives in Omaha, NE with his wife, Nikki, two kids, Liam (7) and Aravis (5), and their dog, Luna. In addition to being constantly on the go with family activities, Mike leads worship for his local church and loves to play golf or go for a run when time allows. --- Send in a voice message: https://podcasters.spotify.com/pod/show/missionworks/message
Description: It seems that one natural disaster hardly leaves the news before another one happens. It's easy to forget that it can take years for people to recover from disasters. We talk with Karen Carr from Convoy of Hope about how to be ready to help others after a disaster in your area and how to be ready to help others when the disaster happens elsewhere. Short-term teams can be a great way of partnering for the long-haul! Notes: https://www.convoyofhope.org/what-we-do/disaster-services/ Bio: Karen M. Carr has lived her life in a framework of global missions, education, and health care. She has brought those experiences with her to Convoy of Hope where she has ministered for more than 12 years. Karen has more recently added a role on the Disaster Services Team, working with churches and organizations for local disaster engagement. kcarr@convoyofhope.org --- Send in a voice message: https://podcasters.spotify.com/pod/show/missionworks/message
Stay tuned as Dr. Stewart Tepper explains key points you need to know about four neuromodulation devices for the treatment of migraine, including Cefaly, the sTMS device, gammaCore and Nerivio. Tepper outlines the differences between each option including cost, how they are used, who they are best for, and more, helping you and your doctor narrow in on the best fit for you. If you support improved access to the best and safest treatments, let your voice be heard. Sign your name to a petition urging healthcare payors to provide better access to migraine treatments. Help us reach 50,000 signatures by December 31, 2020. Sign at https://www.change.org/MigrainePetition This podcast is sponsored in part by Eli Lilly and Co. *The contents of this podcast are intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The speaker does not recommend or endorse any specific course of treatment, products, procedures, opinions, or other information that may be mentioned. Reliance on any information provided by this content is solely at your own risk.
My conversation partner today is Corey Pigg, the creator of the podcast, Failed Missionary, and I invited him to join me in tackling the subject of Short Term Missions, as we are coming up on STM season. In full disclosure, Corey and I are actual friends, so our conversation flowed easily into some deeper thoughts re: parenting, therapy, but I decided to keep all of those segments in the show and invite you into our conversation in hopes that they’ll be helpful to you. In this show, we tell our personal stories of STMs, and both of us have extensive experiences with both short term and long term missions. We lay down some of the reasons why we’ve left that world behind, explaining some of the harm. And as well, talked about some of the alternatives to STMs that may be helpful to parents and their teens. Please check out the links below for a much deeper dive into the harm of STMs if you’re interested in learning more. Links (affiliates included): Failed Missionary - https://www.failedmissionary.com Lumos - https://www.wearelumos.org Poverty, INC - https://www.povertyinc.org Story of John Allen Chau - https://www.theguardian.com/world/2019/feb/03/john-chau-christian-missionary-death-sentinelese How Going on Vacation might be better than Going on Mission - https://theveryworstmissionary.com/2016/02/how-going-on-vacation-might-be-better/ Corey gave me a list of resources on this topic, although we did not reference them specifically on the show, we hope they will be helpful to you for further exploration: Short Term Mission - https://amzn.to/2UcRNso When Helping Hurts - https://amzn.to/2PbunTo Homeland Insecurity - https://amzn.to/2XdhHOI Overturning Tables - https://amzn.to/2D8lFR5 More resources are available in the Resources tab on the Failed Missionary Website under White Savior Series - https://www.failedmissionary.com/podcast/2018/9/5/white-savior-series One Day’s Wages - www.onedayswages.org Join us at the Parenting Forward Patreon Team - https://www.patreon.com/cindywangbrandt Parenting Forward - https://amzn.to/2GB6eDB
The video is here: https://www.youtube.com/watch?v=48mtB40sKhs
This session will address systems solutions to short-term mission (STM) drug-related quality of care problems. The quality of care various STM systems are capable of providing varies tremendously: -Well designed STM systems enable physicians, pharmacists and other providers to deliver high quality care and have the greatest possible impact for patient health and for the Kingdom. -Inadequately designed STM systems provide poor quality care and often cause more harm than benefit regardless of the training and expertise of team leaders and providers. We will assess mistakes made and lessons learned on over 45 global STMs, as well as 15 years long-term missions clinic practice in an area frequented by STMs. STM systems based on the work of missionary mentors, Jesus’ teaching and evidence based guidelines will also be reviewed.
This session will address systems solutions to short-term mission (STM) drug-related quality of care problems. The quality of care various STM systems are capable of providing varies tremendously: Well designed STM systems enable physicians, pharmacists and other providers to deliver high quality care and have the greatest possible impact for patient health and for the Kingdom; Inadequately designed STM systems provide poor quality care and often cause more harm than benefit regardless of the training and expertise of team leaders and providers. We will assess mistakes made and lessons learned on over 45 global STMs, as well as 15 years long-term missions clinic practice in an area frequented by STMs. STM systems based on the work of missionary mentors, Jesus’ teaching and evidence based guidelines will also be reviewed.
Scanning Tunneling Microscope - How Nanoscientists see Atoms
Scanning Tunneling Microscope - How Nanoscientists see Atoms
Emeritus Professor Renström, from the Karolinska Institute in Stockholm, covers a wide range of topics while talking to BJSM Deputy Editor Babette Pluim. He discusses Lars Peterson's and his book on sports injuries, shares his 24-yr experience with the IOC medical commission, looks back on his time as Professor of Orthopedics in Vermont, explains the importance of periodisation in professional tennis, and analyses the role of the ATP, STMS and ITF in improving the medical care of tennis players and furthering the scientific knowledge in this area. References: Sports Injuries: their prevention and treatment. http://www.humankinetics.com/products/all-products/sports-injuries-3rd-edition The Duke of Edingburgh Prize http://www.basem.co.uk/institute-of-sports-and-medicine.shtml Sports Medicine Hall of Fame http://www.prweb.com/releases/AOSSM/Per_AFH_Renstrom/prweb2574924.htm Injury and illness definitions and data collection procedures for use in epidemiological studies in Athletics (track and field): Consensus statement http://bjsm.bmj.com/content/48/7/483.long Sports injuries and illnesses during the London Summer Olympic Games 2012 http://bjsm.bmj.com/content/47/7/407.long Sports injuries and illnesses during the Winter Olympic Games 2010 http://bjsm.bmj.com/content/44/11/772.long Consensus statement on epidemiological studies of medical conditions in tennis http://bjsm.bmj.com/content/43/12/893.long An interview with Per Renström on his personal perspective of the changes and developments in the sports medicine field over the last 40 years http://www.biomedcentral.com/2052-1847/5/8
Nurses from developed countries who have advanced degrees, such as MSN and PHd. are strategically positioned to meet the growing need of Nursing Leadership development of nurse leaders in developing countries. Today in many developing countries, nursing is still yet to be recognized for its significant impact on quality patient care. As a result, these nurses are seen more as subordinates to physicians and lack the opportunities to develop to their full potential as leaders in healthcare organizations and in the provision of quality patient care.