Human Resource Management at Delphi Essay -- HR HRM

Human Resource Management at Delphi Human Resource Management is the usage of HR to accomplish authoritative targets. Different examinations have presumed that an organization?s HR is its kin. It very well may be a huge wellspring of upper hand. Making serious progress through individuals requires a principal change in how administrators consider an association workforce and how they see the work relationship. It's another methodology inside the system of authoritative, conduct that goes past the job of just faculty organization. I have figured out How work examination is a foundational procedure of deciding the aptitudes, obligations and information required for performing employments in an association, How pay incorporates all prize that people recuperation because of their business, and The Occupational Safety and Health is an endorsed state word related wellbeing and wellbeing program. With today?s work power getting progressively assorted, an association must accomplish more to expand the advantages of the various representatives. Human Resource Managers are advancing from the ?Old School? sideline player to the cutting edge warriors. Individuals have consistently been vital to associations, yet their vital significance is developing in today?s society. Though the human asset stock is worried about mentioning to the board what singular representatives can do, Job Analysis is progressively key. It characterizes the occupations inside the association and the practices that are important to play out the activity. It is basic and inescapable human asset method. The motivation behind occupation investigation is to get answers to six significant inquiries: 1) What physical a psychological assignments does the specialist achieve? 2) ... ...a dangerous tag on it, if it?s unsafe. The association needs a framework that can control the compartments. At the point when an individual looks at the compartment, that equivalent individual should check it in toward the finish of the move. This will guarantee legitimate naming of the compartments. Taking everything into account, every one of these things can be benefical to an association if use in legitimate setting. I have figured out How work examination is a foundational procedure of deciding the abilities, obligations and information required for performing occupations in an association, How pay incorporates all prize that people recuperation because of their business, and The Occupational Safety and Health is an affirmed state word related wellbeing and wellbeing program. Regardless of whether an association decide to actualize elite work rehearses or the association has qualified individuals to play out the work that should be finished.

Best Nursing Practices Communication Skills

Question: Expound on theBest Nursing Practices for Communication Skills. Answer: I make a point to be in the utilization of terms of reference with respect to the patient, the state of the patient and drugs is fundamental on the grounds that as Anderson (2012) says, the life of the patient relies upon the life of the patient relies upon it. Such data is given to other wellbeing experts and data from other wellbeing authorities is for the most part transferred to the patient by the medical attendant. Therefore, the adequacy of the between proficient cooperation relies upon the capacity of the attendants to impart viably (King Hoppe, 2013; Brown, Ham-Baloyi, Rooyen, Aldous, Marais, 2016). As a medical attendant, the best possible way to express terms, influence, and the acknowledgment of the numerous societies and language foundations from which the patients come. I additionally apply the most basic relational abilities in the training, for example, mindful tuning in, support of reactions through my signals, persistence, and thought of the patient while transferring data by giving each snippet of data in turn. Medical caretakers working among minority bunches whose dialects are obscure to the lion's share must put forth an attempt to become familiar with the essential words utilized in ordinary correspondence even with the nearness of a translator. I apply trans-culturalism and multiculturalism in my training in view of the multicultural populaces in various regions of training for they are basic in the current multicultural world (E, 2014; University of Texas, 2016). A portion of the partners with whom I/attendants convey incorporate patients, other consideration sup pliers, emergency clinic clinicians, and prompt group members(Brown D. , 22014). Backing in a Person-Centered Environment Quiet focused human services is the best methodology of social insurance and focuses on the particular needs of every patient, one of the explanation for the popularity for attendants and other clinical experts in Australia. Tolerant focused social insurance we, the medical attendants, ought not be so overpowered with such a large number of patients and understaffing as to forget about the patient data. In my accomplished, the electronic records that permit the moment access of all the applicable patient data during the conveyance of human services to maintain a strategic distance from obliviousness driven missteps are an incredible improvement of the proficiency of the conveyance pf social insurance benefits and guaranteeing tolerant security (Gluyas, 2015; NICE, 2014). Current Professional Practice Knowledge Base I apply Knowledge based practice ought to apply aptitudes, information, and judgment from the latest patterns in the clinical field. I have all the applicable qualifications and past experience as a crisis nurture in a high-limit high-stress emergency clinic condition where I generally took care of mishap patients who required snappy clinical consideration with little interview for some were typically oblivious. I likewise have evidence of consistent learning and improvement through extra examinations and practice joined by the important declarations and records. As is expected of a medical attendant, I am very much educated on the utilization current nursing proof to contend cases out(CNBC, 2017). The rules used to satisfy the nursing guidelines, similar rules utilized for the appraisal of skill incorporates: organization, clinical, research, and education(CNBC, 2017), all of which I have experienced. I satisfy the necessary nursing guidelines for the security of the patients and the medical attendants in the social insurance condition. I additionally mirror the qualities instructed for the nursing practice which can be explained by reaching the past establishments in which I worked. Having met all the rules, I trust I am feasible for training in various conditions and circumstances. Information and Understanding of Risk Management, Safety and Quality Principles and the Role of the Enrolled Nurse in Applying these Principles I know and comprehend the wellbeing and quality standards of the nursing practice and hazard the board and utilize a large group of innovations, for example, savvy clinical gadgets electronic wellbeing records, tranquilize conveyance and recovery frameworks. For example, I am familiar with the Epocrates medicate reference manage (celebrated for its hello there tech plan and application) and the Patient Touch innovation gave by PatientSafety arrangements. I comprehend the need to diminish the occasions of clinical blunders through the educational administrations of the application using Positive Patient Identification techniques (PPID). The PPID encourages me get to all the pertinent patient data at the purpose of mind and work together with different clinicians inside the system. As the immediate parental figure while at the patients most sensitive condition, the adherence of the medical attendants to the standards of wellbeing through every single imaginable mean is essential(Thomas , 2011). I am adaptable which helps in my training across wellbeing establishments and manage quiet conditions and wellbeing conveyance frameworks that differ in unpredictability, size, and structures. The formative grouping comprises of the optimistic targets. For instance, sustenance to keep the gut clean and exercise to remain fit(Australian Commission on Safety and Quality in Healthcare, 2011). References Anderson, L. (2012, 10 12). Why Is Communication in Nursing Important? Recovered from Nurse Together: https://www.nursetogether.com/why-correspondence in-the-nursing-calling is-significant Australian Commission on Safety and Quality in Healthcare. (2011). National Safety and Quality Health Service Standards. Victoria: Commonwealth of Australia. Recovered from https://www.safetyandquality.gov.au/wp-content/transfers/2011/01/NSQHS-Standards-Sept2011.pdf Earthy colored, D. (22014, 9 3). Eyye-opening Hospital Work Experience. Recovered from Gap Medics: https://www.gapmedics.com/uk/blog/2014/09/03/significance of-correspondence in-nursing/ Earthy colored, O., Ham-Baloyi, W. t., Rooyen, D. R., Aldous, C., Marais, L. C. (2016). Socially able patientprovider correspondence in the administration of malignancy: An integrative writing survey. Worldwide Health Action, 3402-33208. CNBC. (2017). Knowedge-based Practice. Recovered from CNBC: https://www.crnbc.ca/Standards/ProfessionalStandards/Pages/Knowledgebased.aspx E, B. (2014). Successful Communication Skills in Nursing Practice. CPD, 53-59. Gluyas, H. (2015). Quiet focused consideration: improving human services results. RCNI Nursing Standard, 50-59. Recovered from https://journals.rcni.com/doi/abs/10.7748/ns.30.4.50.e10186 Lord, A., Hoppe, R. B. (2013). Best Practice for Patient-Centered Communication: A Narrative Review. Diary of Graduate Medical Education, 385393. Pleasant. (2014). Safe staffing for nursing in grown-up inpatient wards in intense clinics. Decent, 1. Recovered from https://www.nice.org.uk/direction/sg1/section/persistent focused consideration Thomas, L. (2011). National competency guidelines for the enlisted nurture. Recovered from Nursing and Midwifery Board f Australia: record://C:/Users/Hp/Downloads/Nursing-and-Midwifery-Board - Standard - National-competency-guidelines for-the-enlisted nurse.PDF College of Texas. (2016, 10 5). Significance of Transcultural and Multicultural Nursing. Recovered from University of Texas: https://degree.utpb.edu/articles/nursing/significance of-transcultural-and-multicultural-nursing.aspx

Helpful Tips for Overcoming a Fear of Panic Attacks

Helpful Tips for Overcoming a Fear of Panic Attacks Panic Disorder Coping Print How to Overcome Your Fear of Panic Attacks By Katharina Star, PhD facebook linkedin Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial policy Katharina Star, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on May 30, 2019 Justin Richey/Getty Images More in Panic Disorder Coping Symptoms Diagnosis Treatment Related Conditions In This Article Table of Contents Expand Cycle of Fear/Panic Attacks Overcoming Fear of Attacks Keep Practicing View All Back To Top The good news about panic attacks, the sudden surge of anxiety and overwhelming fear that occurs for no obvious reason, is that they usually only last about 10 minutes. The bad news: They can be some of the most terrifying minutes of your life. As a result, many panic attack sufferers start to live in fearful anticipation of future attacks, which can exact a huge physical and emotional toll. But by developing coping skills, most people who have panic attacks are able to manage their symptoms.   The Cycle of Fear and Panic Attacks Panic attacks are typically experienced through a combination of uncomfortable physical symptoms, distressful emotions, and upsetting thoughts. Physical symptoms, such as shortness of breath, sweating and shaking, usually mark the beginning of a panic attack. These symptoms typically trigger fearful thoughts and emotions, which in turn can intensify your feelings of anxiety. For example, you may start to notice unpleasant physical sensations, such as chest pain or trembling, which elicits a sense of uneasiness. You then start to perceive these physical feelings as a danger or threat and you may then react with fear-based thoughts such as, “I cannot control myself,” Im going to have a heart attack,” or “Im going insane.” As fear escalates, symptoms may also rise. Even though panic attacks usually subside within about 10 minutes, a heightened sense of anxiety and uneasiness can stay with you for hours after an attack. Given how frightening these symptoms can be, its not uncommon for panic attack sufferers to begin to fear the onset of future attacks. People with panic disorder often change their behaviors in response to a fear of panic attacks. For instance, you may avoid certain places or situations that you believe can trigger another attack. Unfortunately, avoidance behaviors only ease anxiety in the short run and often lead to more long-lasting fears. This creates a cycle of fear and avoidance that can greatly limit and negatively impact your overall functioning. Put an End to Panic-Related Avoidance Tips for Overcoming a Fear of Panic Attacks As with many aspects of life, the unknown can seem scary or intimidating. But the less you fear panic attacks, the less likely you are to have them. These tips can help you gain control: Educate Yourself A lack of information and understanding may be whats contributing to your fear of panic attacks. The first step in getting past your feelings of fear and apprehension is to gain a better understanding of your symptoms.   Having more information about panic attacks may help you know what to expect during an attack and feel less afraid of your symptoms. 5 Surprising Facts About Panic Disorder Accept Your Panic Attacks Once you understand more about your symptoms, the next step is to acknowledge and accept your panic attacks. This is certainly easier said than done, but resisting your symptoms can often lead to increased feelings of fear and anxiety. Think about your last experience with a panic attack and notice how your feelings of fear and nervousness played a role in escalating your symptoms. By altering your perception of your panic attacks, you may be better able to cope with them. Change Your Response After youve begun to accept your panic attacks, you can start to change the way you respond to them. For example, instead of reacting to physical symptoms with nerve-racking thoughts such as “I’m losing control,” you can learn to respond to the symptoms with increased calm and clarity. Relaxation techniques such as deep breathing, mindfulness meditation, or yoga, can be practiced to help you get in touch with your relaxation response. Repeating positive affirmations such as, “Despite my anxiety, I accept myself,” can also help in getting past fear. By working on changing how you react, you can start to remain in control during panic attacks. Remember the 3 A's The next time you have a panic attack, remember the three A’s: acknowledge, accept, and alternative response. This will help change the way you react to symptoms, help you get through panic attacks with less fear, and ultimately, help you overcome your fear of panic attacks:Acknowledge: The next time you notice increased anxiety or panic symptoms, simply pause and take a breath. Take this moment to recognize that you are experiencing heightened panic and anxiety. This simple act of acknowledging your symptoms at the start of a panic attack can give you a sense of power over your fears.Accept:  Rather than trying to run away from or resist your symptoms, come to terms with the fact that you are having a panic attack. Acceptance doesnt mean that youre giving in to panic, but it can provide you with the clarity needed to get through panic attacks.Alternative response:  If during an attack you start to react with fear or a need to flee, remind yourself that these are simply symptoms of a panic attack and they will soon subside. When frightening thoughts such as “Im going to lose my mind” arise, try to shift this perception by repeating to yourself, “These feelings will pass.” Keep Practicing By choosing to view your panic attack symptoms differently, you may be able to overcome your fear of them. Keep in mind that this process may take time. Its okay if you don’t always react the way youd like. You can learn from your setbacks and use that knowledge going forward to help you make it through the next attack. Keep trying, and over time you may find that youre feeling more in control of your panic attacks. How the Symptoms of Panic Attacks Can Be Managed A Word From Verywell If you experience panic attacks, your first step should be to see your doctor. Panic attacks are the most prominent symptom of panic disorder, a type of anxiety disorder, but these attacks are also often associated with other mental health and medical conditions. If you are diagnosed with an anxiety disorder, rest assured that not only are they extremely common (theyre the most common mental illness in the U.S., affecting 18 percent of the population), theyre also highly treatable. But its important to get help early since anxiety can be harder to treat if you wait. Find Help From These Online Anxiety Support Groups

The World And The Word By Eugene Merrill, Mark Rooker And...

Theologist and scientists have relentlessly contemplated the idea of creation; how exactly was the earth created? Creationism and evolution have become progressively more controversial within the Christian body. In The World And The Word by Eugene Merrill, Mark Rooker and Michael Grisanti explains the three major positions on the creation of the universe: the theistic evolution, in which absolute evolution and natural selection occur, old-earth creationism, involving divine intervention and evolution, and young-earth creationism, consisting of six solar days (180). â€Å"Merriam-Webster Online defines â€Å"creationism† as: â€Å"a doctrine or theory holding that matter, the various forms of life, and the world were created by God out of nothing and†¦show more content†¦Proponents of this view regard the text of Gen 1:1-2:3 as a narrative text and so they interpret it literally . . .. They regard days of the creation week as solar days, around 24 hours in length. Th e fact that the word â€Å"days† is preceded by an ordinal number and is accompanied by the phrase â€Å"evening and morning† supports this interpretation. During this creative week, God brought into existence the entire universe, including the earth and all forms of plant, animal, and human life that inhabited it (181). Thus, the idea of theistic evolution and old-earth creationism is not supported, and the use of the word ‘days’ should be interpreted literally. EVIDENCE OF YOUNG-EARTH CREATIONISM. Theistic evolution and old-earth Creationism is supported by scientific discoveries, and then focuses on using the Bible as historical evidence. Many believe that scientific information proves that the earth is billions of years old, and that the days in Genesis should not be interpreted as literal twenty-four hour days. Scientific evidence of fossils and evolution are merely humanistic estimations of time. Evolutionists and old-earth creationism seek to justify the days of creation in Genesis through 2 Peter 3:8; â€Å"†¦with the Lord one day is like a thousand years . . ..† (NASB). This passage is misleading to the length of days needed for creation; God’s day is not stated as a thousand years. The context of thisShow MoreRelatedOedipus Rex Research Paper2420 Words   |  10 Pagesdirectly respond to Job’s questions on why he was suffering so much, â€Å"rather †¦, God taught Job a more important truth. Even though much in the created world is inco mprehensible to humans and sometimes even threatening to their existence, it is all the work of a wise God who has His own unfathomable purpose for all He does† (Merrill, Rooker and Grisanti 2003). â€Å"Don’t assume people suffer because God is punishing them for sin, that’s a common misunderstanding in Bible times–which Job’s story tries to

A Brief Note On Sweden And Norway And Sweden Essay

CDP Paper Sweden, Introduction History: Sweden has been a land populated for thousands of years, by early humans who left remnants of their civilization through simple tools and cave drawings. Sweden was originally a set of provinces that, around 1000 AD, were absorbed into a single unit, with their government system being that of an absolute monarchy. However, by 1389, Sweden, along with Norway and Denmark, was placed under the rule of Danish Queen Margareta, creating the Kalmar Union. The Kalmar union fell apart due to internal conflicts, and Sweden became independent in 1523 (History of Sweden | Official site of Sweden, 2015). Soon after, the Swedish royalty nationalized churches and took its estate. This set the bedrock for the Swedish state, concentrating wealth and power in the hands of royals, and had economic and social consequences for years to come. In 1718, however, the Swedish royalty lost much of its power, with the Riksdag (Swedish Parliament) choosing to take power away from the king and put it with Parliam ent(History of Sweden | Official site of Sweden, 2015). Late 19th century Sweden was affected by popular movement, such as those to free churches and encourage women rights. Current day Sweden is a parliamentary government, with its constitution stating that power comes from the people, and the monarch being a head of state in name only. Geography: Sweden is a nation in Northern Europe, with an area of 450,000 km^2. It’s slightly larger thanShow MoreRelatedA Brief Note On Sweden And Finland And Norway1128 Words   |  5 PagesIntroduction Sweden is a country located in Northern Europe and it borders the Baltic Sea, Gulf of Bothnia, Kattegat, and Skagerrak. Stockholm is the capital of Sweden, which has a population of 2.1 million. The official language is Swedish, however many people that live in Stockholm also speak English (Visit Capital City, n.d). Some countries near Sweden include Finland and Norway. Sweden’s geography is mostly flat, with mountains in the west. As for their government system, it is a constitutionalRead MoreThe Health And Funding Of Health Services Essay1342 Words   |  6 Pagessummary Healthcare IT infrastructure varies widely in developed countries, as indeed does the organisation and funding of health services. This report provides a synopsis of the position in France, Germany, Italy, Spain, Sweden, the Netherlands, Poland and the USA. We also have brief notes on EU-level activities. Overall, developing countries have populations that are ageing and becoming more demanding. 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It could be relevant to give a brief background, possibly mentioning Louis XIV, then show the absolutist nature of the monarchy (no States General was called for 175 years until 1789). Government finances relied upon a mixture of increasingly burdensome direct and indirect taxation. LouisRead MoreA Comparison Between Advertising Agencies’ and Pr Agencies’ Internationalization Motives and Entry Modes - Eight Cases from Sweden20158 Words   |  81 PagesA comparison between advertising agencies’ and PR agencies’ internationalization motives and entry modes - Eight cases from Sweden 1. Abstract The firm internationalization literature is extensive, but dominated by studies of technical, often large, firms. The service firm internationalization literature is slowly growing. Few international contributions are found investigating the advertising industry and no such studies focus on the Swedish market. 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HalmstadRead MoreHM Case Study16624 Words   |  67 Pages................... 6 The Aim of the Thesis ...................................................................................... 6 Target Group................................................................................................... 6 Brief Introduction of HM.............................................................................. 7 Delimitation ..................................................................................................... 7 RESEARCH METHODS ............Read MoreEssay about The Vikings3552 Words   |  15 Pagessea-roving bandit: pirate. 3. a Scandinavian. 4. U.S. Aerospace. One of a series of space probes that obtained scientific information about Mars.† (1) The Vikings lived about one thousand years ago in the lands that we now call Iceland, Lapland, Norway, Sweden, and Denmark. To most people the Vikings were raiders that got in their longboats and sailed somewhere and then went from town to town killing and pillaging. This is not completely true, because the Vikings were also great adventurers. They setRead MoreZombies : A Brief History Essay1495 Words   |  6 PagesZombies - A Brief History By Stacey Fontier | Submitted On January 15, 2012 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Zombies have become an increasing popular topic for video games, movies and Halloween duringRead MoreEssay Women in the Workplace2420 Words   |  10 PagesExecutive Summary Women across the globe are shattering glass ceilings one at a time, and it is time the world takes note of it. Chief executives express their commitment to the advancing equality between men and women by actions such as advancing women in the workplace. Areas of such empowerment include: market and community progress through the use of sex, disaggregated data, and other benchmarks (Chakabarti). Times are changing in the makeup of the workforce today. Females are quickly becoming

The Wasp Factory and American Psycho Protagonist Comparison Free Essays

â€Å"The authors of ‘American Psycho’ and ‘The Wasp Factory’ present their protagonists Patrick Bateman and Frank Cauldhame to have very similar personalities. † How far do you agree? ‘American Psycho’ and ‘The Wasp Factory’ are two controversial dark novels in which the protagonist gets away with murder. They were published only seven years apart, ‘The Wasp Factory’ being the first. We will write a custom essay sample on The Wasp Factory and American Psycho Protagonist Comparison or any similar topic only for you Order Now ‘The Wasp Factory’ was Iain Banks first published novel, and was released into the conservative United Kingdom in 1984, which would have coolly accepted it. This era of the United Kingdom did not approve of horror, especially when the protagonist remained uncaught. However, the book gained a great deal of attention and publicity via its controversy, and has maintained popularity throughout the years. ‘American Psycho’ by Bret Easton Ellis was originally published in 1991. At this time there was great controversy over its extent of gore and pornographic scenes, so much so that Ellis received numerous death threats and hate mail after its publication. Both protagonists narrate their author’s novel and each appears to mirror their author himself. However, the protagonists clash with each other when it comes to their settings, needs and reasons for behaviour. This demonstrates how the personalities of both Patrick Bateman and Frank Claudhame are presented differently by their authors. On the other hand, there are ways in which Bateman and Frank are presented to have similar personalities. For instance, they are both obsessive, misogynistic, have the desire to kill and have an abnormal mind set. These factors suggest a strong similarity between Patrick Bateman from ‘American Psycho’ and Frank from ‘The Wasp Factory’, even though their upbringing and personal characteristics more than often differ. Due to this, the true extent of similarity between their personalities is hard to distinguish. Through Bateman’s narration in ‘American Psycho’ the reader learns of his career on Wall Street and everyday life in great detail. For example, when describing to the reader his morning routine, the yuppie states how he uses â€Å"a deep pore cleanser lotion [†¦] a water activated gel cleanser, then a honey almond body scrub†. This shows the true extent of unnecessary detail that he will go into. As well as this, from the very start of the novel the reader is introduced to this rich and perfected lifestyle in New York of this â€Å"self-absorbed† character who thinks of himself to always â€Å"look great†, be superior to everyone else and constantly try to maintain his hierarchy within society. Ellis starts the novel with Bateman and his friends at a posh dinner party; this immediately demonstrates his wealthy lifestyle that Ellis is trying to portray. As well as this, Bateman showing off his â€Å"platinum American Express Card† demonstrates his feeling of superiority. This provides the reader with a strong rather negative impression of Bateman as a rich, selfish, predatory man living in New York. This lifestyle can relate to that of Ellis himself, a man who isn’t affected by the recent recession, in his late twenties and living in the city that never sleeps. As well as this, like Ellis, Bateman’s parents are divorced. Validating this, Ellis has even admitted in an interview that â€Å"Patrick Bateman was about me†. In contrast to Bateman’s lifestyle is Frank’s. Frank is half-educated and lives in an isolated unnamed island off the Scottish coast. Frank is only sixteen, unemployed and greatly controlled by his father. This can be said to relate to the life of Iain Banks, who lived in a small village on the Scottish coast and moved around due to his father’s work. As well as this, Banks was sixteen when he completed his first book, indicating why he might have chosen this age for Frank. He also spends most of his time with the wildlife torturing, killing, collecting and â€Å"sacrificing† animals. In addition to this Frank entertains himself with his imagination and talks to his wasp factory. When Frank plays games such as building the dams and chooses which of the imaginary people live or die. Here the reader sees his childish and dark side as well as how there is little for him to actually do on the island. This also relates to Banks as he must have been very imaginative at Frank’s age as he was writing. In relation to this, making him seem incapable of his own choices, Angus has a huge amount of control over Frank. For example he home-schooled him, limiting his contact with society; he constantly tests him on the measurements of the furniture in their house; and uses the story of their dog, Old Saul, to cover up Frank’s real identity. This shows the great contrast between Bateman’s busy city life and of Frank’s in the rural; as well as the contrast of their author’s lives. However, the protagonists Frank and Patrick do have things in common, such as obsessions and their love of control. Both Patrick and Frank have obsessions which are seen throughout through the novels. Ellis uses Patrick Bateman to demonstrate the obsessions which one might have. Most of Bateman’s obsessions are very artificial, such as his obsessions over designer brands and technology. Patrick’s obsession to keep up to date with the latest technology, such as VCR, CD’s and Walkman’s, reflects the lifestyle of many American’s living 1980s-1990s. This demonstrates Ellis using Patrick’s obsessions to connect with the readers of his novel. Patrick also obsesses over â€Å"taking care of [himself]†; which can be shown via his â€Å"balanced diet and rigorous exercise routine† and his detailed daily movements which link to his obsession of detail and routine. His comment stating how he only uses â€Å"an after shave lotion with little or no alcohol, because alcohol dries your face out and makes you look older†, further validates his obsession over appearance and health. Ellis places the information of Patrick’s obsessions from the very start of the novel to increase their impact upon the reader and to truly reveal their importance to Patrick. Throughout the novel, Ellis also portrays Bateman’s true love and need for control. The reader sees this many times, for instance the control he can have over people’s lives. He is always control of a life. Even when he â€Å"can’t control [himself]†, (which often occurs when committing murder), he is still controlling the life of his victim. This idea of control is used by Ellis to demonstrate the power Bateman feels, and needs to feel, he has. Similarly to Patrick, Frank’s obsessions are frequently mentioned throughout ‘The Wasp Factory’; however some of Frank’s obsessions are different to Patrick’s. Frank appears to have an obsession with animals and torture. Throughout the book we see how Frank is fascinated by animals and collects their remains suggesting that Frank is obsessed with animals. In addition to this, Frank is shown to be obsessed with killing and torturing. For instance, within the novel he states how he once tied wasps to the â€Å"striking-surface of each of the copper-coloured bells† on his alarm clock â€Å"where the little hammer would hit them† when the alarm went off, and that he always woke up before his alarm went off, â€Å"so [he] got to watch. † This shows Frank’s dark mind consisting of thoughts about death, torture and the need for control over others, like Bateman. This shows the reader how even young minds can think this sadistically. Similarly to this, the reader learns of Frank’s need for control when he is placing signs around their â€Å"private property† to warn off â€Å"intruders†. This demonstrates a way in which Frank feels it’s essential to control people and his father’s property. Frank’s overly meticulous attention to detail also connects with Patrick’s obsessions. Like Bateman this can be seen in the description of his grooming routine which, like Patrick, is the same every time. These obsessions show a similarity between Patrick and Frank’s personalities, demonstrating how Ellis and Banks present their protagonists in a similar manner even though they have different lifestyles. In conjunction to this, both Ellis and Banks show their protagonist’s to have misogynistic attitudes; further presenting them to have similar personalities with one another. Frank states how his â€Å"greatest enemies are Women and the sea† and that Women â€Å"are weak and stupid and live in the shadow of men and are nothing compared to them†, expressing Frank’s misogynist view towards women. Showing Bateman’s views on women are his comments such as â€Å"you’re a fucking ugly bitch† and â€Å"you piece of bitch trash†. These comments are used by Ellis to portray Bateman to have an aggressive misogynistic view. This shows a way in which the authors of ‘American Psycho’ and ‘The Wasp Factory’ present their protagonists to have similar personality traits as they are both sexist and have anger towards women. However, saying this both Bateman and Frank show misogynistic behaviour for different reasons. Frank’s hatred towards women has stemmed from his father who independently brought Frank and his brothers up. Angus dislikes women so much so that he changes Frank’s gender from female to male and leads him to state how he hates his mother â€Å"her name, the idea of her†. In contrast to this, Bateman’s misogynistic behaviour is based more on the idea of dominance, lust and control. This shows a way in which Ellis and Banks portray their protagonist’s to have contrasting personalities with each other, disagreeing with the statement. Although Bateman and Frank have contrasting lifestyles; a ten year age gap; different obsessions and versions of hate towards women; they both have one pastime in common: killing. Their murderous ways and attitudes towards it present Frank and Patrick to have mental disabilities like that of a sociopath and psychopath. For instance, Bateman and Frank both display symptoms of antisocial personality disorder, (which is a factor of both psychopathic and sociopathic behaviour). As well as this, they both display a high predisposition to violence, maybe Patrick more erratically, and a tendency to act impulsively when it comes to crime, which a psychopath can display. In addition to this, both protagonists find it hard to distinguish between reality and fantasy. This, and his psychopathic ways, can be shown when Frank states how he â€Å"must be lots of different people inside [his] brain†. Banks uses Frank’s psychopathic and sociopathic behaviour to show the importance of parenting, stability and connections within society that a child needs to be able to function adequately. Patrick’s confusion with reality is also shown to the reader. For instance, as said by Andrew Jacobsen, (a literacy critic), â€Å"the supposed ‘real’ world around him becomes as one with his insane imagination world.† As well as this the mystery of the bodies at the end of the novel can be said to demonstrate Bateman’s misperception of reality. Due to this, Ellis and Banks can be seen to portray their protagonist’s to have similar personalities. This is because they are presented to be mentally ill and confused with reality. In connection to this, both protagonists show a lack of empathy towards their victims, and are able to commit a crime and act as though it’s the norm and not really a crime at all. For example in ‘The Wasp Factory’ Frank states how he killed Esmerelda because she was â€Å"simply the easiest and most obvious target†. This simple view and minimal motive for murder displays Frank’s lack of empathy, and expresses his absence of perception that murder is abnormal or morally wrong. Iain Banks presents Frank in this way to illustrate how cold, cruel and absent-minded humans can be, even the young. In relation to this, Bateman sleeping with and killing girls whilst in a relationship with Evelyn as well as the homeless and young shows his lack of moral rights and care towards others. Furthermore, Patrick crimes are opportunistic with little or no motive, normally due to urges, lust or as a means of superiority. Bateman commits these crimes without hesitation, suggesting that to him it is just the norm. Also demonstrating Patrick’s dark personality, lack of empathy and morals he jokingly says how he is â€Å"into, uh, well, murders and executions, mostly†. This comment and others similar to it demonstrate to the reader Patrick’s sinister view on his murders; thus, they are used by Ellis to cause the reader to despise Patrick yet be slightly amused by his satirical sense of humour. These similarities suggest that the personalities of the protagonist’s from ‘American Psycho’ and ‘The Wasp Factory’ are presented in the same way. To conclude, I believe that the authors of ‘American Psycho’ and ‘The Wasp Factory’ present their protagonists to have personalities which are similar with each other as well as dissimilar. Aspects such as their lifestyles; having different obsessions; and reasons for being misogynistic present a complete contrast between Patrick’s and Frank’s life, and their personalities. This is because their lifestyles can lead them to desiring different effects. This links to obsessions, as for example, Frank obsesses over animals but Patrick doesn’t, as there are a lot less in the city. Also, Bateman, who unlike Frank has frequent contact with people, obsesses more over appearance and health. As well as this, there reasons for being misogynistic are due to their upbringing and the environment surrounding them. This shows how lifestyle and upbringing can affect ones personality traits such as their obsessions. Therefore, this demonstrates how lifestyle is a key subject which has been used by Ellis and Banks to present their protagonist’s personalities in different ways, which also results in other personality traits being different too. However, both the protagonists have similar obsessions with one another; have a desire to kill; personality traits suggesting they have mental issues; and misogynistic views resulting in them having similar personalities with each other. These are very strong personality traits which all connect Frank and Patrick closely together, even though there are some ways in which they are dissimilar. Therefore, I believe to a great extent that â€Å"the authors of ‘American Psycho’ and ‘The Wasp Factory’ present their protagonist’s Patrick Bateman and Frank Claudhame to have very similar personalities†. How to cite The Wasp Factory and American Psycho Protagonist Comparison, Papers

Planning Healthy free essay sample

Describe the Factors to Take Into Account When Planning Healthy and Safe Indoor and Out Door Environments and Services The health and safety requirements of all pupils and adults must be taken into consideration before starting any learning activity and it must be ensured that the learning environment is free from any hazard that could affect a person’s health and safety. The duty of care of a setting to children, parents and carers is a legal obligation that should always have the child’s safety and welfare uppermost in mind when planning. The desired outcomes for the child and young people are the starting point. Most activities with children and young people should have clear aims and objectives that are based around the required outcomes linked to their age. It is not a mindless work that requires only staying with a child. It has to be well planned and thought thorough as what needs to be done for a child to be healthy, safe and stimulated to learn. We will write a custom essay sample on Planning Healthy or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When planning an activity it has to be made sure it’s the right environment for the activity. * There should be enough room for children to move freely around the learning area.They should be able to access all the learning resources safely without causing risk to any other individual. * Light and noise: * There should always be sufficient light to enable the children to work in comfort. * Loud noises can be unsettling for some children, especially those with autism. A quiet calm classroom environment will be crucial for these children to ensure their comfort. Sometimes it may not be possible to have a silent class but instilling class rules will enable the children to be calm more easily. Playing outside, e. g. using bikes and scooters – it should be ensured that they are used correctly in a safe manner and with plenty of space. * When using outdoor environments it has to be made sure the plants and garden/playground equipment do not pose a threat. * Also it has to be made sure there is no dog or cat mess outside and that no strangers have access to the children or children cannot run away. * The area should be fenced for security and children should not be able to open the gates themselves.The individual needs, age and abilities of the children and young people. All these must be considered when planning an activity. It is to be ensured that all the children will be included and resources are age and ability appropriate and they carry the safety marks. There must be specialist equipment for children with specific needs. A child, young person or adult with a sensory impairment will need to have their individual needs taken into consideration when planning to guarantee their safety.Those with a visual impairment will need clear access to tables and work spaces with extra care being taken to ensure no obstacles cause a risk or hazard. For a child who has a hearing impairment visual aids have to be provided or sign language so the child is aware of the health and safety, e. g. for not running indoors a visual aid of a picture where it is made clear that we walk not run; for washing hands after using toilet a picture of hands being washed, etc.Everyone employed in setting needs to be police checked as it is required when working with underage and vulnerable people. Everyone working with children hold a responsibility for the health and safety of children and other members of staff. They ought to know and follow all the health and safety rules and instructions, e. g. if there is a pregnant member of staff it needs to be ensured she is safe by minimizing any risks as well as a risk assessment should be completed by her and all staff. All members of staff have to take every precaution to not put themselves or others at risk.

The great Shakespeare essays

The great Shakespeare essays Almost every human utterance, with the change of fashion and the elapse of time, loses its appeal. Shakespeares doesnt. Mainly because Sh. devoted himself to man in all his more inevitable relations and qualities, that is, to you and me in all our more inevitable relations and qualities. He speaks to the most spread habits of people which wont change even in a few centuries. Therefore lots of people are affected by his works. Sh. was the perfect dramatist, since he had the power to enter understandingly into every human heart; but he never did so dogmatically. He steadily refuses to put men into pigeon-holes. He refuses to weaken human life, which he and his contemporaries regarded as of endless variety. In their depictions they did not use the strait-jacket of consistent character into which writers of fiction clamp mankind. All of Sh.s developed characters are puzzles, and it is the integration of divergent characteristics within them that makes them similar man and act in human wa ys like you and me. Play-wagons of groups of itinerant players were a familiar sight in medieval England. The performances were usually given in Inn-yards. Inns were public houses with great courtyards. On the right hand side there are two play-wagons, pushed together, making one continuous stage long enough for the players to move freely. At one end of each wagons there is a scaffold having two storeys and a flat roof. The upper storey is the upper stage for action above , at the window or on the walls. The lower storey is for action within, e.g. in a room, a hall, a house. In London, The Bell, The Bull and other inns, all within the city, were used for play-acting. The performances were so popular and attracted such crowds of people that disorder often broke out among the spectators. For this reason, James Burbage, a carpenter who had become a ...

Promethium Facts - Periodic Table of the Elements

Promethium Facts - Periodic Table of the Elements Promethium is a radioactive rare earth metal. Heres a collection of interesting promethium element facts: Interesting Promethium Facts The original spelling of the name promethium was prometheum.The element is named for Prometheus, the Titan who stole fire from the Greek gods to give to mankind.Promethium was the last rare earth element of the lanthanide series to be discovered. It was discovered in 1945 by  Jacob A. Marinsky, Lawrence E. Glendenin, and Charles D. Coryell, although its existence had been predicted in 1902 by Czech chemist Bohuslav Brauner. Marinskys group found promethium in uranium fission products during Manhattan Project research in Oak Ridge, TN.All of the isotopes of promethium are radioactive. It is the only radioactive rare earth metal and it is one of only two radioactive elements followed by stable elements on the periodic table. The other element like this is technetium.Promethium isotopes generate x-rays via beta decay. 29 isotopes are known, with mass numbers from 130 to 158.Promethium is prepared in a lab. It is extremely rare on Earth, although it has been detected in pitchblende spe cimens from the radioactive decay of uranium. The only stable oxidation state of promethium is 3, although it can be made to display the 2 oxidation state. This is common with lanthanide elements.The pure metal has a silvery appearance. Salts of promethium glow pale blue or green, due to radioactive decay.Because of its radioactivity, promethium is considered toxic.Promethium compounds have several practical applications, all more to deal with its radioactivity than its chemical properties. The earliest pacemakers used nuclear batteries that relied on promethium. It is used in missile and spacecraft power sources, as a beta source for thickness gauges, and to make luminous paints. Promethium Chemical and Physical Properties Element Name: Promethium Atomic Number: 61 Symbol: Pm Atomic Weight: 144.9127 Element Classification: Rare Earth Element (Lanthanide Series) Discoverer: J.A. Marinsky, L.E. Glendenin, C.D. Coryell Discovery Date: 1945 (United States) Name Origin: Named for the Greek god, Prometheus Density (g/cc): 7.2 Melting Point (K): 1441 Boiling Point (K): 3000 Covalent Radius (pm): 163 Ionic Radius: 97.9 (3e) Specific Heat (20 °C J/g mol): 0.185 Pauling Negativity Number: 0.0 First Ionizing Energy (kJ/mol): 536 Oxidation States: 3 Electronic Configuration: [Xe] 4f5 6s2 References: Los Alamos National Laboratory (2001), Crescent Chemical Company (2001) Return to the Periodic Table

Complex Care Assignment Case Study Example | Topics and Well Written Essays - 1250 words

Complex Care Assignment - Case Study Example The impulse produced is then represented by a pattern that shows the dysfunction ie whether it is total obstruction (Mi) or partial (angina).for many angina patients, the ECG is usually normal.ECG is only carried out on patients with stable angina. Echocardiogram is where sound waves are utilized to check for the condition of the heart. The waves produce images that are then used to visualize whether there are blockages or damages to the heart arterials. This depends on the x ray imaging. It is part of cardiac catheterization used in checking for blood vessels in the heart. This has also been used in evaluation of the lungs where there is accumulation of fluids in chest cavity. Measures flow of blood to myocardium at rest and during stress. This resembles regular stress test but in nuclear, a radioactive component is injected to the bloodstream (Mommersteeg et al., 2013). A scanner is used for detecting and creating images of the heart muscle. Deficient flow is indicated by light spots on the images. Beta blockers block the effects of hormone epinephrine such as adrenaline while prasugrel and ticagrel prevent blood from clotting, On the other hand, statins cholesterol levels in blood. Calcium channel blockers which relax and widens blood vessels (Mommersteeg et al., 2013). How Myocardial Infarction might progress to Acute Pulmonary Oedema. Acute pulmonary oedema is caused by high hydrostatic pressure in the capillaries as a result of increased pulmonary pressure in the veins. Myocardial infarction causes accumulation of fluids in the alveoli of the lungs. These fluids have low concentrations of proteins and can also be found in the interstitium. There is always frequent complaint of cough as well as pink, frothy sputum. Moreover, there may be hoarseness caused by recurrent laryngeal nerve palsy from mitral stenosis and perhaps chest pain that alerts physicians to the likeliness of acute myocardial infarction. In addition, there may be other

Different Ways in Collecting Physical Evidence Assignment

Different Ways in Collecting Physical Evidence - Assignment Example Introduction The process of collecting, packaging and preserving the evidence is a key function of the crime scene team in ensuring that the crime investigators have all the necessary materials for not only finding out the exact details of how a crime was committed but also linking the crime to the correct offenders and thereafter to be able to present all this evidence in a way that assures that the correct offenders are prosecuted. There are certain set and standard ways of collecting, packaging and preserving this evidence and these have to be followed to the letter. It is of paramount importance that the evidence does not suffer any deterioration, damage or contamination that may render it unusable, unreliable or questionable. The collection and documentation of physical evidence is thus one of the most important functions in law enforcement. 1. There are many different types of physical evidence that is collected and gathered at a crime scene. ... Another type of physical evidence is biological matter. This includes bodily fluids such as blood and semen. Yet another type of physical evidence is drug evidence. Drugs or controlled substances are usually put in a class of their own when it comes to physical evidence because of the specific types of analysis that they have to undergo to determine their exact nature, purity and quality. Drugs are also secured in a special way because of their value and the fact they are strictly controlled materials ( . 2. One prime example of physical evidence is fingerprints. Fingerprints are particular to a particular individual and the presence of a set of a person’s fingerprints at a crime scene is usually very definitive evidence placing the person at that particular crime scene. Fingerprints, especially where they are clear and complete are usually conclusive evidence of a person touching a surface and thus being physically there. Another example of physical evidence is blood especial ly when the crime scene includes the injury or death of a person. The evidence of blood determines the nature and scope of a victim’s injuries. The spread and the splatter of the blood at a crime scene indicate the way the injury that resulted in the loss of blood was inflicted. Trails of blood could also indicate how a victim or a body was dragged or moved either to or from a crime scene. A third example of physical evidence is fibers or pieces of clothing materials that are found on a victim. The nature and state of these fibers- if they are torn in particular way or how many they are would determine if there was a struggle or fight that went on at the crime scene.

Practical Application Of Lewins Force Field Analysis Change Model Nursing Essay

Practical Application Of Lewins Force Field Analysis Change Model Nursing Essay The aim of this paper is to to describe practical application of Lewins (1951) force field analysis change model in reducing Intensive Care Unit (ICU) patients length of stay (LOS) in a Tertiary Care University Hospital. Introduction: This paper reports on a change from 6.5 days to 4 days reduction in Intensive Care Unit (ICU) patients length of stay (LOS) in a Tertiary Care University Hospital. The change was embedded with systemic assessment, planning and implementing standardized strategies for all ICU long stay patients and finally evaluating the efficiency and effectiveness of ICU bed utilization with multidisciplinary team approach. Change is inevitable for the reason that it ingrained human lives, core processes and system reforms. Day by day many changes have been observed in health care; associated with disease processes explicitly from prevention to rehabilitation, health care norms and nomenclature, infra structures modifications, policy matters, reengineering and system transformation. Different components of health care depends on one another for assembling such changes in order to produce work like from providers to payers, hospitals to suppliers, education to regulatory bodies and research to professional associations; all these are interlinked to perform function. Many of the above stated happening are planned however at times nature takes its own turn to act as a catalyst for change for example natural occurrences like tsunami, some crucial system analysis like break through reports from Institute of Medicine (IOM) on patient safety and the quality of care provided to all the health care customers. Th ese were just simple examples of revolutions in health care taken place on an ongoing basis. Traditionally it is believed that changes are always for the betterment however at times it has been observed that this phenomenon is proven to be cynical and challenging especially when it is not made in a haphazard manner, without pursuing change management principles. Addressing the challenge of change Fetherston et.al (2009) stated that: Managing changing in the health care setting is always challenging, especially when it involves transforming entrenched habits grounded in professional expectations (p.2581). Despite change involves resources like human, material and cost and therefore whatever is proposed for change need to be evaluated for its effectiveness and efficiency, applicability, and consequences. It also depends on the team we are working with and there are times when the team building is so strong and the communication between the team is such that adopting to a new concept is very easy versus if the team members are not on same wavelength and have a lot of differences of opinions failure to reach to a simple consensus. Coch and French (1948) concluded that rate of recovery when learning a new task is directly proportional to the amount of participation. To improve understanding of change dynamics Armenakis and Harris (2011) recommends that readiness for change is distinguished from resistance to change and readiness is described in terms of the organizational members beliefs, attitudes, and intentions. Change agent is a very important contributor to make change happen constru ctively and productively. The personal and professional characteristics, interpersonal competency all these aspects are dependent to an outcome of change. Another factor involved in change process seems to be very crucial is the timeframe require for change. Is it a short term or a long run change which is going to measure and monitor, what about the sustainability of the proposed change etc. In order to have successful change Kotter and Schlesinger (2008) recommends and put idea in practice (Appendix) and suggested that analyze situational factors, determine the optimal speed of change, and consider methods for managing resistance (p1, 2). According to Lippincott-Raven Publishers 1986 Crucial to facilitating change is selecting a strategy that is likely to produce the desired change with minimal time and resistance. Background In todays health care setting, organizational change is essential for growth and development to keep up with the market competition Although health care continues to be enmeshed with ongoing challenges of cost, technologies, access to health care, human resources, quality inconsistent with an arena where error rates are too high there are multiple growing opportunities to improve client care management and service delivery components. Changes have been observed in clinical practice based on evidence based research resulting in application of new technology, diagnostics, drug regimes, treatment profile, care monitoring and finally the patient outcomes. All these are direct provision to a customer and perhaps if we look at the wider base it heavily involves all support functions available for patient care and employees of the organization. How all these are managed with patient flow and activities? Who is accountable? Change has both individual and institutional significance; and addre ssing its importance Watwood et al. (1997) shared that à ¢Ã¢â€š ¬Ã‚ ¦changes à ¢Ã¢â€š ¬Ã‚ ¦ bring opportunity for personal and institutional growth and development (p 162). When it comes to an institutional change; it has emphasized that it should complement the philosophy, mission and vision of the organization. Therefore Heller Arozullah (2001) identified four key factors for successful program development and achievement and those were: aligning the program with the strategic goals of the organization; obtaining active senior leadership commitment, including allocated resources; securing the appropriate infrastructure to facilitate integration of recommended actions into daily practice; and setting up systematic communications with all involved stakeholders (p551) Several challenges exists in system when it comes to a revolution however factors define by Heller Arozullah (2001) would help in embarking change in a more structured manner. ICU is a consolidated area of a hospital where patients with life-threatening illnesses or injuries receive round the clock specialized medical and nursing care. Intensive care is one of the hospitals most complex and expensive medical systems. As medical care has improved, the type of patients treated in critical care units has changed from those with acute illnesses to those suffering from complications of chronic diseases. While better technology and better ways of taking care of patients has improved longevity and general health, the patients in the intensive care units of hospitals are getting sicker and globally these beds have a high demand based on the critical needs of patients and it doubles the need in an arena where these resources are very scare and inadequate This would augment medical care required, cost of care and excess use of resources when they are not required. Long stays in the intensive care unit are associated with high costs and burdens on patients and patien ts families and in turn affect society at large. Williamss et.al (2010) states that: It has been estimated that between 2% and 11% of critically ill patients require a prolonged stay in ICU, accounting for 25-45% of total ICU days, and a significant proportion of resources(p 459) The cost of caring for patients in ICUs in the United States has been estimated to account for 1% to 2% of the gross national product shared by (Miller et al. 2000, Seeman David 2004) ) whereby Haugh (2003) stated that 15% to 20% of US hospital costs represents 38% of total US healthcare costs. According to Miller et al. (2003) the total number of hospitals, hospital beds, and inpatient days decreased during the years 1985 to 2000, the number of critical care beds and days in critical care increased dramatically during the same period Whereby Stricker et al (20037) found that only 11% of patients admitted to the ICU stayed for more than 7 days, these patients used more than 50% of ICU resources. Furthermore, in several studies (cited in Ryan et al 1997, Wong et al 1999) the mortality of patients with ICU admissions lasting 14 days or longer was estimated to be nearly 50%. Rosenberg et al. (2001) shared that Mortality rates are higher in ICU than in any other area of the hospital due to the complexity of patients medical condition. Fakhry et al (1996) found that 70% of patients with stay longer than 2 weeks reported less than 50% functional recovery. Esserman e t al (1995) found that 32% of ICU resources were spent caring for patients who survived less than 100 days after discharge from the hospital. In a tertiary care university hospital where I am presently working patients were found to be stuck in the ICU and have longer stays and in the month of January 2009 it was found to be 8.4 days and subsequently in the following quarter 1 it was 6.5 days (refer appendix 1). When explored, multiple factors aroused (refer appendix 2) and therefore to address this concern a multidisciplinary team was formed. It was proposed to undertake the work of reducing patients length of stay in ICU and therefore it the goal was to reduce patients length of stay from 6.5 days to 5.5 days in the second quarter for the year 2009. Rogers and Shoemaker (1971) framework was used to appraise the various component of the proposed change in order to identify its strengths and weaknesses.  Team assessed its relative advantages to current situation and felt that it is worth spending the time and effort for the given scenario, change seems to be appropriate and compatible with existing philosophy of the clinical area, easy to be understood and applicable by all bedside staff. Moreover the project was trialable to a pilot    before going the whole way and relevant to organizational goals. Discussion Changes will continue as an adaptation and at times mandatory in order to survive. Lot of literature is available when it comes to the change management in health care setting. There are models available to address organizational change, system revolution, and human transformations which address many other aspects of successful implementation of reforms. Change process follows the same course as of nursing process and problem solving approaches. According to Christensen a Christensen b (2007) Lewins (1951) theory of transitional change is the most used form of change implementation strategies. The change we were supposed to undertake; this theory appeared to address many aspects of it and therefore the mechanism for identifying the social system within organization for selecting, developing and implementing the strategies to serve as a solution was done by application of this model. According to course notes Lewins widely cited, classic model of the change process, the three changes are: Unfreezing, where faced with a dilemma or disconfirmation the individual becomes aware of the need to change; changing where the situation is diagnosed and new models of behaviour are explored and tested and finally, refreezing where the application of new behaviour is evaluated and adopted. (p53) Huber (2006) states that: The basic concept of the change process was outlined by Lewin A successful change involves three elements: unfreezing, moving and refreezing. (p810) Fetherston et.al (2009) emphasized the importance of major change like this and endorsed that: Where a major change is implemented, models such as Lewins (1951) model of unfreezing, changing and refreezing can be a useful guide Baulcomb (2003) states that This theory places emphasis on the driving and resisting forces associated with any change, and to achieve success the importance lies with ensuring that driving forces outweigh resisting forces. Driving forces tend to initiate change or keep it going whereas restraining forces act to restrain or decrease the driving forces. The intention to reach a state of equilibrium (p277). Unfreezing Lewins change approach fall within three steps and this is the first one where the process of thawing out the system to create motivation for change. Its like getting the team warming up to play their cards; getting everybody on the same wavelength and organizing. Huber (2006) shared that the first stage is cognitive exposure to the change idea, diagnosis of the problem, and work to generate alternative solutions. (p811). Though it was a great challenge for the team however the process of systemic assessment and unfreeze stabilizing the team readiness was initiated for the said change. Different strategies were brain stormed in a multidisciplinary team.ICU patients length of stay was gathered prospectively. Potential predictors were analyzed for possible association with prolonged ICU stay. Driving and restraining forces were studied (Appendix ) Moving Then we proceeded with the second stage of Lewins theory i.e., moving and changing. It involves moving a target system to a new level maintaining equilibrium; viewing the problem from a new perspective, situation is diagnosed and new models of behaviour. This stage was determine through formation of ICU long stay committee with terms of reference, notification of long stay patients stayed in ICU for more than 7days or earlier if deemed necessary to all concerned, holding meeting with primary team everyday to discuss next course of action, identification of patients difficult to wean, patient requiring early tracheotomy to maximize discharge process, initiating daily rounds by multidisciplinary team with primary team. Furthermore, introducing expected admission discharge time (EADT) to facilitate bed identification. According to Hoda (2008) length of stay (LOS) may be influenced by the availability of appropriate high dependency units to discharge patients. Review on daily basis the n eed for bed for inpatients and emergency. Admission /discharge policy was reinforced through multidisciplinary approach. Alternate accommodation in other units like CICU and CCU which has same bed accessories and uniform care provision were identified. Early tentative beds are booked in wards before rounds in order to facilitate early bed arrangement and patient transfer. Refreezing The final stage is refreezing. In this stage new developments are incorporated and improvements are made to stabilize the selected strategies to ensure the sustainability of the project. Daily check at unit and divisional level by bed management coordinator and ICU team. Monitoring on shift bases by charge nurses and nursing supervisors. Interventions involving palliative care, ethics consultations, and early decision about patient transfer and orders writing, family willingness and readiness and other methods to increase communication between healthcare personnel, patients, and patients families were helpful in decreasing length of stay in the intensive care unit. Thus, interdisciplinary communication played a vital role in improving ICU patients LOS whereby its importance is being defined by Pronovost et al (2003) and point out that communication failures lead to increased patient harm, length of stay (LOS), and resource use (p71). Hence to a major extent the daily communication st rategy worked out very well and the team was successful to bring about this change. ICU length of stay was 6.5 days in quarter one and it was reduce to 5.6 days in the second quarter for the year 2009 and consequently to 4.8 and 4 day in third and fourth quarter of 2009. Fetherston et.al (2009) stated that: When change is managed in systematic steps with adequate evaluation and communication throughout the process, it is more likely to result in successful outcomes. (p 2582) Evaluating the Change Project s took place and was received very positively. Following are the most important attributes I have experienced for this successful change like it was logical, efficient, and planned not haphazard then it was based on explanation of reason for a change so that individuals understand it. After that it was very informative and staff supported change when they were involved in assessment and planning. Change agent interpersonal competency and expertise (knowledgeable) of the given task was outstanding and hence the monitoring feedback on timely basis -to ensure that all team members is on same wave length wa carried out in a very sposticated manner.

Nrega Scheme a Success Essay

Is NREGA(National Rural Employment Guarantee Act) a success or a failure? The NREGA is an Indian Job Guarantee scheme, enacted by the legislation on Aug 25,2005. The scheme provides a legal guarantee for one hundred days of employment in every financial year to adult members of any rural household at a wage of Rs 120 per day. So almost after five years of its commencement can NREGA be considered a success ? This essay will consider a number of explanations for concluding the impact of NREGA. My argument would be that definitely NREGA has been a success. First of all we need to remember that NREGA is a programme without precedent. No other employment programme has even come close to being implemented on such a large scale. So the output can’t be compared to that of any other programmes. Taking into account the success story of the Pandurni village in the Nanded district of Maharastra which won the award for the best performance in implementing the Rural Employment Guarantee Scheme for 2009-2010, we can see that around 1500 people from the village are registered under this scheme from which around 800 have been benifited from it. Pandurni has completed over 100 irrigation projects. Of these projects one that has been remarkable is the rocky bund built by around 200 villagers, to prevent soil erosion. Officials claim that implementation of the scheme on such a large scale here has prevented the migration of labourers to other districts. Similar success stories have also been reported from various villages of Rajasthan. NREGA has created more work for rural people than any other programme since independence. If we look at the coverage of the scheduled caste and scheduled tribe, if we look at the participation of women, if we look at the financial inclusion that we have achieved about more than 10 crore bank accounts and post office accounts that have been opened for NREGA workers then a lot can be said in terms of its achievements. It can be agreed to a fact that nothing in this world is an unmixed blessing. I agree if the NREGA has good side, it has a bad side also. But the ill effects have been largely due to corruption in our country. Its because of that only the ‘aam admi’(ordinary people) are not able to avail the proper benifits of the scheme. NREGA is a scheme which if implemented properly can benefit the labour class of our country.

Get the Scoop on C1 Esl Compare Contrast Essay Topics Before Youre Too Late

Get the Scoop on C1 Esl Compare Contrast Essay Topics Before You're Too Late Students write much better papers when they have some great examples in front of those. They can typically understand the structure with just a short amount of instruction. They will find some good points and ideas necessary for the development of a good school or college comparative essay. They learn to analyze information about two different subjects. Before you begin any paper, you will need to get an understanding of the way to write it. While preparing the text, you will need to recognize that you have to separate these 2 topics from one another. The procedure will appear pretty similar. The next thing to do is to begin writing. The 5-Minute Rule for C1 Esl Compare Contrast Essay Topics Again, compare and contrast essays can cover just about any topic and can pop up in an assortment of subject areas. Citations and extracts from assorted sources have to be formatted properly. Take a look a t our compare and contrast essay samples to observe how to compose essays of this sort all on your own. In both instances, the outcome is a finished essay. There are good techniques to begin a compare and contrast essay in this informative article. Ultimately, references need to be done in the style that is suitable for the essay's subjects for the ease of distinct folks in various fields. There are several factors that have to be considered if you would like to opt for a workable and intriguing essay topic. Moreover, an essay writer must also have the ability to supply valid references on the arguments which he would want to include in the paragraph. On this phase of the writing process you need to have a good idea of the objective of this essay. A strong essay is going to have an opening paragraph that comes with a thesis statement and a concluding paragraph. The reply to the disturbing question like how to compose a compare and contrast essay starts with the structure of this kind of academic writing. If you are searching for an essay topic to receive your assignment off the ground, the above mentioned choices can prove to be useful. A conclusion shouldn't be too long. It is the easiest part. Always keep in mind that your conclusion should only restate facts you've already analyzed. When making comparisons or contrasts, it's essential to be clear what criteria you're using. Depending on the sort of work you're citing, you might have to include extra details. To begin with, both issues for comparison have to supply considerable material for the research. To begin with, list all information on the very first topic of comparison. C1 Esl Compare Contrast Essay Topics Features There are additionally some lessons that you will have to always keep in mind before you get started writing your essay. Before you start to compare the 2 subjects, research to acquire more knowledge on the topics you're writing about. It's possible to use any as the subject of your essay particularly whenever you're not assigned any specific theme. The topic for a compare and contrast essay will probably be set by the topic or course a student is enrolled. When the writer has the information that will enter the essay, they should just begin writing! Nonetheless, the top-notch writers who are a part of the Elite Essay Writers team have an increased potential of supplying you with a high-quality paper. When it can be less difficult to write on a well-known topic, with a little research and organization, a writer can make an essay on an assortment of subject areas if assigned. You might also be assigned with writing about many other diverse topics. If you compose an essay with no external aid, you might wind up stressed, and you may eliminate plenty of time. The sources you use has to be authentic to your topic, also referred to as authoritative, and have to be logical to the message you're trying to get across, or pertinent. Per APA style, you must offer equal attention to every side. Go over the complicated relationship between the united states and Russia. The cost of an essay depends upon the total amount of effort the writer has to exert. After you have read our helpful on-line article, we'd love to provide something you couldn't even imagine. It's a fact that the on-line journalist may write blogs along with their personal reported stories and then for some media companies, they might even be asked to compose a blog. The movie is a combination of interviews, archive footage. By taking into account both your objectives and your own personal taste, it'll be easy that you figure out which sort of school is best for you. By observing the differences between the two sorts of bags, you are going to be able to find that using paper is better than using plastic. In a way, you may be proper. Go at your own pace, and work through the outline one section at one time if you want to.

Essay On How To Get Ready For Birth - 1254 Words

Preparing for your first born It might appear like your pregnancy will go on perpetually, however youll get the opportunity to meet your new infant before you know it. Meanwhile, exploit the long hold up to plan as well as can be expected for the progressions ahead. A little propel arrangement now will make it less demanding to unwind and make the most of your pregnancy as your due date nears. Here are some useful approaches to get ready for your childs entry: Find out about the birth procedure: The possibility of conceiving an offspring can be overwhelming, and you might be enticed to put everything crazy until it happens. Consider taking a birth class to find out about the phases of work, choices for labor administration,†¦show more content†¦Similarly as its vital discuss how your partner can enable you amid work, to make certain to talk about what youll require from each other amid the infant time frame. Varying desires can make enormous clashes, so attempt to work this out early decently well. Try not to accept that your partner knows how much your new child will flip around your lives. Discuss how youll separate infant and family unit obligations. Whats more, instruct your partner about more subtle things, similar to how to boost you in breastfeeding. You can likewise make life less demanding by hashing out some significant choices now, similar to what to name your child, how youll sustain your infant, and whether to have a religious function, (for example, a submersion or infant naming). Converse with mothers There are a wide range of things about new parenthood that, for reasons unknown, once in a while stay forbidden subjects – spilling pee, postnatal depression, and lessened sex drive, just to give some examples. You wont have an indistinguishable ordeal from your companions, yet getting some answers concerning certain things early can decrease the stun consider. 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