Wednesday, October 30, 2019
Acceptance of Homosexuality in the Society Essay - 2
Acceptance of Homosexuality in the Society - Essay Example The above statistics and conclusions clearly point towards genetic factors involved in homosexuality. Even though the percentage has slight differences, both identical twins and fraternal twins shows the tendency of becoming homosexuals if they genetic elements of homosexuality. The possibility of existence of homosexuality gene is widely discussed at present. â€Å"Although biologists are still far from answering this question, scattered evidence for a possible gene influencing sexual orientation has recently encouraged scientists to map out a guide to future research†(Is there a homosexuality gene?). Even though, such a gene has not been discovered yet, many of the biologists are confident of identifying such a gene which will answer all the questions related to the reasons of homosexuality. â€Å"Writing in the scientific journal Archives of Sexual Behavior, researchers from Queen Marys School of Biological and Chemical Sciences, and Karolinska Institutet in Stockholm report that genetics and environmental factors are important determinants of homosexual behavior†(Homosexual behavior due to genetics and environmental factors). Homosexuality is common in military. This is not because of genetic factors, but because of the environmental factors. Soldiers are not getting any opportunities for heterosexual activities and they will rely on homosexuality for relieving their sexual energy. Sexual activities are not only a biological need, but also a psychological need. If not relived properly, sexual energy can create immense problems to the living things.
Monday, October 28, 2019
The Chronicle of Higher Education Essay Example for Free
The Chronicle of Higher Education Essay As I stare at the computer I sometimes wonder whether it is staring back at me also. Every word that I type on the keyboard of my computer comes up letter by letter on the screen that I am staring at. Pictures come to life in front of me and they make me cry, laugh and hate. I wake up every morning and turn my computer on. Hours can pass by and I am totally unaware of it. Instead I am immersed into a world of dungeons and dragons, flying cars and spaceships. My computer makes me a God. I create cities and worlds on my computer. I can create a world where there is no pain and suffering, a Nirvana. My computer gives me my own private paradise where I can forget all about my earthly problems. My computer owns me. The technological advancements that come up every hour, every minute, and every second make me fear what new thing will come up next. What will my computer be able to do next? Will it stand up from the table where it rests and come to my bed to wake me up and ask me to play with it? Will the next generation computers be so fast that it will be humans that will require the next upgrade in order to catch up with them? Will I be forced to do my computers homework or do its research for it because it has become so much smarter than me, that I am useless without it? I am glad and grateful for the technological developments that we have right now, the computer especially. There are so many things that I would be unable to do without the aid of computers. I can no longer imagine doing any report or presentation without the help of my trusted computer. A simple paper like this, to be done by hand, would be unthinkable for me. My brain ceases to function once I turn my computer off. I feel that there is a wire somewhere that is connected to the computer and that all thought is derived from the computer. At this point technology becomes a scary concept. I fear that the whole world would come to a stop if the computers would fail for some reason because that is how dependent we have become on technology. The threat of the Millennium Bug sent Tremors into every household and business empire throughout the world. People took all of their money from their accounts and dug shelters in the ground stocked up wall to wall with the necessities to prepare for the Millennium Bug. Billions of dollars were spent to try and prevent computers all over the world from crashing. Governments spent countless hours creating back up plans if the Millennium Bug did indeed hit. The world held their breath on New Years Eve not because they were thrilled about the coming of the Millennium but because everyone was in anticipation to as to whether everything that we did prevented the coming of the Millennium Bug. WE prevented nothing. There was no Millennium Bug. It was a product of our schizophrenic imagination to create such a monster that would bring upon us the end of days; a product of our fears that we cannot live without technology. I am not an advocate of technology as my paper suggests. Instead I am throwing caution in the wind and am suggesting that we use technology with caution and prevent the creation of a society that is not dependent upon technology to live. To be able to live without worrying about technology failing you, to be able to create a report without worrying about what to do when your computers freezes or a blackout happens. References: Fretcher, H. G. (2000); Power up, Don’t Power Down: Barring students form cell phones, my space, and other communication technologies. Once they enter, the classroom is the wrong approach. A better move would be integrating. Those tools into instructions; The journal (Technological Horizons in Education), Vol. 33 Luke, A. D. (2005); Getting the big picture; community science. Methods that capture context; American journal of community psychology Vol. 35. Rees, William E. (1999). Life in the Lap of Luxury as Ecosystems Collapse. The Chronicle of Higher Education, XLV (47), B4–B5 Goldman, S. , Cole, K. Syer, C. (1999). The technology/content dilemma. Paper presented at The Secretary’s Conference on Educational Technology 1999. [on-line] Available: www. ed. gov/technolology/techConf/1999/whitepapers/paper4. html (retrieved March 14, 2008)
Saturday, October 26, 2019
Steinbeck?s experience and feelings in Breakfast by John Steinbeck :: essays research papers
Steinbeck’s experience and feelings in "Breakfast" by John Steinbeck John Steinbeck’s stories depict his commiseration and compassion for the down-trodden class. He, in his stories, has summed up the bitterness of the Great Depression decade and aroused widespread sympathy for the plight of migratory farm workers. His style is natural and lucid. The story â€Å"Breakfast†by John Steinbeck is a description of a warm experience he had had. He reminisced about it each time with extra gratification. He kept on refreshing the â€Å"sunken memory†with greater details which presented him with queer blitheness. The author while traveling through the country side early in the morning chanced to meet a family who had fixed their tent down in a valley. He saw a young woman with a baby in her arm, cooking at a cracked, rusty and old iron stove. The writer observed the lady’s movements with great vigilance. He was inspired by the way she was doing her work and at the same time handling the child with absolute ease. The orange fire peeking out of the cracked stove made reflections on the tent which were quite appealing for the author. The author moved towards the stove to warm himself. In the meanwhile, two persons; an old and a young who were more or less alike, came out of the tent. They exchanged salutations with the author. The young woman kept on doing her job. She was frying bacon and baking bread. The two men inhaled deeply the delicious odour and invited the author for the breakfast. They did not ask the writer his name nor about his whereabouts. The young man asked the author if he was picking cotton. The author told him that he was not on job. The bloke told the author with satisfaction that he had been working for twelve days and the young woman added cheerfully that they had got new robes. They thanked to God for providing them with the opportunity to earn a living. They savoured the taste of the nicely concocted breakfast. The old man chewed the food with relish and said, â€Å"God Almighty, it’s good,†and he filled his mouth again. The young man was quite blissful as they had been eating good food for twelve days. The men’s contentment on the food, that though not surfeit and lavish, deeply impressed the writer. The young man told the author that if he wanted a job they could arrange one for him.
Thursday, October 24, 2019
Essay --
Executive Summary Mountville is a small town in Pennsylvania with a population of 3000. Located on Highway 30, the town is 20 miles East of the county of York and 10 miles West of the county of Lancaster. Interstate highway 30 connects York County and Lancaster County that both have universities and a cumulative population of almost 1,000,000 residents. The highway is the main road through town and is used daily by thousands of commuters between the two cities. These commuters sustain a number of roadside businesses on Highway 30 that sell many different commodities. There is currently one gas station at the location. The nearest gas stations directly off of the highway otherwise closest are each at more than a 5 mile distance. NOVA Food and Gas Center will offer these commuters gas, groceries, and a deli. On the way to work, a commuter could stop for gas and get some choice coffee. On the way home, the same commuter could stop again to pick up something for dinner, such as a sub or burger. The aim of this plan is to be a guide for this start-up business. Researching and defining our markets, strategies, mission and financials will provide insight and prepare the owner to successfully run NOVA. 1.1 Objectives To capture an increasing share of the commuter traffic passing through Mountville. To offer our customers superior products, at an affordable price. To provide customer service that is second to none. 1.2 Mission The mission of NOVA is to offer commuters on Highway 30 competitive gas prices and great food. The company will make a healthy profit for its owners and provide a rewarding work environment for its employees. 1.3 Keys to Success Good quality products at competitive prices. Excellent customer service that will pro... ... the sales forecast for three years. Management Summary Tegpartap Singh, owner of NOVA Food and Gas Center, is a young man who wishes to start his own gas station. Tegpartap has had lots of exposure to gas station management, as many of his family members and family friends are owners of various gas stations. 6.1 Personnel Plan The NOVA Food and Gas Center will have a staff of five: Manager Store/deli staff (2) Gas attendants (2) Financial Plan The following is the financial plan for NOVA Food and Gas Center. 7.1 Break-even Analysis The monthly break-even point is approximately $49,500. 7.2 Projected Profit and Loss The following table and charts highlight the projected profit and loss for three years. 7.3 Projected Cash Flow 7.4 Projected Balance Sheet The following table and chart highlight the projected balance sheet for three years.
Wednesday, October 23, 2019
Bottle nose dolphins
Dolphins live in large water bodies which may either be salty or fresh waters. They are thirty two types of dolphins where by bottle nose dolphin is on of them. Bottle nose dolphins are taxonomically classified as follows; they belong to the class animalia, order- catecea, sub order-odontoceti, family-delphinidae, genus-turssiops and speacies-truncutus. Bottle nose dolphin is the most well known cetaceans’. This is due to its use in marine parks, research activities, and in navy sensing example it’s used by United States navy to sense an enemy. The bottle nose dolphin is mostly found at along the shores of United States.Through research scientists have been able to show that they are two species of bottle nose dolphins existing. The common one is turssiops trancutus which is found in most warm tropical oceans. Their color sometimes almost blue has a dark line from beak to blowhole. The second type of bottle nose dolphin is the indo-Pacific bottle nose dolphin turssiops aduncus living in waters around India-Australia and south china. Bottle nose dolphin hunting and strategies Bottle nose dolphin show aggressive behavior in its environment as they pursue prey and predators they fight among themselves when they are competing for food.Some researchers’ have established that some species of bottle nose dolphins kill harbor porpoises. However they do not eat them but they just kill the porpoises to reduce competition for food. Dolphins have large dorsal fins which help in movement, the fins will a dolphin to quickly attack its prey, the fins therefore play a major role in hunting where if the fins were not large enough it would be very difficult for the dolphin to feed. The main menu of the bottle nose dolphin consist of small fish and occasionally feed on squid, crabs ,shrimp and other small animals.Normally they have got cone-shaped strong teeth which they use to grasp their prey. Each bottle nose dolphin is capable of hunting for its own food, but when they are many they apply some skills and strategy whereby they communicate through squeaks, whistles, body language, slapping of tails and butting of head to alert fellow dolphins on presence of food source. They are able to direct a shoal of fish and keep them together as they kill and eat them. They also practice fish whacking where by the stunned fish and thrown out of water where it is easily caught.Bottle nose dolphins also locate prey by producing sound and latter listening to the echo. The echo is transmitted through two small ears near the eye . thus when the echo is returning the object of interest is approached as the echo grows louder. This process of hunting is called etholocation. Bottle nose dolphins have got a strong signal sense; advanced spectral qualities which are well distributed thus help in echolocation qualities. The bottle nose dolphins have sharp eye sight located at the sides of the head and have a reflecting membrane at the back of their retina w hich aids vision in time of dim light.They are also able to both in deep water and air. Conclusion: From the above discussion it is clear that Bottle noser dolphins have unique hunting skills, they have large dorsal fins that help in fast movement which help it catch its food, there are however many types of dolphins, there are over 32 types of dolphins which have differing characteristics and hunting strategies. References: Sea world organization (2008) bottle nose dolphins, retrieved on 26th May, available at http://www. seaworld. org/infobooks/Bottlenose/home. html
Tuesday, October 22, 2019
Juvenile Drug Courts essays
Juvenile Drug Courts essays Drug Courts came about as a result of a backlogged court system and a steady, rapidly increasing prison population. Drug courts are a form of diversion that helps the offender through rehabilitation and the community through an increased sense of protection, which serves the best interest of everyone. Drug Courts are community based intermediate sanctions that incorporate treatment principles into the Criminal Justice System and divert drug offenders from traditional punishments of probation and prison. The objective of drug courts programs is to treat the underlying problems of addiction among drug offenders and eliminate participants future drug use and crime (Cresswell, Deschenes, 2001, 259). Drug courts came about as a result of the 1980s war on drugs where all levels of government came together to crack down on an epidemic of crack-cocaine use that had society believing that drugs were the main problem of the criminal justice system (Burdon, Roll, Prendergast, the number of adults arrested for drug-related violations increased 273% between 1980 and 1995, in the same period, the percentage of prisoners in the custody of state correctional authorities for drug offenses increased from 6.4% to 22.7% (Burdon et al. 2001). With this rate of increase in drug offenses going through the courts system, something had to be done to manage the large number of cases that were only related to drugs. In the beginning, drug courts were only used to alleviate the overcrowding in the court system and paid no attention to treating the offender or their drug problem. In 1989, Janet Reno and Timothy Murray began a drug court program in Dade County, Florida that became a prototype for the nation (Listwan, Sch...
Monday, October 21, 2019
Free Essays on True Equality
In my opinion, total equality would diminish people’s own individual uniqueness. Causing the world to be at a standing point till the end of time; there would be no way to make any advances in any particular subject. With everyone being the same no one person could be classified with talent, extreme intellects, or great physical appearance. Which in turn could make the world predictable so there will be no excitement for anyone. When you turn on the TV you always hear about the musicians of that time and what is their latest hit. If you enjoy the music you will be happy and eager to hear the new hit and if you are that musician you are excited to inspire so many to follow his or her own dreams. Now imagine that excitement, happiness, and inspiration gone just so we could be ‘equal’. Is it all worth it? So many in this world have immense talent to share with others who enjoy music greatly. If we were all equal, what would be our entertainment? Or is that a sacrifice we have to make just to be ‘equal’? So if a person would be interested in going to the music business, would they be wrong? I, myself, love music and entertainment and look forward to indulging in this art to make me happy. Why would that not be good? A child is sick with a terrible flu but he cannot be cured. There are no doctors or scientist anywhere because then the world would not be ‘equal’. So this child has to suffer just so the world can be something that, so far, doesn’t seem too glorious. And while this child is dying from a virus that can be cured, the world is also stuck in one degree. There can be no advances in technology because who would do it? The world is equal, no one is smarter than anyone else and no one has creative ideas enough to even contemplate this matter of thinking. So here we are with this virus spreading with no cure and no advances in technology, only if we were all equal. As a model walks down the runway, instead of ... Free Essays on True Equality Free Essays on True Equality In my opinion, total equality would diminish people’s own individual uniqueness. Causing the world to be at a standing point till the end of time; there would be no way to make any advances in any particular subject. With everyone being the same no one person could be classified with talent, extreme intellects, or great physical appearance. Which in turn could make the world predictable so there will be no excitement for anyone. When you turn on the TV you always hear about the musicians of that time and what is their latest hit. If you enjoy the music you will be happy and eager to hear the new hit and if you are that musician you are excited to inspire so many to follow his or her own dreams. Now imagine that excitement, happiness, and inspiration gone just so we could be ‘equal’. Is it all worth it? So many in this world have immense talent to share with others who enjoy music greatly. If we were all equal, what would be our entertainment? Or is that a sacrifice we have to make just to be ‘equal’? So if a person would be interested in going to the music business, would they be wrong? I, myself, love music and entertainment and look forward to indulging in this art to make me happy. Why would that not be good? A child is sick with a terrible flu but he cannot be cured. There are no doctors or scientist anywhere because then the world would not be ‘equal’. So this child has to suffer just so the world can be something that, so far, doesn’t seem too glorious. And while this child is dying from a virus that can be cured, the world is also stuck in one degree. There can be no advances in technology because who would do it? The world is equal, no one is smarter than anyone else and no one has creative ideas enough to even contemplate this matter of thinking. So here we are with this virus spreading with no cure and no advances in technology, only if we were all equal. As a model walks down the runway, instead of ...
Sunday, October 20, 2019
A Man without words essays
A Man without words essays After reading A Man Without Words I realized that being able to speak and communicate through language is a valuable ability, but without it one can still develop and function. Before this book, I only knew of deaf children, and of adults who werent born deaf or could get treatment and implants. In psychology classes I learned that the brain did most of its development in the childhood stages and that language was almost impossible to acquire later in life, as well as the nature and nurture of a persons environment guiding their development. Ildefonso was deprived of language but was still able to communicate with others in his position. His deaf friends and he showed language isnt needed to develop qualities like compassion, a sense of right and wrong, and creativity. Even though they were poor and considered dumb, they still strived to succeed and better themselves. Ildefonso showed an incredible understanding of people and the world without any languages as well as learning sign language. Ildefonso was able to communicate with his friends, but without language he wouldnt have been able to educate himself nor share his story with the rest of the world. For Ildefonso, language was a double-edged sword; it showed him that he missed many opportunities, but it also allowed him to be himself and express himself. I think the garden that Ildefonso made with the sundial was the ultimate testament to languages power, because it allowed a man who watched from the sidelines all his life to stand up and express himself to everyone. ...
Saturday, October 19, 2019
Concept of Competition Essay Example | Topics and Well Written Essays - 1250 words
Concept of Competition - Essay Example Another one is that competition causes organization to be efficient and to prosper due to the contributing role of the factors related to efficiency. This selection process is good for aggregate efficiency. Lastly, competition innovate the major source of gains in productive efficiency (Vickers 1). For further meaning of competition, different perspectives can be given attention such as that of the work of social scientists, humanists, and philosophers. Such works do not merely report any meaning in ordinary discourse. Most of them theorize, explain, explore and penetrate below the surface to uncover the features of competition. Among species and every community competition occurs where resources are in limited supply. Competition is defined as the active demand by two or more organisms for a common source as discussed by Wilson. The using up of other resources to the detriment of other organisms, whether it is not aggressive in behavioral interaction is also another perspective on c ompetition. Two modes of competition are distinguished by Wilson namely scramble and contests. Scramble competition can be defined as exploitative. The winner will be the one who uses the resources first without specific behavioral responses to other competitors. According to Wilson, competition theory is a relatively advanced field in ecological research. A competitive technique is the aggression among members of the same species with a set of behaviors. In addition, competition is a term pertaining to human affairs; and it is a warning of dangers involved in extending our use of the term (Newman 5). Economic competitions also play the role, as a neutral buyer or consumer. According to Tibor Schitovsky a person or an organization has competition if the party wants to trade with has alternative opportunities to exchange. Competitors are people or organizations that offer alternatives and similar opportunities to the opposing party or parties. When there is competition there is an ai m to pursue one’s own interest. Having competitive behavior can be as altruistic as any other kind, but a rational competitor never act on the assumption of what others are doing. Most competitors think of their own goals and are primarily motivated to develop, demonstrate and enjoy competence on their own visions. Competitions are used to overcome feelings of being separated, abandoned and unloved. It permits demonstration of each individual’s significance which gratifies each desire, assertiveness and approval and also they perform in public, assert themselves in the presence of others at the very least of their competitor (Newman 11). Competitors always aim to win for them winning is the object of the game. They want to impress their competitors, to be admired for their success. Most competition is complex in its way especially in pursuing its goal e.g. money, job, a woman’s hand in marriage. In addition, competitive impulse seeks a good fight. Competing is t he act against another human being. Competition itself often takes elusive forms example is a world class athlete producing exact performance measures to compete with the other competitors (p.11). Competition and competence are both derived from the same root. It is a desire to develop, to strive and to achieve even with the risk of defeat of failure in one direction and to strive toward a goal. A social scientist postulates that in competition the rules that can hinder a party to achieve and the rewards that can be attained can be considered equal. It usually takes the form of legitimized conflict regulated by rules. But not all competition is a pure contest in which the other competitors are prohibited to achieve their aims. Those who are legitimized
Friday, October 18, 2019
The Pap Smear Test For Cervical Cancer Research Paper
The Pap Smear Test For Cervical Cancer - Research Paper Example The article also has data on prevalence and epidemiology of cervical cancer and recommends regular screening. The accuracy of the test is influenced by a number of factors; typically determination of both sensitivity and specificity for a test involves studies applying standard testing on all the participating persons. Studies comparing the test have shown its detection sensitivity to be between 55% - 80% but due to the slow pace at which cervical cancer grows; sensitivity can be higher in a program of regular screening with Pap. In determining the test’s sensitivity and specificity, there is the requirement for defining a standard for the test as well as the standard threshold for reference. ASCUS is mostly applied as the threshold for the test while CIN 1 is utilized as the standard for reference. With the combination, the sensitivity of approximately 68% is achieved and 75% specificity. LSIL could be the most appropriate threshold for the test when used with CIN 2-3 as the standard for reference and with this combination, up to 70%-80%, sensitivity & 95% specificity levels are achieved. It is important to note that obtaining adequate specimen is crucial in determining accuracy and integrity of a Pap smear test. In conclusion, therefore, screening is very important in the management of cervical cancer and therefore regular testing is recommended for women. Sensitivity and specificity of the test can be very high if the screening is done appropriately with the adequate specimen and large cohorts of participants.
Karma Yoga Article Example | Topics and Well Written Essays - 1000 words
Karma Yoga - Article Example Yoga being a Sanskrit word means â€Å"to become one†or â€Å"to unite†. In simpler words, it refers to the guidelines prescribed for union of a human being with the creator of this world. It is believed that such union brings the ultimate peace and happiness, which cannot be described in material words. Since divinity is within the human body and mind, yoga teaches the person to explore this divinity and seek union with it, while wondering within the confines of individual mind. Accordingly, Yoga refers to the techniques and attitudes as well as way of life that can free the human being from bondage of suffering as well as life and death. Indian scriptures are full of such detailed techniques as interpreted by many intellectuals like Ram Krishna Parmahans, Swami Vivekanand in the past as well as Sri Sri Ravi Shankar during the present times. According to Indian philosophy, there are mainly three paths, which can take a person to the ultimate goal of self-realization. As different paths of a mountain lead to the peak, the three paths can lead to this goal, either individually or collectively. The three paths are Jnana Yoga that means path of knowledge, Karma Yoga that means path of action without any selfish motives, Bhakhti Yoga that means path of complete surrender through devotion. Baghvad Geeta has summarized all three yogas and their techniques as well as virtues, as spoken by Lord Krishna while delivering sermons to young warrior Arjun in the battlefield. All three yogas are complimentary to each other and a true seeker would need practicing one or the other during the voyage to self-realization. In addition, the Raaja Yoga, that is the path of meditation, also leads to the final goal of self-realization. As Karma means action, Karma Yoga specifies the path of action. Discussing on the importance of action in a life of any seeker, Lord Krishna has clarified in Baghvad Geeta that taking proper action is essential, instead of being
Thursday, October 17, 2019
Common & Civil Law in the Global Economy Assignment
Common & Civil Law in the Global Economy - Assignment Example This is achieved through a critical analysis of the past judicial interpretations of the law in search for advice. On the contrary, common law refers to a legal system principally based on past judicial opinions. The past judicial opinions postulate prior interpretations of the legislation, which provides a better guidance as compared to literal requirements as in the case of civil law. This implies that, as much as common law systems develop their laws over time, the laws may be altered by single ruling (Emerson, 2009). As such, common law perpetuates a legal system that is more flexible and expeditious. The most prominent difference between common law and civil law is based on their methodological approach towards statutes and codes. In this regard, common law is dictated by customs while civil law is bound to written codes which have to be abided by the courts inexorably. Thus, legislation is the main source of law in countries which embrace civil law system. This implies that judges make their decisions based on the laid down statutes and codes. Common law legal systems are dominant in commonwealth countries. According to Emerson (2009), this is attributable to their shared British heritage. On the other hand, civil law is predominant in most countries in the globe, especially in the Europe continent and Latin America. Thus, basing on the foregoing discussion, Civil law is the best legal system in the global economy. In this regards, civil law seeks to resolve non-criminal disputes which include disagreements in contracts, divorce, damages for personal and property damage, child custody and property ownership. It covers a profusion of areas which are rife in the global market system. They include employment law, consumer law, entertainment law, international law, animal law, agriculture law, business law, tax law, family law, negligence, intentional torts like battery, assault, slander, defamation and libel, inter alia. In conclusion, common law
Discussion thre Assignment Example | Topics and Well Written Essays - 250 words
Discussion thre - Assignment Example has a moral duty to care for those suffering from Ebola and the decision about whether or not to administer the drug touches on this duty (Jackson, 2006). The ethical principles that are relevant to this event are respect for autonomy, beneficence, non-malfeasance, and justice. Respect for autonomy requires that healthcare providers regard patients’ right to decide what happens to their bodies. Beneficence focuses on doing the best thing to a patient in all situations, while under non-malfeasance, healthcare providers endeavor not to do any harm to patients. Upholding justice makes healthcare providers to deal fairly with all patients in giving treatment or distributing scarce resources. Respect for autonomy, beneficence, and non-malfeasance are in conflict in this case. Respect for autonomy is more compelling in this case because it will allow the testing of the experimental drug with a patient’s consent. This principle would suggest and offer support for a resolution by allowing the experimenter to test the drug without breaking the law and the patient might benefit if the drug works (Sugarman & Sulmasy, 2010). The distinction between consent and informed consent has implications for professional healthcare providers. Informed consent protects professional healthcare providers from legal action and consent does not. Finally, in education related to informed consent, APRN should emphasize the need for healthcare providers to provide patients with sufficient information regarding any procedure for which they might intend to carry out on patients (Maclean,
Wednesday, October 16, 2019
Common & Civil Law in the Global Economy Assignment
Common & Civil Law in the Global Economy - Assignment Example This is achieved through a critical analysis of the past judicial interpretations of the law in search for advice. On the contrary, common law refers to a legal system principally based on past judicial opinions. The past judicial opinions postulate prior interpretations of the legislation, which provides a better guidance as compared to literal requirements as in the case of civil law. This implies that, as much as common law systems develop their laws over time, the laws may be altered by single ruling (Emerson, 2009). As such, common law perpetuates a legal system that is more flexible and expeditious. The most prominent difference between common law and civil law is based on their methodological approach towards statutes and codes. In this regard, common law is dictated by customs while civil law is bound to written codes which have to be abided by the courts inexorably. Thus, legislation is the main source of law in countries which embrace civil law system. This implies that judges make their decisions based on the laid down statutes and codes. Common law legal systems are dominant in commonwealth countries. According to Emerson (2009), this is attributable to their shared British heritage. On the other hand, civil law is predominant in most countries in the globe, especially in the Europe continent and Latin America. Thus, basing on the foregoing discussion, Civil law is the best legal system in the global economy. In this regards, civil law seeks to resolve non-criminal disputes which include disagreements in contracts, divorce, damages for personal and property damage, child custody and property ownership. It covers a profusion of areas which are rife in the global market system. They include employment law, consumer law, entertainment law, international law, animal law, agriculture law, business law, tax law, family law, negligence, intentional torts like battery, assault, slander, defamation and libel, inter alia. In conclusion, common law
Tuesday, October 15, 2019
Liability & Use of Force Assignment Example | Topics and Well Written Essays - 1000 words
Liability & Use of Force - Assignment Example Some state statutes actually necessitates that the other individual should have received the demand or request, and confirmation of commission about the overt act in furtherance of the conspiracy. Examples of such crimes include solicitation of murder, prostitution or bribery. In other statutes, solicitation crime takes place right away the asking occurs despite of what the outcomes of such a deed are whether or not, the solicited individual was ready and capable to conduct the offense or not. States do have specific solicitation statutes as well as general solicitation statutes, such as obstruction of justice solicitation (Ross, 2012). A number of statures require specific corroboration necessity under general solicitation. A case in point is the Texas penal code section 15.03(b) which defines that any individual cannot be convicted under such section based on uncorroborated testimony of the individual purportedly solicited evidence (Gardner & Anderson, 2011). Two options are used w hen trying to prove that a defendant is guilty of solicitation crime. Firstly, there is the provision of corroboration only a single witness plus corroborating evidence. Second, corroboration is provided by two witnesses, in addition to the corroborating evidence. Thus, under a solicitation crime, the corroborating evidence needs to link crime commission to the accused. That is why it is independent from witness confirmation facts. It may comprise acts, behavior, statements, as well as other circumstances that display a link of the defendant to the stated crime (Singer & La Fond, 2010). Question 2 Conspiracy is substantiated when there is an accord to perform any illegal act. However, majority of the federal statutes necessitate that one of the co-conspirators should have commit an overt deed, such as assassination, abduction, defrauding of the government, or else commit a breach of a person civil rights in furthering the intentions of the conspiracy (Gardner & Anderson, 2011). Furt hermore, there is no much consideration concerning which one of the supposed co-conspirators performed the overt act. Thus, it need not be a criminal deed, but just a single overt deed is sufficient to establish the reality of the conspiracy (Gaines & Miller, 2012). The reason being that without an overt action, it is not legally sufficient to validate that the said crime was performed with the declarant being conscious of the present conspiracy, and went further to get connected to such a crime intentionally. The rationalization is that the declarant collaborated positively inside the action, or just offered an agreement to collaborate, and which does not substantiate that they participated in the crime (Gardner & Anderson, 2011).  Notably, the overt act cannot be brought against the other suspected co-conspirators, when it was not wished to further the broader intentions of the conspiracy. Nevertheless, it qualifies when both clandestinely planned to further the particip ant own individual purpose. Moreover, the overt act need not be a subsequent autonomous act which follows the structure of the conspiracy. When it comes to multiple conspiracies, the defendant can be linked to different conspiracy, and the co-conspirator is the only individual permitted to tender
Hamlet by William Shakespeare Essay Example for Free
Hamlet by William Shakespeare Essay You make decision everyday; whether it is choosing what you make for breakfast or choosing what you want to be when you grow up. It is natural in humans to make decisions and act on what they believe is to be true. This not only applies to humans, but authors use them in their books or plays to create different types of characters. In one of the greatest works by William Shakespeare’s Hamlet, there are characters that make many different kinds of decisions that determine their role in the book. In the play, the protagonist Hamlet, after his father’s death, is angry about his mother’s hasty marriage to Claudius. He sees a ghost of his father one night and tells him that Claudius had murdered him. Hamlet plans to kill Claudius but he has trouble making decisions and throughout the play, his poor decision making skills bring downfall to himself and many others. Every tragic hero has a tragic flaw and Hamlet’s tragic flaw is his inability to make decisions. Hamlet’s inability to kill Claudius after hearing from the ghost, that he had killed Hamlet Senior, contributes to his stubborn indecisiveness, which brings about his own downfall. His indecisiveness leads to many character’s deaths; such as Rosencrantz, Guildenstern, Laertes, Polonius and his own mother. He had many chances of killing Claudius but he constantly over thinks the situation thus delaying his major task of killing Claudius: To take him in the purging of his soul When he is fit and seasoned for his passage? No. Up, sword, and know thou a more horrid hent. When he is drunk asleep, or in his rage, Or in th incestuous pleasure of his bed, At game a-swearing, or about some act That has no relish of salvation in ’tâ€â€. Then trip him, that his heels may kick at heaven (III. III. 85) This is an example of Hamlet being indecisive on whether or not to kill Claudius in the Church after the Mouse Trap play. He decides not to kill him there because he is praying and therefore will be forgiven for his sin. This results in delaying of his main task and also made more room for error; such as killing Polonius and also getting sent to England, which leads to Rosencrantz and Guildenstern’s deaths. If Hamlet would have decided to kill him then, he would not have created the mess he ends up making at the end. Hamlet’s inability to talk and discuss to Ophelia about what is happening, after she starts rejecting his messages, leads to losing his love and ultimately ends up to her demise. Even though they were in love, when Ophelia begins rejecting Hamlet’s messages because Polonius told her to, Hamlet tells Ophelia that she was not worth anything to him. This leads her to believing that Hamlet does not love her anymore. As a conclusion, she goes crazy and out of control; for example: By Gis and by Saint Charity, Alack, and fie, for shame! Young men will do ’t, if they come to ’t. By Cock, they are to blame. Quoth she, â€Å"Before you tumbled me, You promised me to wed. So would I ha done, by yonder sun, An thou hadst not come to my bed. (IV. V. 40) This is the scene where she has become insane. She sings about how a man promised her to marry her before they went into bed together but he left her. On top of Hamlet’s rejection, Hamlet has killed her father, Polonius, so she has completely lost control of herself. She sings a very sorrow song in front of many people and also gives out fake flowers to people. After this scene, she ends up committing suicide at the lake. If Hamlet had talked with Ophelia about what was going on and why she was ignoring her messages, she would have not become insane and Hamlet and Ophelia would still be in love. Hamlet’s final flaw is his inability to decide whether life is worth living or not, which contributes to his stubborn indecisiveness, which ultimately leads to his own downfall. Hamlet is very confused about his own life and is out of his mind. He is very depressed from his father’s death and the feeling of betrayal he has from Gertrude, his mother, who remarried right after his father’s death. He does not know if life is worth living or not and this is obvious when he says: To be, or not to bethat is the question: Whether tis nobler in the mind to suffer The slings and arrows of outrageous fortune Or to take arms against a sea of troubles And by opposing end them. To die, to sleep No moreand by a sleep to say we end The heartache, and the thousand natural shocks That flesh is heir to. Tis a consummation Devoutly to be wished. To die, to sleep To sleepperchance to dream: ay, theres the rub, For in that sleep of death what dreams may come When we have shuffled off this mortal coil, Must give us pause. (III. I. 56) This is his famous soliloquy on the topic of life. He compares life and death and he cannot decide whether or not to stay alive or to be dead. He believes that death is the way to escape all his troubles and his depression but then on the other side, he knows he needs to complete the task of killing Claudius. His indecisiveness about his own life delays his action from doing what he really wants to accomplish. Even though Hamlet kills Claudius at the very end, as a result of his indecisive behavior, he has taken way too much time to accomplish one single task. Also, it killed many innocent people he could have prevented from killing them. If Hamlet would have not been so depressed and actually decide whether or not he should stay alive or die, he might have had a better chance accomplishing his tasks much faster and efficient. Clearly, Hamlet is very indecisive all over and his indecisiveness brought about his own downfall. His mother’s death, his love’s death and his friend’s deaths are all caused by Hamlet. If he were to be decisive and straightforward, he could have killed Claudius much faster and he also could have prevented all of the deaths that happened. Many theories attempt to explain why Hamlet takes so long to kill Claudius but out of many theories, Hamlet’s indecisiveness is the only one with full satisfactory answers. Every book or play has a tragic hero and every tragic hero has a tragic flaw and in the play Hamlet, there is no exception. These themes present in many of William Shakespeare’s plays are relevant even today. There are times when we are indecisive when it comes to difficult situations. To be able to decide and to act on what you decided to do is what we try to aim for, however, since Hamlet did not complete this, he led himself to his own downfall and also many other’s to their downfall as well.
Monday, October 14, 2019
Theories And Principles For Enabling Learning
Theories And Principles For Enabling Learning Critically examine a range of theoretical approaches to learning and communication. Discuss how the learning and communication theories apply to your own teaching and promote inclusive practice. There are four main theoretical approaches to learning these being Behaviourism, Cognitivism, Constructivism, and Humanism and most learning theories tend to fall into one of these paradigms. Behaviourism in principle refuses to acknowledge the internal mechanism of learners. Founded in 1849 by I.P. Pavlov and further models developed by Dr John Watson, E.J. Thorndike and B.F Skinner, they believed that people learn through external stimuli and have no free though of their own. Learners can be conditioned by external stimuli and all behaviour can be explained without considering the consciousness or mental state of the learner. Their theories were centred on cause and effect, reward and punishment of the learner. Learners were passive and would respond to reinforcement and environmental stimulus. This theory of teaching has a very regimental approach to learning and development. Behaviourism is still employed today in many learning arenas and it is the authors view that one of the greatest employers of this approach is the military, in the training of its new recruits. The recruits are taught through repetitiveness, rewarded through praise, acceptance and freedom and punished by ridicule, increased workload, rejection and loss of freedoms. The two first pioneers of behaviourism Vladimir M. Bekhterev (1857 to 1927) and I.P. Pavlov (1849 to 1936) both studied at the military academy in St Petersburg (C. Boeree. 2000, Online). It was here where they first formulated their behaviourist ideology. Other learning institutions still employ this approach if only in part and indeed its theories play a major role in most childrens development both at home and school. It is a useful technique in controlling younger childrens behaviour and learning them right from wrong (punishing the bad and rewarding the good. Stone Nielson (1982, p.291) make reference to the behaviourist approach in child development, General findings suggest that a careful combination of reward with mild punishment when appropriate is most effective for learning. However most of us havent the skill to provide the optimum combination. The above refers to the lack of competence in acting out the model. Teachers or parents should be objective in their delivery of punishment. Objects like anger, retaliation, stress and any other external forces should not have any influence on the punishment given. The author believes that this is can be a major downfall of the behaviourist approach it is very difficult for teachers or parents to have a constant clear state of mind. Punishment can also have adverse affects on the person being punished it can lead to anger, retaliation, and strained teacher learner relationships, thus hindering the learning process. Punishments should be made clear from the outset, be fit for purpose and be given uniformly. I myself adopt a slight behaviourist approach in my Further education classes (mainly younger students). If a student is constantly late i.e. more than twice in a row (without good reason) or being disruptive in a class I will refuse to sign their E.M.A sheet as a form of punishmen t. I constantly use reward in the form of praise (I believe this to be a key motivator for students), however reward can have negative effects on learning in that students may only perform enough to gain reward and not to their ability. Although it is the authors belief that this approach works in some instances for younger students it is not has affective for adult learners and as such is not employed by the author on Higher Education courses. It is also the belief of the author that students are not passive. Most teachers in the UK have behaviourist approaches enforced onto them having to write/meet objectives and learning outcomes, Behavioural objectives were written descriptions of specific, terminal behaviours that were manifested in terms of observable, measurable behaviour. (Saettler, 1990, Online). In the construction management sector we have practical sessions that lend themselves more to behaviourism for example the use of surveying equipment, learning is gained through repetitiveness and familiarisation. Good development is rewarded with a pass; poor development is punished by the removal of reward which is replaced with further instruction. Objectives follow Gain and Briggs model for writing objectives (Saettler, 1990, Online) Gains and Briggs Model: Action Object Situation Tools and Constraints Capability This was a method employed by other staff at the college and was passed onto myself and until this now I had no knowledge that this was a behaviourist approach adopted by the department. The way in which the education system is funded and managed in the UK means constraints are placed on the educational establishments themselves. All the objectives for courses have to be met within a given time frame, thus employing the behaviourist approach. Cognitivism replaced behaviourism as the domineering ideology in the 1960s. Unlike behaviourism that basis itself on environmental stimuli, cognitivism focuses on the inner workings of the mind, mental activities the black box. In other words they were concerned with cognition the act or process of knowing. Information coming in gets processed and then gives certain outcomes. The cognitive learning theory claims that learning is a relatively permanent change in their mental picture, due to an experience that occurs by adding new information into an existing understanding in the mind. While cognitivists allow for the use of skill and drill exercises in the memorisation of facts, formulae, and lists they place greater importance on strategies that help students actively assimilate and accommodate new material. (Graduate Student Instructor, 2009, Online). Cognitivism and constructivism are very much alike and were founded on cognitive principles. However, constructivism places much more emphasis on the social context and culture. Constructivists see teachers has being the providers of tools to aid the students learning (Overview of Constructivism, 2010, Online) Jean Piagets studies in learning development had considerable influence on cognitivism, specifically the notion drawn from Gestalt theory, that knowledge is organised and structured. It is a view that for learning to occur it must be incorporated within existing memories and that the new experience and prior knowledge must overlap. Cognivitists believe that this happens in two ways. Assimilation, were the mind takes new learnt information and applies this to what it already knows. Secondly, accommodation is where preconceived ideas are adjusted to suit new information. Piaget called these parcels of memory in our brain Schemas. He (Piaget) was the first psychologist to make a systematic study of cognitive development. His contributions include a theory of cognitive development, detailed observational studies of cognition in children, and tests to reveal different cognitive abilities (McLeod, 2007, Online). Of importance, especially to the theorist to human learning is Piagets emphasis on four distinct stages of four cognitive developments, each categorised by different forms of thought at different stages. This model has come under criticism because of the lack of flexibility of the ages appointed to each stage of development. It has limited use in adult education. Lev Vygotsky (1896-1934) was a Russian psychologist who developed his theories around the same time as Piaget. Vygotsky died age of 38 while his theories were still in infancy. However, the fundamental difference between Vygotsky and Piaget is that Vygotsky believed that learning was not guided by age but by social influences. Two significant models of Vygotsky are the more knowledgeable other was learning is facilitated through someone who has a better understanding. This could either be a teacher, adult or peer. Secondly the zone of proximal development this is intern linked with the first has it states someone will learn more with initial guidance and encouragement. It was this from his ideology that Social Constructivism was born (Overview of Constructivism, 2010, Online). The Gestalt moment or getting the knack of something probably best describes cognitivsm. An ability to suddenly to be able to ride a bike is a good analogy. The learning happens in a few moments, and is permanent-although it may have taken a long time to get to that step with seemingly little progress (Atherton, 2005, Online). I would appear to have adopted a cognitive constructivism style in my teaching. Firstly I obtain the students prior knowledge in the subject matter through questioning and then build on their knowledge. Secondly, I give an example that the whole class works through. Once I am satisfied have worked through the example correctly, a second example will be given for the learners to do individually or with support from their peers. If they approach me for help I will not give the answer but try to guide them to it using their own thought process. This is probably because that is how I like to approach problems and feel that this gives me a better understanding so that I can then retrieve and apply it to similar problems. This represents some correlation to Vygotsky four classroom principles (Overview of Constructivism, 2010, Online). Humanist ideology gained moment in the 1960s; two of its most prominent founders were Abraham Maslow (1908 1970), Carl Rodgers (1902 1987). In principle humanistic theory of learning is based on a humans personal act to fulfil their potential. It recognises the freedom and potential of humans and sees the teachers role as being one of facilitator. Learning is student centred with the focus placed on developing self actualised people through cooperation and support. Maslow developed his Hierarchy of Needs in 1943. This motivational theory is based on a five tear model. For humans to meet their full potential they must meet all the requirements of the model Carl Rogers developed is humanistic teaching theory facilitative learning. The basic principles of the ideology are that learning will take place through facilitation in a comfortable atmosphere. Other key features are: (L. Dunn, 2000, Online) A belief that human beings have a natural eagerness to learn. There is some resistance to, and unpleasant consequences of, giving up what is currently held to be true. The most significant learning involves changing ones concept of oneself. Facilitative teachers are: Less protective of their constructs and beliefs than other teachers. More able to listen to learners, especially to their feelings. Inclined to pay as much attention to their relationship with learners as to the content of the course. Apt to accept feedback, both positive and negative and to use it as constructive insight into themselves and their behaviour. Learners: Are encouraged to take responsibility for their learning. Provide much of the input for the learning which occurs through their insights and experiences. Are encouraged to consider that the most valuable evaluation is self-evaluation and that learning needs to focus on factors that contribute to solving significant problems or achieving significant results. One model of teaching that has been developed on the principles of humanism is Experiential Learning this was produced by David Kolb. Kolb believes that learning is the process whereby knowledge is created through the transformation of experience (Learning Theories, 2009, Online). It is based on four principles. (Learning Theories, 2009, Online). The four stage model shows how experience is developed through reflection, reflection to concepts, concepts to testing (experimentation) and testing to experience. I believe this model to be beneficial to some areas of teaching especially Andragogy and practical application for various professions. The humanistic approach to teaching certainly has its place within the academic arena drawing on students knowledge and experience, encouraging learners to take some responsibility for their learning, self reflection, motivation and facilitating are all key concepts that (in the authors view) should be employed in the classroom. Deep and surface learning refers to ways in which individuals learn from studying. The two approaches do not mean that students fall into neither one category nor the other, in fact either approach maybe used at any given time. Surface learning applies to the memorisation of facts and formulas. This can be selected from the learners memory and used when required. Deep learning applies to the ability to understand the whole picture and reasons behind the facts and formulas and then apply them to understanding. (Engineering Subject Centre, 2009, Online). It can be concluded in the authors view that this application bears the traits of cognitivism.
Sunday, October 13, 2019
Aspects Of City Life - Crime. :: essays research papers
Aspects of City Life - Crime. Â Â Â Â Â Different angles can be taken with regards to crime in the city, and further to this, the main topic can be broken down into smaller areas. I have conducted two types of research; Primary - Interviews etc. Secondary - Named Sources. Â Â Â Â Â The question of crime and how it affects a city is perhaps best put to those people that have either lived in a city all their lives (thus knowing what the crime is like in the area), or to those that have moved to a city from a town or village (therefore being able to make a comparison between the types of crime and their severity in the two habitats). Â Â Â Â Â A city, apart from having a great deal more shops, civic and recreational amenities, and night life will also have many more people - people that need somewhere to live, meaning vast expanses of housing estates and other residential areas. In Sunderland's case all of the above are true, and, as with many other cities across the country it has a very large student population. There are two centres of higher education in Sunderland - the university, and the college, both with large subscriptions. Although both have been established for a while now, it was only fairly recently that the old Polytechnic achieved university status. This has not only increased the size of the university in terms of property but also the number of students attending it. This therefore means that the overall size of Sunderland has increased, including the numbers of shops, clubs, recreational activities and also houses. Â Â Â Â Â A great deal of people in Sunderland believe that their local pubs and clubs have been 'taken over' by students and at first there was a great deal of apprehension and tension between locals and students, often resulting in violent conflict. This still exists but to a much smaller extent. However, something that can be connected with this is the mugging and burglary that happens to a small minority of students. Obviously crime occurs everywhere, no matter where you live, but students are seen as easy targets due to their vulnerability, as well as the fact that they have money and valuable possessions. The severity of some of the attacks has been such that victims have needed extensive hospital treatment due to the injuries they have sustained. Security measures at certain halls of residence have been questioned after several attacks occurred in usually safe surroundings. Â Â Â Â Â The most startling aspect of violent crime in this area is that it still occurs, despite increased policing and advice to students regarding how to
Saturday, October 12, 2019
Ramases II - The Greatest of Egypts Pharaohs Essay -- Biography Biogr
Ramases II - The Greatest of Egypt's Pharaohs Rameses II, he was the third of his line in the Nineteenth Dynasty, son of Seti I, and grandson of Rameses I. He ruled for nearly seventy years in the middle of a Period known, as the New Kingdom when Egypt was at it’s most powerful. During His reign 1279-1213, Egypt enjoyed an era of prosperity and stability, not only internally, but externally as well. He is responsible for the building of more Monuments and famous structures than any other pharaoh, having many Structures and statues renamed as if he commissioned them himself. By the end of his unusually long sixty-six-year long reign, he was famous throughout the then known ancient world. Ramses I was chosen as heir to King Horemheb, the last king of the Eighteenth Dynasty after serving as general, vizier, Commander of the Army of the Ruler of Two Lands, High Priest of all the Gods and Hereditary Prince of the Entire Land. King Horemheb chose Ramses as his successor as he had no children of his own, he too was chosen by the previous pharaoh. Ramses I not only had a son, Seti, a soldier who was married to Tuya, also from a military family, but a grandson, also called Rameses as well. A strong military background was important and all of these factors probably helped in Horemheb’s decision. Having sons and grandsons ensured Rameses of having heirs to carry on the new dynasty. In 1295, BCE, Horemheb died, Rameses I first royal act, the overseeing of his secret burial rites in the Valley of the Kings. Rameses I took this time to pick out his own burial tomb and began preparations to be buried next to his friend Horemheb. Rameses I and his son Seti planned fabulous buildings, and had existing buildings and monuments redone wi... ...alley of the Golden Mummies. (New York: Harry N. Abrams, Inc. 2000) Menu, Bernadette Ramesses II Greatest of the Pharaohs (New York: Harry N. Abrams, Inc. 1999) Thomas, Susanna Rameses II Pharaoh of the New Kingdom (New York: The Rosen Publishing Group, Inc. 2003) Wallenfels, Ronald and Sasson, Jack M. The Ancient Near East (New York, Detroit, San Francisco, London, Boston, Woodbridge CT.: Charles Scribner’s Sons, The Gale Group 2000) World Book Encyclopedia Volume R (Chicago: Scott Fetzer Company 2003) McMahan, Ian Secrets of The Pharaohs (New York: Avon Books, Inc. 1998) Bunson, Margaret The Encyclopedia of Ancient Egypt (New York: Facts of File, Inc. 1991) Johnson, Paul The Civilization of Ancient Egypt (New York: Harper Collins Publishers 1978,1998 and 1999) Tiano, Olivier Ramses II and Egypt (New York: Henry Holt and Company, Inc. 1995)
Friday, October 11, 2019
Carpe Diem Poetry
ENG. 1102 Paper 1 Carpe Diem Poetry â€Å"To The Virgins, To Make Much of Time†by Robert Herrick and â€Å"To His Coy Mistress†by Andrew Marvell are two great examples of Carpe Diem poetry. Their vivid imagery, symbolism, and usage of simile and metaphor are what make these poems memorable. Their usage of these terms also makes the poems more inviting and makes the usage of the Carpe Diem tradition more apparent. Likely risque for their times, I find both poems somewhat romantic and tame for our time period.The primary metaphor of â€Å"To The Virgins, To Make Much Of Time†is â€Å"Gather ye rosebuds while ye may, old time is still a-flying; and this same flower that smiles today, tomorrow will be dying†(961). This opening metaphor makes it clear that the theme of this poem is Carpe Diem. From my understanding and also from my introductory Latin class Carpe Diem is popularly known as â€Å"Seize the Day†though this is not the literal translation . Roses are fresh and supple like youth; they are fragile, beautiful, and pure. These are characteristics also associated with virgins. I have found in many literary works that virginity is compared to a rose.Herrick is urging the young to enjoy their youth before it evades them. â€Å"The glorious lamp of heaven, the sun, the higher he’s a getting, the sooner will his race be run, and nearer he’s to setting†is another metaphor using the personification of the sun to show the passage of time (916). The sun is an example of life; the more time that passes, or the rather the farther the race is run, is the closer life is to come to an end or the closer to the sun setting. The sun and it’s rising and setting is something that is very commonly used on obituaries to mark the birth and death of a person. That age is best which is the first, when youth and blood are warmer; but being spent, the worse, and worst times still succeed the former†(916). The p revious passage is the speaker saying that everything is better when you are young. You are livelier and more warm blooded when you’re young; and everything after that gets worse and worse. This is true from a physiological standpoint; as you age the way your hormones work change and the process that build up substances needed in your body slow and at times stop, an example of this medically is osteoporosis.The last stanza of the poem reads, â€Å"Then be not coy, but use your time; and while ye may, go marry: For having lost but once your prime, you may for ever tarry†(916). I believe the speaker is saying to the reader don’t be shy, don’t waste your youth, marry now while your young and beauty; and while you are filled with life and vigor. Once your beauty is gone it may be harder or it may be something that you may never do. Due to this poem being in the love and hate section of our book and also with it being about virgins, I can’t help, but t hink that this also has some subtle sexual connotations as well.I think this because the speaker is urging virgins and not just people in general to make the most of life. The speaker also uses the symbolism of the rose as a comparison for youth, but a woman transitioning for a virgin is also compared to a flower blooming. Between â€Å"To The Virgins, To Make Much Of Time†and â€Å"To His Coy Mistress†I find that â€Å"To His Coy Mistress†uses the most imagery; and because of that it is my favorite of the two poems. â€Å"Had we but world enough, and time, this coyness, lady, were no crime. We would sit down, and think which way to walk, and pass our long love’s day.Though by the Indian Ganges’ side shouldst rubies find; I by the side of Humber would complain†(951). I found this opening stanza important, because it set the stage for the Carpe Diem theme. The speaker has compare the ladies coyness to a crime because they don’t hav e enough time. This automatically says to me as he reader that he wants her to give up her shyness and give into him because they may never get the chance. He spends telling him mistress all the time he would spend praising her body, but saves her heart last.Though he suggest that he would take his time loving his mistress he then states, â€Å"For, lady, you deserve this state, nor would I love at a lower rate. But at my back I always hear time’s winged chariot hurrying near†(951). This is the speaker again stating that there is not enough time for them to wait any longer because time is quickly approaching. The speaker also states that his lust for her will turn to ash soon if they continue to wait and that her long preserved virginity and honor will also turn to dust. He is urging his mistress to be with him by constantly referencing death, â€Å"The graves a fine and private lace, but none, I think, do there embrace†(951). I have found that of the two poem s that â€Å"To His Coy Mistress does not put as much emphasis of seizing the day in general, but more so of seizing the moment now sexually. Though there were some references from the speaker about is mistress heart most of the references were in regards to his sexual desires. He references love several times, but warps it with his immediate cause for action. It seems that this speaker is using his love for her or saying that he has love for his mistress as a way to bring about her deflowering.This must be something that is a recurring trend across time periods as this can also be found much more apparent and much more frequently in our time period. Works Cited Herrick, Robert. â€Å"To The Virgins, To Make Much Of Time. †Abcarian, Richard, Marvin Klotz, and Samuel Cohen. Literature: The Human Experience. 10th. Boston: Bedford/st Martins, 2010. 916 Marvell, Andrew. â€Å"To His Coy Mistress. †Abcarian, Richard, Marvin Klotz, and Samuel Cohen. Literature: The Human E xperience. 10th. Boston: Bedford/st Martins, 2010. 950-951
Thursday, October 10, 2019
Oedipal Complex in the Tragedy of Hamlet Essay
How might the Oedipal complex factor into the tragedy of Hamlet? Oedipal complex Freud’s theory of stages of development for boys To describe a boy’s feelings of desire for his mother and jealously and anger towards his father Also thought boys felt they were in a completion with their father for possession of his mother His father is looked at as a rival They boy is observing his father in hopes of being like him or even better Those that carry on these feelings into adulthood are considered to have an Oedipus Complex During the Gibson movie Hamlet hates his uncle/step father; Claudius which Freud says is alright. Claudius is now the new king of Denmark We guess Hamlet would have taken the throne eventually if Queen Gertrude had not remarried. It seems like Claudius and Hamlet have built a rivalry and are in a competition for Gertrude. Because Hamlet feels like Claudius has taken his place next to Gertrude. One of the most controversial scenes in the Gibson movie is when Hamlet goes into Gertrude’s bedroom and confronts her about Claudius. He tells her not to have sex with Claudius (jealousy) He’s obsessed with the thought of his mother in bed During this confrontation there is a lot of sexual tension between the two The movie shows them passionately kissing What other comparisons can we draw between Hamlet and Oedipus? Similarities Differences Oedipus earned the trust of his people Oedipus acts on his actions How could one make the argument that the mother figure is the root of all problems in the play? What is the role of King Hamlet’s ghost in the play? How do you know that it is not a figment of Hamlet’s imagination? Why can’t Gertrude see it? Does Hamlet love Ophelia? How does one obtain power in Hamlet? Explain the importance or lack of importance of thinking and action. How do the Id, Ego, and Superego emerge in the play? At what point in the movie do you believe Hamlet crossed â€Å"a line of madness†? Does he come back? When? How is Hamlet being portrayed in the Gibson movie, the other movie, and the play? What other dramatic differences can you identity among the play’s text, the Gibson version, and the third version that you viewed? The biggest difference between the play and the Gibson version is that Fortinbus isn’t mentioned.
Wednesday, October 9, 2019
GM business report Essay Example | Topics and Well Written Essays - 3000 words
GM business report - Essay Example US president Barack Obama is not willing to provide any governmental aid to the company as he believes that first there should be serious restructuring plan before providing any financial aid. The company has decided to down size its workforce as a process of reorganisation. Moreover GM decided to sell its European arm Opel and Vauxhall to Magna International, a Canadian automobile parts manufacturer and supplier. After a long biding process Magna was selected and it was expected that Magna would invest around 700 million dollar into Opel. It was also expected that with this huge investment would create over 25,000 jobs in Germany. But in the later half of this year GM again decided that it would keep Opel with itself and cancelled that entire plan. The company has been going through such a situation over the past few months which it has never been before. It is been a century that GM is one of the largest automotive companies in the world. It was holding the number one position in terms of sales for 77 long years before Toyota surpassing it in 2008. Today there are 235,000 employees in the company. GM is operating business in 140 different countries while in 34 countries it has production facilities. Primary activities are directly involved in creating and delivering values and support activities are not directly associated in the process of value creation but play important role in enhancing the efficiency and effectiveness (Tutor2u, n.d.). General Motors has strong value chain which enables the company to be at the top for almost a century. GM’s inbound logistics are very strong as the company maintains good relations with its suppliers whom it get the inputs from. These inputs are converted into final product into its large number of production plants. It is already mentioned that the company has its production plants in almost 34 countries. Manufactured cars then reach to the buyers through a strong
Tuesday, October 8, 2019
Human Resource Management Essay Example | Topics and Well Written Essays - 2250 words - 1
Human Resource Management - Essay Example This essay discusses that the development of effective HR policies has been a critical issue for organizations in different industries. In fact, a well-planned HR policy can significantly help towards the standardization and the development of organizational performance, either in the short or the long term. However, the value of HR, as an organizational sector, is often underestimated. This problem has been made clear in the case of Home Care Housing. The organization has managed to achieve a rapid growth; however, due to the lack of an integrate HR plan, the firm’s managers have failed to respond to the needs of workers in regard especially to the level of payment and the hours of work. Moreover, the low communication within the organization has set obstacles in the identification of appropriate solutions for improving employee satisfaction and employee performance. Since its establishment, about 12 years ago, Home Care Housing has managed to achieve a significant level of g rowth. The success of the organization is reflected in the radical expansion of its activities; when entering the market, the organization managed just two housing developments. Today, Home Care Housing manages 20 units and employs about 600 people. The development of the organization has been mostly related to its support from volunteers and the community. However, the current status of its HR framework can be characterized as rather disappointing. A series of problems appear daily across the organization, a fact indicating the emergent need for the development of an effective HR plan. ... This fact is reflected in the lack of an integrated HR plan. As a result, the terms and conditions of employment are not consistent. More specifically, the compensation of each employee is not standard. Rather variations can be identified in salaries, both in terms of the amount paid as also of the date of the payment. In most units of the organization significant delays are reported in the payment of salary; only workers in the maintenance sector of the organization are paid on time. Also, the hours of work of employees are not based on certain rules; instead, workers are likely to work from 37 to 42 hours per week. A same problem exists in regard to the number of days available as holidays. The period of holidays for workers in the firm’s units varies from 20 to 27 days, with no clear criteria or rules on which the days granted to each worker for holidays are estimated. A significant problem seems also to exist in regard to the level of rewarding; the problem is clearer in t he case of managers who are fairly rewarded, meaning that there is no balance between the performance of managers and their rewards. The lack of an effective plan for arranging the payment, the holidays and the hours of work of employees has led to severe problems across the organization; the problem seems to be severe especially for the employees working in the firm’s Head Office. These employees face difficulties in covering the expenses of their travel for working; they also face difficulties in responding to the schedule of work which is not standardized. Those employees who have transferred from the organization’s units to its Head Office have reported that the working arrangements in the Head
Monday, October 7, 2019
The Problems and Attributes of Nursing Assessment Essay
The Problems and Attributes of Nursing Assessment - Essay Example The first problem was when Jane became agitated, the nurse did not respond properly. Due to Jane’s age, she was thought to have dementia when she complained about feeling locked up. Anybody in an accident can feel locked up when admitted to the hospital. The nurse should have listened to the woman more carefully and tried to soothe her or even have her son come and soothe her. This leads to the most important problem. A patient diagnosed with a concussion should never be sedated. This only causes more confusion and balance loss. It might have been a temporary fix, but in the long run, was detrimental to Jane. Age was a big factor in the nursing style here. It does not matter that Jane was productive with no major problems. The nursing staff did not look past the fact Jane was eighty-three. When Jane stubbornly refused their efforts to feed and bath her, they would sedate her more. Of course, constant sedation would mimic the effects of dementia. If diagnosed and treated with a concussion, all of Jane’s problems would have a different outcome, including her broken femur. Since she was written off as having dementia, Jane was not given a rehabilitation plan. If given a rehabilitation plan, Jane would have been more at ease knowing that she was going home. The sedation confused her more. If fewer sedatives were given and a rehabilitation plan given, Jane probably could have left the hospital before going into the nursing home. Age profiling should not have occurred by the nursing staff. All of Jane’s problems could have been avoided by a different, more understanding nursing approach.
Sunday, October 6, 2019
Medictest Laboratories Case Study Example | Topics and Well Written Essays - 1750 words
Medictest Laboratories - Case Study Example This means eliminating some of their best supervisors they have worked with for many years. The decision is final and the only way to settle this issue is through having the right communication process. A formal general meeting with the supervisors together with their chosen staffs should be conducted. In line with this, the information regarding some external factors may be well explained. Furthermore, the reason why there is a need to cut off and absorbed employees will be clearly discussed in detail. This has to be done by the Human Resources department to be backed up with the head office. In order to remarkably consider employees’ morale, productivity and motivation, it is good that the company will start informing the employees with their performance and appreciating them of a job well done if necessary. Furthermore, the company should continue enhance technical and leadership skills of the chosen supervisors as a way of empowering them and as a way to cope with the new company system structure. Problem Statement The case talks about the need to streamline the operation of Medictest Laboratories, a group of testing centers with satellite branches in Sarnia, Ontario under the supervision of a regional manager Jean Kelly. ... Problems/Subproblems/Issues Jean wanted to create a plan that would consider employees’ morale, productivity and motivation. Thus, the heart of the said issue significantly concerns the following specific questions stated in the case: 1. How should the changes be conveyed to the supervisors leaving, to those who are staying, and to the staff? 2. Where should the discussion be held? 3. Who should communicate the decisions? 4. In what sequence? 5. What should be the physical set up? 6. How should head office be involved? Analysis The case of Medictest Laboratories in Sarnia, Ontario is a remarkable proof that the external environment has significant impact on an organization’s success. The budget cut that has to be implemented by the government is a significant external force that eventually would affect Medictest’s system structure. Although it is an integral part of its success, this is beyond the control of a business firm and it has nothing to do about it. What it can actually do with this is to consider its internal environment where it has substantial influence and this remarkably includes its human resource. The human resource is something that Medictest can influence in the midst of some impacts brought about by its external environment (Berger 2). The only way to influence the human resource is to create some changes within the firm and in the case of Medictest, its essential point would be to streamline its operation and move forward to empowerment of its personnel. This is the very core of the challenge that the said company must face. At this very point, the firm must choose the best among the best and it has specific
Saturday, October 5, 2019
To what extent is internet banking safe Essay Example | Topics and Well Written Essays - 1000 words
To what extent is internet banking safe - Essay Example Hackers look for online retailers with large customer base and poor security to obtain their usernames and passwords to access their financial information. Most customers fall prey to emails that appear to be send by their bank but steal the customers’ passwords by leading them to fraudulent websites. Keylogging is a process through which all strokes of a password are tracked by a virus while the password is being entered. It can breach personal computers’ defences. Ordinary web users can fend off such software with having latest versions of anti-virus software installed and extra-thick internet firewalls. Hackers use latest technology to surpass their barriers and many users overlook regular computer checks. In order to deal with these threats, online banks avoid connecting to the internet directly. Instead, they use firewall technology to protect their computer system from unauthorized access. Many online banks hire outside security experts so as to ensure that their systems are secure internally and externally against the experts’ attempts to make unauthorized attacks. If a user forgets logging off while the banking session has been inactive for a certain duration which is usually few minutes, the online bank ends the session for the user. The information can thus not be accessed in the terminated account. The user needs to give the User ID and Password to resume the banking session again. Security systems commonly employed by online banks can be categorized into two types; software based systems and hardware based systems. In the software based systems, information is coded and decoded with the help of specialized security software. These systems are in abundance in the market because of their ease of distribution and portability. Security systems based on software employ encryption as the main method. Encryption modifies information so that it becomes unreadable till the process is reversed. Online banks use Secured Socket Layer (SSL) encryption to provide their users with safe online transaction services. Messages in each session are encrypted with a unique master key. Encryption is a process of communication in which the private information is scrambled to deter unauthorized access during the transmission of information from the user’s browser to the bank. The master key used for a particular session is wasted once the user has signed off because it was only meant for one session. Users need an internet browser which supports the encryption of 128 bits before they can login to the internet banking (FirstBank, 2013). This ensures use of the highest security level. Some examples of the current encryption technology include digital signature, pretty good privacy (PGP), and Kerberos (Yang, 1997). A digital signature transforms a signed message so that the sender is recognizable to the reader. A private key is used to sign the messages which are then verified with a public
Friday, October 4, 2019
How A Student Can Get an A or an F in Freshman English Essay Example for Free
How A Student Can Get an A or an F in Freshman English Essay Most students know the answer to the question as to how one gets an A or an F in Freshman English class. The reasons are basically the same with how one gets either grade in their other academic subjects. Also, after going through different English classes from grade school to high school, the student should have more or less gathered ideas on how to ace or fail the subject, the criteria almost similar for each grade level of English classes the differences mainly on the difficulty level of the lessons and the complexity of the skills and performance required from the students. This essay will point out several of these factors by which the freshman student can get an A or an F in his first English class in college. These reasons are interrelated but not interdependent with each other. Meaning, the presence of all these factors in one student makes it most probable for him to get an A but the lack of one or some of them do not mean that the student would fail to get an A. An important fact to point out is that A and F occupy the extreme ends of a grading scheme, with A being the best grade and F being the worst that a student can get. It follows therefore that the reasons why a student gets an A in Freshman English are the opposites of the reasons as to why another student gets an F. Like most English subjects, Freshman English entails a lot of reading. This is to develop further the reading and comprehension skills that students have been training for since they started learning the alphabets in kindergarten. Reading is a continuous exercise that is sharpened with practice or gets rusty with the lack of it. Teachers realize this. Some reading assignments in Freshmen English include literary texts, books and articles. Students that read assigned texts diligently and religiously according to when they are supposed to be readâ€â€or even do advance and extra readingâ€â€get A during evaluation quizzes. Those who are lazy or those who rely on reading summaries when the teacher required the reading of the whole text, more than often get the F. Aside from reading, the subject requires a lot of writing on the part of the student. Freshmen English teachers like to assign paperwork for various reasons. To test whether the student read the required story, novel or essay, the teacher would assign a book report, a reaction or analysis paper of the text. Another reason is to exercise the critical thinking skills of the student. The teacher would assign papers on a variety of topics, both about the subject matter discussed in class and other topics he deems relevant for the student to know and think about. To enhance the creativity of the student, the teacher could require him to write a poem, personal essay or story. Students who comply with these writing assignments and who exert the effort to conduct research when necessary can get an A. The students that simply submit something just for the sake of complying with the requirement, or who do not submit papers at all, get F. Paying attention to the teacher’s lectures and listening to what are being discussed during class hours is another area that differentiates the A from the F student. The textbook does not contain everything that needed to be learned. The role of the teacher is also to supplement the knowledge that can be acquired through the textbook. Usually, the items that appear in quizzes and test are those which the teacher emphasizes during lectures. Also, listening to class lectures is actually a substitute for studying independently. Any student would realize that if he listens carefully during class discussion, he would not need to study as hard anymore since when all the senses are involved in the learning process, like what happens during a class discussion, more learning occurs. The student who gets A know this fact. The F student crams during exams because he prefers to daydream during class hours or be absent altogether. Genetics also play a role in differentiating the A student from the F student. It is unfair but it is a recognized fact that a high IQ can also be inherited. Smart parents usually bear smart kids. The intelligence can even be subject-specific. A father who loves Math could have a son who loves numbers as much as him. A student who loves English may have a Dad who also loves the subject and this passion is simply being passed on to the childâ€â€an A student in English. If the student is predisposed because of his genes to be naturally good in communication activities and this talent is accompanied with diligence, he will get an A in freshman English. Getting an A or an F in Freshman English is not always because of factors that pertain to the student. The environment in which the student lives in can also play a part in determining whether he would get the best or worst grade in the subject. Teachers who inspire their students to do their best usually do make them perform their best. A boring English teacher encourages absenteeism and slack among students. Nobody wants to sleep in the classroom but the droning voices of some English teachers just induce sleepiness. Meanwhile, some students might begin the semester hating English, but this could change given the right motivations from the teacher such as interesting discussions, topics that cater to the interest of the student’s age group, and interactive activities that stimulate their creativity and multiple intelligences. A fact is that if many students in a class get an A after the semester, for certain the character of the teacher and his teaching methodologies had something to do with it. Home culture is also a reason why some students can get an A while others get F in Freshman English. A home which is rich in literary texts and reading materials are beneficial to the English student. A young person who grows up with a family who encourages the development of good reading habits among its members would have fewer problems getting an A in English class because he would already have developed one of the major skills required in the subject. More so, if the individual also writes for a hobby. The home training would also be complete if the parents are supportive of their children’s studies especially their interest in the subject. Students who get F usually lack follow-up and attention at home. Nobody tells them to study or encourages them to read. Finally, friends can also have something to do with the grade one gets in a subject. They are actually very influential with regards to whether the student would still have time to study, be interested with matters that pertain to school, and aim for good grades. If aside from the usual teenage activities one’s friends also encourage reading amongst themselves, conducting group studies, helping out in doing class assignments and projects, and getting the best possible grades, the student would have better chances of getting an A in his English class. The factors enumerated above are basic yet important reasons as to how a student can get an A or an F in Freshman English class. Knowing them, applying them in one’s life as a freshman student, or adjusting some things that do not apply to the individual, could be helpful in his getting a better grade when the report card comes out at the end of the semester.
Thursday, October 3, 2019
Quality Improvement Project for Patient Prescription Record
Quality Improvement Project for Patient Prescription Record The aim of this quality improvement project is to ensure that nurses record in the designated box on patients Prescription and administration record (to be referred to as: Kardex) if High Dose Antipsychotics Monitoring is Applicable YES or NO (to be referred as: applicable Y/N) and subsequently if yes, that the High Dose Antipsychotic Therapy monitoring form (to be referred to as: Monitoring form and the Early Warning Signs (EWS) Form have been activated for completion. The purpose of this is to secure patient safety from the side effects of the medication. There is widespread evidence which clearly links antipsychotic medication contributing to physical health problems such as cardiovascular problems, weight gain, endocrine problems, metabolic syndrome and sudden death (Gumber et al, 2010; Churchword et al, 2009; Tyson et al, 1999). Many premature deaths of people with serious mental illness are due to poor medical care that fails to monitor risk factors which may be due to side effects of medication (Cohen Hove, 2001). A council report by the Royal College of Psychiatrists (2006) revealed that past audits of high dose antipsychotic prescribing for in- patients showed poor adherence to monitoring recommendations. All patients on high dose antipsychotic treatment must be monitored. These guidelines attempt to clarify the identification of patients on high dose antipsychotics, factors to be taken into account before such prescribing and the documentation required when antipsychotics are prescribed in high dose; furthermore it is a polic y requirement of Forth Valley that this documentation is completed for these patients (Forth Valley, 2011). The charge nurse highlighted a concern when evaluating the patients Kardex audit, it showed 100% non-compliance for the completion of the Yes/No response for high dose antipsychotics monitoring. Subsequently when the patients are receiving high dose antipsychotics, there was inconsistency of the completion of the Therapy monitoring form and EWS form. A recent audit of patient Kardexes confirmed the charges nurse finding (see Pareto chart, Appendix B). To begin the process of the quality improvement project, a general ward meeting was held and attended by all staff in the ward that was on shift. During the meeting the charge nurse highlighted the recent findings of the Kardex audit. Concerns were raised that many areas on the Kardex were not being completed, and reminded staff nurses that this is not acceptable and needs to be improved. As a nurse it is extremely important to keep accurate documentation, good record keeping is an fundamental part of nursing practice, and is necessary to the delivery of safe and effective care (Nursing and Midwifery Council, (NMC) 2010). As an attempt to focus the quality improvement project more specifically the results of the audit were presented using a Pareto chart (Appendix B). The data confirmed the areas on the Kardex which were not being completed however, high dose antipsychotic monitoring Yes/No was the highest at 100% non-completion, therefore it was agreed that a new strategy would be implemented to improve this. McLaughlin and Kaluzny (2006) state that the defect focused on does not necessarily need to be the greatest frequency to be improved first, but attention should be given to that defect that may have a devastating result, such as an adverse event or even death. However the defect in this instance was the highest and potentially could cause an adverse event. Following the meeting a questionnaire (Appendix C) was devised and completed anonymously by the pharmacists, consultants and staff nurses to identify the root causes of why this area on the Kardex was not completed. A fishbone diagram was used to illustrate the findings (Appendix D). When populating the fishbone diagram with the data, it was clear to see that there were many reasons that each member of the multidisciplinary team had not completed the applicable area on the Kardex. Role confusion was a common theme from each member of the team. Hill-Smith et al (2012) claims that this is not unusual within multi-disciplinary teams and that respectful communication and clear instructions is of high importance in the delivery of high quality clinical care. Therefore based on these findings PDSA one was developed (Appendix G1). This tested whether the nurse attending the MDT meeting completes the Applicable Y/N on the patients’ Kardex following an email reminder and a verbal promp t from charge nurse before attending the meeting. The test confirmed there was a breakdown in communication, the nurse did not receive the email or a verbal reminder from the charge nurse prior to attending the MDT meeting therefore they were not aware of the procedure that had been discussed and as a consequence the applicable area on the form was not completed, this was confirmed by an audit of the Kardex (Appendix H). This informed the decision for PDSA two (Appendix G2). The nurse coordinating the shift should use the visual prompt situated on the shift coordinating sheet to remind the nurse attending the MDT meeting, to update applicable Y/N on the patients Kardex. The small change of a visual reminder on the shift coordinating sheet proved to be success. It reminded the coordinating nurse to verbally prompt the nurse attending the MDT meeting to complete the patient’s Kardex in the applicable area, which was shown by the Kardex audit after the shift; all patientsâ€℠¢ Kardexes were completed and as a consequently the Therapy form and EWS from were also initiated for completion. These findings are consistent with Simpson (2007) research, where teams have clear operating procedures in place, care coordinating is enhanced. The assumption was that the email and verbally prompt from the charge nurse would result in nurses completing the Applicable Y/N on all patients Kardexes, following the MDT meeting by 23rd February 2014 by 100%. Furthermore, if yes the Therapy form and the EWS form activated for completion. Audits were carried out on the dates shown to give a snapshot of the completion of Applicable Y/N on all patients Kardexes in the IPCU ward at that time. Initial findings of the first audit by the charge nurse on 01/02/2014 revealed that Applicable Y/N was completed 0%. The second audit carried out to confirm the previous results on 08/02/2014 which confirmed the charge nurses findings of 0% compliance of Applicable Y/N. PDSA one was carried out on 10/2/2014 the change revealed 0% improvement in the completion of Applicable Y/N. PDSA two was implemented on 21/2/2014 the change was successful, the results of the audit revealed that Applicable Y/N was completed on all patients Kardexes by 100% this in turn activated the completion of the Therapy form and EWS Form. Comparison of questions, predictions, and analysis of data: Engaging with the quality improvement (QI) project has required me to learn and apply new skills in practice. The process of plan, do, study, act (PDSA) cycles were a new technical skill which I had to not only learn myself, but teach fellow staff nurses on the ward, as this was also, a new process to them. I learnt that PDSA cycles provisionally test an idea by testing a change and assessing its impact. After implementing the first cycle, I learnt that it does not always get the results expected when making changes to your process; it taught me that it was better, and more effective to trial a small change to see if it made a difference, before implementing the change permanently. This also gave staff the opportunity to be involved and offer suggestions and see if the proposed changes would work. I also learnt that communication is an essential and fundamental process during the course of the QI. According to Adams (1999), to persuade others to make an improvement or change, the negotiator must be influential. The Charge nurse in this instance was the influential position to lead change. Unfortunately they were not able to fulfil their obligation in PDSA one, but they carried out the ward meeting and used this as a platform to discuss the Kardex audits with the staff which informed them of the need to make an improvement in practice. Once the need for the new process was established and its principles by the email from the charge nurse, informing the reasoning for a change in practice, this was used as a base for PDSA two. I learnt that it is just as important to define the risk of not making a change (Plummer, 2000) and in this circumstance, changing practice would not only enhance quality of care to patients, but it would promote the involvement between staff nurses and the MDT, building trust and confidence to make the change, whereas the risk of not making the change, could potentially cause an adverse event A final learning point I would like to include was how staff nurses initially were resistant to change. In my opinion from observing, the nurses were quite defensive as though they were being blamed for not doing their job correctly. The questionnaire used was an effective communication tool and successful resource for managing this resistance. It give staff the opportunity to anonymously feedback their reasons for not completing the applicable area on the Kardex, it also let them express their opinion without being condemned. Also, I feel that during this time, they were able to adjust and prepare for the change which minimised resistance (Bernhard and Walsh, 1995). I felt it was essential to take note of all their views as individuals and as team members, which provided further explanation of their reasoning for non-completion. Accountability was a consistent reason used by nurses for their reason for non-completion, as they felt it was a doctor or the pharmacist role and they did not want to be accountable for making the decision. When it was clarified that it was a team decision, by email from the charge nurse, the nursing staff felt supported. Mitchell (2001) states that accountability in nursing is a complex issue and acknowledged the importance of team support in the identification of roles and responsibilities. Frequent ideas and conversations with staff were held over the ten days, in advance of the change in PDSA two which I feel made the improvement successful and run smoother as nursing staff were aware of the new change. I have learnt that within nursing it is important to continually improve the way we work. Working at every level developing the knowledge, technical skills, including leadership, are vital for long-term improvement. Continually learning may be important not only to ensure that we have the skills needed to improve the quality of healthcare, but also to enhance the motivation to do so. Discuss the project’s significance on the local system and any findings that may be generalizable to other systems: Relocation to a new site change what been good practice and now a gap had appeared in the process of monitoring patient. The outcome of this project was a success. It was predicted that by 23rd February 2014 applicable Y/N would be completed by 100%. By establishing the success of the visual prompt in PDSA two on the co-ordinating sheet, was a very small but effective change. As a consequence, at the following staff meeting it was decided that the visual prompt would be a permanent fixture on the coordinating sheet, as it was a sustainable reminder to future shift coordinators, thus improving the initiation of therapy monitoring and EWS forms, and overall patient safety outcomes. Discuss the factors that promoted the success of the project and that were barriers to success. What did you learn from doing this project? What are your reflections on the role of the team? The factors which promoted success in the project were support and leadership from the charge nurse at the beginning of my placement. They helped identify areas in the ward which they felt needed improvement. Furthermore, as a student who had never been in a mental health ward, I felt overwhelmed with the task and this support and guidance helped me through the project. The use of the tools were a great way to involve staff on the ward to feel part of the project and broke down the barriers of pointing blame and focussed their attention in a systematic way, and explored the potential causes of the non-completions. I was amazed as how such a small change help facilitate and test change in a manageable way. I now understand that Quality improvement as a way of approaching change in healthcare that focuses on self-reflection, assessing needs and gaps, and considering how to improve in a multifaceted manner. I feel I have gained an enormous understanding in about quality improvement in that it aims to create an ethos of continuous reflection and a commitment to ongoing improvement. It provides nurses to gain an the skills and knowledge needed to assess the performance of healthcare and individual and population needs, to understand the gaps between current activities and best practice and to have the tools and confidence to develop activities to reduce these gaps Thus, the scan did not focus only on narrowly defined quality improvement models such as ‘plan, do, study, act’ (PDSA) cycles.
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