Free Essays on Witch

Free Essays on Witch Conviction Considerations going through my head As I gaze out the forlorn window I wonder†¦ What’s going to transpire? In the event that I am sentenced, will they allowed me to live or allow me to bite the dust? For what reason do they accept that I am a witch? What have I done? I haven’t pointed my finger I haven’t summoned any spells I was basically moving in the forested areas Does that make me a witch? I haven’t ever spread any wings I haven’t ever flown like a fowl I just don’t comprehend I’m not a witch I’ve haven’t ever conversed with the fallen angel I haven’t loved any spirits How might I demonstrate to you that I am not a witch?... <input type=submit class=button orange value=Read the Full Version onclick=window.location = 'https://www.free-school essays.com/signup.html'; return bogus;/>

COMPETITION Assignment Example | Topics and Well Written Essays - 250 words

Rivalry - Assignment Example This will help grasp the precise result of the opposition in the system and development of differed plant networks. The article involves testing a speculation that the serious impact of multi-species blends on a particular target plant can be outlined as a plain added substance capacity of the impacts of explicit species. The diagram presents consequences of a controlled field rivalry among 4 basic types of dry acidic meadows (Hieracium pilosella, Jasione montana, Corynephorus canescens and Festuca ovina) with a point of researching the results of similarly, explicit and multi-species neighborhoods on the objective species H. pilosella. The opposition in this diagram is estimated by the objective plant biomass pointing at a serious degree of neighbor species with F. ovinaas being the main rival trailed by C. canescens and H. pilosella. Moreover, J. Montana reducedly affects the objective. Eventually, the investigation of the serious impact presents no indication of serious increment or lessening with a developing number of neighboring

Why Chantix Might Help You Quit Smoking

Why Chantix Might Help You Quit Smoking Addiction Nicotine Use How to Quit Smoking Print Learn Why Chantix Might Help You Quit Smoking By Terry Martin facebook twitter Terry Martin quit smoking after 26 years and is now an advocate for those seeking freedom from nicotine addiction. Learn about our editorial policy Terry Martin Medically reviewed by Medically reviewed by Sanja Jelic, MD on October 17, 2014 Sanja Jelic, MD, is board-certified in sleep medicine, critical care medicine, pulmonary disease, and internal medicine.   Learn about our Medical Review Board Sanja Jelic, MD Updated on July 09, 2019 Daniel Jensen/E/Getty Images More in Addiction Nicotine Use How to Quit Smoking After You Quit Nicotine Withdrawal Smoking-Related Diseases The Inside of Cigarettes Alcohol Use Addictive Behaviors Drug Use Coping and Recovery Chantix (varenicline) is a prescription medication that is commonly prescribed to help people quit smoking. It has shown to be rather beneficial for many people. However, it does have a number of well-known side effects. Whether or not it is right for you is a discussion you need to have with your doctor, but it is a good idea to learn how Chantix works and why it may help you break a nicotine addiction. Overview Chantix is the brand name for varenicline tartrate, a smoking cessation drug developed by Pfizer, Inc. It was developed specifically to help people quit smoking and it  has two very unique qualities. Chantix mimics a low dose of nicotine, which eases the symptoms that are common when going through withdrawal. It also blocks nicotine from binding to receptors, essentially rendering it ineffective. If a person smokes while taking Chantix, they do not get the normal nicotine boost and smoking actually becomes bland. Studies indicate  that your chances of success  are two to three times higher with Chantix than if you used no medication. Researchers also found that  it is more effective than Zyban (bupropion) and other nicotine replacement therapies, such as patches and lozenges. As with all of these options, the best success rates are found in people who receive counseling or support while attempting to quit. Quit Smoking and Make It Stick! Prescriptions Chantix is available by prescription only so you will need to see a doctor in order to receive it. Its very important to have an honest conversation about your medical history and non-smoking goals as well because Chantix is not recommended for everyone. When discussing Chantix with your doctor, be sure to mention any of the following if they pertain to you: Other quit aids youre usingAll other prescription medications youre using, including insulin, asthma medicines, and blood thinners.Non-prescription medications you use, including vitamins, pain relievers, herbal remedies, and supplements.Kidney problems, including dialysis treatmentsIf you drink alcoholAny history of seizuresAny known heart or blood vessel problemsIf youre pregnant or planning on it. Its not known whether Chantix can hurt an unborn child. According to the U.S. Food and Drug Administration (FDA), animal studies have indicated decreased birth weights.If youre breastfeeding. Its also not known whether Chantix passes through human breast milk, though the FDA does note that animal studies indicate that it may to some degree. You and your doctor should evaluate whether you should take Chantix or breastfeed. It is not advised to do both. Dosage and Use Its recommended that you start taking Chantix while youre still smoking. This allows the drug to build up in your system, making it much easier to stop smoking when your quit date arrives. Starting Chantix There are two ways to begin your therapy:Choose your quit date and then start taking Chantix seven days before you quit smoking.Begin taking Chantix and choose a quit date that is between  eight to 35 days of treatment. Chantix comes in two strengths: .5 mg and 1 mg. Following your physicians specific instructions, you will likely begin with a low  dose  of Chantix once a day and gradually increase the dosage until youre taking 1 mg tablets twice daily. Always take Chantix with a full glass of water and after eating. If you miss a dose, take it as soon as you remember. However, if its close to the time when you should take the next dose, just wait and take that dose, skipping the missed one. If you slip up and smoke a cigarette, continue using Chantix and try again. It can take a few weeks for this therapy to take hold for some people, so dont give up. Typically, Chantix is prescribed for up to 12 weeks. Your doctor will be able to create a treatment plan that suits your needs best. How Chantix Helps You Control Nicotine Cravings Side Effects You may have heard that Chantix comes with side effects. Among the most common are nausea, gas, vomiting, constipation, and a disruption in dream patterns. There are other less common and potentially serious side effects associated with Chantix. It is not recommended for people with certain medical conditions or who are taking particular medications. Only your doctor will be able to help you decide whether Chantix  poses a significant risk to you. It is best to talk to him before making a decision based on other peoples experiences, particularly stories you read online. Safety Concerns and Side Effects of Using Chantix A Word From Verywell Its important to remember that quit aids are exactly what the name impliesâ€"aids. Without resolve and determination to quit smoking, as well as additional support, a quit aid may not be able to help you. On the other hand, with those other elements, any quit aid you choose  can be of great help. When youre ready, talk to your doctor about Chantix to see if its a good fit for your smoking cessation program.

Learning Experience From Reflection On Administering

LEARNING EXPERIENCE FROM REFLECTION ON ADMINISTERING INTRAMUSCULAR INJECTIONS NURSING ESSAY. This is a reflective essay based on my experience whilst during the clinical placement, using Gibb’s template. My aim of this essay is to reflect on my learning outcomes: Pressure sore care and management; PEG feeding which is an alternative way to provide nutrition to a patient who is not able to obtain nutrition through the mouth and administration of a subcutaneous injection. To reflect on my learning process, I am going to apply Gibb’s reflective model, which is a renowned model in reflective practice. This model requires passing through six stages to complete one reflective cycle. These six stages are description , feelings, analysis, evaluation , conclusion and action plan and I am going to explore in these six steps how I achieved my learning outcome. DESCRIPTION: The first stage of Gibb’s reflective model (1988) I will describe the events which inspired me to get competent. My placement area was a nursing home setting where almost all service users are old age people. However, one particular service user named Mrs. N to maintain her confidentiality (NMC 2008). She is an 86 yrs old bedridden suffering from chronic renal failure, stroke and pressure sore. She is on PEG feed and Injection Clexane (OD). She had a big, black and hard wound on her right hip. The skin was intact but it was extremely discolored. According to EPUAP (EuropeanShow MoreRelatedReflection, Activities of Daily Living1446 Words   |  6 PagesFor the purpose of this essay the Kolb’s model of reflection (1984) has been chosen as a guide to reflect on administration of oxygen therapy. Administration of oxygen therapy is the aspect of nursing practice that I selected as a result of completing the case-based learning scenarios. I will explain how the administration of oxygen therapy can have an effect on a patient’s activities of daily living (ADL), including some of the psychological and ethical issues. Breathing is the selected ADL thatRead MoreDrug Administration to Patients994 Words   |  4 Pagesensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed. Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit. DrugRead MoreReflecting Upon Practice Experiences And Relate From The Six Core Fundamental Values1931 Words   |  8 Pagesupon practice experiences in relation to competence of administration of medicines. This assignment aims to reflect upon practice experiences and relate them to one of the six core fundamental values. For the purpose of this assignment, the core fundamental value chosen shall be Competence. In relation to the adult field of nursing, this is one of the most important values when caring for a patient effectively (Scott-Tilley, 2008.). In order to do this, Driscoll’s model of reflection (Driscoll, 2011)Read MoreResearch Study On Behavior Management871 Words   |  4 PagesThe article discusses findings from four years of empirical research regarding behavior management in the classroom. More specifically, the article focuses on the findings and implications of a rarely discussed behavior known as â€Å"teacher retreating.† Teacher retreating is defined as the â€Å"behavior that occurs in the classroom when a teacher backs down after one or more students undermine the teacher’s authority by failing to comply† (Ratcliff, Carroll, Hunt, 2014 , p. 170). Furthermore, the researchRead MoreSocial Media And Web 2.0 Tools789 Words   |  4 PagesUsing Social Media and Web 2.0 tools to enhance the experience with Self- Regulated Learning Self-regulated learning is a total work of the human brain; it entails attention, concentration, self-assessment, change and responsibility for one in learning. Research states that self-regulation possibly have little to do with intelligence and development. Psychologist in the year of 1960 studied how they discovered the ability to delay gratification is by forming the basic for self-control. A personRead MorePersonal Experience: Completing the Medication Management 507 Words   |  2 Pagesof completing her Medication Management OSCE and had never experienced administering insulin. During the learning experience planning (RCN, 2008) the student nurse and I discussed the importance of best practice in relation to the administration of insulin. Insulin is described as being a ‘high alert medication’ as, if administered incorrectly, serious harm can occur. (NPSA, 2010). The student nurse did have previous experience in injection technique and had undertaken related university clinicalRead MoreStandardized Testing Should Not Be Banned Essay1585 Words   |  7 Pagesstudent promotion to the next grade; but at what cost? Preparation for standardized tests is almost twenty-four-seven, every year from third grade to eighth grade. The preparation that takes up valuable learning time in school. The preparation that is a waste to the students future in college and life beyond school. Standardized testing seems to demand so much from schools; not to mention its impending threat on schools to label them with bad reputations or closing them down. With such a threatRead MoreSmarter Ways And Test Our Potential Youths Essay1587 Words   |  7 Pagesdetermine a student promotion to the next grade; but at what cost? Preparation for standardized tests is almost twenty-four-seven, every year from third grade to eighth grade. Preparation that takes up valuable learning time in school. Preparation that is a waste to the students’ future in college and life beyond school. Standardized testing seem to demand so much from schools; not to mention its impending threat on schools to label them with bad reputations or closing them down. With such a threat breathingRead MoreThis reflective essay will lay emphasis on one of the learning needs I have developed during my two1300 Words   |  6 PagesThis reflective essay will lay emphasis on one of the learning needs I have developed during my two week taster placement in hospital. Reflection helps an individual build upon their skills and makes room for self-criticism as he or she can contemplate upon actions and make relevant changes (Taylor, 2000). I will be applying the â€Å"What†, â€Å"So what† and â€Å"Now what† model of reflection by Driscoll (2000) in this piece of work because it is a more coherent and comprehensible approach to follow when writingRead MoreUnderstanding And Abolishing Spiritual Stereotypes967 Words   |  4 Pagesengage in spiritual behavi ors that do include a Higher Power, are more deserving of achieving sobriety and recovery because they are practicing by being involved with working the 12-step program, thus, making them more righteous in obtaining a blessing from their Higher Power. Noteworthy, the term spirituality is often linked with religion with no specific boundaries out of lack of knowledge. Engaging in a spiritual practice that allows an individual to have a spiritual solution that is higher than them

The Number One Question You Must Ask for Proposing a Solution Essay Topics

The Number One Question You Must Ask for Proposing a Solution Essay Topics The key arguments being made in your proposal also needs to be reiterated. If you've got few proposal essay suggestions for your academic assignment, make sure you've ironed out all of the unnecessary elements and only the effective ones. There are lots of points that have to be taken into account when choosing appropriate proposal essay topic. Clarify how you are going to address your topic, identify sub-arguments you have to prove to create your large argument true. Being a real student, you should understand that understanding an essay proposal is critical. An essay template makes it possible to define the target of your essay and keep it up. A proposal essay is extremely straightforward to comprehend. It is one of the least frequently assigned academic papers, but one that you are likely to be assigned at least once over the years spent at college. Researching and deciding on an intriguing topic is the principal point of writing an essay. Interest about a topic creates a huge difference in essay writing and it determines the quantity of work you're prepared to put, to produce the essay a good one. Introduction page three ought to be banned. The Dirty Facts About Proposing a Solution Essay Topics Speaking about the factors for which you want to participate in a specific action is equally as significant as affirming that action. Internal and global security issues in regard to the protection of minority rights are being discussed also. If you're totally free to select the problem your proposal should address, consider going with a relatively little issue. Brainstorm to discover a narrow, local issue that is an issue for you. Nevertheless, any sort of proposal must adhere to the very same fundamental criteria. Below you can locate a sample essay outline structure to have a better idea about how to organize your own outl ine. An essay template is a guide which ensures your approach is correct and that you don't deviate from the primary function. You might also observe the ideal outline examples. If the essence of the predicament is understood, it is going to be possible to spell out its backbone and to find all the required sources for the research. Your reply to the problem should be thought of in the type of many targets. You should produce a notion and offer some evidence. It is crucial to mention that the idea doesn't need to be a good one. For example, a science program could give a new medication. Based on your target, there is an assortment of types of proposals you could write, that range from scientific proposals to book proposals. Based on your proposal (and, naturally, your assignment guidelines), you can want to incorporate any variety of varying elements in a proposal paper. Employing proposal examples is a superb means to learn from somebody else's experience and produce an outstanding powerful proposal. You can't be prosperous in your field of work if you don't have the proper skills to devise a compelling and appealing proposal. A research proposal is an essay written by students that are inclined to turn in an application for an academic degree like the PhD. Ponder on which aspects you might have to explain or offer extra data about. Curriculum proposal topics is a means to try. Get the Scoop on Proposing a Solution Essay Topics Before You're Too Late The brief description of your proposal will act as a thesis statement to build the rest of the chapters on. Your outline could possibly be a topic or sentence outline. Proposal page three is something which ought to be banned because it's an outdated quality of the newspaper which blatantly goes against the essence of the paper as stated by its publishers. Describe the method by which the problem can get an affect the readers if left unattended. When writing about the issue, your target is to convince readers a problem exists and that readers want to care about the issue. To begin with, you should be precise and execute a very clear vision of what you're likely to describe (provide an obvious concept, time, place and so forth). Convince your audience that it is a true issue and something should be done about it.

Apple Powerbook Case Write-Up Free Essays

After the failed release of Apple’s first miniaturized computer, the Portable, the company was faced with the likelihood of losing significant ground in the mobile computing market if it didn’t bring a product to market at record speed. Apple had anticipated the Portable would be competitive enough to maintain market share until its longer term â€Å"Companion† project was complete. However, thirty-six months remained until Companion would be ready. We will write a custom essay sample on Apple Powerbook Case Write-Up or any similar topic only for you Order Now Weak sales coupled with Compaq introducing the far superior LTE notebook created intense pressure to bring a product to market in the next 18 months that could serve as a placeholder until the Companion arrived. Bringing a product to market this quickly was no easy task. The new portable needed to be small and compact, yet the short timeline meant only existing technologies would be available. If that was not challenging enough, the company culture was such that most products had a time-to-market of 48 months and involved a slow bureaucratic process with multiple departments needing to sign-on for each decision. Additionally, Apple still had not fully confronted the notion that their desktop core competencies were not necessarily going to translate into success in mobile computing. Despite these long odds, Apple not only prevailed, but created a revolutionary product called the PowerBook that brought in billions of dollars in revenue and revolutionized the conventional wisdom behind the company’s design philosophy. Part of Apple’s struggle in mobile computing stemmed from being the pioneer of desktops. The company felt it knew what the market wanted based on its previous success. It was with the desktop in mind that Apple released the Portable, a mobile computer designed to do everything that a current desktop could do with the added benefit of being able to collapse into a carrying case and be taken on the road. At a staggering 17 pounds and a cost of $5000, the Portable was met with plenty of skepticism and was doomed for failure. The company had simply failed to take the customer’s needs into consideration. Instead of making it smaller and lighter, as the market demanded, Apple focused on functionality and battery life. This contributed to problematic weight and size problems for the machine. The failure to recognize what consumers demanded wasn’t Apple’s only development flaw. They also failed to recognize how quickly technological trends and consumer tastes were changing. The company was still developing products on a three to four year cycle and had yet to embrace a time-to-market philosophy. Instead priorities were still â€Å"time-to-perfection† with the company maintaining that it would not bring anything to market ‘before its time’. Additionally, they still had a desktop mentality, which meant strict design regulations that hindered the development of a sleeker, lighter computer. It was a combination of these factors that led to the failed release of the Portable and created the immediate need to development the PowerBook. As Apple scrambled to assemble the PowerBook team, the project objective was clear; get a mobile computer to market at record speed and keep the size and weight to a minimum. The speed of develop was a major challenge to overcome and it was mainly due to the organizational structure. Apple structured its company by functions and departments. And instead of dedicating specific resources for a project, each department supported all projects. This led to a cumbersome and lengthy decision making process which typically involved project managers struggling to get objectives accomplished. Often times the project manager was relegated in authority and routinely superseded by functional heads with all decisions inevitably at the mercy of the president of Apple Products, John Louis Gassee. Apple realized its current structure lacked the dexterity to meet its time-to-market objective and driven by necessity made several key decisions to secure time-to-market success. First, Apple made the decision to organize the company into separate divisions: desktop and portable. Second, they decentralized engineering and product marketing, with the immediate goal of building a new portable engineering group. Lastly, although their Product and Industrial Design teams remained centralized, it was agreed that personnel from those teams would co-locate for the PowerBook project to ensure everyone was â€Å"breathing the same air and talking the same talk†. Revamping the organization structure was a key step but there were still many missteps and obstacles that nearly derailed the project. One major issue was the allocation of personnel. Despite the intense pressure and importance of the PowerBook, the company still listed the project very low in terms of priority. All of the â€Å"A† talent was dedicated to the Companion project and the PowerBook team was left with either junior level engineers or employees with only desktop computer experience. Inexperience coupled with intense pressure produced multiple mistakes along the way. Design standards were initially poor and prototype builds revealed several critical errors with manufacturing tolerances. All together, a list of 150 items was compiled of issues that the team felt needed to be addressed but it looked unlikely that the time and resources were available to make all the changes. Additionally, the PowerBook team had to overcome intense resistance from its manufacturing department. Manufacturing was accustomed to snap-together desktops and had a very difficult time coming to grips with how they could possibly assemble a portable with 47 screws. The initial reaction from manufacturing was â€Å"we can’t build this thing†. Product verification testing also proved to be treacherous. The deadline was so tight that after the manufacturing process was well underway and thousands of displays were already in inventory the risk was still present that changes may be needed. This would produce a significant waste of resources. Lastly, the PowerBook team was confronted with bringing its new creative, ergonomic design to life, while dealing with size constraints as well as a mechanical engineering team who was on the critical path and working under a â€Å"we’ll do it if we have time† approach. Despite the long list of reasons why the project should have failed, it didn’t. In the midst of all the missteps, Apple made several key decisions which propelled the project to success. One area where Apple thrived was in staffing. Although the engineers lacked experienced, the management involved in the project were innovative, creative, passionate, and practical. They worked tirelessly to make the project a reality and cared very deeply about its success. It was their innovation and tireless effort that slowly caused the project to transform. The team came to the realization that â€Å"a notebook was not a piece of business equipment that someone operated; it was a personal object with which they formed a relationship. † It was this realization that drove the project’s success. The project became not only about size but about ergonomics and about finding a way to form a connection with the user. It was with this approach that ingenious designs such as the center-mouse trackball and the use of curves took hold. Slowly the PowerBook was morphed from a product simply meant to catch-up to the market to something that surpassed any other notebook available. The team also made several other key decisions that made the PowerBook a success. One key determination was to include the internal floppy drive. There was much discussion if this was a necessary component yet key members of the project argued for its inclusion and it was later determined the product would not have been nearly as successful without it. Another key decision was dealing with the 150 issues that were identified after the prototype build. Originally, only 5 to 10 items were going to be changed. However after much discussion, it was determined the PowerBook would not be a success unless they fixed every last issue. To complete such a major overhaul in a short period of time they pulled all resources from the entire portable organization and were able to complete all the modifications in a reasonable amount of time. As one project member later admitted, fixing all 150 items turned the PowerBook into â€Å"something that I would be proud of versus a piece of junk†. One final trait that the PowerBook team used to make the project a success was persuasiveness. There was organizational resistance throughout the project. From convincing senior management to embrace the ergonomic design to convincing manufacturing that they had the ability to assemble a computer with 47 screws, the team used persuasiveness throughout the project to eventually turn a vision into reality. Apple ultimately took a big risk with the PowerBook and it paid tremendous dividends. Along the way they learned a great deal about listening to their customer and designing to their preferences. The company transformed from designing around homogeneous parameters to instead designing to the customer’s specific desires. Consequently, their product line became more flexible and adaptable to the marketplace. Apple also matured operationally during this process. Prior to the PowerBook, the organization was not designed to be time-to-market, however necessity forced Apple to restructure to keep pace with competition. The company’s human capital also benefited heavily. Mobile computer experience was at a minimum prior to the project, however the process eventually led to a much smoother release of the Companion computer several years later. The PowerBook project was fraught with potential disaster. But inevitably the company overcame many adversities and released a revolutionary product that redefined the standard of excellence in mobile computing. How to cite Apple Powerbook Case Write-Up, Papers

Organizational Design and Culture

This paper aims to discuss the changes in organizational structure of healthcare institutions. In particular, it is necessary to show how workplace hierarchy in these hospitals was restructured and how the administration modified means of coordinating and monitoring work of healthcare professionals.Advertising We will write a custom essay sample on Organizational Design and Culture specifically for you for only $16.05 $11/page Learn More Furthermore, we need to evaluate the efficiency of these changes and the improvements they brought. Overall, it is possible to argue that the majority of hospitals attempt to become less bureaucratic and turn themselves into adhocratic organizations. This means that they try to eliminate formal barriers between the top managers and their subordinates in effort to improve the quality of healthcare and remove time-consuming red tape (Mintzberg Ghoshal, 2003, p 464). One of the most common changes, underwent by many hospit als nowadays is the creation of interdisciplinary teams (Aikman et al, 1998). The members of these teams may belong to different departments or units, yet, they focus on the needs of a certain group of patients. To better illustrate this concept, we can draw such an example as Toronto East General Hospital (TEGH); the administration of this institution decided to form workgroups that would address the needs of a specific population, namely pregnant women. These workgroups included obstetricians, counselors, midwifes, psychologists, and nurses; in turn, the decisions about healthcare were formed within these teams (Aikman et al, 1998, p 29). To some degree, the formation of this mix groups can be regarded as a step toward a matrix management. The key principle of matrix management is that a healthcare professional can work under direction of several managers and support organizational activities. The main objective of this organizational change in TEGH was to provide medical workers with a higher degree of autonomy and better opportunity for decision-making (Aikman et al, 1998, p 34). Another form of organizational change is the delayering of the workplace hierarchy. This policy is based on the premise that a medical worker, who is supervised by many layers of management, cannot perform his duties efficiently because he has to constantly ask for the authorization of the superior manager and other authorities in order to take any decision about patient care (Mintzberg Ghoshal, 2003, p 172). This argument is particularly relevant, if we are speaking about nurses who are closely monitored by head nurses, unit-directors, and case managers at the same time. Due to this continuous supervision they are virtually powerless. Therefore, the purpose of delayering is to make senior management more close their subordinates and ensure that both sides are able to quickly share information with one another.Advertising Looking for essay on business economics? Let's see i f we can help you! Get your first paper with 15% OFF Learn More To better explain the process of delayering, we need to refer to such organization as Saint Fransis Community Hospital. In this organization, the front-line workers are accountable only to the heads of interdisciplinary teams (Saint Fransis, 2010, unpaged). Subsequently, these heads of multi-disciplinary teams report to unit directors and vice presidents. The key issue is that members of these multi-disciplinary teams do not have to wait for the approval of head nurses and unit-directors. Judging from these examples, it is possible for us to argue that modern healthcare organizations attempt to erase bureaucratic borders by relaxing supervision over healthcare workers and by reducing workplace hierarchy. To some degree, this tendency can be described as the move toward adhocracy. Yet, this process is far from being complete, even despite the fact that the necessity for organizational change in healthcare organi zations became evident several decades ago. Reference List Aikman. P. , Andress I. Goodfellow I. LaBelle N. (1998). System Integration: A Necessity. The Journal of Nursing Administration. 28 (2), p 28-34. Mintzberg. H. Ghoshal S. (2003). The strategy process: concepts, contexts, cases.  NY: Pearson Education. Saint Fransis Community Hospital. (2010). The official website. Web. This essay on Organizational Design and Culture was written and submitted by user Ayanna Herman to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

What Cheating Out and Other Theater Jargon Means

What Cheating Out and Other Theater Jargon Means Drama class and theater rehearsals are some of the only places where cheating is encouraged. No, not cheating on a test. When  actors  cheat  out, they position themselves towards the audience, they share their bodies and voices so that audiences can see and hear them better. To Cheat Out means that the performer readjusts his or her body with an audience in mind. This might mean that the actors stand in a way thats not quite natural - which is why this practice cheats reality just a bit. But at least the audience will be able to see and hear the performer! Very often, when young  actors are  rehearsing on stage, they might turn their backs to the audience, or offer only a limited view. The director then might say, Cheat out, please. Ad Lib During a performance of a play, if you forget your line and cover for yourself by saying something off-the-top of your head, you are ad-libbing, creating dialogue on the spot. The abbreviated term ad lib comes from the  latin phrase:  ad libitum  which means At ones pleasure.But sometimes resorting to an ad lib is anything but pleasurable. For an actor who forgets a line during the middle of a show, an ad lib might be the only way to keep the scene going. Have you ever ad-libbed your way out of a scene? Have you ever helped a fellow actor who forgot his or her lines with an ad lib? Actors have an obligation to learn and deliver the lines of a play precisely as the playwright wrote them, but its good to practice ad-libbing during rehearsals. Off Book When actors have completely memorized their lines, they are said to be off book. In other words, they will be rehearsing with no script (book) in their hands. Most rehearsal schedules will establish a deadline for actors to be off book. And many directors will not allow any scripts in hand - no matter how poorly prepared the actors may be - after the off book deadline. Chewing the Scenery This piece of theatrical jargon is not complimentary. If an actor is chewing the scenery, it means that he or she is over-acting. Speaking too loudly and theatrically, gesticulating largely and more than necessary, mugging for the audience - all of these are examples of chewing the scenery. Unless the character you play is supposed to be a scenery-chewer, its something to avoid. Stepping on Lines Although it is not always (or usually) intended, actors are guilty of stepping on lines when they deliver a line too early and thereby skip over another actors line or they start their line before another actor has finished speaking and thus speak on top of another actors lines. Actors are not fond of the practice of stepping on lines. Breaking Curtain When audiences attend a theatrical production, they are asked to suspend their disbelief - to agree to pretend that the action onstage is real and is happening for the first time. It is the responsibility of the productions cast and crew to help the audience do this. Thus, they must refrain from doing things like peeking out at the audience before or during a performance, waving from offstage to audience members they know, or appearing in costume off the stage during intermission or after the performance ends. All of these behaviors and others are considered breaking curtain. Paper the House When theaters give away a large amount of tickets (or offer the tickets at a very low rate) in order to gain a large audience, this practice is called papering the house. One of the strategies behind papering the house is to create positive word-of-mouth about a show that might otherwise suffer from low-attendance. Papering the house is also helpful to the performers because it is more satisfying and realistic to play to a  full or almost full house than to play for a sparsely populated set of seats. Sometimes papering the house is a rewarding way for theaters to offer seats to groups that might not otherwise be able to afford them.

The Changing US Political Symbolism of Blue and Red

The Changing US Political Symbolism of Blue and Red The Changing US Political Symbolism of Blue and Red The Changing US Political Symbolism of Blue and Red By Maeve Maddox In British politics, blue is associated with Britain’s conservative party, the Tories, whereas red is associated with the Labour Party. The same association of blue with political conservatism was once common in US politics, but now red is associated with the conservative party. This change became fixed following the presidential election of 2000. The reversal was driven by the use of colored maps to track election returns in the media. The first giant election map was introduced by NBC television in 1976. States in which the majority voted for the Republican candidate (Gerald Ford) were lighted in blue. States in which the vote went to the Democratic candidate (Jimmy Carter) were lighted in red. In 1980, both NBC and CBS used red for Carter (D) and blue for Reagan (R), but ABC, to the confusion of channel-switching viewers, used blue for Carter and red for Reagan. In 1984, ABC and CBS used red for Republicans and blue for Democrats, but NBC retained blue for Republicans and red for Democrats. NBC consistently used blue for Republicans and red for Democrats from 1976 to 1988, the period during which Roy Wetzel was the general manager of NBC’s election unit. Whereas the other networks seemed to have used the colors arbitrarily, Wetzel gave a reason for his consistency: â€Å"Without giving it a second thought, we said blue for conservatives, because that’s what the parliamentary system in London is, red for the more liberal party. And that settled it.† - â€Å"When Republicans Were Blue and Democrats Were Red,† Smithsonian Magazine, Oct. 31, 2012. Note: Graphics in British newspapers usually assign blue to Conservatives, red to Labour, and yellow to Liberal Democrats. In 2000, two of the networks, ABC and NBC, used red for Republicans and blue for Democrats on their election maps. NBC’s election chief, Tim Russert, is credited with popularizing the phrases â€Å"red states† and â€Å"blue states.† Reinforcing the red/blue associations in 2000 were two newspaper maps that came out two days after the disputed election. The New York Times and USA Today both published color-coded maps that assigned red to Bush and blue to Gore. By the time the next presidential election rolled around in 2004, all three networks had adopted the imagery of red for Republican and blue for Democrat. The terms â€Å"red states† and â€Å"blue states† are now common in American political discourse: While the Republican Party is poised to make major gains in red states in the battle for the U.S. Senate, the situation is flipped in governors’ races, where Republicans are facing a tough time defending chief executives who won office in blue states in the Obama backlash of 2010.- The Washington Times. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the General category, check our popular posts, or choose a related post below:Creative Writing 101What is the Difference Between Metaphor and Simile?7 Other Types of Pronouns

Article on the reflection of media on new scientific research Essay

Article on the reflection of media on new scientific research - Essay Example Rossi brings about an understanding that previously used techniques firstly are extremely inefficient and do not always produce a true IPS. Secondly, due to the use of a retroviral vectors the cells tend to reject the attempt of incorporating the modified RNA and view the viruses as infectious threat leading them to undergo apoptosis and activation of interferon pathways. Furthermore, due to the nature of retroviral integration the cells become prone to mutagenesis leading to cancer due to activation of Onco-genes. Thirdly, once an IPS cell is produced by the old method there is a question of how closely these cells are able to act as the Gold Standard ES Embryonic Stem cells, and if they are prone to reversing back to their pre- induced state. Lastly, the future of IPS is to have them generated specifically for each patient and the old ways of Pluripotency Induction are very limited and only a small amount of Pluripotent cells are able to be derived (Johnson, 2010). New IPS cell der ivation technique is quite impressive in a number of ways; primarily in the derivation simplicity and then in the technique itself. Above all Rossi states there is no need for a specialized lab, as any scientist with basic RNA modifying equipment is able to create the IPS cells, the media realizes this opens up enumerate possibilities for not only future research but also gene therapy(Warren et al., 2010). These therapies will be able tobe carried out all over the world as regular scientist will be able to modify cells in not only high tech labs such as Harvard Univerity but also in remote places as hospitals across Africa. The IPS generation technique described in the Rossi article entitled â€Å"Highly Efficient Reprogramming to Pluripotency and Directed Differentiation of Human Cells with Synthetic Modified mRNA† discusses that the induction discovered by Yamanaka requires the manipulation of only four Genes; KLF4, c-MYC, OCT4, and SOX2 (KMOS) are the four strips of RNA th at are required as transcription factors to re-set a skin cell in to an IPS cell. As it turns out the new induction procedure is also faster at producing IPS cells; Lowry and Takahashi found that the new technique produces IPS cells with efficiency thirty six times the previously used method, this indicates an enumerate improvement on IPS cell production efficiency, and opens opportunities for larger scale treatments in the future. As the comparative research carried out by Chan and Lowry indicates the new technique produces IPS colonies within seventeen days, which is roughly twice as fast then the four week minimum it would take using the out dated technique. Over all, the media reporters seem to be moving in the direction of how this research will effect the general population, clinical stem cell application and future research. Their curiosity is in the right place as this research will revolutionize the way stem cells are perceived by the general public, since we probably will no longer require cells from aborted fetuses. Moreover, due to the quantity and speed of production of IPS cells researchers may conduct mass scale clinical

Jellyfish Essay Example | Topics and Well Written Essays - 1000 words

Jellyfish - Essay Example Jellyfish have no head, spine, heart, eyes, or brain. Instead of having a brain, the creature has a nervous system also referred as the nerve net that consists of receptors that detect the odor, light, and other responses. Additionally, Jellyfish has sensory organs known as Rhopalia that helps in maintaining balance. They have a primitive sense that consists of the neural net and eye spots commonly used to sense dark and light. Jellyfishes’ body is comprised of three layers. The outer layer referred as epidermis, the inner layer known as the gastrodermis, and the middle layer referred as the mesoglea. The epidermis is the most important layer that covers the external body of this creature. The epidermis protects the skin from the invasion of harmful substances in the body. The gastrodermis protects the inner layer of the jellyfish. Typically, Jellyfish has a simple digestive cavity referred as the coelenterons that are used as the stomach and excretory organ. The coelenterons operate like a gullet, intestines, and stomach through the mouth. On average, the length of jellyfish tentacle is two to ten meters and the length can grow tremendously. A study conducted by King (22), indicates that the longest jellyfish to have lived was 120 feet. Jellyfish are carnivores and they tend to increase rapidly when the food is plentiful. These creatures feed on small crustaceans and zooplankton just to name a few. Jellyfish are nonaggressive, free-swimming, and surrounded by tentacles with poisoning and stinging cells. The tentacles contain sacs filled with poison that can be life-threatening. With its severity in mind, researchers have provided facts and information on how to treat this sting. To remove the sting, one should use tweezers, thick clothing, gloves, or sticks (Lindeen 33). According to this research, one should not touch the sting with bare skin since the sting is poisonous and can severely affect the skin. One should throw away the item used for removing the sting to avoid stinging yourself later. To fully deactivate the poisonous sting, one should pour vinegar on the stung for

Care Theory for Adults With Learning Disabilities

Care Theory for Adults With Learning Disabilities Critically discuss care theory in relation to social work with adults with learning disabilities. Social work has undergone a radical transformation in the last two decades. Today ideas about the multi-layered nature of disabilities and the complexity of needs are commonplace in the public discourse on welfare and social work. People with learning disabilities and their carers and families have formulated their urgent demands upon society while academics and practitioners have supported this re-shaping of the social care agenda and the government has attempted to integrate the various challenges and interests in new and significant policy documentation such as Valuing People (2001). This essay will deal with three interrelated issues that are of particular importance to people with learning disabilities and their quality of life. It will (1) explore the relationship between care theory and the issues of ethical practice when dealing with adults with learning disabilities. It will look at the rules of engagement that have found their way into the various codes of practice for soci al work practitioners and the ethical problems that they may give rise to. And (3) it will consider the link between anti-discriminatory practice and the rights that service clients have and how these rights may influence the way in which practitioners may discharge their responsibilities throughout the social service sector. Within the confines of this essay, (1-3) will be examined through the following lens. Given the existing code of practice and policy stipulations, what could self-determination mean for people with learning disabilities? And how do ethical difficulties find their expression in particular practices of social work for adults with learning disabilities, such as person-centred planning and direct payments. There have been several attempts to regulate and standardise work practice for employees and employers of social work practitioners in the UK. These attempts have deep historical roots, such as the Hippocratic oath (Loewenberg 1992: 36). Yet the more recent attempt by the Scottish Councils to draw up a conclusive list of responsibilities and duties of social workers and their employers has been triggered by the desire to introduce reliability and transparency into a field of social care which has hitherto featured a plethora of often conflicting norms and standards. The code of practice sets out (for the first time) the expectations, obligations and duties under which social workers and their employers ought to operate. It is supposed to be the initial step in a broader process of standardisation of the social services (Codes 2001: 13). It echoes the definitions of the nature, aims and guiding principles of social work given in the Code of Practice by the British Association of Socia l Workers (BASW 1986 and Codes 2001). The various values that inform social work are human dignity and worth, social justice, service to humanity and integrity and competence of practitioners (BASW and CoP) In particular, the Code emphasises the right of individuals to control their lives and the obligation of social workers to promote the right to self-fulfilment by clients (Codes 2001: 15 and BASW 1986: 2). This agglomeration of values and norms that ought to inform social care practice however raises some serious questions when it comes to their application in the social work with people with learning disabilities. First of all, it is generally acknowledged by analysts of the service as well as by practitioners that the particular interpretation of the notion of self-determination is a culturally contingent idea. Loewenberg as well as Watson acknowledge that the ethical principles and rules of social work are derived from societal norms (Loewenberg 1992: 38; Watson 1985: 22). However, modern society encompasses a multitude of often conflicting social norms and it is this plurality of notions of a good life and standards of social agency which creates problems. The code explicitly urges social service professionals to take account of their client’s understanding of self-determination and individual independence. Yet, within a culturally diverse population, different notions of what is acceptable and desirable with respect to the independence of people with learning disabilities prevail. To promote independence of an adult or child with learning disabilities in a community that traditional ly places a fundamental emphasis on continuous care within the family can pose a particular dilemma to social workers. More generally, however, governmental policy and the codes of practice can produce significant problems for social care workers. The government has made inclusion one of the main policy priorities with regard to people with learning difficulties. Mainstreaming employment for individuals with learning disabilities is a pillar of this new approach. However, the competitiveness of the first labour market has traditionally represented a considerable barrier to finding viable employment for people with learning disabilities or emotional behaviour problems. Social care workers are tasked to identify problems that impact on the quality of life and decrease the chances of self-fulfilment for their clients. But often they are neither trained nor have access to resources in order to identify and put in place support programmes that ensure that adults with learning difficulties can find employment in the first labour market. The compartmentalisation of services continues to produce additional b arriers that prevent social care workers from discharging their duties with regard to their clients. Let us consider an example. Let us suppose that a social worker has the responsibility to support some individuals with learning disabilities which live in group homes (Beckett 2005: 138). One of the residents approaches him and tells him that she has got into a muddle with her benefits with the result that she has run out of money and is very distressed about this. The social care worker calms her down and places some phone calls to the local benefits office and sorts it out for his client. In a way, the social worker ‘has respected [the client’s] wishes and done exactly what she asked of him. Has he therefore supported her right to determine her own life?’ (Beckett 2005: 138) His commitment to support her desire to self-determine her life here clearly conflicted with her desire to draw on needed support. The real crux of the problem however lies elsewhere. The client has been unable to get sufficient support from the benefits office and therefore felt unable to sort out the issue on her own. In fact, the lack of adequate support on the side of the benefits office, possibly the absence of a trained worker in the office who has the skills and training to deal with people with learning disabilities has made it impossible for her to deal with it independently. Additionally, the social worker may have chosen to limit his support by assisting her in dealing with the benefits office rather than sorting it out himself. In this way, policy and practice may substantially collide when it comes to practical issues for individuals with learning disabilities. The codes of practice fail to give any meaningful guidance in these cases. This criticism is not new. Academic observers have repeatedly noted that the codes of practice are too abstract and cease to have any meaning unless sufficient resources are made available to enable service professionals to act in a positive way towards service clients (Watson 1985: 31). More worryingly, Watson writes: ‘the abstraction of the code of practice renders principles not simply incapable of application, but capable of application in a number of ways – only some of which are consistent with the conception of professional social work.’ (Watson 1985: 31) Again, this gives rise to some serious problems with regard to care for people with learning disabilities. Let us consider another example. The conception of self-determination as enshrined in the Codes of Practice draws on culturally contingent notions of autonomy. On the other hand they also pay respect to the need to recognise other culture’s diverse social commitments. The code however fails to recognise that these two principles conflict. For some families and carers who belong to ethnic minorities, service support may be seen as contradicting cultural norms and standards and the family may be the preferred vehicle for support. Societal inclusion and integration in the wider community may therefore be barred as an option. Social workers are in a dilemma here. It is their obligation to promote the self-determination of their clients, this however may contravene the cultural and religious norms prevalent in some families. This demonstrates that the Codes of Practice are bas ed on an understanding of social life that is predominantly Western in character. Different stipulations of the Code are therefore inconsistent with each other. As Beckett writes, the notion of individual autonomy may be differently stressed in the various cultures (Beckett 2005: 132), Often the rights of individuals with learning disabilities may run counter to the interests of the rights of particular groups or communities (Beckett 2005: 132). The second way of framing the idea of social care and its conflict with particular practices is utilitarian in nature. Social workers and their management may be led by calculations of expediency in determining the right way of dealing with problems of people with learning disabilities. Resource allocation and budget constraints are the primary factors in these considerations. This approach is however often detrimental to the interests of adults with learning disabilities. Their interests are defined through the limitations and budgetary restrictions that are placed on the service. The individual with learning disability is not placed at the centre of planning and support packages. One particular practice has tried to square the constraints placed on the service with the ethical demands under which social workers operate. Direct payments have been actively promoted by central government and are often seen as a way to empower clients with learning disabilities. They are considered as an appropriate means to re-focus the delivery of social services on the needs of the individual with learning disabilities as well as represent a viable answer to the resource allocation problem. Clients are granted a particular budget and exercise total control over its spending. Adults with learning disabilities become buyers in a market of social and care services, or so the theory goes. At a first glance this will alleviate several acute problems. It enhances the (chances for) independence of clients and motivates them to make their own choices about important life decisions. It increases their participation in the decision making process and improves quality of life. It also ef fects a significant shift away from total care packages which are expensive to the tax payer and facilitates the involvement of clients in more task-centred care packages which are less expensive (Mansell 2005: 20). It therefore adequately and neatly addresses resource constraints while mirroring the move to individualised care and support plans (Mansell 2005: 20). This way it mirrors the stipulation of the Code of Practice which places the duty on social workers to maximise participation of clients in the decision making process (BASW 1986: 5; Codes 2001: 16). However, it works with a very lop-sided notion of independence. While participation in the labour market may still be prevented to clients with learning disabilities, acting as a buyer in an economic relationship is seen as a form of empowerment. The conception of social agency is severely restricted to co-operative schemes that are economic in character. The enhancement of social involvement may benefit little from this. This demonstrates that ethical issues in social work are often critically influenced by practices that are understood to reflect universal cultural attitudes but, more appropriately, may only resonate with erroneous and impoverished notions of social agency. Bibliography Beckett, Chris and Andrew Maynard (2005), Values and Ethics in Social Work. An Introduction. London e.a.: Sage British Association of Social Workers [1986], A Code of Ethics for Social Work, Birmingham: BASW Codes of Practice for Social Service Workers and Employees (2001), Scottish Social Services Council, Dundee 2005 Loewenberg, Frank M. and Ralph Dolgoff (1992), Ethical Decisions for Social Work Practice, Itasca: F.E. Peacock Mansell, Jim and Julie Beadle-Brown (2005), Person Centred Planning and Person-Centred Action. A Critical Perspective, in Person Centred Planning and Care Management with People with Learning Disabilities, London and Philadelphia: Jessica Kingsley, pp.19-33 Watson, David (1985), What’s the point of A Code of Ethics for Social Work? In A Code of Ethics for Social Work. The Second Step, edited by David Watson, London e.a.: Routledge and Kegan Paul, pp.20-39 Valuing People (2001). A New Strategy for Learning Disability for the twenty-first century, London: The Stationary Office

Organizational Systems Essay

Root Cause Analysis (RCA) is a tool designed to help identify not only what and how an event occurred, but also why it happened. We can see from this scenario that the root cause is the lack of oxygen given to this patient, however it is not the only cause. A string of events lead to this patients demise. The first and most important cause was that hospital policy was overlooked. In the scenario it stated. Root Cause Analysis (RCA) is a tool designed to help identify not only what and how an event occurred, but also why it happened. We can see from this scenario that the root cause is the lack of oxygen given to this patient, however it is not the only cause. A string of events lead to this patients demise. The first and most important cause was that hospital policy was overlooked. In the scenario it stated â€Å"A moderate sedation/analgesia (â€Å"conscious sedation†) policy requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedur e and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void).† The trained nurse had the equipment to insure that this policy was followed, however failed to perform her duties as required by this policy. The second event is that the LPN reset the alarm and made no effort to provide an intervention for the alarm. The LPN did not inform the RN of the O2 Saturation level. The LPN Was not trained properly. The third event was that there was not enough staff called in for the level of acuity that these patients had. The administration should have been made aware of the emergency coming in and called in more staff to accommodate the staffing need. The errors or hazards in care in the scenario were that the RN failed to follow hospital policy to continuous monitor the patient. LPN was not properly trained to handle patients with a higher acuity. LPN failed to report and respond to the alarm. It would be helpful if the parties involved with this event come together and discuss on what failed and how they can improve the system. To decrease the likelihood of this happening again the data collected from the RCA needs to  be presented and a plan needs to be implemented so that all the staff can know what to do if this situation occurs in the future. Implementing a plan where all the parties are involved will insure that policy that is implemented will be followed through and a since of teamwork and collaboration will be felt. Lewin’s change model talks about people that are frozen in their idea of how certain processes should work, and need to be unfrozen in their process in order to make a change. In the scenario, the staff may be stuck in a process of how they perform their job. When things in the ER got busy, The nurse may have felt that since she has experience and is qualified she could handle things in the ER with just the help of the LPN. If this Nurse was not frozen in her old ways she would have realized that knowing when to call for help early enough is a nursing key behavior. Sometimes being stuck in your old ways is not what is best for the patient or yourself. If the future with change this Nurse has the potential to be a good advocate for other nurses and staff. She will be helpful in supporting change for the better of the patient. Lewin’s second model talks about what needs to be changed in a situation. In the scenario, the process of how moderate sedation is performed and followed up for each and every patient in any department needs to be changed. In order to make a change, staff needs to become involved and understand why this change will benefit the patient and the nursing staff. In order to make a change and have it successful the staff will need intrinsic motivators. According to Lewin’s change theory the staff will need to first, be open to the idea of this change and second, see how it can benefit the quality of care given to patients. Updating the moderate sedation policy to include a one on one â€Å"qualified† staff member to stay with the patient after sedation at all times until discharge criteria is met. Staff education, annual education and possibly mock sedation scenerio’s could help the staff learn in a â€Å"real life† situation what could go wrong and what could be done better. When the change has been introduced. Trial and errors are started and perfected and staff starts to use these changes in practice. It has a possibility to become normal to them and then the â€Å"refreezing† process can begin. Lewin’s refreezing process is referred to as, once new change is in practice the staff will then start to implement that changed process in everyday procedure, cause a refreezing process of new and improved procedure. After, Nurse J and the other staff members in  the ER and everywhere else in the hospital, practice and start applying these new changes into their everyday routine after several weeks, it will become second nature to them! (â€Å"Change theory,† February) Failure modes and effects analysis (FMEA) identifies all possible failures in a service rendered. â€Å"Failure modes† means the ways, or modes, in which something might fail. Failures are any errors or defects, especially ones that affect the customer, and can be potential or actual. â€Å"Effects analysis† refers to studying the consequence of those failures. (The Quality Toolbox.2004) The interdisciplinary team that should be included in the RCA and FMEA are everyone involved like all doctors, RN’s, LPN, administrators, and the joint commission. We would start by developing steps to assess risks of failure to patients in the process that is being used. The pre-steps needed to implement FMEA is that the interdisciplinary team needs to be in agreement with how many steps and the steps that accurately describe the process. For each Failure mode the team needs to assign a risk priority number (RPN), this is used to detect the likelihood of occurrence, detection an d severity. For every failure mode identified, the team should answer the following questions and assign the appropriate score. (the team should do this as a group and have consensus on all values assigned) 1) How likely is it that this failure mode will occur? 2)Assign a score between 1 and 10, with 1 meaning â€Å"very unlikely to occur† and 10 meaning â€Å"very likely to occur.† And 3) How likely will the error be caught before causing harm to the patient. (IHI.pdf) The first step in FMEA is to analysis how likely is it that this failure mode will occur and its severity of affect on the patient. To do this the hospital would assign a severity number to the process step that they are testing. The FMEA would have number 1 through 10. 1 would mean no harm would be done to the patient, 5 would be moderate harm to the patient and 9 or 10 would mean that the severity would be very bad with the worst possible outcome for the patient. Like in the case scenario if the process step they chose was: with no equipment for monitoring of a patient after sedation and without staff present or staff present and all equipment was present. The process failure mode was that the patient stops breathing and no one or no equipment was present. The number value for this scenario would then be assigned the highest number because of the high likelihood that it would have the worst outcome for the patient. The second step in the FMEA is  to analyze how often the error or potential problem is likely to happen in the process. The occurrence scale also has a numeric value of 1 to 10. 1 would be that the problem could occur in under 0.01 to every 1,000 people, 5 would represent about 5 people to every 1,000 people and 10 would have the highest occurrence of over 100 people to every 1,000 people, which would make it very likely that the event will occur. The hospital staff would than take their process step of not monitoring a patient after sedation and rate the occurrence of the process at how likely the event would happen. The hospital then can look at data from other hospitals that did not monitor patients after sedation to see the likelihood that they stop breathing to rate the number. The third and last step is how likely the error or problem can be caught before reaching the patient and on what degree of harm it can cause to the patient. The same principle applies to the detection scale of a scale of 1 to 10. All of the numerical scores would then be multiplied together: Severity x Occurrence x Detection = Score. A score over 100 would prompt the hospital to look into the problem more closely and anything below that number they may want to take off their agenda and focus on the more dangerous outcomes for the patients. (Forrest, 2010) The key role nurses would play in improving the quality of care in this situation. Are to implement a plan of action. They can sponsor classes for other staff to get educated. They can attend drills to rehearse different scenarios to be prepared for other events. Having nursing staff advocate for the change will also help the other staff follow by example when changes are made, especially if they know the reason is to help prevent harm to patients in their care. Nurses with the right tools, guidelines and policies are able to make sure that the care is the best quality for their patients. References Change theory. (January, 2014, 02). Retrieved February 20, 2015, from http://wgu.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=e348f20b-e819-43e4-abcaf191f99bc Failure Modes and Effects Analysis (FMEA) Tool. (n.d.). Retrieved February 20, 2015, from http://www.ihi.org/resources/FailureModesandEffectsAnalysisFMEATool_IHI.pdf Forrest, G. (2010, December 31). Quick guide to failure mode and effects analysis. Retrieved February 20, 2015, from http://www.isixsigma.com/tools-templates/fmea/quick-guide-failure-mode-and-effects-analysis/ IHI Institution for Healthcare Improvement. (n.d.). Lesson 5 testing changes (Pages 1-2). Retrieved from http://www.ihi.org/education/ihiopenschool/Pages/default.aspx Policy name: Root cause analysis. (n.d.). Retrieved from www.precisionlens.net/UserFiles/rootcause-analysis.doc Nancy R. Teague The Quality toolbox, 2nd edition, ASQ Quality Press, 2004, pages 236-240.

Evolution Of Western Literature John Milton, Walt...

Evolution of Western Literature Starting from the Renaissance era, where man struggled with the power of God, the Romantic era, when self-expression flourished, and the twentieth century, which saw the onset of modernism, Western literature has saw a significant evolution. Three works, Paradise Lost, an epic poem that shows the struggle for man to grasp the concept of God, Leaves of Grass, a set of poems that celebrate the author’s sense of life through self-expression, and Metamorphosis, which illustrates the life of a man who let modern life demean him, illustrate through different styles how they reflect their times. Their authors, John Milton, Walt Whitman and Franz Kafka, were able to show how in these different stories through the content, their choice of language and style of writing, how they helped evolved Western Literature. In the three works of literature, their content is what plays an important part of their contribution to Western Literature. The content in a story is what the story consists of and the information that makes the story what it is. In Paradise Lost, Milton’s content consists of his own take on the biblical fall of man or the temptation from Adam and Eve. It was here that the struggle with God and his power was brought upon by Milton’s use of subject matter. In the first book, Milton describes someone who is most opposed to the power of God, Satan. Milton writes, â€Å"In utter darkness, and their portion set /As far remov d from God and light of

William Dubois And African American Achievement Since The...

William DuBois was one of this country s most important activist and educator. He was born in 1868 in a small village in Massachusetts. DuBois was attacked by racism in 19th century while attending Fisk University in Nashville. While completing his graduate studies at Harvard , W.E.B Duboi wrote an passage on the history of the slave trade. The slave trade is still considered one of the most talked about subject today. In 1895 W.E.B. Dubois was the first ever African American to earn a doctor degree from Havard University. In 1897, DuBois occupied a job at Atlanta University. During the time that he spent there he conducted studies of how african americans were treated in america. In the passage W.E.B Dubois 1868-1963 it states â€Å"In 1900†¦show more content†¦The group was also not able to obtain alot of support. (Phil, 2017)â€Å"After the Springfield (Ill.) Race Riot of 1908, however, white liberals joined with the nucleus of Niagara militants and founded the NAACP the following year, 1909. The Niagara Movement disbanded in 1910, with the leadership of Du Bois forming the main continuity between the two organizations.†( 2017) (Phil, 2017)†Throughout the first half of the 20th Century, W.E.B. DuBois continued to work as an author, lecturer and educator. His teachings were an important influence on the Civil Rights Movement of the 50s and 60s. Ironically, DuBois died on th e eve of the historic march on Washington in 1963. Actor and playwright Ossie Davis read an announcement of his death to the 250,000 people gathered the next day at the Washington Monument.†(2017) W.E.B Dubois organized his life s work around the study of what was called the Negro Problem. He ended his years laboring on an global publication that might have been the sylbom of greatness of that ambition:(Hutchins Center, 2017) â€Å"to document the experience and historical contributions of African peoples in the world. Having witnessed the formal dà ©tente among European powers by which the African continent was colonized in the late nineteenth century, he lived to taste the fruits of the struggle to decolonize it in the late twentieth century and to become a citizen of the first new African nation. Having posed at the end of the nineteenthShow MoreRelatedLangston Hughes Research Paper25309 Words   |  102 Pageshad not seen his father since he was a small child, and he was excited about making the trip. However, during this visit, no affectionate bond would develop between Langston and Jim. Jim Hughes was a cold, difficult man, who was driven by ambition to make money and achieve respect. He had moved to Mexico to avoid segregation and racial injustice in the United States. As the manager of an electric company and owner of a ranch and mines, Jim expressed contempt for black Americans who continued to submitRead MoreNotes18856 Words   |  76 Pagesthe African Experience Virtually everything that has gone wrong in Africa since the advent of independence has been blamed on the legacies of colonialism. Is that fair? Virtually all colonial powers had â€Å"colonial missions.† What were these missions and why were they apparently such a disaster? Did any good come out of the African â€Å"colonial experience†? Introduction Colonization of Africa by European countries was a monumental milestone in  ­ the development of Africa. The Africans considerRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesVan Gosse and Richard Moser, eds., The World the Sixties Made: Politics and Culture in Recent America Joanne Meyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. Black, ed., Modern American Queer History Eric Sandweiss, St. Louis: The Evolution of an American Urban Landscape Sam Wineburg, Historical