Saturday, May 23, 2020

How Nurses Can And Impacted Public Policy - 869 Words

Before beginning this course, I would not have described myself as politically active. In fact, I would call myself even frustrated with politics. In viewing and reading some of the ridiculous displays of political figures and candidates on multiple sides of the political fence, I have even developed an attitude of political avoidance. My response to this frustration would be to turn off the media broadcasts, close out of social media, or walk away from conversations when the topic either didn’t make sense or didn t support my personal, professional, or moral convictions. Politics, policies, and political figures seemed to be more of a stumbling block than a stepping stone and a barrier separating communities and individuals from well being. The main reason for this avoidance is the pattern I have seen in American politics even at the local level of ignoring the issues and problems and mud slinging to achieve political gain. However, upon considering examples of how nurses can and have impacted public policy, I am beginning to see areas where I am and have been an impact without even realizing it because I was ignorant about politics and public policy as it applies to the nursing profession. According to Mason, Gardner, Outlaw, and O’Grady (2016), â€Å"It is simply not possible to succeed in any decision-making arena by ignoring the political realm†(p.16). Perhaps those areas of impact could have driven successful change if avoidance hadn’t taken place. My knowledge ofShow MoreRelatedThe Impact Of Technology On The Healthcare Field1541 Words   |  7 PagesAbstract While advancements in technology have positively impacted the nursing field, it has also created huge concerns with patient privacy and sharing of protected health information leading to detrimental effects to patients and their families. Indeed, technology is changing the face of healthcare with positive innovations to reduce medication errors and documentation errors. However, technology at our fingertips has created immense concerns with sharing of protected health information of patientsRead MoreMedia s Negative Images Of Health Care1215 Words   |  5 Pagespositive images of healthcare to influence positive public perceptions on healthcare delivery. Health care television shows have portrayed nurses as handmaidens to doctors, ‘naughty’, battle-axes’, sex objects, self-sacrificial angels and unintelligent (Stanley, 2008) and have influenced the public to believe that the role of healthcare professionals particularly nurses are invaluable. Healthcare organi zations have a role to inform the public about the value of the healthcare system and healthcareRead MoreOrganizational Impact On Nursing And Nursing Education1602 Words   |  7 Pagesinfluenced the practice of providing quality care to the public and propelled Nursing to the profession that it is today. Among these groups are the Quality and Safety Education for Nurses (QSEN), American Association of Colleges of Nursing (AACN), and Institute of Medicine (IOM). We will discuss how these three organizations have impacted nursing and the nursing education. The Quality and Safety Education for Nurses (QSEN) looks to educate nurses in improving the quality and safety of patient care inRead MorePolitical Awareness Essay1418 Words   |  6 PagesAction Awareness Nurse leaders are aware that today’s health care system has many issues complicating the goal of quality patient care and outcomes for all. Nurse leaders must stay informed and become involved as an advocate influencing changes in policy, laws, and/or regulations that govern the health care system they practice in. At times the advocacy requires a nurse leader to become more involved beyond their immediate level of practice and into the world of politics and policy. The health careRead MoreThe Impact of the 2010 Institute of Medicine (Iom) Report on the Future of Nursing in Education, Practice and Leadership1175 Words   |  5 Pagesnecessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to enhance needed reforms. Having reviewed the 2010 institute of medicine (IOM ) report on the Future of Nursing Leading Change Advancing Health, despite being a practicing nurse for a long time, I felt a renewed sense of call to duty. I felt better aboutRead MoreHealth Policy Of Heart Disease And Stroke806 Words   |  4 PagesHealth Policy of Heart Disease and Stroke Ann B. Hamric et al ( 2014) described policy as the â€Å"authoritative decisions pertaining to health or health care, made in the legislative, executive, or judicial branches of government, that are intended to direct or influence the actions, behavior or decisions of citizens† (p.580). Health care policy should be able to increase access to health care, improve quality of care, and most important shows transparence on cost effectiveness (2014). LeadingRead MoreHealthcare Legislation in the United States869 Words   |  3 Pageslarger healthcare law, it is also important to know how other bills before Congress impact patients and the economy as a whole. One such bill under consideration by the United States Senate is S.27 designated that Preserve Access to Affordable Generics Act (this was previously designated S.369 (Policy and Medicine, 2011)). The goal of this paper is to examine this bill as to economic impact, equity, administrative resources, and the role of the nurse. The bill was introduced by Senator Kohl (WI)Read MoreHealth Policy Issues Essay1345 Words   |  6 PagesHealth Care Policy Issues There are many trending topics in health care that arise and affect our workplaces every day. The professional meeting I had the opportunity to attend was the North Texas Organization for Nurse Executives (N-TONE) fall forum. Several health policy issues and opportunities to address them were brought up at the meeting with the main issue to be covered in this overview being workplace violence. TONE is a member of the Texas Nurses Associations Nursing Legislative Agenda CoalitionRead MoreThe Importance Of Health Care1197 Words   |  5 Pagesissues related to delayed charting and nurses recalling, often improperly, the events of a situation. Recall is one of two ways used to re-access a memory (the other is recognition). According to Mastin, recall occurs when we remember a â€Å"fact, event or object that is not physically present (2010).† Mastin continues to write that there are three main kinds of recall: free recall, cued recall, and serial recall (2010). In a situation such as documenting, a nurse would utilize serial recall, which refersRead MoreCredentialing From Advanced Practice Registered Nurses927 Words   |  4 PagesCredentialing from advanced practice registered nurses (APRNs) perspective is defined as â€Å"furnishing the documentation necessary to be authorized by a regulatory body or institution to engage in certain activities and use a certain title† (Hanson, 2014). Credentialing is also define from a local institutional process that consider specific documentations for APRN before they assume the practice role as APRN within their facility. In health care system, credentialing ensures i ndividuals meet required

Monday, May 18, 2020

Annotated Bibliography On Creating Data Governance

WEBINAR Report By: Gowthami chandana TOPIC: Creating Data Governance Dashboard Recording date: June 27th, 2012 ,10:45 am , In San Francisco. Duration: 48.37minites Presenter: Dr.Ravi Hulasi (Director of sales engineering solutions) Company Affiliation: Trillium Software URLtopresentation:http://www.trilliumsoftware.com/home/resources/library_ detail.aspx? id=8851 This webinar mainly deals with how to analyze, quantify and monitor data quality conditions and how to create dashboard, communicate results and what content do we provide to the dashboard and its functions like business rules metadata, rules library, decision points, repeat analysis and how to connect dashboard to the data. The dashboard introduces creation of rules, cost of policies, metrics cover all lines of business etc. In business rule metadata aggregate functions can be applied to passing/failing records of an entity business rule. Rule creation/edit metadata captured for every rule. In business rule metadata V14-Addition of rule categories and sub-categories included. The rules library is key for dashboard. It contains a central store of entity business rules, Attribute business rules and quality projects. ItShow MoreRelatedImpact of Ict on Society2585 Words   |  11 PagesTechnologies Impact of ICT on Society Table of Contents PART A 1 1. Introduction 1 2. The annotations 1 2.1 Scholarly journal articles 1 2.2 Conference papers 1 2.3 Newspaper articles 1 2.4 Internet sources 1 3. Conclusion 2 Annotated Bibliographies 3 PART B (Endnote) 6 4. Introduction 6 5. The Endnote advantages 6 6. The Endnote disadvantages 7 7. The Recommendations 8 8. Conclusion 9 9. References 10 PART A Introduction With era of globalizationRead MoreManaging and Organizing for Innovation in Service Firms a Literature Review with Annotated Bibliography30787 Words   |  124 Pagesv i n n o va r e p o r t vr 2009:06 managing and organizing for innovation in service firms A literature review with annotated bibliography annika schilling andreas Werr stockholm school of economics Title: Managing and Organizing for Innovation in Service Firms. A literature review with annotated bibliography Author: Annika Schilling Andreas Werr - Stockholm School of Economics Series: VINNOVA Report VR 2009:06 ISBN: 978-91-85959-47-1 ISSN: 1650-3104 Published: Februari 2009 Publisher:Read MoreEssay Elemica7043 Words   |  29 Pages Balanced Score Card 12 Strategy Map 14 5. RECOMMENDATIONS 15 Outsourcing of ICT Infrastructure 15 IT staffing requirements 16 Hardware, Software and Security 16 International legal and ethical issues 17 List of references 18 Annotated Bibliography 20 1. ENVIRONMENTAL ANALYSIS * Company analysis Elemica is the leading provider of supply chain integration and optimization services to the world’s tire amp; rubber, chemical, energy, and related industries. The company maintainsRead MoreTesting Using Electronic Transmission Systems4374 Words   |  18 Pages0 Introduction Public Health Departments or agencies rely on hospitals, clinics, and laboratory data to provide timely intervention in a community when there is an outbreak of disease to prevent additional illness. Because the conventional methods of reporting via mail, facsimile, or telephone require active participation of laboratory staff, automated reporting from clinical laboratories has been proposed as a means to improve the quality and timeliness of disease notification[1]. Read MoreBanking Industry Financial Analysis Ppt8348 Words   |  34 Pages* Contribution To The Academics 53 * Contribution To The Industry 54 * Contribution To The Society 55 Research Methodology 56-59 Limitations 59 Data Presentation 60-71 Findings and Suggestions 72 Conclusion 73 Bibliography 74 Annexure (Questionnaire) 75-78 DECLARATION I Ankita Srivastava the student of Dayanand Academy of Management Studies, Kanpur studying in MBA hereby declare that theRead MoreMigration, Remittances, Inequality and Poverty the Philippines10368 Words   |  42 Pagesin the home country. Remittances appear to raise average incomes for all income groups but more so for the richer households than for the poorer ones, a finding that is consistent with that in several Latin American countries. Such eyeballing of the data is supported by econometric analysis which further reveals that remittances enhance household savings, spending on education and health care, and help the poor move out of poverty. Analysis at the regional level shows that, ceteris paribus, remittancesRead MoreMastering Graduate Studies 1e32499 Words   |  130 Pagespictures of graduates as they walk across the platform at a GCU graduation. It may seem far away and overwhelming now, but it will come. Keep breaking down the goal into smaller pieces. What is the next step to take to be successful? For some it may be creating a resume. For others it may be as simple as purchasing some file folders to stay organized. Perhaps you need to rework your schedule to dedicate time to study, which may mean suspending a hobby or group for a period of time. As you continue in yourRead MoreHbr When Your Core Business Is Dying74686 Words   |  299 Pagesgreater role in its development than Michael Hammer. â€Å"The Process Audit, Hammer’s article in this † issue, is a major advance in the ï ¬ eld. For the last ï ¬ ve years, Hammer has been working with a consortium of companies to develop a framework for creating and sustaining high-performance processes. How, the group asked, can process management move beyond experimentation, anecdote, and lessons learned to become a more fully grown management discipline? The answer Hammer and his colleagues developedRead MoreA Critical Review of â€Å"the Ambiguities of Football, Politics, Culture, and Social Transformation in Latin America† by Tamir Bar-on.14147 Words   |  57 Pages or publicly accessible information and data. This method is not the most effective research method in the sense that when a researcher relies on data collected by someone else, chances are he will not find exactly what is needed. The author uses research performed by noted sociologists and sources that are credible and trustworthy. He includes links to the journals in which he collected his data from by hyper linking the researcher’s name whose data he cites to support his arguments and researchRead MoreContemporary Issues in Management Accounting211377 Words   |  846 PagesDepartment, Oxford University Press, at the address above You must not circulate this book in any other binding or cover and you must impose the same condition on any acquirer British Library Cataloguing in Publication Data Data available Library of Congress Cataloguing in Publication Data Data available Typeset by SPI Publisher Services, Pondicherry, India Printed in Great Britain on acid-free paper by Antony Rowe Ltd., Chippenham, Wiltshire ISBN 0–19–928335–4 978–0–19–928335–4 ISBN 0–19–928336–2 (Pbk

Monday, May 11, 2020

Profile of Amelia Bloomer

Amelia Jenks Bloomer, an editor, and writer advocating for women’s rights  and temperance is known as a promoter of dress reform.  Bloomers are named for her reform efforts.  She lived from  May 27, 1818, to December 30, 1894. Early Years Amelia Jenks was born in Homer, New York. Her father, Ananias Jenks, was a clothier, and her mother was Lucy Webb Jenks.  She attended public school there. At seventeen, she became a teacher.  In 1836, she moved to Waterloo, New York, to serve as a tutor and governess. Marriage and Activism She married in 1840. Her husband, Dexter C. Bloomer, was an attorney. Following the model of others including Elizabeth Cady Stanton, the couple did not include the wife’s promise to obey in the marriage ceremony. They moved to Seneca Falls, New York, and he became the editor of the Seneca County Courier. Amelia began writing for several local papers.  Dexter Bloomer became the postmaster of Seneca Falls, and Amelia served as his assistant. Amelia became more active in the temperance movement.  She also was interested in women’s rights and participated in the 1848 woman’s rights convention in her home town of Seneca Falls. The following year, Amelia Bloomer founded a temperance newspaper of her own, the Lily, to give women in the temperance movement a voice, without the domination of men in most temperance groups.  The paper started out as an eight-page monthly. Amelia Bloomer wrote most of the articles in the Lily.  Other activists including Elizabeth Cady Stanton also contributed articles.  Bloomer was considerably less radical in her support of women’s suffrage than her friend Stanton was, believing that women must â€Å"gradually prepare the way for such a step† by their own actions. She also insisted that advocating for temperance not take a back seat to advocate for the vote. The Bloomer Costume Amelia Bloomer also heard of a new costume that promised to liberate women from the long skirts that were uncomfortable, inhibited movement and dangerous around household fires. The new idea was a short, full skirt, with so-called Turkish trousers underneath – full trousers, gathered at the waist and ankles. Her promotion of the costume brought her national renown, and eventually, her name became attached to the â€Å"Bloomer costume.† Temperance and Suffrage In 1853, Bloomer opposed a proposal by Stanton and her collaborator, Susan B. Anthony, that the New York Women’s Temperance Society be opened to men. Bloomer saw the work for temperance as particularly important a task for women. Succeeding in her stand, she became the corresponding secretary for the society. Amelia Bloomer lectured around New York in 1853 on temperance, and later in other states on women’s rights as well.  She sometimes spoke with others including Antoinette Brown Blackwell and Susan B. Anthony.  Horace Greeley came to hear her talk and reviewed her positively in his Tribune. Her unconventional costume helped attract larger crowds, but the attention on what she wore, she began to believe, detracted from her message. So she returned to conventional women’s attire. In December of 1853, Dexter and Amelia Bloomer moved to Ohio, to take up work with a reform newspaper, Western Home Visitor, with Dexter Bloomer as a part-owner. Amelia Bloomer wrote for both the new venture and for Lily, which was now published twice a month at four pages. The circulation of the Lily reached a peak of 6,000. Council Bluffs, Iowa In 1855, the Bloomers moved to Council Bluffs, Iowa, and Amelia Bloomer realized that she could not publish from there, as they were far from a railroad, so she would not be able to distribute the paper. She sold the Lily to Mary Birdsall, under whom it soon failed once Amelia Bloomer’s participation ceased. In Council Bluffs, the Bloomers adopted two children and raised them.  In the Civil War, Amelia Bloomer’s father  was killed at Gettysburg. Amelia Bloomer worked in Council Bluffs on temperance and suffrage. She was an active member in the 1870s of the Women’s Christian Temperance Union, and wrote and lectured on temperance and prohibition. She also came to believe that the vote for women was key to winning prohibition. In 1869, she attended the American Equal Rights Association meeting in New York, which was followed by the splintering of the group into the National Woman Suffrage Association and the American Woman Suffrage Association. Amelia Bloomer helped found the Iowa Woman Suffrage Society in 1870. She was the first vice president and a year later assumed the presidency, serving until 1873. In the later 1870s, Bloomer had cut back considerably on her writing and lecturing and other public work.  She brought Lucy Stone, Susan B. Anthony and Elizabeth Cady Stanton to speak in Iowa. She died in Council Bluffs at age 76.

Wednesday, May 6, 2020

Stopping Terrorism Worldwide Essay - 953 Words

Can We Stop the Worldwide Disease-Terrorism? Terrorism, which has been around for as long as people can remember, has been on the rise for the past ten years. Terrorists usually use murdering, kidnapping, hi-jacking and bombings to achieve their political purpose. For instance, according to Wikipedia.com (2006), in 1985 816 deaths, then in 2003, more than 1,000 people died by terorist acts around the world. In recent years, terrorism seems to be at a new height and attacks are much more violent than in the past. Unfortunately, in spite of many anti-terror campaigns, projects and organizations are being created for prevention (to prevent) terrorism, the number of terrorists only is increasing. These days terrorism is all over the world.†¦show more content†¦For example, the Andijan Events, which happened in 2005. Many innocent people were killed during the terrorists attempt to take control over the government of (maybe in) Andijan. As the President of Uzbekistan, Islam Karimov said (Uzbek Nation Will Never Depend on Ot hers, 2005), the executors of that terror act were the members of, so-called, Islamic Movement of Uzbekistan. Their primary goal was to set Caliphate in Uzbekistan, which would have made Uzbekistan an Islamic Republic and led to put dot in Uzbekistans development, especially in economy growth. Also, there are some other reasons for terrorist acts such as: hate towards a race, nationality, or religion. The following example contains all reasons listed above. Another international terror group Al-Qaeda, number one terror group with a multimillionaire leader Osama Ben Laden, carried out a terror attack in 2001, in USA. Referring to Wikipedia.com (2006), terrorists hijacked four commercial airplanes and crashed two of them into World Trade Centre, in Manhattan. The other one crashed to US Pentagon, and fourth crashed in rural place in Pennsylvania. It took about 2,986 lives of innocent people, including 19 hijackers, and more than 40 000 people were injured. In both examples mentioned above, there are exact motivating factors. In both cases the motivating factors are ideology and religion. But there are also many other factors which make people become terrorists and take guns in their hands or blow themselvesShow MoreRelated War on Drugs is a Domestic Problem Essay620 Words   |  3 Pagesnbsp;nbsp;nbsp;nbsp;nbsp; The new policy that the government has unfolded on the War on Drugs, has pointed the finger of responsibility toward stopping terrorism by stopping the individual drug users. Terrorism affects the entire world, and the United States has assumed a position at the spearhead to confront it. There is no way to actually stop terrorism, but one way to financially divert the problem is to stop the money from flowing to the organizations. nbsp;nbsp;nbsp;nbsp;nbsp;The War onRead MoreDetaining Suspected Terrorists1033 Words   |  4 Pagesrealized the tragedy and destruction caused by terrorism. Marwan Abu Ubcida, a terrorist in training, said, â€Å"Yes, I am a terrorist. Write that down: I admit I am a terrorist. [The Koran] says it is the duty of Muslims to bring terror to the enemy, so being a terrorist makes me a good Muslim.† That enemy happens to be anyone against what they believe. One such enemy meaning the US because we are against terrorism. There is no justification for terrorism and no reason for the government to try to justifyRead MoreThe Government Should Detain Suspected Terrorists Without Trial1036 Words   |  5 Pagesrealized the tragedy and destruction caused by terrorism. Marwan Abu Ubcida, a terrorist in training, said, â€Å"Yes, I am a terrorist. Write that down: I admit I am a terrorist. [The Koran] says it is the duty of Muslims to bring terror to the enemy, so being a terrorist make s me a good Muslim.†(Friedman) That enemy happens to be anyone against what they believe. One such enemy meaning the US because we are against terrorism. There is no justification for terrorism and no reason for the government to try toRead MoreInternational Union For Conservation Of Nature1488 Words   |  6 Pagesfrom all over the world that are currently losing its population due to poaching. This is a powerful tool that helps push the government to protect any threatened animal species, like the African Elephant, and most of the plant and animal wildlife worldwide. Blanc, J. a co-sponsors from the IUCN Red List states â€Å"The conservative decision is to accept a growth rate of greater than 1.53% per annum to help retain the African Elephant in the vulnerable category in this assessment† (IUCN Red List, par 10)Read MoreEssay on Terrorism1340 Words   |  6 Pages Terrorism is becoming more and more of a threat to Americans both at home and abroad. International terrorism happens when terrorism occurs out of our country. An example of an International terrorist is Osama bin Laden. Laden is the worlds most dangerous terrorist. Laden shows genocidal tendency by killing Americans through-out the world from the bombings of the World Trade Center to the embassy bombings in Africa. The African blasts killed more than 250 people. The FBI has been tracking him forRead MoreWar Is Not The Answer1294 Words   |  6 Pageswar on terrorism, started by the United States and its allied countries, have caused unnecessary bloodshed with immense repercussion. A looming threat of nuclear war is closer to a reality as the two sides clash, and the benefits coming from war are far few in between. America currently favors militarism, which has lead to the neglect of their own domestic needs in hopes to win this battle. War isn’t leading to any victory, itâ €™s simply an ineffective method in the attempt to stop terrorism. SteppingRead MoreGlobal Crime Analysis1134 Words   |  5 PagesIn some countries around the world drug trafficking does not have a zero tolerance policy against the crime. The reasons behind this may be attributed to the profiteering that occurs as a result, which is frustrating to law enforcement agencies worldwide. In order to contain the problems of drug trafficking, every country must agree to eradicate the substances to make the drugs, coca and poppy are two of the substances that can used to make the drugs Cocaine and Heroin. In addition, cannabis is usedRead MoreHomeland Security1085 Words   |  5 Pages currency, and trafficked persons which signifies an increasing threat to the prosperity, security, and quality of life to U.S. citizens at home and abroad. As we have seen with H1N1 influenza, the express worldwide spread of infectious diseases can produce great disruptions at home. Stopping these and further risks from threatening our nation has come to be essential to homeland security. The 2010 National Security Strategy states that homeland security is â€Å"a seamless coordination among federalRead MoreModernization Reform Aid Programs : A Stronger Powerful And Independent Business Sector1459 Words   |  6 Pageseradicate discrimination, terrorism, and human trafficking. Both countries being in this group shows that we are working towards similar goals as far as political and social issues are concerned. The United States should be involved in these aspects of Russia, because with more countries working towards these common goals, they are more likely to get accomplished (OSCE). Terrorism is, unfortunately a huge problem in the world today and even though I do not believe that terrorism will ever be fully eliminatedRead MoreA Brief Note On The United War On The Middle East And Southeast Asia Remains Unstable1503 Words   |  7 PagesPersonnel in Afghanistan The War on Terrorism in the Middle East and Southwest Asia remains problematic. Though there are many problems within the Middle East, the narcotics problem in Southwest Asia remains one of the largest to date. It has been much debatable as to how to proceed in the combating of Narcotics in Afghanistan. There are many debatable arguments for the quick pull out, of all private and U.S. contract personnel out of Afghanistan to realign the methods to attack on the narcotics

Positions During A Childbirth Health And Social Care Essay Free Essays

BBC universe intelligence ( 2004 ) online article titled, â€Å" Actions urged over painful births † provinces that 40 % of adult females surveyed from the National Childbirth Trust are non encouraged to exchange to a more comfy up right place during childbearing. A representative from the NCT, Belinda Phipps, stresses in the article that presuming a posing, crouching or standing place reduces hurting, anxiousness, and extradural usage. This article besides remarks that placental blood flow is increased as is besides the infinite between pelvic castanetss while presuming an unsloped place ( 2004 ) . We will write a custom essay sample on Positions During A Childbirth Health And Social Care Essay or any similar topic only for you Order Now The following article from givingbirthnaturally.com, titled â€Å" Best Labor and Birth Positions † states that the grounds for taking a lithotomy place during labour has nil to make with comfort or effectivity for the female parent and foetus, but instead for the physician ‘s convenience ( 2007 ) . In add-on, a supine place may besides take to a excess intercessions, which include usage of forceps, vacuity and episiotomy. The writer besides points out that holding the adult female ‘s legs pulled back during forcing additions emphasis on the perineum and increases hazard of rupturing ( 2007 ) . In contrast, the 2010 article â€Å" Preparing for A ; giving birth † from askamum.co.uk, gives ground to believe that being in a supine place is good. It argues that adult females may experience psychologically more comfy merely because they are more familiar with that place. It besides notes that a sitting place has its drawbacks because it puts greater force per unit area on the tail bone and limits its motion ( 2010 ) . Research Articles In the quantitative survey by Adachi, Shimada and Usui ( 2003 ) , the hurting strength of labour experienced by female parents was evaluated utilizing supine and sitting places. A sample of 39 primiparous and 19 multiparous was used and back and abdominal hurting were measured utilizing a ocular parallel graduated table ( VAS ) . This survey was a nonexperimental retrospective chart reappraisal. The findings reported that there were lower hurting tonss in a sitting place compared to a supine place. The hurting tonss included uninterrupted lumbar and abdominal hurting during labour ; and besides during contractions. Using a 100 millimetre VAS graduated table ; a alteration greater than 13 millimetre in tonss would be more than sufficient for lessened alteration in patient badness ( Adachi, Shimada and Usui, 2003 ) . Although there were no important lessenings in abdominal hurting in either place ; there was a noticeable lessening affecting back hurting greater than 13 millimetres. Res trictions of the survey included that hurting badness was non measured in all phases and stages of labour. The hurting measurings were done for 15 minute intervals and were non administered on a regular basis. This survey besides involved a homogeneous sample in merely one clinic. The correlativity between hurting and parturition places besides is may be weak because it merely two places were used. The strength of this survey is that it used a VAS instrument. The VAS measurement instrument has been validated to reliably step both the quantitative degree of hurting and its badness with dependability. The quantitative survey conducted by Shorten and Donsante ( 2002 ) , examined birth places which influenced perineal cryings. Datas from 2981 vaginal births were analyzed utilizing a nonexperimental design and logical arrested development theoretical accounts. These theoretical accounts were used to categorise the dependent variables as perineal cryings, episiotomies and integral perineum. Each variable was coded as either a 0 ( non ) or 1 ( nowadays ) if a status was present. Findingss for the survey indicated that a correlativity did be between birth place and perineum result at the terminal of labour ( Shorten A ; Donsante, 2002 ) . The side-lying sidelong place had the highest association with an addition for integral perineum. There was an 84 % opportunity of episiotomy when in the semi-recumbent place. One of the restrictions of the survey was that a randomized controlled test design was non used. An extra restriction was that immaterial variables such as perineum direction ( massage, oils, etc. ) were non recorded during the survey. However, the strength of this survey was the appraisal and designation of factors/variables such as age, birth-attendant, newborn weight, and length of 2nd phase on the chance of tear, episiotomy and integral perineum. The following quantitative survey conducted by Mayberry, Stange, Suplee, and Gennaro ( 2003 ) , studied if low-dose extradural usage affected fluctuations of unsloped places. A sample of 74 primiparous adult females was studied. The survey ‘s design was a nonexperimental descriptive survey with no control group. The findings reported that all 74 adult females were able to presume any of the eight unsloped places in the survey during 1st and 2nd phase of labour. The major restriction of the survey was the usage of a convenience sample, which poses a greater hazard of prejudice and lowers generalisation of consequences. One the strengths of this survey was consistence. Two trained research nurses were the lone 1s allowed to go to attention to all of the 74 survey topics. Besides the survey ‘s sample included adult females of different age, weight and tallness. Another quantitative survey, conducted by Jonge, Rijnders, Diem, Scheepers, and Janssen ( 2009 ) , examined the influence of sociodemographic and labour factors on the choice of delivering places in 2nd phase labour. The design was a nonexperimental retrospective cohort survey which used a postal questionnaire. The sample consisted of 665 low-risk adult females participants who received attention from accoucheuses. The writers found that 30.5 % of the adult females used the supine place along with other places. Of those 203 adult females, 42 % were 36 old ages of age or older and extremely educated ( Jonge et al. 2009 ) . Restrictions to the survey were the information was collected 3-4 old ages after the birth. The long period of clip may hold increased remembrance prejudice and weakened the relationship of variables in the survey. There was besides no information collected on how much control adult females had to take different places. Besides other clinical factors which influence birth places such as foetal weight, place, station, and emphasis were non included in the survey. The survey ‘s strength was that information was merely used if midwife attention began from the start of 2nd phase of labour. The sample composed of patient from eight different obstetrics patterns could besides be considered a strength to the survey because it added fluctuation of race, age, and sociodemographics. In the qualitative survey by De Jonge and Largo-Janssen ( 2004 ) , insight into adult females ‘s experience and influences of birth places were explored during labour. The design was a qualitative cohort pilot survey. Womans were sent a questionnaire and consent signifiers if they wished to take part in one to one interviews for the pilot survey. Twenty adult females agreed to take part in the survey. The pilot survey involved merely the topics and accoucheuses who were present during the labour. Of the 20 adult females, 13 of them used more than one place during the 2nd phase of labour. Ten adult females largely were in the supine place during labour and 11 of the 20 gave birth in that place ( De Jonge A ; Largo-Janssen, 2004 ) . Findingss for this survey revealed that 17 of the 20 adult females claimed the accoucheuse as the biggest ground that influences their pick of place. Eleven adult females stated that the type of places used influenced the type of hurting experienced. Eight adult females felt they had more control direction of their labour forcing piece in an unsloped place during the 2nd phase. The survey ‘s strengths were that all interviews were face to face and recorded. To heighten the sum-up of their experience three types of the undermentioned informations were used: interview, questionnaire and background information from the original pilot survey. The survey topics were besides able to take the scene of the interview and were all asked open-ended inquiries. One of the major restrictions of this survey was that the interviewer was the same accoucheuse that had been at that place for their labour. This could hold caused a Hawthorne consequence in the topics ‘ responses. There was about a 7-19 hebdomad spread between the existent labour and the research interview which may hold biased callback. Compare and Contrast In general, the consumer articles and the research articles both agreed on the benefits and results of utilizing different places other than supine. The BBC consumer article included in their piece an NCT representative ; who stated an unsloped place would be good to cut down hurting and promote comfort ( â€Å" Action urged over painful births † 2004 ) . This concurs with findings by Adachi et Al ( 2003 ) their analysis of average VAS tonss that showed lower hurting tonss for entire hurting and during contractions while in a seated place. A average five point difference in entire hurting for uninterrupted and contraction hurting during labour was reported. The survey ‘s most important findings was a average 12 point difference in tonss for lumbar hurting during the first phase of labour ( 6-8cm dilation ) when in a seated place ( Adachi et al 2003 ) . Another similarity between articles was the perineum result and placement ; this was apparent in the survey by Shorten A ; Donsante and the consumer article â€Å" Best Labor and Birth Positions † . Shorten A ; Donsante ‘s ( 2002 ) survey reported the highest rate ( 66.6 % ) for integral perineum was in the sidelong place. The lowest rate ( 42 % ) of the birth places for integral perineum was the squatting place. The rates clearly show an advantage of utilizing the sidelong side-lying place over merely utilizing the semi-recumbent place. This corresponds with the ( â€Å" Best Labor and Birth Positions † 2010 ) recommendation of utilizing different places to diminish likely goon of cryings, episiotomies and utilize excess intercessions. The consumer article â€Å" Best Labor and Birth Position † besides agreed with the survey by De Jonge et Al. ( 2009 ) . The survey concluded that scenes in which the accoucheuse is the primary attention giver during intrapartum, there was a higher chance of utilizing more than one birth place. De Jonge et Al. ( 2009 ) , qualitative survey besides showed that the nurse accoucheuse is an of import determiner in act uponing birth places. This suggests that the wellness attention professional dramas in important portion in pick of places. â€Å" Best Labor and Birth Position † besides states that the predominate usage of one place ( largely lithotomy ) is based entirely on convenience for the obstetrician. In add-on, the BBC consumer article states that unsloped places are non encouraged in the West by accoucheurs. Both consumer and primary articles besides agree on comfort and anxiousness being decreased when utilizing different places. Several adult females in the De Jonge A ; Largo-Janssen ‘s ( 2004 ) survey claimed to experience more abashed and less comfy chiefly in one place ( supine ) during old labours. In this research study the participants assumed a assortment of places non used in old labours. Towards the terminal of labour, the participant would exchange to the supine place and reported experiencing more comfy utilizing this method. One adult female described her labour experience as: â€Å" the more you can propose yourself, or happen out places for yourself, the better I find it coming to footings with it, instead than person stating, and now lay down and you pushaˆÂ ¦ † ( De Jonge A ; Largo-Janssen, 2004 ) . This is similar to BBC ‘s article, in which Belinda Phipps advocates adult female to acquire up and travel about or exchange places instead than me rely lying down and waiting. A little figure of dissensions did be between the consumer and research articles over birth places. â€Å" Fixing for A ; giving birth † notes that several places may non be comfy and may really increase hurting. The standing place is reported to be the most exhausting ; while being in all 4s would most likely cause giddiness. This article besides argues that crouching and kneeling places would besides increase weariness because of the usage of more force in leg musculuss. However the Mayberry et Al. ( 2003 ) survey reported that one of the chief advantage of jumping places is overall maternal weariness is reduced. Although merely two places were used in Adachi et Al. ( 2003 ) survey ; they besides reported overall less hurting tonss for adult females. The usage of extradural anaesthesia was besides a point of dissension between â€Å" Preparing for A ; giving birth † and the survey of Mayberry et Al ( 2003 ) . â€Å" Fixing for A ; giving birth † encourages that when having epidural the female parent should remain in bed to restrict motion and placement ( â€Å" Preparing for A ; giving birth † , 2010 ) . Mayberry et Al. ( 2003 ) survey reported that 67 % of adult females in the survey labored in two or more places and 21.6 % labored in four or more places. Besides two adult females in the survey were able to walk around after having the epidural. One of the safety issues that were addressed by ( â€Å" Preparing for A ; giving birth † , 2010 ) is that presuming a sitting place may suppress transition for the babe. This is due to the increased force per unit area on the tail bone. It is besides advocated when in a kneeling place to utilize tablets or seeking the place in bed because of the force per unit area on the articulatio genuss. The article besides encourages restricting lying on your dorsum because the weight of the uterus pressure on blood vass and as a consequence may restrict blood supply to the babe. When the female parent has chosen hapless birth places ; the hazard of shoulder dystocia, foetal hurt, and usage of internal monitoring and other complications may increase ( â€Å" Best Labor and Birth Position † , 2010 ) . Nursing Challenge A nursing challenge on birth places would most likely occur in the labour and bringing unit and at everyday office visits during gestation. The contention of birth places lies in the deficiency of instruction about alternate places and non deficiency of options given by wellness suppliers. Nurses play an of import duty in educating adult females of alternate places and by authorising adult females to do picks. Nurse must be cognizant of each birth place ‘s pros and cons on the foetus and female parent. These issues must be explained clearly in non-jargon footings whenever possible. Questions should be encouraged and developing places in progress can fix the female parent for when labour begins. This requires the nurse to be patient and helpful with the female parent happening the place she is most comfy at the minute. As the labour progresses ; hurting, anxiousness and weariness might increase, so the nurse must back up the female parent psychologically and physiologically. PICO Question After comparing the diverse point of views of consumer and research articles on birth places a hereafter survey might turn to these issues with adult females with multiple foetuss. PICO Question: Do the same benefits of utilizing more than one place during labour in a individual birth use to a female parent of multiple gestations in their first gestation? Population: Mothers in their first gestation with multiple gestations. Intervention: A assortment of different birth places. Comparison: Mothers with multiple gestations that merely used one place during labour. Result: Datas may demo a lessening in perineal cryings, hurting, anxiousness, weariness and addition in comfort for the female parent and foetuss. Decision How to cite Positions During A Childbirth Health And Social Care Essay, Essay examples

Change Behaviours Samples for Students †MyAssignmenthelp.com

Question: Discuss about the Change In Behaviour Towards An Individual. Answer: This paper has been elaborated on the expectancy effects, especially the Change behaviours. It has shed light on how change in behaviour towards an individual can change his attitudes and way of behaving towards the very person. This topic has been chosen as it is one of the most aligned topics to my PDP output where I am mainly focusing on considering the view-points and opinions of others. Being part of a sales team, my role is to be accountable to achieving specific targeted annual quotas. It becomes very hard when I am not only answerable and responsible for my target but for the full team. As a person, I have been in the field where I have a track record of achievements. This has directed me towards leading the team to follow my path in conducting their activities with their clients. By doing so, it feels like dictating my team about doing the things they feel right. This also has an impact on the teams autonomy. The hypothesis of the paper is when giving my team members enough space and motivation for executing their styles and knowledge in order to perform their given task; they will be performing better than before. This will be highly beneficial for the entire team and the company both as the same time. We have conducted weekly team meeting to go through each individuals forecast. During our meeting we discuss about the opportunities, targets, challenges and closing date. I help the team in meeting their challenging by motivating them and by giving them examples from my own experience. For this experiment I will be focusing on my low performer employee, I will behave as I always do in the first meeting and note her response and subsequent behaviour during the week. I have aligned with my peer to attend the first meeting as an observer. The meeting went as usual discussing the deals, challenges and actions on how to move forward. During the meeting the high performer objected some of my advices and we discussed them through out the meeting hours and agreed on the actions. My low performer employee is as usual very quiet in the meeting and took the directions as directed to him. The rest of the week was normal- discussing about the targets and guiding the employees, and receiving emails or calls (unplanned interactions). Usually, my low performer employee avoids face to face interaction and only updates me through sending mails bout the actions I have been suggested to her. At the time of our weekly meeting, I asked the team members to share the closing dates and opportunity size and if there are any changes they noticed as compared to the last week. Finally, I stated that, I believe in your ability and knowledge. I do know that you know your clients better than me. I also believe that you all can overcome all your challenges in your own way towards success. Do remember that there is no better way to learn than learning from your mistakes and feel free to reach out to me whenever you need my support. Wishing you all a very successful week. The team was a bit concerned at the beginning till I left the meeting room. 10 minutes later, my low performer employee approached my desk to seek my advice. I responded to her by saying that Nothing can be fixed right now but you should remember that though you did not succeed this time, you will surely do in the next if you learn from your present mistakes and situations. Hence, this is not a complete loss. I also t old her to do it the way she believes is right because I believe that she has the required skills to make a difference. I noticed in the rest of the week that the team is opening up and I saw greater number of face to face interactions and calls from my employees and less emails than before. For the low performer employee, I started looking for her and asking about how things are moving and at the first couple of interactions she was cautious about sharing what she was doing and I kept telling her I am here always to guide you. So, never hesitate to approach me for my help. Within few days she started opening up and she was very happy to share her successes and the lessons she learnt and how she do it differently. Through changing my behaviour from the first meeting to the second meeting and the interactions in between, my observer peer and I noticed a notable improvement in two areas. Firstly is in the attitude and behaviour of the low performing employee. She became very active and started opening up to many channels to seek support. Secondly, the transparency was increased. I keep receiving updates calls instead of getting updates once in our weekly meeting. The change in my behaviours and attitudes towards my team members made them realise that I am very confident about their skills and ability. Also, my attitude made them learn that this is a safe environment to make mistakes. Mistakes can be fixed but the thing is to learn from our mistakes. On the other hand, they also wanted to prove to me back that they are accountable and credible. Moreover, when people find that the other person trusts them and their abilities, they become more assertive, conscious and wilfully stand for their promises. This automatically encourages them in improving their performance. This experiment was quite hard for me, as earlier i used to advice them to follow my path. I never gave them such a big space to prove their skills and ability. Therefore, I was always worried about failure. I used to think that what will happen if we fail in delivering our Sales commitment. So it was difficult for me to give the team more space to do things their way. Anyhow, I managed to try this experiment to change my behaviour, as i considered it to be very important and hence, witness the change in the performance and results. While doing the experiment I felt that my team and I had a better chemistry where the team also started to talk to me about their personal challenges and interests. More importantly, they began to tell me what I wanted to know without me having to ask them. I have decided to select the expectancy effect to boost the performance of all the team members and to be an effective leader. As I result of the experiment I expect the team to develop in three areas. Firstly, being very open and feel free to seek support. The second is to improve the autonomy of the team and thirdly, to create a sense of motivation among them. All the three areas I believe will personally help me in developing my leadership skills and professionally it will help me in driving greater results to the business.