Assembling Charts

Properly assemble inpatient. Assembly of medical records are done in * Chronological order according to â€Å"filing order of the medical record. † * Assemble forms according to the order given in this policy * Charts are identified with typewritten white labels with: 1) Patient Name 2) Electronic Health Record Number (MRN) Order of Chart Assemble 1. Face sheet * Patient Information and Guarantor 2. Consent Forms * Signed Yearly Consent Form * Medicare Consent Forms * Counseling Form * BC Consent 3. Lab Reports Pathology Reports * Laboratory Reports 4. Prenatal (Only Pregnant Patients) 5. Hospital DC * All hospital discharges including ER visits 6. Cardiac * Echocardiography results * 12-Lead EKGs * Stress Test Results * Cardiac catherization results * Venous & / or Arterial Duplex results * All other heart related 7. Procedures * Biopsy * Op reports (colonoscopy, cholecystectomy, CABG, etc) * All procedures * Home Health Orders 8. Correspondence * Letters from consulting phys icians 9. Medical History (Old Records) 0. Miscellaneous I got to watch Mrs. Cathy as she reviewed charts for deficiencies. If any deficiencies are noted a note is put on the chart and the chart is returned to the physician to have all documentation correct or signed. At 11 o’clock we had a staff meeting where all the staff, even those that work from home comes in and we reviewed VEH growth, scores, and what the department needs to be doing in the up coming weeks. After lunch we started reviewing CD’s that have been created from past paper charts.The paper charts have been put on CD to help conserve space, and create a more secure source for saving ad storing past medical histories. 1. X-Rays * All X-Rays * Mammogram * CT Scans, MRIs * Ultrasound * Nuclear Medicine test results * IVPs * DEXA scans * Thyroid scans 2. Referrals * All documentation for referral of patients to outside providers 3. Communication * Orange Telephone Message / Intake Sheets * Any Provider to p atient communication including: i. Letters of Missed appointments / no shows i. Letters of Patient Termination 4. HIPAA * Al Consents – Treatment, Release of Information & Authorization 5. Patient Info / Billing * Patient demographics * CAP information * Insurance information including copies of insurance cards It is important that all documentation such as spelling of the names, addresses of the parents, and full names of the parent are correct the final submitted document. It is a costly mistake for the parents to have to change this information later after submission.This is where HIPAA polices come into effect and help healthcare personal to maintain administrative, physical and technical safeguards in protect confidentiality and prevent unauthorized access to health information. It was interesting to learn that any if a mother is not married, and the father is not present when signing the application for a birth certificate that he must pay to add his name after the birt h certificate has been filed with the NC Birth Certificate Registry. Ms. Boyd has 4 days to submit Birth and Death Certificates to the Edgecombe County Health DepartmentAfter numerous trips to verify that all the information was correct on the birth certificates, Ms. Boyd took the time to go over all department policies and procedures for the Release of Information. It is the Health Information’s professional’s responsibility to make sure that private information is not release into the wrong hands. Failure to do so affects department’s credibility in performance and security of information. Guidelines for ROI Reviews the Authorization form to ensure: Specific records are requested (general statements such as â€Å"all mental health Information† or â€Å"all medical records† are not HIPAA compliant) †¢ Clearly specific reason for the released record †¢ Expiration date †¢ Youth has initialed and signed †¢ Parent/guardian has init ialed and signed †¢ Witness has signed Reviews request to make sure there is no clinical contraindication Releases information Authorization form and a copy of the response filed in the health record Health Information Tech maintains a log of all requests that contains: †¢ Date and time request was received Date and time request was reviewed by †¢ Disposition of the request †¢ Copy of Authorization form (also must be filed in health record) Documents a communication progress note that includes: †¢ Name of person requesting the record & relationship to youth †¢ If youth co? signed the request †¢ Purpose of the request, as stated on the Authorization form †¢ What records were released? †¢ If clinician was present when the records were reviewed by the Requestor

Relations of the mind to the body

A definite relationship exists between the mind and the body.   Some theorists express this relationship as the mind-body connection, and many continue to debate about whether the mind controls the body or whether the body controls the mind.   â€Å"The body-mind problem concerns the relationship between minds, or mental processes, and bodily states or processes.   Philosophers aim to explain how a supposedly non-material mind can influence a material body and vice-versa,† (Philosophy of the Mind, n.d.). Although it may be difficult to explain, there is evidence that people experience this mind-body connection on a regular basis.   Throughout history people have used their minds to control their bodies.   For example, â€Å"using ancient meditation techniques, Tibetan monks have demonstrated to scientists their ability to raise their own body temperature and hold it high enough that they are able to dry out wet cold sheets wrapped around their body, even in a chilly room,† (Bridger, 2006). Our bodies respond to our minds, the way we think, and to our emotions.   What happens in our minds greatly affects our bodies, as there is a definite relation between the two.  Ã‚   However, many people don’t realize the extent of this connection.   For example, â€Å"poor emotional health can weaken your body’s immune system, making you more likely to get colds and other infections during emotionally difficult times,† (American Academy of Family Physicians, 2006).   If you want to change your body, you have to change your thoughts.   â€Å"We do not realize that little ordinary negative thoughts we have throughout the day have the power to create substantial changes within our bodies.   Negative thoughts wreak havoc on your body and will age you at a greatly accelerated rate,† (The Mind Body Connection, n.d.). I believe in the body-mind relation because I have experienced the connection.   When I have allowed myself to think bad thoughts, I have noticed that my body feels weak like those thoughts have somehow sucked the energy out of my body.   I have also allowed myself to think negative thoughts to the point of getting a headache, or feeling sick to the stomach.   I don’t think we can separate our minds from our bodies.   When I think happy thoughts I feel more energetic. Science and medicine will never be able to prove every aspect of the mind-body connections, and that is not really important because I doubt that every reality of life can be proven.   But I know there is a strong relation between the mind and body and it is beneficial for us to learn more about this connection.  Ã‚   Knowing that our thoughts affect our bodies is a motivating factor in helping me pay more attention to what I think, and to focus on thinking positive thoughts. References American Academy of Family Physicians (2006). Mind/Body Connection: How Your Emotions Affect Your Health.   Retrieve April 1, 2007 from http://familydoctor.org/782.xml Bridger, D. (2006).   How Much Can Your Mind Control Your Body?   Retrieved April 1, 2007, from http://www.mindpowernews.com/127.htm Philosophy Of The Mind (n.d.).   Retrieved April 1, 2007, from http://en.wikipedia.org/wiki/Philosophy_of_mind The Mind Body Connection (n.d.).   Retrieved April 1, 2007 from http://www.quantumhealthandfitness.com/mind-muscle-connection.htm   

Reform of WTO Essay Example | Topics and Well Written Essays - 1000 words

Reform of WTO - Essay Example As tha paper declares a corporation that pollutes a river into which it discharges wastes will be made to clean it up and to compensate those who have been harmed. The cost of keeping the environment clean becomes a part of the production cost. This can be enforced when there is a global authority to regulate pollution. Without global environment protection welfare cannot be maximized. This essay stresses that unconstrained globalization is likely to lead to economic efficiencies. The ruling elite have to care about the overall welfare otherwise they will out-compete countries that provide minimal conditions for their workers. According to Herman Daly when world production shifts to countries that do the poorest jobs, it reduces the efficiency of global production. The fear is that rich countries would use high standards to keep goods out of the poor countries. Instituting global standards is the only way to prevent an equally inhuman form of uncontrolled global capital. Trade and politics should be independent of each other. Governments may trade with other countries even while disapproving of their regimes. The US has attacked China for its human rights record while it expanded its trade with China. At times though, many trade deals are done with the governments. Transnational corporations arrange with governments for oil exploration, to cut timer and to fish. Th ey thus accept the government’s rights to sell the resources that lie within its border.

Statistics Assignment Example | Topics and Well Written Essays - 750 words

Statistics - Assignment Example (d) The residual for the New York Yankees indicate that there is high error in home attendance prediction for the Yankees. The observed home attendance for the New York Yankees is much higher than predicted value using linear regression model. (a) There appears a non-linear relationship between Human Development Index (HDI) and the number of cell phone subscribers. The relationship between HDI and the number of cell phone subscribers appears to be logistic (similar to exponential) that is increases quickly at first, and than slows down, and than finally reaches at a saturation point. Therefore, fitting a linear model to these data might be misleading. (b) The scatterplot of residuals versus predicted HDI will look like a bend (curved) graph. The errors (residuals) will be positive at start (left) and than drop down in the middle and drop down further (negative) on the right. 3) If that point were removed from the data, the correlation would become weaker (or no correlation). Removing this point there appear no relationship between x and y. This point is far from all other scattered points and thus tries to form a linear relationship and thus increases the

The last financial crisis 2007-2009 has many implication on different Research Paper

The last financial crisis 2007-2009 has many implication on different markets , however there are some arguments that the gulf a - Research Paper Example Therefore, the overall coursework of the research incorporates a qualitative research approach through analyzing different scholarly based articles, peer-reviewed journals and governmental reports in order to evidently justify the impact of financial crisis in Qatar and other GCC countries. The findings of the research identifies that the financial performance of Qatar and other GCC countries were significantly affected. The real estate and construction industries belonging to most of the GCC countries were highly affected by the US financial recession 2007-2009. However, the conventional investment system along with the lower exposure to sub-prime assets has helped the GCC nations to avert financial risks from the crisis. Table of Contents Abstract 2 2 1. Introduction-Background 4 2. Literature Review 4 3. Research Objectives and Research Questions 7 4. Research Design 9 5. Data Collection and Analysis 10 5.1 Data Collection 10 5.2 Analysis 10 6. Ethical Consideration 11 7. Analysis 12 8. Conclusion 15 References 16 1. Introduction-Background The invasion of the last financial crisis 2007-2009 has been ever considered to impose considerable impact on the economic conditions of global nations. The crisis that took during the period 2007 to 2009 had considerably affected the global economy and made dramatic changes to the financial conditions throughout diverse regions of the globe. The global financial turmoil had radically impacted most numbers of the developed countries across different regions of the world. During the financial turmoil period, the countries associated within Golf Council Corporation (GCC) have also been experienced to get affected in terms of real Gross Domestic Product (GDP) growth rate along with annual consumer inflation rate (Nanto & et.al, 2008). With reference to the major consequences that experienced by the GCC nations, the research report tends to critically assess the major factors affecting the financial condition and analyze thei r radical implications that devastated the economic position of the GCC countries. The report also tends to conduct literature analysis through highlighting major economic theories, historical influences and assumptions relating to the invasion of the economic crisis during the period 2007 to 2009. 2. Literature Review In relation to determine the severe impact of the last financial crisis 2007-2009, numerous researches and analyses have been made concerning the identification and assessing the consequences of the influencing factors that led towards the last financial crisis 2007-2009. Various literatures depict number of issues that significantly define the root cause of financial crisis along with their potential implications that further led the GCC countries to experience radical changes in their respective economic conditions. Therefore, the literature review section would be incorporated with analyzing various scholarly based articles, reports and internet related sources alo ng with their findings in order to evaluate the major impact of financial crisis on the GCC regions. According to the observation of Cozzi (2009), the aspects including low household saving rates along

Atypical Development Essay Example | Topics and Well Written Essays - 500 words

Atypical Development - Essay Example Those children suffering from ADD or ADHD are in most case disruptive in the classroom, while, at the same time displaying behavior problems, which are capable of making the school experience hard for everyone concerned (Turner, 2003). Nonetheless, there is a high possibility of effectively controlling and managing these disorders’ symptoms with appropriate treatment. On the other hand, Conduct Disorder varies from both ADD and ADHD since the patterns of behaviors observed happen to be more deviant, as well as antisocial in nature while having high degrees of aggression, as well as delinquent acts. The treatment for these disorders comprises of drug therapy, together with behavior modification therapies with drug therapy for ADD and ADHD including drugs such as Modafinil and Ritalin. Conversely, the best way of treating Conduct Disorder entails treating individual symptoms, as well as sub-disorders while finding proper disciplinary actions, which encourage prosocial behavior s o as to redirect negative behavior into prosocial behavior. The second category of problems is the internalized problems, which happen when the child concentrates their deviant behaviors onto their self. Issues connected to this problem genre comprise of eating disorders, adolescent suicide and depression. In this case, the child has depression which has an impact on the developing child through impacting their capability of performing their day to day tasks, by holding their energy level, as well as through their chronic sad mood. In treating depression, various forms of treatment is applicable; in some cases, it is helpful to apply light or color therapy and in other cases whereby the depression has a connection to seasonal mood swings (Halla-Poe, 2003). There are instances like in this scenario, whereby psychological counseling tends to be

Using insight into historaical, social and cultural context write an Essay

Using insight into historaical, social and cultural context write an regarding the expectations of pip in Charles Dickens 'Great expectaions - Essay Example He develops unrealistic expectations which lead him to develop undesirable traits. However, the resulting disappointments turn him more mature and responsible. In the beginning, Pip is so vulnerable crying â€Å""Oh! Dont cut my throat, sir, O pray.....† (p.3) when the convict Magwitch catches him in the churchyard. His situation is so desperate as he stands looking at the graves of seven members of his family; being an orphan, without family and friends, he stands alone in the world. In such a position, Pip longs to improve himself setting expectations. He admires Joe, the blacksmith and has "a new sensation of feeling conscious that I was looking up to Joe in my heart" (p.4). However, his admiration soon turns into indifference as he starts develop unrealistic expectations. Some of his expectations are educational, moral and social. The change starts coming upon him on his meeting Mrs. Havisham and Estella. Pip, who has admired Joe and the working class life, starts noticing the difference between classes. He thinks regretfully, â€Å"I was a common labouring-boy; that my hands were coarse; that my boots were thick; and generally that I was in a low-lived bad way" (p. 27). He loves Estella and yearns to marry her; however, he faces the truth that he is poor, ignorant and realises the difference between moral and immoral behaviour. He is idealistic which causes him to have a very narrow view of the world. So, he sometimes acts rude to people who actually care for him. He goes by the face value, which leads to disappointments. When Mr. Jaggers tells Pip about the great expectations that they have placed on him, he thinks that Miss Havisham is going to spend her fortune and expects that Mrs. Havisham is his benefactor, but when he realises the truth that he had been so long supported by a convict, he is unable to take it. However, later he comes to learn the human qualities of

Current issues in advertising Essay Example | Topics and Well Written Essays - 1000 words - 1

Current issues in advertising - Essay Example Duke grew to become the leading cigarette brand by 1890 . WoodburyÃ'• Facial Ð…oap, a womanÃ'• beauty bar, waÃ'• almoÃ'•t diÃ'•continued in 1910. The Ã'•oapÃ'• Ã'•aleÃ'• decline waÃ'• reverÃ'•ed, however, with adÃ'• containing imageÃ'• of romantic coupleÃ'• and promiÃ'•eÃ'• of love and intimacy for thoÃ'•e uÃ'•ing the brand. Jovan MuÃ'•k Oil, introduced in 1971, waÃ'• promoted with Ã'•exual entendre and deÃ'•criptionÃ'• of the fragranceÃ'• Ã'•exual attraction propertieÃ'•. AÃ'• a reÃ'•ult, Jovan, Inc.Ã'• revenue grew from $1.5 million in 1971 to $77 million by 1978 (Del, 66-111) In contemporary mainÃ'•tream conÃ'•umer advertiÃ'•ing (e.g., magazineÃ'•, network and cable televiÃ'•ion), Ã'•ex iÃ'• preÃ'•ent in promotional meÃ'•Ã'•ageÃ'• for a wide range of branded goodÃ'•. AdÃ'• feature provocative imageÃ'• of well-defined women (and men) in revealing outfitÃ'• and poÃ'•tureÃ'• Ã'•elling clothing, alcohol, beauty productÃ'•, and fragranceÃ'•. AdvertiÃ'•erÃ'• Ã'•uch aÃ'• Calvin Klein, VictoriaÃ'• Ð…ecret, and PepÃ'•i uÃ'•e theÃ'•e imageÃ'• to cultivate a ubiquitouÃ'• Ã'•ex-tinged media preÃ'•ence. AlÃ'•o, Ã'•exual information iÃ'• uÃ'•ed to promote mainÃ'•tream productÃ'• not traditionally aÃ'•Ã'•ociated with Ã'•ex. For example, the DallaÃ'• Opera recently reverÃ'•ed declining Ã'•eaÃ'•on ticket Ã'•aleÃ'• by marketing the more laÃ'•civiouÃ'• partÃ'• of itÃ'• performanceÃ'•. AÃ'• a reÃ'•ult of itÃ'• Ã'•exual promotion Ã'•trategy, Ã'•eaÃ'•on tic ket packageÃ'• Ã'•old out faÃ'•ter than ever before . (Del, 66-111) Ð…ince the 1960Ã'•, reÃ'•earcherÃ'• uÃ'•ing Ã'•ocial Ã'•cience methodÃ'• have attempted to underÃ'•tand the role of Ã'•ex in advertiÃ'•ing for Ã'•elling brandÃ'•. Ð…pecifically, they have attempted to underÃ'•tand exactly how Ã'•exual content influenceÃ'• the advertiÃ'•ing communication proceÃ'•Ã'•. In thiÃ'• article, I organize thiÃ'• body of reÃ'•earch by firÃ'•t defining and deÃ'•cribing common typeÃ'• of Ã'•exual content examined by inveÃ'•tigatorÃ'•, and then by reviewing major approacheÃ'• in pertinent effectÃ'• reÃ'•earch. Finally, I Ã'•et

Writing the History of the Australian Frontier Essay

Writing the History of the Australian Frontier - Essay Example However, Reynolds denied the claim by Windschuttle and stood by his original estimate. Thus, there started a conflict between the two distinguished figures over the number of Aboriginals killed in the frontier. "This skirmish was the first in what has since become known as the Aboriginal history wars. Windschuttle fired more shots in articles in the last four issues of Quadrant in 2000. Reynolds returned fire in a major article in the March 2001 issue of The Australian Review of Books. And there have been carefully staged verbal skirmishes in venues like Gould's Book Arcade in Sydney, on ABCTV Lateline and at the National Press Club in Canberra." (Ryan 2001, P. 31). Therefore, there has been a significant conflict of ideas and arguments by Henry Reynolds and Keith Windschuttle on the topic of writing the history of the Australian frontier and it is essential to comprehend the main areas of disagreement and agreement between the two. This paper undertakes an exploratory analysis of th e major arguments by Reynolds and Windschuttle in order to identify the major areas of disagreement and agreement between them, the evidence provided by each of them to support his position, and the utility of Ryan’s article to comprehend the realities of this controversy.... h Windschuttle has been their positions on the number of causalities in the Australian frontier and the two proposed significant substantive evidences to argue their positions. According to Reynolds, "It seems reasonable to suggest that Aborigines killed somewhere between 2,000 and 2,500 Europeans in the course of the invasion and settlement of the continent. There were many hundreds of others who were injured and carried both physical and psychological scars for the rest of their lives. Calculating the Aboriginal death toll is much more difficult For the continent as a whole it is reasonable to suppose that at least were killed as a direct result of conflict with the settlers." (Reynolds 1981, P. 99). Therefore, he mainly argues that the casualties can be calculated around 2,000-2,500 Europeans, and it is much more difficult to calculate the Aboriginal death toll. He also ascertains that Tasmania documented the conflict better than anywhere else in the country and Ryan's estimate of 800 is possibly more precise than the other estimations. The secondary effects of the invasion include disease, deprivation, and disruption which were responsible for the premature deaths of many more people and it is not possible to arrive at a realistic figure on the question. Windschuttle confronted the views by Reynolds on the number of deaths in the Australian frontier and his article "The Myths of Frontier Massacres in Australian History," claimed that many massacres of Aborigines in the Australian frontier were fabricated pointing out that the number of casualties in the frontier was far fewer than estimations of Henry Reynolds. He also disagrees with Reynolds' argument that the number of the Aborigines who died defending their territory outnumbers, in both relative and even

Analysis essay Example | Topics and Well Written Essays - 250 words

Analysis - Essay Example Under the stealth of night, the sniper found himself playing mind games with the enemy, and had to calculate his every move to make sure his opponent would not receive any clues that could cost him his life. Throughout the short story, the sniper takes extra precautions and devises deceiving schemes in order to outsmart his enemy. This is why his last actions in the story are inconsistent with his meticulous attention to strategy and precautions prior to the story’s conclusion − yet keeping in mind the context of the war helps the reader to understand his motivations. From the very beginning, the sniper portrays himself as a very cunning young soldier, taking every measure to ensure that he does not give the enemy a foothold that could cost him his life – with the exception of foolishly lighting a cigarette at night to quench his intense nicotine addiction. He skillfully lays low in stealth from the rooftop and picks off a woman informant on the street below, as well as the enemy soldier emerging from the turret of the vehicle that he was attentively keeping under surveillance. Soon afterward, enemy fire from the rooftop of a building across the street caught him in the arm, and through trickery, the Republican sniper fooled his shooter into believing that he was fatally wounded. Causing his opponent to let his guard down, the sniper was able to get a clean shot at him with his revolver, killing him with a round that plummeted his lifeless body to the street below. As the average reader would come to believe that this would be just another mundane casualty of war in the sniper’s mind, readers with a knowledge of the Irish civil war of the 1920s − as being an up-close-and-personal warfare that often divided families and friends to war against each other – come to understand soldiers’ uncanny curiosity to know exactly who their opposition is. Also, the author

Impacts of Cultural Differences Essay Example for Free

Impacts of Cultural Differences Essay College Graduation Thesis Subject: Impacts of Cultural Differences on International Business Negotiation Name: Chen Xiujuan Student No. : 0 8 5 1 0 3 4 0 Specialty and Class: Business English, Class 3 Department: Department of Humanities and Arts Supervisor: Liu Mifan Date: 2011-3-02 Contents Introduction1 1. Types of Cultural Differences2 1. 1Value View2 1. 2. Negotiating Style2 1. 3. Thinking Model2 2. Impact Of Cultural Differences on International Business Negotiations4 . 1Impact of Value Views Differences on International Business Negotiations4 2. 1. 1Impact of Time View Difference on Negotiation. 4 2. 1. 2Impact of Equality View Difference on Negotiation. 5 2. 1. 3 Impact of Objectivity Difference on Negotiation. 6 2. 2 Impact of Negotiating Style Differences on International Business Negotiations. 7 2. 3 Impact of Thinking Model Differences on International Business Negotiation. 8 3. Coping Strategy Of Negotiating Across Cultures. 9 3. 1 Making Preparations before Negotiation. 9 3. 2 Overcoming Cultural Prejudice. 10 3. Conquering Communication Barriers. 10 Conclusion11 Bibliography12 Acknowledgements13 Abstract The business negotiations under different cultural conditions come to cross- cultural negotiations. With the economic globalization and the frequent business contacts, cultural differences seem to be very important; otherwise they could cause unnecessary misunderstanding, even affect the result of the business negotiations. This means it is very important to know the different culture in different countries and the ways to avoid the culture conflicts in the internat ional business negotiations. The article commences from the types of culture differences, then it explains the impacts of these culture differences on international business negotiation and finally it analyzes how to deal with the problem of the cultural differences correctly in negotiation process. Such a standpoint is emphasized: In the business negotiations between different countries, negotiators should accept the other party’s culture, and try to make him be accepted; then make a correct evaluation with the help of valid communication and discover their real benefits between them. Besides, we should know clearly and try to accept the culture differences as possible as we can. It is very important for the success of culture negotiations. Key words: Culture; Cultural differences; Business negotiation; Impact Introduction Along with the advancement globalization and China’s WTO entry, business enterprises in China have to face more and more business negotiations with foreign enterprises, especially with American enterprises. In these negotiations, Chinese negotiators sometimes feel uncomfortable, puzzled, lost, irritated and the alike, because of unfamiliar custom and behaviors demonstrated by American negotiators. Meanwhile, American negotiators confront the same situation. Cult rural differences between China and west countries could cause many problems. Therefore, understanding cultural differences and overcoming them is crucial in international business negotiations. Although the definition of culture is numerous and vague, it is commonly Recognized that culture is a shared system of symbols, beliefs, values, attitudes and expectations. Culture is a major determinant in business negotiation. So have a clear picture of culture differences if of great significance. . Types of Culture Differences The east countries and west countries have produced different cultures on the different continents. Among the different cultures, value views, negotiating style and thinking model appear more obvious. 1. 1Value View Value view is the standard that people use to asses objective things. It includes time view, equality view and objectivity. People may draw a different or even contradictory conclusion abo ut the same thing. Value view is one of the most important differences among the many factors. It can influence the attitude, needs and behavior of people. The value view varies from nation to nation, people know that the eastern person focus on collectivism, while the western people pay more attention to individualism. 1. 2. Negotiating Style Negotiating style refers to the tolerance and graces which the negotiator shows in the negotiation. The negotiators show their negotiating style through behavior, manners and the method of controlling negotiation process during the negotiation. The negotiator’s negotiating style has a bearing on their culture background. According to the culture differences, negotiating style falls into two types: the east negotiating style pattern and the west negotiating style pattern. 1. 3. Thinking Model Thinking model reflects the culture. Because of the influences of history background, continents, words and living method, different nations generate different thinking models. Surely, there is more than one thinking model of a nation, but one is more obvious compared with others. As a whole, east people, especially Chinese have strong comprehensive thinking, image thinking and curved thinking, while analytical thinking, abstract thinking and direct thinking are possessed by the west people. 2. Impact of Cultural Differences on International Business Negotiations With the rapid development of economy, we need to do business with businessmen under different culture background, so in order to reach trade agreement, it is necessary for us to study the impact of culture differences on international negotiation in global business activities. The impact of culture differences on international negotiation is extensive and deeply. Different cultures divide the people into different group and they are also the obstacles of people’s communication. Accordingly, it is required that the negotiator should accept the culture of each other. Furthermore, through culture differences, it is important that the negotiator reveal and understand the other party’s goal and behavior and make him or herself be accepted by the opponent to reach agreement finally 2. 1Impact of Value Views Differences on International Business Negotiations Value Views Differences on International Business Negotiations fall into three types: time view, negotiation style, thinking model. Each has big influences on business negotiation 2. 1. 1 Impact of Time View Difference on Negotiation. The time view which affects the negotiator’s behavior varies from east countries to west countries. The oriental or the Chinese negotiators are usually cautious and patient. They need to go through the phrases of coming up with proposes, bringing up objections and ending the trade which takes a longer time. And they hope to arrange rich time to go on a negotiation, thus knowing more about the opponent . They are good at long and continuous battle. While west people or we could say American people, consider time is precious. They tend to resolve problems swiftly. So, in business negotiation, American businessmen often complain about the delay and the lack of efficiency of negotiators from other countries, while these countries also make a complaint that the Americans lack patience. There is a popular saying among American negotiators and businessmen: It is prohibited to steal time. That shows the time view of Americans. To them, time means money. The time view of Chinese is cyclic. They use long-term and systematic viewpoints to value the importance of the topic. A famous people classify the time view into two kinds: straight-line time viewand cyclic time view. The former pay more attention to concentration and speed, and the later stress doing many things at one time. That they insist on different time view leads to different negotiating style and method. The American people represent the straight-line time view and they have a strong awareness of modern competition. They look for speed and efficiency. So they value time badly and consider time as a special commodity whose value could be assessed. They often use minute to calculate time . They hope to reduce negotiation time at every phrase and want to complete the negotiation quickly. But the Chinese time view is cyclic and they place emphasis on unity. Moreover, it is necessary to be punctual at negotiations. West people have a strong time view, if you don’t comply with the appointment time, they may give you a punishment and they will regard you as unreliable and irresponsible person. Being late for negotiation will give the west businessmen opportunities to exert pressure onyou, and then you will lose the status of being initiative. 2. 1. 2 Impact of Equality View Difference on Negotiation America went through the bourgeoisie revolution of striving for the equality and freedom, so they take equality into their heart. Americans stick to equality and fairness in business, and hope that both could gain benefit. When introducing the topic or situation, the west people would like to use concrete method, particularly data. Their negotiating method is that they will describe their viewpoint and propose at the beginning in order to get initiative. Under this principle, they would come up with a reasonable resolution which they think is very fair. In business relationship, the sellers from America regard the buyer as a counterpart. Americans are fairer than Japanese is sharing benefits. A lot of American managers think fair division of profits is more important than how much they could get. At this point, the east people are different. Because of the deeply influence of class view, they don’t pay much attention to equality. They usually adopt single-win strategy in business negotiations. When involving economic benefits they think much about their own benefits and profits and don’t give so much attention to the benefit of their partners. The market economic system of developed countries is quite mature, so west countries take win-win strategy more in negotiation; basically, they could take the benefits of both into consideration. 2. 1. 3 Impact of Objectivity Difference on Negotiation The objectivity in international business negotiation reflects the degree to which people treat any things. West people especially Americans have a strong objectivity on the understanding of issues. At negotiation table, Americans don’t care much about relationship between people. They don’t care if the status of the opponent is equal to theirs. They make decision based on facts and data, not people. The saying that public things use public ways is a reflection of American objectivity. Therefore,Americans emphasize that Businessmen should distinguish people and issues, what they are really interested in is the actual problems. But in the other parts of the world, it is impossible for them to distinguish people and issues. . 2 Impact of Negotiating Style Differences on International Business Negotiations The impacts of negotiating style differences on international business negotiation mainly exist in negotiating method and negotiating structure. Take the negotiation between America and China as a example, since the oriental care more about unity in thinking, they method they adopt in negotiation is from unity to parts, from the big to little, from the abstract to the concrete, that is to say they should each agreement on general terms, then begin to talk about the concrete terms. And usually not until the end of the negotiation do they make compromise and promise based on all the items, and then to reach agreement. The west people are influenced by analytic thinking, so pay more attention to logical relations between things. They consider more about concrete things than integrity. And they tend discuss the concrete items at the beginning of negotiation, so they often resolve the price, delivery and issuance respectively at first. And they may make compromise at every detail, so the final contract is the combination of many little agreements. The negotiating structure is linked with cultures. Negotiating structure mostly refers to the number of the participants. In business negotiation, the foreign delegation is usually composed by 3-5 people, while the Chinese one could be more 15 people. The foreign negotiators not only need to negotiate with their counterparts but also need to discuss with related person in charge or the government. When making the final decisions, the Chinese negotiators often discuss the results repeatedly from the workers to the board to avoid being decided by a single person. That results from the influence of collectivism. So they often said to their partners: Let us think about it. Let us discuss it. But the west negotiators could make the final decision without going back for discussion. That because their admire individualism and hard working. They have strong independence. They would carry on according to the best ways after knowing their goals. What’s more, most west people think that they have the ability to deal with the negotiation situation on their own. And truly, they are brave enough to take responsibility. 2. 3 Impact of Thinking Model Differences on International Business Negotiation The thinking model of Chinese tends to be comprehensive, concrete and curved, while the Americans are usually analytic, abstract and straight-line. We Chinese are accustomed to talking about general principles at first and then move onto details. To Chinese negotiators, the core is the general guideline, and the details are subject to the guideline. After figuring out the big picture, other problems are easier to resolve. It is the most obvious feature of Chinese negotiators. But west businessmen, especially Americans are likely to discuss the details first and try to avoid the principle. They value details very much and think noting about the unity. Accordingly, they want to discuss the details at the beginning of negotiation. They are direct and simple in negotiation. As a matter of fact, many facts show that General principles first have impact of constriction on the parts and details. For instance, our government insists on the principle that Hong Kong and Macao are undivided parts of China’s territory. In the important diplomatic negotiations such as Entering into relationship with America, Hong Kong’s and Macao’s Coming back into their motherland. It is under such principle that we established the tone of the negotiation and controlled the skeleton of the negotiation, thus we get the advantage and prompt the success of negotiation. 3. Coping Strategy of Negotiating across Cultures The culture differences in cross-cultural communication have various impacts on operation of enterprises. These differences will influence negotiation and management of transnational operation; what’s more, it may have bad effects on the harmonious relationship between our country and foreign countries. Maybe that will lead to the missing of market opportunities, the increase of trade cost and the low efficiency of company management. So, it is really necessary for us all to eliminate and avoid disadvantageous effects. 3. 1 Making Preparations before Negotiation. The negotiators must make good preparations if they want control the development of negotiation successfully in the complex situation. Only do they make good preparations can they make changes freely according to the situation of negotiation and avoid the happening of conflicts. Because the international business negotiation involves extensive aspects, more preparations are needed. The preparations often include the analysis of the negotiators themselves and the opponents; the constitution of negotiation group, elaborating the negotiating goal and strategy and going on imitation negotiation when necessary. When making preparations, you should try to know the opponents while you analyze yourselves. Analyzing yourselves mainly refers to studying if the project is feasible. To knowing about the opponents means understanding their strength such as credit status, the policy? business customs and regulations of their countries and the conditions of their negotiating members and so on. . 2 Overcoming Cultural Prejudice Tolerating different cultures and overcoming cultural prejudice contribute to better communicating with each other and understanding each other. West people often think that they are powerful, capable and experienced, so sometimes, we need to recognize then and give then some good comments. We should learn about the foreign cultures before negotiation a nd accept and understand their cultures in negotiation, because every country regard their own cultures as a matter of course and hope that their culture could be recognized and accepted. 3. Conquering Communication Barriers Two trains running at different railways in the opposite direction will collide with each other; maybe this is the best arrangement for trains. But to communication between people, there won’t be communications if people go ahead according to their own ways. Trains will collide with each other if they run on the same railway at the opposite direction. But if we measure by the objective of people’s communication, only we meet each other, can we have communication and friendship. In negotiation, sometimes we can’t make much progress although we have talked for long time. And sometimes both parties are not satisfied. After thinking, that is caused by communication barriers which happen easily in cross-cultural negotiation. We should make sure if there appear communication barriers, if so, we must overcome them. Generally speaking, we should pay more attention to the following three communication barriers in cross-cultural negotiation: the communication barriers caused by culture background of both; the ones caused by misunderstanding of the contents and information from the partner; the ones caused by not being willing to accept the opponent’s contents and ideas. Conclusion â€Å"Social Customs varies in different countries†. In a word, cross- cultural communication will meet the problem of culture differences surely. In turn, culture differences also influence all aspects of international business communication. To avoid or to resolve the culture differences is a huge task in international business negotiation. In order to step into the international market successfully, we must have the awareness of culture differences, acknowledge culture differences and understand different cultures. Try to know yourself and know them. What’s more, we should respect different behavior of businessmen under different culture background, and then we could reduce unnecessary conflicts resulting from not respecting the opponents. It is beneficial for both to form an atmosphere of mutual trust and cooperation, reduce culture differences and turn disadvantages into advantages and benefits. Thus, we could avoid conflicts and obstacles, then to promote communication and harmony in international business negotiation. Bibliography 1]George Yule. The study of Language[M]. Cambridge University Press,2000:202-209 [2]Harvey, Paul,,â€Å"The Oxford Companion to English Literature† [M]. London: Oxford University Press. 1978:23-25 [3]Philip R Harris, Managing Cultural Differences [M]. Gulf Publishing Company, 1987:234-260 [4]Wang Cheng fa. A Glimpse of Foreign Land [J]. Kaifeng: Henan Univesity Press, 2000:58-62 [5]. [M]. : ,2000:2-6 [6]  · —— [M]. : ,2004 [7].. [M] : ,2003:340-342 [8]. [M]. : ,2001 Acknowledgements As acknowledgements for my paper, only I — the writer is responsible for the shortcomings. I much acknowledges my thanks to all my teachers, especially to Miss Liu Mifan, my supervisor, who has provides me support, critical ideas and careful suggestions. I also want to thank my family who always give me time, encouragement and secretarial services, especially my parents. Finally, my classmate and friends, who provided thoughtful and thorough reviews of my paper, must be acknowledged.

Harm Reduction and Abstinence Based Treatments

Harm Reduction and Abstinence Based Treatments This essay will be constructed into four parts, harm reduction, abstinence based reatments, substance misuse and recovery. There will be a discussion on the history of harm reduction and what harm reduction is in the substance misuse field, for example problematic or harmful behaviour that is caused to the individual or others either socially, psychologically, physically or legally brought on by substance misuse. Secondly an explanation on abstinence based treatments, what they are and what the relationship is between them and harm reduction. Thirdly referring to recovery and what it means in the substance misuse field and what the implications are for the service users. Last but not means least a discussion about the two different approaches and how it impacts on the service user. To conclude a summary of the main points will be made. (136 Harm reduction pilot schemes started back in the 1980s and were a response to reduce the risk associated with harm caused by alcohol problems and injecting drug use, in response to the HIV and AIDS prevention strategy. Harm reduction is a process and not a treatment and should be integrated with other forms of intervention, it reduces the negative consequences of drug use. It is about educating the individuals, carers, partners and family members about the risks involved with their drug use and helping them take responsibility and learn to accept it rather than to ignore it. Most harm reduction interventions are aimed at preventing diseases due to blood- borne viruses (BBV) as well as overdose and other drug related deaths (Tatarsky Marlatt 2010). Harm reduction services include needle exchange services methadone and buprenorphine programmes. Needle exchange provides services where the users have the opportunity to dispose of their old needles, syringes and spoons for example. Moreo ver they will also receive advice and support on safer injecting, reducing injecting and prevention of overdose, they will receive a pack which contains clean injecting equipment to take away, reducing the risk of them sharing equipment with others (NTA 2006). Substitute prescribing such as methadone and buprenorphine programmes, buprenorphine and methadone are licensed for use in opioid dependence where methadone is dispensed in liquid form and buprenorphine is administered by tablet form sublingually (Connock, Juarez-Garcia Jowett, et al 2007). (236) Abstinence based treatment Abstinence means refraining from an activity which is known to be harmful and addictive or reducing this activity with the ultimate goal of being abstinent (McKeganey et al 2006). Doing this involves not taking a particular substance, avoiding areas where this is likely to be on offer or adopting a healthier lifestyle. Abstaining can be difficult to do especially when the substance has been part of their life for so long, this is where the individual has to look at healthier ways to deal with their substance use. This can include a range of abstinence based treatments to help the individuals with alcohol or drug such as Non-drug interventions the twelve step programme (self help) and Psychosocial interventions such as motivational interviewing or CBT. The twelve step programme is a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioural problems, it was originally proposed by Alcoholics Anonymous (AA) as a method of recover y from alcoholism. Motivational Interviewing is usually offered to achieve and maintain abstinence, it was originally used with problem drinkers but has also been applied to the treatment of illicit drug misuse (Raistrick et al 2006). There are several Pharmacological interventions available to treat alcohol dependence which are disulfiram, acamprosate and naltrexone. These all work in different ways Disulfiram is used for individuals who wish to abstain altogether, if taken with alcohol it can cause some very unpleasant effects; vomiting, headache, palpitations and breathlessness. Acamprosate and naltrexone are an anti-craving drugs used in the maintenance of abstinence (SIGN 2003). However there is an increased risk of overdose or death due to a relapse after a period of abstinence as tolerance levels will have changed to that particular substance (REF). (288) Substance misuse Substance misuse is defined as the use of a substance for a purpose not consistent with legal or medical guidelines (WHO, 2006). It is a misuse of all psycho-active substances including illicit drugs, non-prescribed pharmaceutical preparations and alcohol misuse. People use substances because it makes them feel good, feel different and makes them more sociable. Using substances only becomes misuse when a problem arises such as it having a negative impact on health or functioning and may take the form of drug dependence causing problematic or harmful behaviour to the individual or others either socially, psychologically, physically or legally. (99) Recovery The Recovery Model as it applies to mental health is an approach to mental disorder or substance dependence that emphasises and supports each individuals potential for recovery. Recovery is seen within the model as a personal journey, that may involve developing hope, a secure base and sense of self, supportive relationships, empowerment, social inclusion, coping skills, and meaning. For someone who misuses substances recovery may not be about being totally abstinent it may simply mean still using drugs but in a safe way, for instance having clean works for injecting or substitute prescribing for opioid misuse. Recovery principles bring about the change in the way a service user thinks and aims to produce a change in behaviour, however before these changes can only happen if the person is ready to change, ambivalence may be experienced by the service user and this can affect motivation on a daily basis. Motivational interviewing techniques go hand in hand with the harm reduction mode l as one of the key factors with motivational interviewing is dealing with ambivalence. Prochaska and DiClemente 1983 provide a framework to understand the change process it was originally created to help understand what individuals go through in changing their behavior. it uses 5 principles, precontemplation, contemplation, preparation, action and maintenance (Hansen et al 2008). Service users with little or no motivation and who are not engaging in any attempts to change are seen as being in the pre-contemplation stage as they do not see their behaviour as a problem and there is no need to change it, this could be due to an attempt to change in the past without success and may feel demoralised so may become resistant to change. It is important to engage service users at this stage and build a trusting rapport so that in the future they will be able to turn to the practitioner for help. The contemplation stage is when a person acknowledges that they may have a problem and work towa rds developing motivation to change but could become ambivalent, engaging with the service user in discussion about their ambivalence is the goal at this stage getting them to think about what their problem is and how it is affecting them. Individuals in the preparation stage may want to change and have a plan but need help to do so, the reason individuals may seek treatment could be that their problem is having negative effects on life for example, criminality or job loss. The action stage comes next this is where the service user is actively setting goals to change and will be developing skills to do so, supporting the service user in making these goals achievable are key here, goals need to be small and achievable to the service user. In the maintenance stage the service user sustains changes in behaviour and works towards preventing relapse by identifying the supports around them, at this stage the service user may decide to make long term goals and problem solve how to best acc omplish them. Prochaska and DiClemente 1983 describe a sixth stage and it is the relapse stage the service user reverts to the behaviour they were trying to change, the practitioner should provide support for the individual in a non-judgemental way as they may be feeling ashamed and guilty for relapsing, re-evaluate the stage of change the individual is at explore the relapse episode trying to discover if the relapse was shorter or longer than previous relapses and were they able to reduce their use, this may be an opportunity for the service user and practitioner to work on other relapse prevention techniques. (Prochaska Diclemente 1983). However service users may move back and forth between the stages. This does not represent failure, but rather the nonlinear nature of the model. Recovery is about making the best out of their life and having quality of life and as nurses we should provide support and advice to achieve their goals (Network 26 2009). (660) Both the abstinence model and the harm reduction model have similar goals. The goal in this case is to create a better quality of life for the person receiving the service. Harm reduction approaches are often perceived to be the opposite of abstinence based approaches to drug use and sometimes even as condoning drug use. This is not the case, harm reduction complements abstinence based drug treatment approaches by providing Injecting drug users with the knowledge and tools to stay healthy and alive until they are able or willing to achieve abstinence. Abstinence remains the most effective way of reducing the negative consequences of drug use. For injecting drug users who are unable to remain abstinent, harm reduction measures such as methadone maintenance treatment and needle and syringe programs are ways to reduce negative consequences. For example the abstinence approach to caring for an individual who uses heroin and has HIV service users would find that they would be encouraged t o stop using heroin completely and to abstain from sex. While with the harm reduction programme the individual may be taught how to use heroin more safely i.e. clean needles and spoons and other paraphernalia or to substitute methadone for heroin and to practice safer sex. It can be argued that because abstinence based services were not providing HIV education and preventive tools such as condoms and syringes, individuals using these services would remain unaware of the risks of HIV and how to protect themselves from it. (247) Conclusion In conclusion, the integration of harm reduction and abstinence based treatment is more powerful than either model separately. The abstinence goal provides more room for the more abstract harm reduction work to occur. The accepting atmosphere of harm reduction with the addition of the clarity of the goal of abstinence promote patient retention better than either separately. The implications of this integration is that harm reduction can be more accepted and powerful in the public sector. It is important to look at the wider context of why people use drugs. Taking away a coping mechanism from a drug user may do more harm than good unless the core issues that led to drug use are dealt with in the first, hence the reason the motivational interviewing approach is more empowering for the service user (134

Evidence Based Nursing in Primary Healthcare Team

Evidence Based Nursing in Primary Healthcare Team 189691 Title: Evidence Based Nursing is developing in primary health care . Critically discuss the applications to your practice. (District Nursing) Undergraduate Degree Level Essay 3,250 words Essay The evolution of the nursing profession has witnessed a great many changes of both emphasis and direction in both the delivery and the content of patient care as well as accompanying changes in both the philosophy and the theory of that care. Arguably the nursing profession has historically based its activities and also its philosophies, on tradition and the perpetuation of currently accepted practices which have not been firmly rooted in a general scientifically tested framework.(Roper N 1977). This can be verified by the fact that the nursing literature of the 1970s and 80s has many references from writers and commentators who were arguing for nursing to evolve into a research based profession and highlighting the fact that there was a demonstrable absence of a significant amount of good quality research-based fact which dictated the current practices throughout the profession in general. (Gortner SR 1976). An impartial observer, considering this situation over the intervening years, would probably agree that there has been a clear and marked swing in both the published literature and the actual practice of nursing, towards the underpinning of practice with strong scientific research. Evidence based nursing has emerged as being one of the dominant driving forces in nursing evolution and the advent of evidence based practice has become apparent to the point where it is now and this could be considered to be the â€Å"gold standard† and essential basis for the majority of professional nursing care (Yura H et al 1998) If we look at the issues and considerations that could support this statement, we could point to Hunt’s tour de force on the subject in his seminal paper of 1981 (Hunt J 1981), in which he sums up his belief that each nurse must care enough about her own practice to want to make sure it is based on the best possible information. This plea seemed to strike a chord in the nursing profession to the extent that, over the following few years, there was a noticeable increase in the published papers that both echoed these sentiments and also defined the various barriers to progress in this respect. These were largely quantified as including time constraints, limited access to the literature, a lack of training in critical skills of appraisal and, most fundamentally, a professional ethos and ideology that placed a great emphasis on the practical rather than the intellectual component of knowledge, together with a work environment that did not actively encourage the seeking out, resear ching and recording of new information (after Royle J et al 1996). One could be forgiven for observing that such comments are still relevant to a degree today. In order to present a balanced argument, we can observe that there is not a blind and uniform acceptance of evidence based nursing procedures. There are some who actively criticise evidence base procedures. Haynes (R B et al 1996) points to the fact that a blind following of evidence based practice can promote a concept of a â€Å"cookbook† of procedures that have to be dogmatically followed and it can stifle the holistic consideration of what may be best for each individual patient. We shall return to this point later. White (S 1997) counters this argument with the suggestion that a nurses’ professional training includes both learning the basic pathophysiology and anatomy and acquiring experience. She suggests that it is actually the â€Å"effective application of this experience that requires a sound evidence base.† Research evidence can aid the professional decision making process, but cannot either do the clinical examination or collate the vast amount of sni ppets of information that pass between patient and nurse. White suggests that it is this clinical expertise (derived from learning and experience), that is the crucial element in the application of the evidence based knowledge which separates true evidence based nursing practice from the â€Å"cookbook† approach with Haynes’ vision of the mindless and unquestioning application of â€Å"both guidelines and rules† (White S 1997). Before we leave the general issues relating to evidence based nursing, we shall also cite the analytical work of Pearson (A 2000) who produced an influential treatise on the role of the nurse and nursing in evidence based research. In his paper Pearson makes a fundamental and significant delineation between lay nursing and professional nursing which is defined by the application of research based practices and procedures. He suggests that the evolution of evidence based nursing had its origins in the days of the reforms pushed through by Florence Nightingale, became commonly accepted practice in the 70s and 80s when the â€Å"theoretical constructs of practice began to evolve and be adopted†, and has currently culminated in the advent and emergence of the nurse practitioner and nurse specialist whose professional structure, training and practice is essentially evidence based. This essay is primarily about how evidence based nursing is developing in primary healthcare team with specific reference to personal practice. This is a potentially a vast topic and therefore we will use illustrative examples of specific areas of development. A great deal of a primary healthcare team’s time (particularly that of the nurse) is taken up with the treatment of pressure sores and ulcers. It is instructive to consider the evolution of the evidence base for the treatment of this condition and then to extrapolate the process to other conditions frequently seen in primary care. We can cite the work of Sir James Paget who made the observation in 1862:- Elderly patients with femoral neck fractures and other high risk groups develop them (pressure sores) early, chiefly in the first week, and then made the observation â€Å"They often appear on the day of operation. It is not just the patient, but every part of his or her body, that must survive the operation†. (Bliss MR 1992). The rationale for citing this statement is that it illustrates a comment and observation that may be factually correct, but has no evidence based weight whatsoever other than being a reflection of the author’s opinion. It has no foundation in statistically verifiable fact and may be subject to all forms of objective bias. It obviously was never produced as a result of a randomised controlled trial but, like many other â€Å"pronouncements† by prominent practitioners, it has both influenced and been accepted by generations of healthcare professionals over the years. This exemplifies Roper’s point, cited earlier, relating to the tradition of previous practice being perpetuated by successive generations. The point can be tracked further still by considering a more recent paper by Vohra (Vohra R K et al. 1986). On the face of it, this paper gives a comprehensive overview of the (then) current practices in the treatment of ulceration and pressure sores. It goes into great detail relating to the aetiology, pathophysiology and trends in management of the ulcer patient and has an extensive and current reference section in the paper. The problem form the perspective of this essay is that, although the paper is undoubtedly comprehensive in its approach, virtually the entire paper together with virtually all of the cited references, is opinion based with not a single reference to a good quality randomised controlled trial. (MacLean DS 2003). The paper does make use of comparative studies where one treatment is compared with another, but this in turn exemplifies yet another shortcoming and that is that such trials are good if a healthcare professional has only these two options at their dispo sal for treatment, (which is seldom the case). Modern philosophy would dictate that in good evidence based practice, the nurse would need to be able to cite evidence that one treatment is demonstrably superior to all others for a given set of clinical circumstances and that this evidence is from a repeatable and unbiased source. To give an illustration of this point, MacLean makes the comment:- It is clearly of minimal value to a patient to be able to say to them that a comparison of rubbing a pressure sore with honey has been found more beneficial than rubbing it with butter when the use of a ripple mattress is clearly superior to both of them. If we contrast this paper with another, more recent paper (Bliss et al. 1999), there are a number of very significant differences. This paper is also an overview of the current trends in treatment of ulcers and pressure sores. Firstly the author is a nurse. Secondly, it only cites 12 references (as opposed to over 70 in the Vohra paper) but each is a randomised controlled trial selected to support the various statements made in the paper. This represents a major and fundamental change in presentation, philosophy and practice. It could be suggested by the cynic that such observations are a chance finding in two randomly selected papers. We would suggest that an examination of the literature of the periods involved would support the view that they represent a true reflection of the genuine change in both style and expectation that now pervades the nursing professions and more fundamentally, it also reflects the criteria by which papers are now judged and accepted for publication in the major peer reviewed journals. It is not appropriate to discuss the content of the paper in detail other than to observe the fact that the paper concludes with a description of the classic Gebhardt trial (Gebhardt KS et al 1994) which compared the results of bed rest with intermittent chair nursing on the development of ulceration and in the words of Morris (A 2002):- In many respects, the Gebhardt trial is a reflection of both the calls noted in the previous paper for proper scientific scrutiny to be brought to bear on the subject and the evolution of the expectation of the healthcare professions into the requirement for a firm evidence base for their continued work. In terms of direct impingement on the practical aspects of primary healthcare nursing, the move towards evidence based procedures can be illustrated in the development of scales such as the Waterlow scale (PN 1991). This was developed as a direct recognition of the need for an evidence based tool which would both directly help the nurse assess and quantify the degree of risk together with helping them predict just which was the most effective treatment modality for any individual patient. This was accomplished by allowing a reproducible measurement of ulceration and thereby rendering this area of clinical practice amenable to proper scientific scrutiny and testing. The result of this scale development is that the nurse can identify a treatment that has not only been suggested by previous practice or experience, but one that can be shown to be the most appropriate for a given set of clinical circumstances with the most likely clinical benefit (NT 1996). It is a logical step from this position to the situation where new scales are developed based on evidence based assessments and treatments, to predict the likelihood of healing of ulcers. Such a situation has resulted in the development of tools such as the PUSH scale (Gardener S et al 2005). This represents the currently accepted end-point of a logical progression that we have traced and quantified from the type of opinion based pronouncements of Sir James Paget, past the experience based observations and comparative trials such as those of Vohra, through to the completely evidence based practices of today where a clinically defined situation is identified, a solution is hypothesised and then subjected to validation by appropriate double blinded and unbiased scientific techniques in a randomly controlled clinical setting. It allows the authors (Gardener S et al 2005) to conclude their paper with the comment The PUSH tool provides a valid measure of pressure ulcer healing over time and accurately differentiates a healing from a non-healing ulcer. It is a clinically practical, evidence-based tool for tracking changes in pressure ulcer status when applied at weekly intervals. Such a comment is virtually unchallengeable because of the weight of valid recorded evidence behind it. If we consider new and current moves to examine the evidence base of activities in the primary healthcare team, we can also consider the advent of screening clinics which are commonly nurse-led. (Califf R M et al. 2002). We could consider the current trend for hypertension screening. It is commonly accepted that treating hypertension is of value in preventing both morbidity and mortality, (Cooper R et al. 2000), but a less frequently asked question is â€Å"What is the rationale and the evidence base for providing a screening programme for patients?â€Å" (HTT 2005). Curiously, the evidence base for the screening programmes that have been run has been rather insecure. The main reason for this has been the comparative paucity of definitive information relating to the levels of effective treatment and, as the treatment can realistically only be assessed as effective over a long time span, such studies take many years to yield substantive information. It therefore follows that the evi dence base for screening can only realistically be determined once a rational an proven evidence base for treatment has been established. (Brotons C et al. 2003). This is the position set out in the comprehensive paper by The National Heart, Lung, and Blood Institute Working Group (HTT 2005). A pragmatic view would also have to observe that the position is further complicated by the constant evolution of new drugs and methods of measuring blood pressure which render previous data on the subject out of date by the time that it is assimilated. (Appel L J et al. 2003). This paper is very detailed in its assessment of the situation and it is not practical to consider all of its findings in any depth, but it provides a comprehensive overview of the evidence base for the promotion of hypertensive screening together with the evidence to support the use of different levels of hypertension as the endpoint of the screening process. Perhaps we can conclude this essay about the relevance of evidence base nursing practice to primary health care with the excellent and though-provoking article by Frances Griffiths. (Griffiths F et al. 2005). Although we have been arguing for the use of evidence based practice in modern nursing care, there is one commonly overlooked aspect of this practice which is the subject of the Griffiths paper. As the wealth of good quality information relating to the effectiveness of many clinical interventions and practices increases, this fact alone presents healthcare professionals in general with the increasing dilemma of how to apply the information obtained to the individual patient. The evidence base for a procedure will generally inform clinicians of the likelihood of it being successful in the general population. It will not give any indication, other than a probability, of its chance of success in the individual patient. This is a problem for the nurse (and other healthcare professio nals), as the bulk of current medical practice is on a face-to-face basis with individual patients, rather than dealing with populations. (Fox R C 2002) To illustrate this point, Griffiths points to the fact that it is commonly accepted that epidemiology tells us that smoking is an independent risk factor in the population for myocardial infarction, yet there is no evidence base to tell us which particular individuals will be affected. Similarly there are a multitude of good quality trials which show that there is an increased risk of breast cancer that is linked with hormone replacement therapy but there is nothing that will tell us which individuals are at specific risk. (Willis J 1995) This dilemma is central to the proper understanding of the place of evidence based practice as the balance between good practice based on proper evidence and individual patient care is central to the history of nursing and will not disappear however good the evidence base for a particular treatment becomes. In the words of Haynes (R B et al. 2002):- Diseases always manifest themselves in patients bodies and minds, and in seeking to understand, treat, and predict the outcome of disease, clinicians need to move their focus from the individual to more generalised research. To this end, the nurse would do well to reflect on the fact that assimilation of evidence is central to her practice, but communicating that evidence to patients is a key part of clinical consultations, with a growing evidence base of how it is best achieved. References Appel L J, Champagne C M, Harsha D W, Cooper L S, Obarzanek E, Elmer P J, Stevens V J, Vollmer W M, Lin P H, Svetkey L P, Stedman S W, Young D R; for the Writing Group of the PREMIER Collaborative Research Group. 2003 Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. J Am Med Assoc. 2003 ; 289 : 2083–2093. Bliss M and Bruno Simini 1999 When are the seeds of postoperative pressure sores sown? BMJ, Oct 1999 ; 319 : 863 864 Brotons C, Godycki-Cwirko M, Sammut M R. 2003 New European guidelines on cardiovascular disease prevention in clinical practice. Eur J Gen Pract. 2003 ; 9 : 124–125 Califf R M, DeMets D L. 2002 Principles from clinical trials relevant to clinical practice: part I. Circulation. 2002 ; 106 : 1015–1021 Cooper R, Cutler J, Desvigne-Nickens P, Fortmann S P, Friedman L, Havlik R, Hogelin G, Marler J, McGovern P, Morosco G, Mosca L, Pearson T, Stamler J, Stryer D, Thom T. 2000 Trends and disparities in coronary heart disease, stroke, and other cardiovascular diseases in the United States: findings of the national conference on cardiovascular disease prevention. Circulation. 2000 ; 102 : 3137–3147. Fox R C. 2002 Medical uncertainty revisited. In: Bendelow G, Carpenter M, Vautier C, Williams S, eds. Gender, health and healing: the public/private divide. London : Routledge, 2002 : 236-53. Gardner S, Rita A. Frantz, Sandra Bergquist, and Chingwei D. Shin 2005 A Prospective Study of the Pressure Ulcer Scale for Healing (PUSH) J. Gerontol. A Biol. Sci. Med. Sci., Jan 2005 ; 60 : 93 97. Gebhardt KS, Bliss MR. 1994 Preventing pressure sores in orthopaedic patients. Is prolonged chair nursing detrimental? J Tissue Viability 1994 ; 4 : 51-54. Gortner S R, Bloch D, Phillips T P. 1976 Contributions of nursing research to patient care. J Adv Nurs 1976 ; 1 : 507–18. Griffiths F, Eileen Green, and Maria Tsouroufli 2005 The nature of medical evidence and its inherent uncertainty for the clinical consultation: qualitative study BMJ, Mar 2005 ; 330 : 511 ; Haynes R B, Sackett D L, Gray J A M, et al. 1996 Transferring evidence from research into practice.-The role of clinical care research evidence in clinical decisions ACP Journal Club 1996 Nov-Dec ; 125 : A14–6. Haynes R B, Devereaux P J, Guyatt G H. 2002 Physicians and patients choices in evidence based practice. BMJ 2002 ; 324 : 1350 HTT 2005 The National Heart, Lung, and Blood Institute Working Group on Future Directions in Hypertension Treatment Trials Major Clinical Trials of Hypertension: What Should Be Done Next? Hypertension, Jul 2005 ; 46 : 1 6. Hunt J. 1981 Indicators for nursing practice: the use of research findings. J Adv Nurs 1981 ; 6 : 189–94 MacLean D S 2003 Preventing Managing Pressure Sores Caring for the Aged March 2003 Morris A H 2002 Decision support and safety of clinical environments Qual. Saf. Health Care, March 1, 2002 ; 11 (1) : 69 75. NT 1996 Pressure sore assessments Uses and limitations of standard pressure sore classification and risk assessment systems. Nursing Times July 17 1996 Vol 92 No.29 Pearson A 2000 Nursing Practice and Nursing Science: Building on the Past and Looking to the Future Joan Durdin Oration Paper Series Number 6 2000 PN 1991 A policy that protects The Waterlow pressure sore prevention/treatment policy. Professional Nurse February 1991 Roper N. 1977 Justification and use of research in nursing. J Adv Nurs 1977 ; 2 : 365–71. Royle J A, Blythe J, Ingram C, et al. 1996 The research utilisation process: the use of guided imagery to reduce anxiety. Canadian Oncology Nursing Journal 1996 ; 6 : 20–5. Vohra R K and C N McCollum 1986 Fortnightly Review: Pressure sores BMJ, Oct 1986 ; 309 : 853 – 857 White S. 1997 Evidence-based practice and nursing: the new panacea? British Journal of Nursing 1997 ; 6 :175–7 Willis J. 1995 The paradox of progress. Oxford: Radcliffe Medical Press, 1995. Yura H, Walsh M. 1998 The nursing process. Assessing, planning, implementing, evaluating. 5th edition. Norwalk, CT : Appleton Lange, 1998. ################################################################ 11.9.06 PDG Word count 3,454

A Tale Of Two Cities and The Dark Knight Rises Essay -- innocents, bad

â€Å"It was the worst of times it was the best of times.†(book). In the book A Tale Of Two Cities innocents were killed, abused and imprisoned. This book had a hero and a bad guy. The hero was Sydney Carton and the bad people were probably the revolutionaries, Madame Defarge and Monsieur Defarge. In the movie The Dark Knight Rises innocents, were also killed but in several different ways. In this movie, the bad guy was Bane and his accomplices, and the hero was Batman. In the book A Tale Of Two Cities the ways that they would kill people were that they would behead them and they would hang them or they would let them rot in prison. Most of the people that were killed were innocents or they were people that were in the way of them trying to take down the city. In the book the main character, Charles Darnay was arrested and was falsely accused of treason and being an illegal alien. Madame Defarge was taking out her anger on the whole family in which she thought had killed her sister. So Madame Defarge was going after all of the Marquis no matter if they had anything to do with t...

Miranda vs. Arizona Essay -- essays research papers

Miranda vs. Arizona:   Ã‚  Ã‚  Ã‚  Ã‚  This case had to do with an Ernest Miranda who raped a Patty McGee*. After extracting a written confession from the rapist about the situation, Miranda’s lawyer argued that it was not valid since the Phoenix Police Department failed to read Miranda his rights, also in violation of the Sixth Amendment which is the right to counsel. Some factors that helped support Miranda’s arguments were that the suspect had requested and been denied an opportunity to consult with a lawyer; the suspect had not been effectively warned about his right to remain silent; and an incriminating statement must have been given by the suspect. The author of the Arizona court’s decision, former U.S. Senator and Arizona governor Ernest W. McFarland, said that Miranda had not requested a lawyer at the time of his detention and therefore was not entitled to the protections offered by such thins as in the Escobedo vs. Illinois case.   Ã‚  Ã‚  Ã‚  Ã‚  Two months after the nation’s highest court agreed to hear arguments in the case of Miranda vs. Arizona, John Flynn and John Frank submitted their outline of the case and legal arguments in support of their position. They continued their argument that Ernest Miranda’s Sixth Amendment right to counsel had been violated by the Phoenix Police Department: â€Å"The day is here to recognize the full meaning of the Sixth Amendment,† they wrote. â€Å"We invoke the basic principles (that) ‘he requires the guiding...

The Poets Soul as Described in Emersons The Poet :: Emerson Poet Essays

The Poet's Soul as Described in Emerson's The Poet Ralph Waldo Emerson's essay, entitled " The Poet", takes the reader into a new awareness concerning an artistic writer. This essay created new insight about a writer's handicraft. Emerson shows us how a poet uses his gift to connect a non-artist of words to feelings that he is unable to express. A poet uses his God-given ingredient, the soul, to describe the things that engulf our lives. We, that do not have this talent, are given this connection by the writings in "The Poet". Emerson resigned his position as a minister to concentrate his life work as a writer. His education and upbringing was rich in matters relating to theology. He describes the poet in terms of religion. He points out the theological term called Trinity (Father, Son and Holy Spirit) and then equates a poet to this using triple increments. Emerson calls the poet the Knower, the Doer and the Sayer. A poet's soul knows what is going on around us. He expresses himself by picking up a pen and saying what's going on. Most people know what senses they are experiencing in their world We are unable to write and/or say in words these experiences. The poet has this unexplainable talent or gift to share with the world. Emerson describes the poet as having scientific knowledge. He takes language and creates the words to enlighten us about our surroundings. He uses his God-given imagination to create thoughts in the reader's mind that were not present there before. These thoughts activate ideas in a non-poetic person. The reader then produces questions and inventions in areas that he shows expertise. Emerson shows the reader how a person without this knowledge of writing is omitted from expressing the beauty of nature. He tells us that the poet has the incredible ability to create images by his words to illustrate the things that we observe. Emerson believes that the poet uses his words to represent beauty (1648). The world is beautiful and it is the poet's job to paint his view of this in his words. "... but it is from the beginning beautiful; and God has not made some beautiful things, but beauty is the creator of the universe..." (1648).

Career Paper : Accountant

Accountant Career Project: Report Business 101 ? Career Overview Accountants carry the primary responsibility for bookkeeping services such as payroll, bank reconciliations, general ledger posting, along with managing financial statement compilations and oversee efficient use of funds and related tasks. Correspondingly, they provide some Human Resource functions such as Employee Handbook compilation, and benefits management. Another responsibility of accountant’s is taxes: personal, corporate, estate, payroll, sales tax, and business property taxes.Educational Requirements For entry-level positions in Accounting, employers usually require a minimum of an Associate Degree in Accounting. Many larger businesses or corporations require applicants to have graduated from a Bachelor's or Master's Degree program in Accounting or Taxation (Board of Regents of the University of Wisconsin System, 2012). There is NO requirement for Accountants to get certified as a Certified Public Accoun tant CPA or a Certified Management Accountant CMA, but if they do they usually get an increase in pay and more responsibilities.There are certain skills Accountants need to make their day run smooth; all of these skills aren’t necessarily taught. For example, Accountants need analytical skills to analyze certain discrepancies on a balance sheet or income statements. Most Accountants are detail oriented, and also have the ability to compile a lot of information and then interpret the meaning. Most of the work will be performed on a computer so Accountants need computer and software skills. Obviously, good math skills are another skill that an Accountant will have to utilize daily.Furthermore, Accountants will need excellent communication skills both verbal and written, and one can never forget lots of patience (Richardson, 2009). Career Path The typical career path for accountants goes as follows bookkeeper, Accountant, CPA and CMA (if one chooses to go that far). Like I have stated before, if one wants to go into Accounting, they do not need their CPA or CMA, Accounting Firms are more than happy to hire Accountants with just a four year degree in Accounting. If one chooses, Accounting has two opportunities for advancement which received CPA or CMA certificate.The difference between a CPA and a CMA is that a CPA is licensed by the state of his/her residence to provide accounting services to the public, ranging from auditing, tax, litigation support, and other financial advisory services. A CMA mostly provides his/her services directly to his/her employers rather than the public. There is no extra or special training to become a CPA or CMA but there are vigorous tests for each CPA and CMA. With either of these certifications becomes more responsibilities.With the title of CPA, accountants are qualified to do a higher level of accounting services. For CMA, accountants can be mangers of companies or possibly run their own company if they choose. Industry an d Target Companies Accountants can work for almost every company! From Taco Bell to Waste Companies. If working for somebody else isn’t your style, some accountants are self-employed and have their own accounting business. Cecilia Capuzzi Simon with The New York Times writes an article â€Å"Top 10 List: Where the Jobs Are†, describing the job curve and its projections for the year to 2018.According to Simons the Top 10 list look like this : Biomedical Engineer, Network Systems and Data Communications Analyst, Home Health Aide, Personal and Home Care aide, Financial Examiner, Medical Scientist, Physician Assistant, Skin Care Specialist, Biochemist and Biophysicist, and last but not least Athletic Trainer. If you didn’t notice, eight of the fields in the top 10 categories are health care or wellness related. Those eight health care or wellness related careers need accountants to keep track of their financial matters. And that’s where I come in handy (Simon , 2011).Salary/Earnings Data provided by the Bureau of Labor Statistics, the salary range for Accounting & Finance begins around $36,780 and usually tops out around $102,380, with a mean in the neighborhood of $69,580. The national salary average for Accounting & Finance is $43,460, data provided by the Bureau of Labor Statistics. Along with excellent benefits such as paid vacation and sick leave, health insurance, profit sharing, and retirement plans (Careerexplore. net). Employment Outlook As of 2008, accountants and auditors occupied some 1. 3 million jobs. Out of these 1. million, 24% of these accountants and auditors were employed at â€Å"accounting, tax preparation, bookkeeping, and payroll services firms. † Additionally, eight percent were self-employed, and 68% worked for other entities such as government, corporations, and small businesses. – Data provided by the Bureau of Labor Statistics, It is estimated that during the 2008-2018 period, about 279,000 new a ccounting jobs will be created – an increase of 22% (Bhavsar, 2011). Learning’s & Reflection Accounting has been a career field I have been debating on going into for at least two years.After having a math class every semester of my schooling I have noticed I truly enjoy doing math homework and I am decently good at it. As there is to all career fields, Accounting has its ups and downs. I like the challenge of a difficult problem, but the idea of sitting behind a desk from 8 to 4, and doing almost the same thing everyday day doesn’t appeal to me. To help me get a better understanding of the Accounting Career I participated in two events. First, I enrolled in BUS 297, which is the VITA program, where I actually prepare peoples taxes every Saturday.Truthfully I don’t mind doing their taxes, its making the small that makes me kind of uncomfortable. I’ve probably done at least 25-30 tax returns; learning a little about taxes and such but there is also so much more I don’t know. Secondly, I went to the UWMC’s Business Club meeting where Thomas Krieg from WipFli Audit Accounting Firm was the guest speaker. Krieg got an Associate’s Degree in Accounting from UWMC, then moved onto UW Madison where he got a Bachelor’s in Accounting, and is now one of the youngest Partners at WipFli’s (Krieg, 2013).Both of these events were very beneficial because I now know so much more of the everyday Accountant life. I am very happy that I dug deeper into Accounting, but unfortunately I do not think I am interested in it as a career any more. Although I may be good at math and taxes, I don’t think Accounting is the correct career for me. ? Work Cited Bhavsar, D. (2011, January 11). Accounting degree job outlook. Retrieved from http://degreecentral. com/accounting-degree-job-outlook/ Board of Regents of the University of Wisconsin System (2012). Cake decorator: Education path. Retrieved from http://wiscareers. isc. edu/C_CVstuff/occinfo. asp? Area=edu Krieg Thomas, Partner, CPA †¢ Wipfli LLP. (2013, February 26). Interview by UW Marathon County Business Club [Personal Interview]. Business Club/ Accounting Speaker, Located in CCE Building. (n. d. ). Retrieved from http://www. careerexplorer. net/accounting-finance Richardson, M. ( 2009, April 10). voices. yahoo. com. Retrieved from http://voices. yahoo. com/skills-qualifications-needed-accountant-2987159. html Simon, C. (2011). Top 10 list-where jobs are. Retrieved from http://www. nytimes. com/2011/04/17/education/edlife/edl

Induction of Employees Essay

Starting a new job is stressful for most employees because of the initial feeling of being out of place and under pressure to make a positive impression to fellow co-workers and managers. It is therefore important that all new employees are made to feel welcome and valued and are also made aware of what is expected of them during their employment (Macdonald 2004, p. 104). Induction is regarded as the final stage of recruitment and selection but the first phase in the training and development of new employees. Induction is the process of familiarizing new employees to the company and their jobs with the aim of giving the employees a proper understanding of how things are done. Induction also known as orientation serves the purpose of providing a transition for the employee from college to work life. Since most employees start their work with a desire to succeed, induction programs offer the opportunity for them to achieve this (Compton and Nankervis 2009). Ideally an induction program involves a tour of the building showing the fire exit points, toilets, meeting and break rooms, important offices like the CEO’s office, supplies office and the Human Resources Department. The induction program will be determined by the type of job, cultural practices and structure of the organization. Induction for smaller companies might even involve a conversation with the Human Resources Manager while that for large organizations might involve several weeks of training and supervision (Compton and Nankervis, 2009). During the recruiting process, new recruits always have high expectations about their new jobs and the company. They might also have unrealistic expectations which might not be met leading the recruits to have feelings of dissatisfaction and anxiety. In general, unmet expectations lead to employee dissatisfaction which in turn leads to high employee turnover (Werner and DeSimone 2009). Some companies do not view the orientation of employees into an organization as important. Some take it as a waste of time and they therefore conduct the programs in a haphazard way. Others might not have the programs at all which will result in the employee going straight into the job without any idea on what to do. The induction of employees has benefits such as reduced employee turnover, lower recruitment and selection costs, increase in employee morale. It also reduces the anxiety levels of employees. Overly anxious employees might increase costs in the area of education and development, turnover and absenteeism (Compton and Nankervis 2009). In today’s competitive working environment, orientation programs are not meeting the goals they were designed for. The reason these programs fall short is due to lack of planning, lack of expectations and the feeling of disillusionment by most employees. Attracting qualified workers includes offering higher salaries, better benefits and career advancement opportunities. With such increased costs, retention of employees becomes the main focus of a company instead of production (Squidoo 2010). Mistakes that are made during the induction process include activities such as bombarding new recruits with a lot of information on the first day and expecting them to memorize it, showing boring or outdated orientation videos, giving lengthy lectures about irrelevant information and failing to provide the new worker with a work station that has necessary facilities such as a computer, phone, printer and internet connection. Some employers also fail to give out any work leading the recruits to sit idle for most of the day (Squidoo 2010). The most frequent complaints about employee orientation programs is that they are overwhelming to the new employee thereby not providing the smooth transition that is needed to begin working. It becomes overwhelming especially if there is a test or quiz at the end of the program which requires the new recruits to remember all the information they have just been presented with. This adds on more pressure to the already anxious worker. Most Human Resource Managers involve a lot of paperwork on the first day especially if the information required has a deadline. They might require the employee to fill in forms with regards to their pay, compensation and benefits. There might also be contractual paperwork which the employee has to go through and sign. This process might take a lot of time and there might be some issues which the employee does not understand and there is no one around to clarify (Werner and DeSimone 2006). Other shortfalls of induction programs are the fact that there is a lot of one way communication instead of two way communication. The program coordinator usually fails to involve the recruits in the exercise which explains why it ends up being boring. Encouraging participation will ensure the program is lively and runs smoothly. The programs also fail to evaluate the recruits properly. Most induction coordinators use tests or quizzes as methods of evaluating the employees which are not the best. This puts on more pressure and anxiety to the employee who is already too anxious. Induction programs also lack follow-up in some companies meaning once they are done the employees are all on their own. This is especially the case if the program runs for only one day. Assigning mentors ensures that they have someone to turn to in the event they face a problem while carrying out their jobs (Werner and DeSimone 2006). Swinton (2005) provides examples of induction plans that fail in their intended purpose. Such an example is the pitiful induction plan where there is basically no induction program that has been prepared. According to her the new recruit will be lucky to have his own workspace or have co-workers introduce themselves to him or her. Since there is no effort for orientation, the recruit finds it hard to put in effort in their work especially when they do not know what to do and how to do it. Another example of a failed plan is the mediocre induction plan where the coordinator uses past orientation material that is outdated and irrelevant to conduct the program. This plan also uses very detailed information which proves to be overwhelming, cumbersome and boring to the new recruits. Some also use financial reports, health records and company reports as a way of informing the employees about the new company (Swinton 2005). Having other workers conduct the orientation program has its benefits as well as disadvantages. While the worker gets the actual feel of how the job is done, they are more prone to bad influence from the workers inducting them. Bad influence comes in the form of misuse of office supplies, taking extended breaks, coming late to work and leaving early before the recommended time. Those employees who do not undergo proper induction learn by observing what their fellow co-workers do. This might be to their detriment as they are more likely to pick up bad habits from co-workers who come to work late and spent a small amount of time in a day doing actual work. Induction programs that are not conducted properly end up being a waste of time and resources for both the employer and the employee. The quality of the staff induction program says a lot about a company and how important it views its employees. Employees will work harder for a company that shows it values them by providing quality induction programs. Companies should put in the same effort they do to induction programs when they create programs for attracting and retaining customers.

Hispanic Social Justice Issue Essay

Domestic violence is an issue that affects women and men of any age, race, cultural or even economical background. Those in the Latino communities face cultural boundaries when they find themselves in an abusive relationship/marriage. Many Latinos identify as Catholic or being raised Catholic, whom do not believe in divorce. Often time’s men are identified as the leader of the family and women are expected to obey their husbands. Latinos who are middle class or low income families find themselves financially strapped to the abuser, with no way out literally. According to this week’s readings the community development model â€Å"has five functions that communities should serve to include: Production-distribution-consumption of goods and services-that are a part of daily living; socialization-which is a process that society transmits prevailing knowledge or social values; social control-where a group influences the behaviors of its members; social participation- which i s the level of involvement of people in social, political and economic processes; and lastly mutual support-which involves encouragement, assistance and cooperation of people in the community† (Kirst-Ashman, 2011, pg. 437). This developmental model is important to most domestic violence causes because the assistance must be readily available both physically and monetarily, plus knowledge of such resources needs to be made known both in English and Spanish so that women have a way out. If society could change people’s behavior towards domestic violence (i.e. reducing stereotypes like she will never leave), and encourage people to seek help this would be a lot less prevalent in Latino communities. There needs to be support and encouragement given to these women that it is indeed ok to leave. The children who are caught in between a physically abusive parent and non-abusive parent need more laws to protect them. There is so much more knowledge out there today about signs of domestic violence and where to start getting help in a local community yet the one thing that holds many women back is the children. Courts often times tie up cases, put the victim at risk, allow the children into potentially dangerous situations and then bash a woman for not leaving her abuser. (I am focusing on women being beaten by men because it is more prevalent even though I am aware that men can be beaten too). Many of these places are underfunded because much of  the money is aimed at awareness, but many of these women leave with practically nothing. The community development model is a good tool yet like social actions while it brings issues to light or creating organizations to deal with the issu e but it get stuck along the way (Holman, 2011, pg.65). Holman said it best regarding social action â€Å"To become truly empowered, a community must move beyond reaction and assert its own agenda, cultivating the internal assets that can provide its members with a high quality life† (2011, pg. 65). With domestic violence a woman needs to be empowered and given the opportunity to move on with her life. But it shouldn’t stop there, some of these women do give back to others of to the domestic violence organizations to ensure this vital asset always remains available to others in need. Communities must become self-sufficient and they are only as good as they believe they are. Reference Kirst-Ashman, K. K. (2011). Human behavior in the macro social environment. Belmont, CA: Thomson Brooks/Cole Publishing Company. Homan, M. S. (2011). Promoting community change: Making it happen in the real world. Belmont, CA: Thomson Brooks/Cole Publishing Company.