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

Reflective - Essay Example The familiar is comfortable, even if it is not the best arrangement for all parties involved. In the field, for instance, the nurses were initially hesitant about being part of the training, and had many questions and private qualms that they shared with me. This was the reality, even as they allowed me to explain the protocol in broad strokes. The doctors, meanwhile, while generally quiet, had a stance of wait and see, and leaned on the skeptical side. The administration of the hospital too, even when they agreed to the change project, also obviously wanted to make sure that the change would result in positive changes in the unit in general, and liked that the scope of the change was limited and very specific to ankle injuries. There had to be interventions and explanations prepared for the patients as well. Underneath some of these concerns is a need to take charge and be control of the situation. The change was to unsettle them from their cozy and safe positions. The conflicts tha t are to come from the change in the balance of power between nurses and doctors when it comes to decision making are profound, even if they are limited to just ankle and foot injuries in the emergency setting. ... These are seemingly benign issues, but from the perspective of who takes responsibility for patient well-being these are profound conflicts that the change project needed to properly evaluate, negotiate and resolve (Institute of Medicine, 2006). In the above evaluation conflicts it is clear too that there are dependencies in the actions and the outcomes of the actions of the various stakeholders to the change project. For instance, nurses can become empowered only with the trust and confidence given to them by the doctors, with whom the triage nurses have to work in tandem in taking care of patients with ankle injuries, making use of the Ottawa ankle rules. If doctors fail at trusting the competence of the nurses’ decisions tied to these rules, then the whole process and change project falters. Doctors will make their own decisions regardless of the nurse recommendations. On the other hand, if the nurses persist with making use of the protocol even without the cooperation of t he doctors, the dependencies also break down and nurses and doctors can duplicate each others’ work. Taking a step back, the decision of the hospital administration to allow the change project to push through also cascades down the line into making all of the involved parties cooperate and see to it that their actions at least give the project a chance to make it to completion. This is so they can see whether the protocol improves their work and the patient outcomes. In the change project even the nurses were hesitant at first to make use of their new power to make recommendations on x-rays, because they knew too that the patients and the doctors depended on the accuracy of their diagnoses. On the other hand, the

Clostridium Difficile Infection Prevention Essay

Clostridium Difficile Infection Prevention - Essay Example Health and social care facilities generate a challenging environment due to the operations undertaken on a daily basis. This environment poses as a perfect medium for transfer of the microorganisms from patient, equipment and staff. It is important to be vigilant at all times in these environments due to the vulnerability; pressure associated with opportunist pathogens and the intensity and complexity of health care environments (Angenent & Kelly, 2009). Patients with mild symptoms of c. diff may improve if they stop taking antibiotics. Those with severe symptoms need different antibiotic medication. When the severity suffered is intense, medics administer further therapy. Clostridium difficile is an infection of the colon by the bacterium. It causes colitis by producing toxins that damage the lining of the colon. The symptoms include diarrhea, fever, and abdominal pain. It can develop into severe complications, which include dehydration, rupture of the colon, and spread of infection s to the abdominal cavity or body. The most common cause of c. difficile colitis occurs in patients, in the hospitals, though a number of cases out of the hospital have increased. The choice of this topic in this research is influenced by the responsibility burden for social care facilities and health organizations as important pillars in curbing down c. difficile infections. As seen above, these environments are exposed to breeding grounds for the pathogens causing c. diff to grow and infect people easily.... Statistics show that hospitalized patients are more prone to the infection; however, it also affects healthy individuals. Every employee working under health departments has a key responsibility to ensure prevention and management of the infections. This responsibility covers entirely all health and social care organizations, regardless of the patient setting or care provider. Introduction of good health practices is geared towards prevention and management of infections related to pathogens that cause c. diff. There are many attributions to infection or diseases, for example, different microorganisms such as bacteria, fungi, viruses, and prions. These microorganisms result in a wide variety of infections (Beltrami, 2010). Such infections include urinary tract, wounds, respiratory, blood, bone and skin infections. To say that not all infections are transmissible will be in order; nonetheless, a majority of them such as influenza, clostridium difficile and norovirus can spread from on e person to another hence end up causing transmissible infections (Artel, 2011). Health and social care facilities should be made responsible for enhancing good health practices. Health and social care facilities generate a challenging environment due to the operations undertaken on a daily basis. This environment poses as a perfect medium for transfer of the microorganisms from patient, equipment and staff. It is important to be vigilant at all times in these environments due to the vulnerability; pressure associated with opportunist pathogens and the intensity and complexity of health care environments (Angenent & Kelly, 2009). Patients with mild symptoms of c. diff may improve if they stop taking antibiotics. Those with severe symptoms need different antibiotic medication. When

Leader Analysis Paper Essay Example | Topics and Well Written Essays - 3000 words

Leader Analysis Paper - Essay Example A good leader should be able to persuade and motivate the juniors working under him in tough times to ensure that they are always focused and full of vigor. Organizations are run on set goals and objectives, therefore a good leader will be able to draft good objectives and incorporate all the stakeholders involved in the production or achievement of the goals so that they can work as a team. The leader should bridge the gap between him and the employees so that they can feel as part of the overall plan and pledge to offer their best. The leader should possess good listening skills and be ready to address the problems arising in a supportive and diligent manner. Constructive criticism is welcome in any given situation. This is important when one feels that one of the employees or any staff is not delivering his/her mandate in the expected way. It is therefore wrong to victimize an employee instead of using positive corrective measures that are needed in creating a good environment for the staff and the customers. The leader should be assertive so as to portray a positive image of himself to the employees and also to the society they are interacting with. Presenting a positive personal image ensures that the people looking up to you in the organization trust you and believe that you will be able to accord them the leadership they yearn for. It is important to delegate certain tasks to the juniors in the organization as this creates trust and increases responsibility among the workers. On top of these, a good leader should always have a positive attitude and an optimistic way of addressing problems as the approach he gives may be what it entails to make the projects or the goals achievable or not. An organization often goes through tough times which calls for tough measures to ensure that it does not close its business. In such cases, the leader or the manager should be persevering

Data Analytics and Understanding Big Data Literature review

Data Analytics and Understanding Big Data - Literature review Example Te article is relevant to the rest of the sources in that it also discusses the uses of artificial intelligence although in a different professional field. In this article, the researchers have found that artificial intelligence has not been widely accepted as a tool to use in medical settings although some of its earliest applications were healthcare oriented. Currently, artificial intelligence tools are being used individually for different purposes, such as, for device control and waveform analysis. The researchers have also found that because of the availability of big data and opportunities for improved healthcare delivery efficiency, AI tools must be applied in the intensive care environment for a variety of purposes including controlling of bedside devices and monitoring of electronic data systems. The researchers have concluded that with the use of artificial intelligence tools, healthcare delivery costs can be reduced and patient outcome can also be improved. The article has been written in a well-organized manner and the reader does not get out of focus at any stage while reading the article. Summing it up, the article includ es a wide range of information that can be used to the research paper regarding uses of artificial intelligence in different organizational settings. Bahrammirzaee, A 2010, ‘A comparative survey of artificial intelligence applications in finance: artificial neural networks, expert system and hybrid intelligent systems’, Neural Computing and Applications, vol. 19, no. 8, pp. 1165-1195. This article deals with the use of artificial intelligence tools in financial settings. The main purpose of the article is to establish the role of artificial intelligence tools in making true financial decisions. Portfolio management, credit evaluation, and financial prediction and planning are those three domains of a financial market that need a proper and careful analysis in order for them to come

Virginia Woolf Essay Example | Topics and Well Written Essays - 1500 words

Virginia Woolf - Essay Example In the novel "To the Lighthouse", Woolf articulates her inner thoughts clearly with regards women's occupations and her notion of work. Mrs Ramsay, the main character in this novel, illustrates her creativity in social life as she finds comfort in her role as a loyal wife. Lily, however, despite criticisms hurled against female artists, evident in one of Mr. Ramsey's imprudent utterances that "Women can't write, women can't paint", firmly devotes herself to her vocation, as she is very passionate about her art. Mr Ramsey contentions about women and their vocations exemplify the Victorian assumptions that males and females have their 'assigned roles and they must adhere to it. In contrast, Mrs. Ramsey is a picture of a person satisfied with her life in her chosen endeavor. Often she would make comments about Lily and the girl's artistic leanings by saying, "With her little Chinese eyes and her puckered-up face, she would never marry; one could not take her painting very seriously; she was an independent little creature, and Mrs Ramsay liked her for it" (Woolf 17). Woolf, of course, highly regards artistry as a great occupation as she contends that, "women ought to be as well educated as men, indeed a great deal better immerses herself in an "abstract discipline" (her art). Woolf once stated that all vocations should be unlocked to anyone qualified for them regardless of gender, color or race. As Woolf defies stereotypical roles, her opinions both implicit and explicit, are fundamental in understanding life in her particular setting, and significant in comprehending her arguments on gender roles, work, profession, gender equality and social constraints on women in her generation. Woolf in these writings depicts the roles of women in nonconformist roles and careers in order to explore ideas of work and vocation. In her two works, each of the female protagonists is depicted differently. For instance, in her work, "A Room of One's Own", Woolf shows the progression o f women as they adopt a non-conventional career by 'having money and a room of their own to explore creative endeavors, actions considered taboo in Woolf's generation. In contrast, To the Lighthouse portrays a 'new woman' and her "work" or "vocation" through the novel's protagonists, Lily Briscoe who represents the new woman, adopts her professional career on professional and sincere level. Arnold Bennett stated that a "woman who adopts a professional career will be taken seriously". Lily follows this guide as she disentangles herself from the customary duties that women like Mrs. Ramsay holds, she instead shapes her artistry and stresses individuality through her vocation. In addition, Lily refuses to link her identity to that of men or husband as she has a distinct idea of marriage. The women's movement gave women the chance to cede their domestic duties and the freedom to voice up the difficulties that they were facing in life. Both Lily and Mrs Ramsey receive "vocational discouragement" from males, Lily holds onto her desires and treats her vocation like a 'god' and special gift that she

Responsibilities of Public Administrators Essay Example | Topics and Well Written Essays - 250 words

Responsibilities of Public Administrators - Essay Example The excerpt outlines that the federal court judge ruled in favor of the authorities but not because of a clear verdict justified by law. McKelvey (2011) notes that administrators should show concern for the public good by executing actions that are justifiable to the citizens. The administrative duties need verification by the public as acts of common good prior to their implementation in a manner that does not threaten civil liberties. According to McKelvey (2011), public administrators should ensure the due process in the execution of their duties. That serves to prevent the infringement into individual citizens’ rights and avoids threat to civil liberties. Commands to terminate suspects’ lives should be backed by evidence. In this case, questioning the suspect and investigating into the matter would have been appropriate in substitution for the spray of missiles from the drone (McKelvey, 2011). Procedural respect towards citizens can help to avoid the execution of ci tizens based on null and non-existent hypotheses. Public administrators should abide by the law as well as show honesty and truthfulness while executing their tasks. As outlined in the law, the executive authority in question needed to have an arrest warrant before executing their duties. Contrary to that, the administrators never had an arrest warrant. Failure to justify the reason for the killing constitutes threat to civil liberties. It would have been proper to provide concrete justification for their actions while executing duty.

The Pros and Cons of Commercial Surrogacy Essay

The Pros and Cons of Commercial Surrogacy - Essay Example g is a subject in its own right and hence this essay will only pertain itself to surrogate motherhood in its traditional and modern versions which categorically excludes the concept of cloning. It is believed that nearly one in eight heterosexual couple in the United States cannot have babies due to infertility of one or the other. Reproducing and having a family of one’s own is a basic human objective. In this context, artificial reproduction techniques will prove to be a blessing for these couple, who are perfectly capable of raising a healthy child, if only they can have one. But, there is a catch though, as the following paragraph will show (Annas, 1998). While it is perfectly agreeable to facilitate infertile married couple to have a child of their own, the process gets complicated if the surrogate mother is hired. The passion associated with the act of copulation is an essential ingredient that binds the couple emotionally. When this act is mechanized, as is usually the case with surrogacy, then it is equitable to prostitution. Feminists would argue that this is one more way in which men try to control women and their concern is not unfounded (Callahan, 1999). Another objection that is raised against artificial reproductive techniques is that it will lead to making babies and surrogates mere commodities. There are already certain websites in the Internet that offer these services and it won’t be long before it spawns an industry of its own. It is appalling to think of a commercial enterprise in which price tags are attached to human eggs, ovaries and surrogate mothers. This will undermine the long-standing tradition of family values and relationships. A renowned anthropologist raises questions about unusual relationship dynamics that could unfold in the future, thus: â€Å"A woman can give birth to her own grandchild, for example, by carrying a pregnancy from her daughters egg. Embryos can be frozen and a child brought into the world long after