Nursing Evidence Based Practice And Research - Free Essay Example

Sample details Pages: 6 Words: 1909 Downloads: 7 Date added: 2019/10/10 Did you like this example? Patient Falls Medical practitioners, especially the nurses face various challenges associated to their performance within the healthcare setting. One of the major aspects that the healthcare centers face is the patient falls, where patients sometimes roll over their beds and other hospital laying structures onto the floor. In other words, the patients suffer through seizures and other violent actions that push them to fall hard onto the floor as they suffer consequential conditions. Therefore, they end up undergoing different types of suffering according to the fall. The major consequences of the fall include injuries, pain, fractures and even death when in critical conditions. It is therefore important to assess the various aspects associated to the challenges facing hospitals and nurses especially when a patient falls. In addition, the discussion also reviews the significance of the issue as well as the PICO analysis of the situation. Significance of the Issue Don’t waste time! Our writers will create an original "Nursing Evidence Based Practice And Research" essay for you Create order The situation of the patient falls is a crucial issue that affects the performance of the nurses and affects patient care. There are various types of patient falls depending on how the patient fell as well as the involvement of the nurses. The major falls occur through physiological reasons such as fainting or even environmental reasons such as slipping due to slippery floor as well as assisted falls, especially when a nurse or a staff member tries to minimize the effects of the fall. It is important to point out that this can be a critical issue for hospitals and nurses, particularly on how they should handle the falling of patients. Another point is that the patient fall leads to increased length of stay in hospitals, increased pain due to the injuries, slowed healing of the patients as well as decreased satisfaction. In some cases, nurses are usually sued for negligence while some are liable for these falls. This destroys the reputation of the nurses and sometimes affects the heal th of the persons. Therefore, the assessment of the major issues concerning the patient fall is highly crucial in understanding how to overcome these challenges. Overall, the challenges associated to patient falls highly impact the performance of the nurses and the hospitals at large. The major impact of this issue is that nurses become prone to making medical mistakes. There are concerns especially in the cultural set up where patient fall is popular. There are external pressures about how patients should be taken care of; the nurses have the medical responsibility and mandate in providing quality health services at appropriate time and affordable costs. After the relationship between the patients and that of the hospital is destroyed, the reputation of the hospital and the nurses in the public domain is affected. Therefore, the solutions to these challenges will be influential in improving the positive culture within the hospital and hence improved quality care. In other words, due to these issues, the main impacts include increased pressure and stigma majorly affecting the relationship between nurses and the patients. PICO evaluation P (patient/problem) Patient falls in health care centers I (intervention/indicator) Using standardized fall prevention tool C (comparison) Reduction antipsychotic drugs and exercise programs O (outcome) Decreased patient fall rates The PICO question is: in solving the challenges of patient falls, using standardized fall prevention tools decreases the patient fall rates as compared to exercise programs performed for patients or reduction of antipsychotic drugs. Search strategy The major search strategy for articles regarding patient falls is done through the Google Scholar sites using key words. However, it is important to point out that the articles found within these areas should be effectively considered before being selected for discussions. Keywords: the type of key words that the researcher utilized in conducting the study includes patient falls, interventions for solving patient falls, causes of patient falls and the consequences of patient falls, standardization fall prevention tool, fall rates, exercise programs for reducing patient falls, antipsychotic drugs and patient falls. These phrases and word choices are all important because they provide the researcher with the variety of articles that describe much about the topic of study especially the problems as well as the options for solving the challenges. The researcher evaluated various articles before making concrete choices. There were more than 100 articles that were found to contain various issues regarding the reduction of fall rates among patients using the research terms expressed above. These articles were either evidence based or just normal research studies. Among the more than 100 articles searched, the researcher considered 9 articles that contained diverse study methodologies as well as designs of study. The first four articles described the PICO analysis of the issue while the five articles were crucial in understanding the various aspects associated to the evidence matrix. DuPree, Fritz-Campiz, Musheno (2014) on ‘A new approach to preventing falls with injuries’ The study majorly focused on the diverse approaches that should be considered in preventing falls leading to injuries. The authors discussed the importance of working with other stakeholders at the medical centers in meeting the target of solving the challenges affecting patient falls. Some of the methods that are considered include adopting organizational culture that is geared towards commitment especially to fall safety, discussing the fall safety process with patients and families, using a validated assessment tool that prevents falls, hourly rounding as well as patient partnering. The study however based its focus more on the assessment tool, which included various aspects or elements such as the implementation and enforcement of standardized assessment tool that evaluates cognitive processes in order to comprehend and rating the critical fall risk. The study focused on quantitative analysis type of study as it engaged in finding the improvement of the fall assessment tool, with the target population being 83 targeted solutions. Ambrose, Paul, Hausdorff, (2013) on â€Å"Risk factors for falls among older adults: a review of the literature† The study revolved around the literature analysis of the risk factors associated to the patient falls among older patients. The discussion focuses on how falls leads to morbidity or mortality among older adults. In their estimation, annually, at least 30 percent of patients that are over 65 years old will fall at least once. In addition, the study also described the costs of treating or handling fall related pain and injuries is high in the United States and European countries. However, some of the major risk factors that were assessed in the study included gait and balance, polypharmacy as well as previous history concerning falls. These factors may also be associated to gender, age as well as other physical factors. One important point that is considered is the avoidance of these factors while evaluating the ways of improving the body of the old persons from having falls. Capezuti, Wagner, Brush, Boltz, Renz, Talerico, (2007). â€Å"Consequences of an intervention to reduce restrictive side rail use in nursing homes† The study focused on the major consequences associated to interventions that assist in reducing the fall rates in nursing homes. The main objective of the study is to evaluate the effects of advanced intervention for practice nurse on the usage of restrictive side rail in nursing homes, utilizing a sample of 251 persons. The study utilized direct observations as the major form of handling various aspects associated to the rails at the bedside. From the results, one nursing home had a significant reduced use of restrictive side rail which showed a reduced fall rate. In other words, the discussion and the study aimed at understanding an APN model of consultation which reduces the use of side rail. It is important to point out that the nurses have the responsibility of utilizing various materials and model in developing a framework of reducing the fall rates in nursing homes. Thapa, Gideon, Fought, Ray, (1995). â€Å"Psychotropic drugs and risk of recurrent falls in ambulatory nursing home residents† The discussion focuses on the psychotic drugs that are major utilized by old persons or home residents and how they are associated to the falls that affect the patients. However, the discussion also weighs on the idea that, in as much as these drugs are heavily associated to the high fall rates, there are other concepts such as the issue of depression and dementia affecting the performance of the older persons. The discussion therefore focused on 282 ambulatory residents in terms of the role of these risk factors and the antipsychotic drugs on the fall rates. From the study, the persons that had the highest fall rates were those that were using antipsychotic drugs as compared to the non-users. This explains that the antipsychotic drugs are highly influential for the performance of the individuals as far as fall rates is concerned. However, the antipsychotic drugs have combined effects with depression and dementia, which means that the reduction of antipsychotic drugs alone may not he lp in improving the situation – reducing the fall rates. Evidence Matrix Authors Journal Name/ WGU Library Year of Publication Research Design Sample Size Outcome Variables Measured Level (I–III) Quality (A, B, C) Results/Author’s Suggested Conclusions Nardi, D. and Gyurko, C Ovid 2013 Metasynthesis 181 Data management, international collaboration in research; increased funding of the full-time school positions I B The authors suggested that there is need to design or come up with new models of education which fit the global healthcare standards and also pooling teaching resources Bjà ¶rn, C., Lindberg, M., Rissà ©n, D. Journal of clinical nursing 2016 Correlational 147 Relationships, leadership as well as status I B Various issues should be considered, especially the team relationships, status and leadership in improving attractiveness of the nursing work. Byrne, D. M., Martin, B. N. Nurse educator 2014 Quantitative analysis 5 Nursing department head leadership style, the professional satisfaction and the organizational commitment II C There are significant associations between the variables, meaning the leadership style critically affects these aspects Chen, Davis, Daraiseh, Pan, Davis Journal of nursing management 2014 Cross-sectional study 130 chronic fatigue, acute fatigue as well as inter-shift recovery II B There is need of establishing the fatigue intervention for the 12 hour shift physicians and also engage in teamwork and collaboration in improving the performance as well as satisfaction Laschinger, Nosko, Wilk, Finegan Elsevier 2014 longitudinal survey design 550 psychological empowerment and self-evaluation II B It is important to mention that the job satisfaction of nurses is directly affected by combination of contextual and individual factors. From the discussions above, there are various concepts that should be highly taken into consideration. There were three options for solving patient falls, with the major issues including the reduction of antipsychotic drugs, the introduction of standardized fall reduction tool as well as the engagement in exercise programs. From the analysis, the reduction of antipsychotic drugs is important in reducing fall rates, although there are concerns about the other risk factors such as depression and dementia. In addition, the exercises are mainly meant for the younger patients, as the older patients especially those above 65 years of age cannot be able to improve their fall rates through exercises. Only limited exercises will assist in them overcoming the challenges. From the analysis, that leaves the best option to be the use of standardized fall reduction tool which is effective as it mainly associates with the abilities of the patients. Nurses are able to modify this aspect and weigh on the condition of the patients while administering the medications required. Therefore, the option should be highly taken into consideration while assessing the needs of the patients as well as those of their families.

Affirmative Action And The Civil Rights Movement - 963 Words

The US is a melting pot with various groups of immigration such as: Asian American, Jewish American, African American, and Mexican Ame. Minority groups have experienced many kinds of segregation. They are discriminated in education and employment. Then, a program called â€Å"Affirmative Action† was introduced with the hope to engage more people of color into the society. Affirmative Action is an outcome of the 1960’s Civil Rights Movement. Its purpose is to provide equal opportunities for members of minority groups and women in education and employment. It is not until 1961 did the term â€Å"affirmative action† was first used by President John F. Kennedy. He made it very clear in an Executive Order that directed government have to take â€Å"affirmative action to ensure that applicants are employed, and employees are treated during employment, without regard to their race, creed, color, or national origin.† Since a lot of cooperation still tends to hire white male, by enforcing affirmative action, the number of minority groups and women in the labor force will increase.Affirmative Action helps to eliminate the imbalance in the society and reform the American system. The US Department of Labor describes affirmative action as the banning of discrimination. In my opinion, I support aff. Action since it gives everybody a chance to challenge themselves. Test scores are just numbers. People with disadvantage may score lower than the white, but if based on the scores, they will never be ableShow MoreRelatedAffirmative Action And The Civil Rights Movement1568 Words   |  7 PagesAffirmative Action has had a very tumultuous 54-year history. Affirmative action was a strategy that forged the Civil Rights Movement in response to the prejudiced approach toward African American citizens in the United States. The policy advocates that black citizens in particular conditions to avoid the unfairness they would usually receive. To try and explain why the methods and laws needed to be adjusted to be equal for everyone. It is essential to realize that 20 Africans came to America inRead MoreAffirmative Action And The Civil Rights Movement Essay1512 Words   |  7 PagesAffirmative action is a strategy formed during the Civil Rights Movement in respons e to the prejudiced approach toward African American citizens in the American community. The policy advocates these citizens in particular conditions to avoid the unfairness they would usually receive. To explain why the system needed to be adjusted to be equal for everyone. It is essential to realize that African Americans came to America as laborers (slaves) made to work long hours and numerous slaves endured inhumanRead MoreAffirmative Action : The Feminist And Civil Rights Movement1813 Words   |  8 PagesAffirmative Action should remain in place with no changes because America still needs to proactively provide women and minorities with educational and employment opportunities. History shows affirmative action has advanced both the feminist and civil rights movements. However, an examination of current statistics shows there is still much work to be done to establish equality. Affirmative action is a necessary discrimination in today’s society because qualified individuals are given an opportunityRead MoreAffirmative Action During The Civil Rights Movement1237 Words   |  5 PagesDuring the civil rights movement, minorities were being oppressed and discriminated against. Minorities were losing out on opportunities and jobs. They felt like everything was just so unfair to them. This mistreatment happened until the government implemented affirmative action. Affirmative action allowed minorities more opportunities into schools and allowed more opportunities for jobs. It also allowed society to become more diverse with ethnicities and cultures. Affirmative action diluted theRead MoreAffirmative Action : A System Created During The Civil Rights Movement Essay1940 Words   |  8 PagesAffirmative action was a system created during the civil rights movement to protect African Americans from racial discrimination. There are people in favor of affirmative action and feel like it’s necessary to have it in place to protect blacks against discrimination. Others believe that affirmative action harms blacks more than is benefits them. In fact they might say that affirmative action does not benefit them at all anymore. Both sides use the issue of diversity and blacks having negative consequencesRead More Affirmative Action Essay1599 Words   |  7 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Affirmative action is an attempt by the United States to amend a long history of racial and sexual discrimination. But these days it seems to incite, not ease, the nations internal divisions. Opponents of affirmative action say that the battle for equal rights is over, and that requiring quotas that favor one group over another is un-American. The people that defend it say that the playing field is not level, and that providing advantages for minorities and women isRead MoreKey Concepts That Have Impacted The Results Of The Civil Rights Movement1593 Words à ‚  |  7 PagesThere are three key concepts that have impacted the results of the Civil Rights Movement. The Enumerated, Implied, and Reserved powers were created to help keep the two separate governments in balance. The Enumerated powers gave the government the right to coin money, declare war, etc. The Implied powers gave the government the right to create laws that they feel are necessary to carry out the laws that already exist. The Reserved powers were specifically assigned to the state government, and theirRead MoreBlack Lives Matter Is An International Activist Movement Essay1624 Words   |  7 Pageslives matter is an international activist movement that is highly supported by the African American community and was created in reaction to violence and racism towards African Americans. This movement began in 2013 when Trayvon Martin, an African American teenager was shot and killed by George Zimmerman who was a white police officer. Although the Black Lives Matter movement ha s many supporters, 78% of voting Americans favor All Lives Matter, a movement that criticizes Black Lives Matter, becauseRead MoreThe Turbulent Sixties - An essay about the turbulent 1960s decade and black civil rights.863 Words   |  3 PagesThe 1960s was a wild decade all around the world. It was a time of change, the baby boom generation was reaching adulthood, the culture of the time promoted sex, drugs and rock and roll, and civil rights issues were tearing the United States of America apart. Three major civil rights issues nearly tore the nation apart in the 1960s. Desegregation of the public school system had the end result of integrating black and white children into the same school. New Black Nationalism began to demand economicRead MoreAffirmative Action : Is It Still Needed1544 Words   |  7 PagesIn the United States justice is defined as equal treatment of all its citizens under the law. When one citizen is mistreated an injustice has been committed against all peop le. Affirmative Action is a program whose purpose is to make sure that citizens are treated equally by enforcing a set of policies which are designed to promote the inclusion of all individuals regardless of race, disability, sex, or religion. In the United States democracy we are all equal, but some groups have been enjoying

5 Childrens Books About Fall

Impact of E-Commerce in Starbucks - 4672 Words

IMPACT OF E-COMMERCE ON STARBUCKS Table of Contents DATE IV 1 TASK 1 - ORGANISATION 3 INTRODUCTION 3 STARBUCK S INTERNAL BUSINESS FUNCTIONS 4 STAKEHOLDER RELATIONSHIPS 6 TASK 2 – IMPACT OF E-COMMERCE 10 INTRODUCTION 10 BUSINESS IMPACT OF E COMMERCE ON STARBUCKS 10 IMPACT ON SOCIETY 11 CONCLUSION 13 REFERENCE LIST 14 Task 1 - Organisation Introduction By definition an organization is a group of people who have come together socially to achieve a common goal on a continuing basis as set out in a mission statement. All organisations consist of some form of management structure which determines their business functions. Functional areas of a business refer to the activities that employee or group of†¦show more content†¦the internet. Online ordering – the system is design to assist in the electronic ordering of food from partners and suppliers. Cash Management functions – the IRIS platform provides an integrated cash management function which assists with cash operations, counting of till and preparing bank deposits The MIS provides information for starbucks managers to identify business requirements on a day to day basis, track and analyse customer transaction by time, check the sales of different product categories available in each shop irrespective of geographical location. They also record wastage, void items and other operations related functions for the shops. Store Managers can use the Management information System to prepare short term budget to plan long term profit and prepare proper forecasts. In starbucks the Iris system provides a number of reports that can be used to help manage store profitability and reviews of performance of sales. Support Centres: Starbucks support centres function as payroll services. They aid in the processing of payroll transfers for servicing starbucks partners. Support centres are used as service stations for distilling central inter and intra company operations on a daily basis within the same district and others. Marketing functions: Starbucks have completely embraced the P’s concept of marketing. Place- all of starbucks coffee shops are located in high traffic areas. Locations like college campuses, highShow MoreRelatedStarbucks - Project Selection1754 Words   |  7 PagesCoffee and Speciality eateries Industry: Recession and weakened economy had impact on all industries because of its adverse impact on the individual income and growing deficit. About 13.7% of retail foods are being captured by speciality eateries segment (Gupta, 2013). This industry continues to outpace the other industrial performance with 19.1% growth from 2009 to 2011 (Gupta, 2013). 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Due to the legal regulations certain input products are banned, while others are taxed which makes businesses overview their financial position to see if they are able to pay the tax. 2.2 ETHICAL RESPONSIBILITY Ethical

Analysis Of Hills Like White Elephants - 1876 Words

A reoccurring thematic issue in our society, as portrayed in â€Å"Hills Like White Elephants† and â€Å"Cat in the Rain†, is that gender controls every aspect of our lives. Gender roles have socialized us to obey and maintain strict rules that keep us accepted in society, â€Å"Once gender identity is developed, all thoughts, actions, and behavior is organized around it. When they find out what gender means in their life, they embrace that understanding in ways that create and reinforce gender stereotypes† (Lindsey,72). Hemingway demonstrates this concept in the two stories by showing gender role effects on language, choices, and image. In the stories, both women feel trapped, and unable to fend for themselves. Both of which who are unnamed, the women†¦show more content†¦As a result, men and women end up living in two very different worlds with very different social norms and freedoms. These roles, however, often favor men, limiting girls in the proces s. Girls are seen as small, weak, and in need, â€Å"Girls, in contrast to boys, are offered subordinate, less prestigious roles that encourage difference in dependence and social standards† (Lindsey,71). They are expected to behave appropriately by maintaining their silence, and seek approval for their opinions or desires. Consequently, men are encouraged to be aggressive, speak their mind, and maintain control, â€Å"Gender typing is encouraged, and occurs throughout the lifespan. This socialization sends powerful messages that teach boys and girls what is gender appropriate. Such norms like separation, independence, and control for boys and connection, interdependence, and cautious behaviors for girls† (Lindsey,79). Hemingway offers an example of these gender expectations relating to behavior in both stories. Regarding â€Å"Cat in the Rain†, George enforces this by offering to go out into the rain for his wife to get the cat, and instructs her not to get we t (Hemingway, 1). The comments may seem harmless, but they contribute to the overall view of women being incapable, fragile, and needing of help. George also aggressively asserts his power during a conversation when he explicitly speaks his mind to his wife, telling her to â€Å"Shut up and read something†Show MoreRelatedAnalysis Of Hills Like White Elephants 1517 Words   |  7 PagesPaul 5 December 2015 Female Disempowerment in â€Å"Hills Like White Elephants† In the story â€Å"Hills Like White Elephants,† Ernest Hemingway uses his in-depth ability of foreshadowing to provide the reader with little information on the stories background or future events to come. At first glance, the discussion that takes place in story seems like a minor argument between a couple at a train station in Spain. However, upon deeper analysis, this piece takes a stab at one of the touchiestRead MoreAnalysis Of Hills Like White Elephants 1911 Words   |  8 PagesC2C Eric J Holm 10 Dec 2015 Dr. Van Nort Final Essay: â€Å"Hills Like White Elephants† Jig’s Abortion through the Historical and Textual Lens â€Å"I know you wouldn’t mind it, Jig. It’s really not anything. It’s just to let the air in† (Hemingway 213). In Ernest Hemingway’s â€Å"Hills Like White Elephants,† an abortion is debated through subtleties, similes, and symbols. The abortion is never explicitly mentioned, but instead Hemingway leaves the reader to conclude what this â€Å"simple operation† really is (213)Read MoreHills Like White Elephants Analysis1803 Words   |  8 PagesSubject The text â€Å"Letting the air into a relationship: Metaphorical Abortion in ‘Hills Like White Elephants† by Wyche David aims at analyzing and synthesizing the short story by Hemingway â€Å"Hills like White†. The analysis would provide new knowledge to readers of the short story or provide the readers with a new point of view of analyzing it. The subject of the text is to present his ideas on the short story and well as critique other critics who had previously critiqued it. The story illustratesRead More Analysis of Hills Like White Elephants Essay1049 Words   |  5 PagesAnalysis of Hills Like White Elephants â€Å"Hills Like White Elephants†, by Ernest Hemingway, is a short story published in 1927 that takes place in a train station in Spain with a man and a woman discussing an operation. Most of the story is simply dialogue between the two characters, the American and Jig. This couple is at a critical point in their lives when they must decide whether or not to have an abortion. Certain themes arise from this story such as choices and consequences, doubtRead MoreStory Analysis of Hills Like White Elephants723 Words   |  3 PagesHills Like White Elephants Erich Auerbach wrote Mimesis in 1953 and used his theories about foreground and background to help in his analysis and understanding of the story of Odysseus. His analysis is appropriate for this one story but can also be applied to other stories wherein the truth of the tale is not expressed directly (Auerbach 3). Authors can instill additional meaning through the text by the tone that is set and the way dialogue is written. Background and foreground in this contextRead MoreCritical Analysis of Hills Like White Elephants923 Words   |  4 PagesMikhail Shimonov Professor Kaufman March 28, 2011 Critical Analysis of Hills like White Elephants At first glance, Hills like White Elephants by Ernest Hemingway, may allude to many interpretations, however, the short story has a clear purpose. Set in the Ebro River valley in Spain, the story looms around the issue brought forth by Jig and the American, who is nameless throughout the whole story. The issue here being the ‘simple operation’ that Jig is about to undergo which happens to be anRead MoreAnalysis Of Hills Like White Elephants 993 Words   |  4 PagesEnerest Hemingway’s short story titled Hills Like White Elephants, is a story that may seem as simple and plain as if not much is going on. However, the story is actually very intricate; the author was able to say a lot without using many words. The story is about a conversation between a man and girl who are waiting for a train in Spain. The couple are both distressed about how they should make a decision of whether to keep their baby, or terminate the pregnancy. Hemingway is able to say indirectlyR ead MoreFormalistic Analysis of Hills Like White Elephants825 Words   |  4 PagesIn an analysis of the story â€Å"Hills like white elephants† by Ernest Hemmingway, one is forced to take a deep look at the hidden meanings embedded in the story. Considering the point of view, the significance of the location and its relevance to the story, the structure of the text, the symbolic meaning of the two landscapes and the title of the story, the entrails of the story are exposed. Hemmingway’s story is written in an objective or dramatic point of view. The story is told primarily throughRead MoreHills Like White Elephants : A Critical Analysis1708 Words   |  7 Pagesâ€Å"Hills Like White Elephants†: A Critical Analysis Introduction: One of the many themes in his stories for which Ernest Heming way is known, includes feminism. At Hemingway’s time feminism was known as a famous movement and it affected many important writers like Octavia Butler and Virginia Woolf. Hemingway was a literary icon of his time and he was influenced by the political, social and human rights movements of his time. He was also touched by the hopelessness of women and how their thinkingRead MoreHills Like White Elephants Analysis773 Words   |  4 Pagesthem. â€Å"Hills like White Elephants,† a novel by Ernest Hemingway demonstrates this everyday struggle perfectly. â€Å"Hills like White Elephants,† is a short story about a conversation between an American man and a woman as they wait at a train for a train to Madrid. The couple obligingly discuss whats implied to be an abortion that the man wants the girl to have however her decision on whether to go through with it could heavily impact the future of their relatio nship. In â€Å"Hills like White Elephants,† Ernest

Nothing Essay Example For Students

Nothing Essay nthing is whar we hav here but jus to hav access to something so dont use this particular document in serious type homework btu look and realize that hey if its not worth doing write might as well not do it at all so just know that even though you think its hard and it is to do you a term paper you r either going to do it or not half way just dosent cut it anymore most of us will say to our selves yea I need to go on ahead and get it over with knowing that soomer or later they will be held responsible for that kind of wor k in the future the only reason one would not do their work is if they had already done it in an earlier setting and still have the same materials which in this case imply that you can reproduce the work for current settings all the hard work spent on getting around doing your own paper the first time can be eliminated by simply starting at the task at hand and taking it one step at a time till you finish thus your hard work was much more productive and you have tha t much more experince at such task making it easier for you the next time this should have been progressing ever since grade school which enables us now to turn out the good work we do now however if you like many other student still havent had the discipline to progress in such matter due to the fact that you may have cheated or plagrisedthere still hope for doing the right thing but at this point you may need a little tutoring to get you up to par but why be second rate when you can be first rate its worth the effort spent on your own term paper so having said all that I urge you to concider your future and values you will like to portray in the future it all come s down to whats your motivation if its jus t to get bye by whatever means possible you may need to recognise the need for more motivation and find what gets you going this is all to help you become a better person and who all dosent want to improve themselves ? so stick in their and give it the old college try and rememb er were all in this together peace out yall and thanks for listening. Bibliography:

Diversity Management Proposal Ethics

Question: Describe about the Diversity management proposal of Ethics? Answer: The introductory proposal discuss about the diversity issues occur in the healthcare workplace due to the use of technology. In todays situation Jackson Park Hospital, Chicago has to perform complex, interdependent and multi-disciplinary actions. The hospital has vast amount of information need to be keep record of it. The admitted patient information need to be taken by physician or nurse, after that patients needs the record of all their laboratory test, medicines, and other examinations. This is all the frequent diagnostic procedure performed by Jackson Park Hospital. This is the purpose why the hospital management strongly needed to use information technology i.e. computer, software program to fill those information and it is act as a supportive arm to control the hospital system to serve patient effectively. Use of technology also increase revenue of hospital and improve the operational efficiency. The employer may find diversity while selecting the employees for their hospital as some are good in technology and having less experience and some are week in technology but having good experience of the work. But with the help of this proposal I proposed for Jackson Park hospital. I will explain what the technology contains, how the employee will be trained to use the technology, how financial resources will be handled through the system. Before stating the proposal I have interview with Mr. Frederick Hobby, director of Jackson Part hospital. The director of the Jackson Park hospital talks on many different aspect and tell about their opinion related to diversity management. They give information about technology related policy making and which is required in the public sector in the ACT. They said that, there are many direct and indirect consequences while introducing the new health technology and hence they avoid introducing new technology in research context. When I ask them about what consequences they are trying to say? Mr. Frederick Hobby replied that risk related to patients data security, about the financial handling, staff cannot adopt the technology and so on. He further said that hospital is performing well but currently facing need to undertake some and assess some new and emerging technologies which will supports hospital and reviews, report and promote the hospital in Chicago and also throughout the America. To accomplish final diversity management proposal for Jackson Park hospital, the points proposed are given below, it will elaborate the plan given in outlined proposal: Step1: Proposed hospital Information system: It is said in earlier proposal that the technology has to be used in hospital to perform effectively. How the technology developed and further utilized we will discuss here: 1.While starting the hospital information system (HIS), it consist of large central computer and those computers are connected to other terminal i.e. other department of hospital. 2.All the computer in the hospital are connected with the network, every department like laboratory, blood banks in hospital, radiology department, clinician and patient ward and more service patient by using the technology. The module is created for each department of hospital which is part of software and integrating these modules will create information system for hospital. This is the concept of HIS and employees does not need to understand whole software, they just have to know and learn their module i.e. medical staff just need to understand medicinal module, laboratory assistant require to hand on their specific module and so on. Step 2: provide diversity training to staff: When system is ready to use in the hospital the Jackson Park hospital staff need to be trained properly to use those system efficiently. Because most of time these staff does not use these technology to perform their task. 1.It is nurses and administrative staff responsibility to collect, store, manipulate and make that information available to clinical department whenever needed, but with the help of using new technologies installed in hospital. The special trainer needed to appoint to train the staff about the uses of technology. The trainer will conduct sessions and also teach employees about how to use the software and teaches its pits and falls too. 2.With the help of technology doctors can find the clinical history of their patient on one click as they will be able to store the all patient data in electronic form format and that will store securely in electronic file. Doctors are just needed to learn the part of software useful for them not all the software and their work will done. The professional trainer also take different session for only doctors and will teach how they can use the software and minimize their work. To hire professional trainer, arrange session and perform all related task to it, fund will be require from the Jackson park hospitals hire authority and will file proper application for it. Step 3: To handle financial resources With the help of the technology financial business aspects of the hospital will be managed, the entire concepts are included in the software and are being used by hospital staff at different level: 1. Handling the payroll: It is very critical task and employee will have to maintain all the financial record manually. The payroll management maintain pay rate of individual employee, full salary and payroll history, with the help of software it get easy to maintain record and perform calculation and will eliminate the chances of human error in calculation. System also handles recurring and non-recurring payments.2.Handling payable accounts: The software handles all the payments performed within the hospital and also process the invoice.Patient Accounting : It maintain and record all the finance related to inpatient and outpatient charges.General Ledger: The software will handle the financial data and all the terms related to it i.e. collection, processing and reporting and will state the hospital status at any time require. Step 4: Technological advancement: With the help of using this technology health care entity will be able to make use of the technology and their procedure to do the task will minimized and become automates which will important for better competence. For the hospital to balance swiftness, its expenses and effectiveness of care delivery is the ultimate fate. Using the technology will add extra responsibility security i.e. the patients data, their personal and medical information need to be kept secure from hackers to avoid bad consequences. Hospital will have to perform effectively on the elements that are speed, quality and cost. At the ending of the proposal I want to focus on patients, the feedback from the customer, is they feel any difficulty in the treatment, or they experience about other staff in the hospital, about their waiting time and so on. The use of technology and either it is being beneficial for patient or not, is their waiting time reduced, do they get laboratory test report on time as patient have to wait for one day to get report, so I just want to check is that time get reduced due to use of technology. Medicine department also have their own software which will show medicine price, available stock and out of stock medicines and so on, whether the time to get medicine reduced and so on. References: Baker, D. W., R. M. Parker, M. V. Williams, W. C. Coates, and K. Pitkin. (1996). "Use and Effectiveness of Interpreters in an Emergency Department." Journal of the American Medical Association 275 (10): 783-88. This article will elaborate about the work performed by the emergency department and working ethics. Baker also introduces how interpreters are used in the emergency department and how they are effectively perform their task. Divi, C, R. G. Koss, S. P. Schmaltz, and J. M. Loeb. (2007). "Language Proficiency and Adverse Events in U.S. Hospitals: A Pilot Study." Journal for Quality in Health Care 19 (2): 60-67. Jha, A. K., DesRoches, C. M., Shields, A. E., Miralles, P. D., Zheng, J., Rosenbaum, S., Campbell, E. (2009). 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