Saturday, May 9, 2020
College Essay Samples on Donalds Trumps Wall Explained
<h1> College Essay Samples on Donalds Trumps Wall Explained </h1> <h2>The Most Popular College Essay Samples on Donalds Trumps Wall </h2> <p>Remittances are certainly not another marvel. Factional sources have everything over the guide. What's more, unlawful migrants additionally will in general carry out various wrongdoings since they are not aware of the other winning laws of the country that they look for home. </p> <p>This obstruction will keep away from the assortment of migrants who enter the USA through the outskirt in Mexico. Some of the youthful people don't comprehend what Juarez resembles any longer, he clarified. He's a legend once it comes to enterprise. </p> <p>Governments should forestall youngster work. Without the safe outskirts, the scope of unlawful arms in the usa will be incredible. Wrongdoings in america will develop. Illicit migration won't ever stop. </p> <h2> A Startling Fact about College Essay Samples on Donalds Trumps Wall Uncovered</h2> <p>From fundamental needs, similar to nourishments, to extravagance, including vehicles, Americans get every last one of these from Mexico. Laborers additionally have moved between nations, regardless of whether with expanded guideline than already. People can without much of a stretch re-appropriate for manual guide in doing assignments that they could be reluctant to do themselves from the unlawful foreigners at a more affordable expense than when looking for help from an expert who's enlisted as a legitimate resident of the country. </p> <p>I won't gracefully a dispute on the need for collaboration between the two countries. An individual ought not comprehend the opportunity to be America's pioneer for a chance to win cash, yet a chance to lead and better this country. It's promptly perceived by all the created world among the most, if not the most, compelling and solid countries on earth. All the world is one specific nation. </p> <h2>Whispered College Essay Samples on Donalds Trumps Wall Secrets </h2> <p>If you wish to find out additional, we have a paper on harassing segment for your favorable position. Saint is more than just a word it's a way of life. </p> <p>On-line cheat sheets are a brilliant way to deal with study! Consistently looking into your glimmer cards will ensure you'll hold a greater amount of the data which you're concentrating with almost no exertion required. </p> <p>Then, state three clarifications for why you're correct, offering a section of proof for each. Powerful pioneers aren't generously brought into the world yet formed through different conditions and individual they could have worked with. Other than this proposition being high and mighty, it would not just leave the issue of unlawful migration unsolved, however would likewise be madly expensive and illogical in various different manners. There's many reasons basic this announcement. </p> <h2>What You Can Do About College Essay Samples on Donalds Trumps Wall Starting in the Next Ten Minutes </h2> <p>There's as yet an unattainable rank for women. Trump promised to develop a great, astounding divider on our southern out skirt. </p> <p>The Mexican President doesn't have to make the divider. Moreover, Israel is an extreme partner to help when they're so resolved against compromise.</p> <p>Presidents Trump's migration boycott isn't just illicit, yet likewise unlawful. He accepts that the president ought to be somebody with the most cash out of the competitors. The Trump organization will likewise need to fight with horrible geology and heaps of fights in court. </p>
Friday, May 8, 2020
How to Be Successful in College Essay Course
How to Be Successful in College Essay CourseAre you planning on taking a class where you will be required to write an essay? Do you know how to be successful in college essay course? There are a number of ways to go about it, but not all of them are worth the effort.If you are reading this article then chances are you want to know how to be successful in college essay course. The truth is, if you're looking for a way to gain a competitive edge, then you don't want to simply take the first course that you can find. By learning how to be successful in college essay course, you can literally learn how to write essays from the most renowned and well known professors and instructors.One of the ways that you can really learn how to be successful in college essay course is by taking a class with a teacher who is truly famous and respected in his or her field. These teachers and instructors are constantly in demand, because their classes are always filled up. Because of this, they will usual ly offer you a lot of work to do to make sure that you are completely prepared when you go into your class.Even if they offer you no more than twenty-one of these courses a year, the reality is that they will be thankful for any help that you can give them. The way that this works is that you are assigned a short essay to read and interpret during your class. The topic for the essay is often chosen based on the instructor's opinion. They can give you a wide variety of topics to choose from, so they will be happy to give you a topic that they are pleased with.Another way that you can be successful in college essay course is by taking a class with a teacher that really knows his or her stuff. This means that the instructor's methods are impeccable and he or she will not hesitate to challenge you to do better. You will often be required to write an essay on a given topic, and this assignment is normally handed out before class.This is usually the time that you will be given a list of t opics that you have to read and discuss for the entire class. These topics are usually introduced by the instructor and will be read over the course of the class. You will be expected to look at each topic and work on it carefully.Once you have done all of your homework on each topic, you will then have the opportunity to read a topic, go over your notes, and talk about the subject matter. You will also be expected to answer some of the instructor's questions and take some tests on your essays. This will be all part of the process, which you will be given every chance to improve upon.In conclusion, if you really want to learn how to be successful in college essay course, then you must remember that the key to success is gaining every opportunity to be a better writer. While many students are in awe of teachers and professors, they often forget that the most important thing that they need to succeed is a good work ethic.
A Template For Term Paper
A Template For Term PaperA template for term paper is used in order to generate good-quality papers. The average length of paper is one hundred fifty pages, so this is a huge amount of paper. However, it is very important that you make the best out of this paper. Thus, you need to understand the fact that there are different templates that are used by many academic and business professionals.The traditional method of generating papers involves taking each word and rearranging them as per your preference. For example, in the paragraph on 'You may never have heard of' one might not write a lot of information about some parts of the world. These days however, it is preferred to know about how people live in certain parts of the world before we talk about a particular product. However, in order to do that you need to know the languages of these places. So, to go by the principles of this paper then, you can consider knowing about the language of the place.If you are not familiar with a c ertain country then you may not be able to write a term paper properly. In such a case, it is advised that you use a template for term paper in order to get the better result. You may not always know how to write a letter properly, which can be done with the help of a template. You also need to consider that the purpose of writing is to communicate something to somebody so you need to make sure that you do that in the correct way.If you are to write a term paper then you need to consider the following points. First you need to write about the topic you want to write about the issue you want to discuss. This will keep you away from writing about the side issues that may be of interest to some readers.Another point that should be taken into consideration is to use a template for term paper, which will be best suited for your need. This is where you will find out that there are various resources that can be used to help you generate a term paper. However, you can also rely on research to help you come up with the right one. For example, if you are looking for something, then look for the problem that has been mentioned in the document that you want to present. Then go on researching and find out more about the problems.Once you have chosen a template for term paper, you need to take note of the size of the paper that you want to use. This will help you in determining the length of the paper as well. In some cases you will need to find out how much space is required for printing as well. Once you have used a template for term paper then you will notice that there is no need to change the formatting every time you want to use it.The layout of the paper is important as well. You need to make sure that you format it in such a way that it becomes readable. This is because words will not be clearly visible if you have written them in the wrong way. Thus, if you use a template for term paper, then you will notice that you will get all the benefits of doing so.
Wednesday, May 6, 2020
The Story Of An Hour By Kate Chopin - 1540 Words
In Kate Chopinââ¬â¢s ââ¬Å"The Story of an Hourâ⬠, the main character, Mrs. Louise Mallard, is a woman with a heart problem that gets horrifying news that her husband has passed away in a train crash. When she starts thinking about her freedom, she gets excited; she is happy to start her new, free life. However, a few hours later her husband walks in the door and she finds out it was all a mistake. When she realizes her freedom is gone her heart stop and she then dies. In ââ¬Å"Desireeââ¬â¢s Babyâ⬠Desiree is an orphaned woman who married her loving husband, Armand, and they are very much in love. In Kate Chopinââ¬â¢s short story is says, ââ¬Å"He was reminded that she was nameless. What did it matter about a name when he could give her one of the oldest and proudest in Louisiana? (24-26). When they finally have a baby, they notice that the child is showing marks that he is a mix of two races. The husband blames the wife because of her unknown past and sends her and the baby away for good. Later, as he is cleaning out their old stuff, he finds a letter that says, in fact, he is the one of mixed race and not her. The husband then realizes he gave up everything he cared about over a silly mistake. Both of these stories show the women struggling in their marriages. It is typical for Kate Chopin to show the dominance in the male characters, especially in the marriages as it was in the ââ¬Å"Old Southâ⬠, when women were meant to serve their husbands. Rena Korb says, ââ¬Å"In certain ways, Desiree s Baby isShow MoreRelatedThe Story Of An Hour By Kate Chopin1241 Words à |à 5 Pagesââ¬Å"The Story of an Hourâ⬠by Kate Chopin is a wonderful short story bursting with many peculiar twists and turns. Written in 1894, the author tells a tale of a woman who learns of her husbandââ¬â¢s death, but comes to find pleasure in it. Many of the elements Kate Chopin writes about in this story symbolize something more than just the surface mean ing. Through this short story, told in less than one thousand one hundred words, Kate Chopin illustrates a deeper meaning of Mrs. Mallardââ¬â¢s marriage with herRead MoreThe Story Of An Hour By Kate Chopin855 Words à |à 4 PagesThe Story of an Hour In the ââ¬Å"Story of an Hourâ⬠by Kate Chopin, is about pleasure of freedom and the oppression of marriage. Just like in Kate Chopinââ¬â¢s story, inside most marriages, even the ones that seem to be the happiest, one can be oppressed. Even though, one might seem to be happy deep inside they miss the pleasure of freedom and living life to the fullest. Just like, in this story Mrs. Mallard feels trapped and when she hears about her husbandââ¬â¢s death she first feels distraught, but ultimatelyRead MoreThe Story Of An Hour By Kate Chopin1457 Words à |à 6 PagesEmotions and Death Everyone who reads a story will interpret things slightly different than the person who reads it before or after him or her. This idea plays out with most every story, book, song, and movie. These interpretations create conflict and allow people to discuss different ideas and opinions. Without this conflict of thought there is no one devoting time to debate the true meaning of a text. Kate Chopinââ¬â¢s ââ¬Å"The Story of an Hourâ⬠tells about a woman who is informed of her husbands deathRead MoreThe Story Of An Hour By Kate Chopin987 Words à |à 4 PagesIn Kate Chopinââ¬â¢s short story, ââ¬Å"The Story of an Hourâ⬠readerââ¬â¢s see a potentially long story put into a few pages filled with rising action, climax and even death. In the beginning of the story, character Louise Mallard, who has a heart condition, is told of the death of her husband by her sister and one of her husbandââ¬â¢s friends. Afterwards Mrs. Mallard is filled with emptiness and then joy of freedom. This joy of freedom is actually what consequently leads to her death in the end when she discoversRead MoreThe Story Of An Hour By Kate Chopin1061 Words à |à 5 PagesThroughout the short story, ââ¬Å"The Story of an Hourâ⬠, readers are introduced to characters whose lives change drastically in the course of this writing. Through Kate Chopinââ¬â¢s story we can identify many different themes and examples of symbolism in her writing. Chopinââ¬â¢s choice of themes in this writing are no surprise due to the time frame of which this story was written. Chopin often wrote stories with of womenââ¬â¢s rights, and is noted as one of Americaââ¬â¢s first open feminists. As this story of an ill, helplessRead MoreThe Story Of An Hour By Kate Chopin972 Words à |à 4 Pagesââ¬Å"The Story of an Hourâ⬠by Kate Chopin expresses Ms. Mallardââ¬â¢s feelings towards her husbandââ¬â¢s death in an appalling train accident. Due to her bad heart, her sister Josep hine had to be the bearer of bad news and approach his death gently to her. According to the quote, ââ¬Å" But now there was a dull stare in her eyes, whose gaze was fixed away off yonder on one of those patches of blue sky. It was not a glance of reflection, but rather indicated a suspension of intelligent thoughtâ⬠, it lets us know thatRead MoreThe Story Of An Hour By Kate Chopin998 Words à |à 4 Pagesââ¬Å"The story of an hourâ⬠by Kate Chopin was a story that was ironical yet profoundly deep. As a student I have been asked to read ââ¬Å"a story of an hourâ⬠many times, and every time Iââ¬â¢m surprised by how I enjoy it. People can read thousands of stories in their life times and only a handful will every stand out to them, stories that can draw out an emotion or spark a thought are the ones that will standout more. For me and ââ¬Å"a story of an hourâ⬠the thought of freedom is what draws me the most as a teenageRead MoreThe Story Of An Hour By Kat e Chopin1542 Words à |à 7 PagesIn the short story, ââ¬Å"Story of an Hourâ⬠, Kate Chopin writes about a woman with heart trouble, Mrs. Mallard, who, in finding out about the death of her husband, Mr. Mallard, experiences some initial feelings of sadness which quickly transition into the exhilarating discovery of the idea of a newfound freedom lying in front of her. When it is later revealed that her husband is not actually dead, she realizes she will not get to taste that freedom. The devastation kills her. What Mrs. Mallard goes throughRead MoreThe Story Of An Hour By Kate Chopin886 Words à |à 4 Pages In Kate Chopin ââ¬Å"The Story of an Hourâ⬠, the reader is presented with the theme of prohibited independence. In Kate Chopin ââ¬Å"The Stormâ⬠, the scenery in this story builds the perfect atmosphere for an adulterous affair. The importance of these stories is to understand the era they occurred. Kate Chopin wrote stories with exceptional openness about sexual desires. In ââ¬Å"The Stormâ⬠, a short story written by Kate Chopin in a time when women were expected to act a certain way and sexual cravings was consideredRead MoreThe Story of an Hour by Kate Chopin596 Words à |à 2 PagesIn ââ¬Å"The Story of an Hour,â⬠Kate Chopin focuses on the idea of freedom throughout the story. Mrs. Mallard is a lonely wife who suffers from heart trouble. She is told by her sister Josephine and her husbandââ¬â¢s friend Richards that her husband has passed away in a train accident. She locks herself in a room expecting to be devastated, but instead feels freedom. Later , she exits her room and her husband walks through the door, causing her to die of a heart attack. Chopin uses this story to demonstrate
Current Reviews in Musculoskeletal Medicine â⬠MyAssignmenthelp.com
Question: Discuss about the Current Reviews in Musculoskeletal Medicine. Answer: Introduction Healthcare quality management is a critical factor that determines the patients clinical outcomes. The quality management and control is coupled with a number of issues that has both direct and indirect effect on the quality of healthcare. There are many different approaches that have been advanced to explain the healthcare quality management systems. One of the key quality issues in healthcare is the adverse event that also requires careful reporting and good environment to promote accountability. Another critical focus of the quality management within the healthcare system is clinical governance that plays an important in quality control. The following report explores the healthcare quality management and safety within the healthcare system. Deming quality approach is based on leadership management of healthcare setting and is almost similar to Juran approach to quality since Juran also focus on organizational structure especially on the leadership of healthcare. Ishikawa feature uses fishbone diagram to describe the cause of the problem in healthcare and these components of are inter-joined to form the fish skeleton. Ishikawa features include aspects such as leadership, policies and patient, and is compared Deming and Juran since Deming features includes leadership while Juran has an organizational approach (Walshe Boaden, 2006). Despite various similarities in features of these quality improvement theories, there are also various differences between these approaches. Deming mainly focuses on leadership as leading aspect of transforming healthcare system and this is also viewed as a management approach. Juran on the other hand, focus on healthcare organization structure as the main aspect of quality management and improvement. Ishikawa quality improvement approach differs with other quality approaches incorporates other aspects such as patient, processes, and policies (Petr Walter, 2009). The three quality approaches differ with traditional quality management and quality control approach that mainly look into performance and staffs in general. These approaches utilize leadership and organization approach to quality and others approach to focus on patient partnership or patient-centeredness as a way of improving the healthcare system. For instance, some of these approaches use patient partnership as opposed to product quality assessment that is commonly used within the industry to evaluate or monitor quality. Transparency is another approach to these quality management strategies that also differ from those of other industries that only focuses on output quality assessment procedures (Wolff Taylor, 2009). Toyota total production system (TPS) is a system that consists of two main pillars and these are continuous improvement and respect for people. The continuous improvement pillar is further divided into three namely; challenge, improvement, and Genchi Genbutsu (go and see for yourself). The second pillar (respect for people) is further divided into two and these are respect and teamwork. These quality pillars and elements are connected to each other forming a production system or line that is complex but highly managed (Jeffery, 2009). Key pillars that are used to monitor quality within the Toyota quality management system highly based on the foundation of teamwork. Teamwork and respect for people start with respect of team members who are within the similar line as customers. The main quality aspects involve monitoring any errors with products and any slight mistake is not passed to the next team member. This is critical to ensure that end customers do not receive products with a defect. The Toyota quality system assists those team members to raise alarm in case of any defect and the production is halted until the defect is corrected. This, therefore, ensures there are high accuracy and precision in assembling of products at Toyota (Hackman Wageman, 1995). One of the notable reasons for failure with the Toyota quality system that resulted in the recall of a number of Toyota products as noted by President Akio Toyoda is the change of traditional focus on quality. Change of focus by the company from quality priority has made the products that are produced by the company to have many defects leading to recalls. Secondly, another possible reason for quality issues that are witnessed in Toyota over the past few years includes faster production that is coupled with errors. This implies that over the past years Toyota has shifted its focus on high volume of production as compared to quality hence quality has been reduced. For instance, in 1998, Toyota's management set as their target 15% of the global market leading to faster production at the expense of quality (Jeffery, 2009). Healthcare quality refers to the value of the healthcare resources or services provided to patients or clients as measured using health care quality indicators. Healthcare quality in this sense represents a collection of all factors that are used to measure the value healthcare services offers within the healthcare system. Healthcare quality can traditionally measure in terms of performance of staffs based on the healthcare organizational structure set by the health management. The healthcare quality can also be determined based on the patient involvement in care and the healthcare patient outcomes (Chassin Loeb, 2011). Various authors of many healthcare quality management articles consider healthcare quality improvement an important aspect since it determines the quality of service provides to patients. Improving the quality of healthcare help in increasing the safety of patient hence healthcare system gain integrity. The necessary conditions for quality improvement include teamwork and multidisciplinary approach to healthcare, patient-centeredness, open and transparency, accountability and evidence-based practice in healthcare. Firstly, these authors indicate that teamwork and multidisciplinary approach to quality improvement in one condition that assists in raising harmony within work environment a precursor for quality healthcare service. Secondly, patient-centeredness care where the patient is involved in care increases the safety of patient hence high quality of healthcare service. Thirdly, open and transparent approach to healthcare also improves the ability of practitioners to share information with team members which are important for quality of health and low medical errors. Lastly, accountability is another quality improvement condition that applies the value of being accountable for ones action or decision (Krause Hidley, 2009). Adverse events include those untoward medical occurrences that are observed in patients due to administered medication or pharmaceutical products that may not be related to the medication. This implies that adverse event includes any unintended or unfavorable outcome signs, symptoms or diseases that may be associated with investigated medicinal or product administered to the patient. An adverse event can be classified as serious, life-threatening medically important or congenital depending on its most likely effect on the patient (Zhang, Pate Johnson 2008). The commonest types of adverse events According to Marjoua and Bozic (2012), some of the most common adverse events include drug complications, wound infections, technical complications and surgical operations complications. Operational complications account for more than 48% of all adverse events and this is due to surgical wound infections. Secondly, drug complications that result from administered drugs to patients. Wound infections is another adverse event mostly attributed to negligence and technical complication on the practitioners side. Most of the wound infections are associated with the surgical operation and the technically connected to the practice (Stevens, 2013a). I think there are variations across the studies since factors that were used to judge the adverse event also vary. Determination of negligence, for example, requires the establishment of technical complications that are also associated with those practices. Moreover, most of the causes of adverse events arise from more than a single source of complications. Wound infection can sometimes arise from both negligence and is also associated with surgical operational complications (Krause Hidley, 2009). Some of the adverse events are preventable while some of these adverse events are not preventable. Some of the operational complications are deemed preventable due to the nature of these adverse events. For instance, general management, postoperative care, administration of drugs and care at the time of discharge is some surgical procedure that results in adverse events though are preventable. For example, in the study by Neale, Woloshynowych, and Charles (2001) nearly 27% of adverse events are resulting from diagnosis errors. However, there are some other adverse effects that are not preventable such as postoperative complications among elderly patients and organ dysfunction resulting from past poor health conditions. Themes in the Bristol, Bundaberg and one other report Bristol Themes Description 1. Team conflict There was disagreement between surgeons, anesthetists, cardiologists, and managers that resulted in multiple surgical errors that were fatal to patients 2. Poor quality management There were clear quality management and improvement structure that help monitor and assess the quality of service within the healthcare 3. Lack of clinical governance The healthcare lacked clinical governance that could give direction and foster teamwork especially during surgeries Bundaberg 1. Lack of patients safety The healthcare does not care for the patient safety and many admitted patients were at 16% risk of an adverse event 1. Poor clinical governance Poor clinical governance that leads to frustration of healthcare practitioners 2. Poor medical error reporting Adverse event reporting did internally result in that attracted attention of politicians Many of the causal factors that resulted in the adverse event were classified as system issue or individual issues since most of these issues were either resulting from an error committed by an individual health practitioner or by the organizational system. For instance, in the case of Bristol poor clinical governance or lack of quality monitoring structure were causal factors and are purely systems and not the individual. Secondly, the case of Bundaberg involves both individual practitioner and clinical governance that is a system factor. Most of these casual factors are either system or individual factors are associated with either individual or healthcare system (Glickman, Baggett, Krubert, Peterson Schulman, 2007). Most of these hospitals were accredited yet the errors were not identified before accreditation since some of the quality improvement was either not developed at the time or those issues were not there at the time of accreditation. For instance, in the case of Bristol, most quality improvement and monitoring structures were either not developed or the healthcare transformation left quality management structures lacking within the healthcare system. Secondly, in the case of Bundaberg, most of the quality issues were not there at the time of accreditation and later management of quality dropped. Public inquiries are effective in achieving long-term quality improvement within the healthcare system despite some few weaknesses. Firstly, these public inquiries identify the underlying problems within the healthcare of both hospital and healthcare system in general. However, some of the public inquiries are triggered by politicians that bring interference with the hospital management for political reasons. For instance, inquiries into the Bundaberg hospital highly attracted the attention of politicians (Gauld Horsburgh, 2015). Blame free culture is a medical error reporting environment that eliminates blames when reporting errors that are done within the healthcare system. For a long time errors reporting has been difficult owing to the fear of victimization, blames and even suffers as result of reporting an error (Neale Woloshynowych et al, 2001). Therefore many health practitioners have been using words carefully developed to eliminate any blame on health practitioners through the practice has been associated with patient safety issues. Patient within this culture view medical practitioners as untrustworthy and with minimal care for the patient and this ensures that an accountability reporting of medical errors is encouraged among healthcare practitioners (Ker Ker, Edwards, Felix, Blackhall Roberts, 2010). Blame free culture focuses on preventing victimization of the employee while reducing the patient's safety as compared to just culture that balance between accountability and employee fair treatment. Just culture is medical error reporting practice where operators are unpunished for medical errors or decision that are commensurate with the medical experience and training, though where gross negligence is evidence, willful violations and destructive acts are not tolerated. Blame free culture, on the other hand, protect the practitioner from any blame associated with their error action or decisions (Al-Abri Al-Balushi, 2016). It is important to distinguish the two medical error reporting culture since they form part of patient's safety and accountability solution. Firstly, the distinction between blame-free culture and just culture is important since it touches on the healthcare quality and without proper understanding; the two medical environments remain unsafe for most patients. Secondly, an effort to establish accountability culture within the healthcare system, distinguishing the two sets an error reporting environment that has an effect on both healthcare practitioners and their clients. Thirdly, make a distinction between the two medical reporting cultures enable isolation of medical errors done with negligence from those errors done from errors that fallible humans make (Henneman, 2007). Berwick believes that traditional quality controls emphasize on rigid structural quality control measures as compared to the quality real issues of patient safety. Berwick indicates that nursing practitioners, for instance, focus on their own performance and communication as laid out within the traditional organizational structures (Varkey, Reller Resar, 2007). In addition, the traditional quality assurance discourages teamwork leading to blame culture when reporting medical errors or adverse events. Furthermore, traditional health quality management system does not address the preconditions for health quality such as patient safety rather than addressing organizational requirement and practitioners performance (Makary Daniel, 2016). Doctors are to be blamed under traditional quality management system for a number of reasons. Firstly, doctors do not freely share information about errors, hazards and adverse events. This is based on the cause of errors rather than blaming others on who caused the errors as traditional quality management systems work. Secondly, doctors are not open to patients reducing patient safety, especially where there are medical errors. This has adviser effect on the elimination of medical errors that are witnessed in many healthcare systems (Carroll Quijada, 2004). There are many different qualities activities that require open and just culture. Firstly, transparency with the healthcare that allows openly sharing of information is an important aspect of care is it allows practitioners to be accountable through just culture or open. Secondly, multidisciplinary teamwork approach is another healthcare quality improvement or quality management approach that also ensures there is open sharing of information, especially through error reporting. When reporting errors openly medical error are reported and shared without fear of victimization. Thirdly, patient-centered care where patients are partners in care and their decision is used to plan for their care. Involvement of patients in healthcare decisions ensures that there is no blame in case of medical errors (Chassin Loeb, 2011). Evidence-based healthcare is an important approach that works to effectiveness and efficiency in the healthcare services (Sandars Cook, 2007). Firstly, evidence-based practice presents research findings that are used in the treatment of patient thereby improving the quality of clinical patient outcome. This brings better patient experience and patient satisfaction with the services. Secondly, evidence-based practices enable clinical practitioners to apply evidence presented through studies and research finding thus improving healthcare clinical outcomes. Thirdly, evidence-based practice reduces the per capita cost of healthcare since evidence-based practice reduces treatment time and patient clinical time. Evidence-based practice increases client's satisfaction hence clients get value for their cost incurred during treatment (Provonost, Berenholtz, Goeschel, Needham Bryan et al. 2006). Evidence-based practice has some limitation and criticism that brings challenges on the implementation of the practice. Firstly, evidence-based practice suffers from lack of cultural and environmental support that enables implementation of the practice in some healthcare facilities. Secondly, studies show that many healthcare practitioners lack the necessary knowledge on the EBP that help in adoption of the practice in all healthcares (Stevens, 2013). Thirdly, there are many misconceptions about the implementation of EBP due to the time it takes to implement the practice. Fourthly, evidence-based practice is limited in some healthcare due to lack of resources to assist in the implementation of EBP. These resources include lack of budgetary allocation that advances the adoption and implementation of EBP in healthcare settings (Kane Mosser, 2006). Evidence-based practice though is one of the most important health practices that have the capacity to improve quality or effectiveness of clinical healthcare, EBP has some criticisms. Firstly, some of the critics are based on the popularity of EBP in the healthcare system of Australia as some argue that EBP is unpopular within the health system. Secondly, there is some argument that EBP lack advances educational backup that forms the basis of research in EBP making the practice lack credibility among healthcare practitioners. Thirdly, EBP is sometimes believed to use lower-level evidence that does not correspond to current research finding hence prone to errors when used in patients healthcare (Petr Walter, 2009). Domains of Quality Patient Centredness Patient-centered care is currently one of the quality improvement care practice that is coupled with numerous advantages (Cantiello, Panagiota, Shirley Sabiheen, 2016). Firstly, person-centered care approach applies comprehensive care that has the overall benefit of improving the client's clinical outcomes. Secondly, the involvement of patient into self-care has the direct benefit of assisting the patient to better manage their own health and this has an impact on patient wellness. Thirdly, empowering patient through their participation in self-care relieve patient off stress leading to improved health conditions. Fourthly, person-centered care approach appreciates the use of the available clinical resource in patient care (Beach, Saha Cooper, 2006). Some of the benefits of person-centered care for healthcare system or organizational level include improve communication between clinical health practitioners and patient, increase medical adherence, and recognize what is meaningful to the client (Chassin Loeb, 2013). Firstly, person-centered care improves patient-practitioner communication and coordination since the patient is involved in self-care and this has an impact on improves quality of health care. Secondly, person-centered care increase patients adherence to medication a strategy that streamlines patient-healthcare relation resulting in good healthcare outcomes. Adherence to medication is also part of health system requirement and person-centered care allows the use of client's wish to be incorporated into medication procedure. Thirdly, person-centered care allows incorporation of what is meaningful to the client into the decision-making process of the healthcare system (Cochrane, Panagiota, Shirley Sabiheen, 2017). Barriers to person-centered care approach Despite advantages of person-centered care approach to both patient and the healthcare organization, there are some berries to this healthcare practice. Firstly, lack of understanding of multidisciplinary or teamwork among healthcare practitioners and patients hinder applications of person-centered care within the healthcare system. Secondly, strict organizational structures and procedures or protocols restrict implementation of person-centered care approach in healthcare (Glickman et al., 2007). Thirdly, an individuals beliefs and cultural background can act as a barrier to adoption and implementation of person-centered care approach in healthcare. Fourthly, traditional clinical practices that attracted heavy structural development are also a barrier to implementation of person-centered care that requires doing away with these traditional clinical practices. Finally, development of structures and policies that encourage implementation of person-centered care within a healthcare orga nization has been a challenge preventing the adoption of this practice (Donaldson Fletcher, 2006). Clinical governance refers to incorporation both cooperate governance with hospital management to achieve better operations and management of healthcare organizations. This implies that clinical governance applies both professional approaches to quality management and clinical aspect of quality management in healthcare settings (Braithwaite Travaglia, 2008). I think clinical governance is context dependent on the aspect of clinical governance depends on the environment of the healthcare an strategic context. This context nature of the clinical governance allows the establishment of the risk associated and the level of acceptance of risk, management and control measures (Gauld Horsburgh, 2015). There are many barriers to change in clinical governance the organization needs to address. Some of these include lack of commitment, particularly in relation to the number of different organizations and bodies now involved in governance activities, the political environment, inadequate information and reporting systems; ineffective communication; and procedural issues such as timeliness of reporting, ambiguity of roles, and integration of the range of organizational systems (Amalberti, Auroy, Berwick Barach, 2005). I think some of the challenges in achieving changes in clinical governance include stiff organizational structures that need to be dealt with before changing the overall clinical governance. Secondly, many organizations are focusing on a traditional approach to governance at the expense of quality issues that are witnessed with the healthcare systems. Thirdly, external interference, especially from politicians, affects most clinical organizations and this acts as barriers to changing the clinical governance. In addition, lack of commitment to change this clinical governance is another factor that highly influences the changes in most clinical organizational management lack the goodwill to change the governance (Braithwaite Travaglia, 2008). Conclusion In conclusion, healthcare quality is an issue that not only affects the healthcare system but also affects the patients clinical outcomes. Healthcare quality lies on the foundation of the organizational structure, professional management, and ethical standards. In addition, healthcare quality management requires strong clinical governance that is coupled with good quality management strategies. Quality management strategies need to consider patients safety, transparency and open sharing of information, especially during adverse event reporting. Therefore, there is need to develop quality management systems that will ensure that all quality management conditions are put in place for the better healthcare quality and outcomes. Reference Al-Abri, R. Al-Balushi, A. (2016). Patient Satisfaction Survey as a Tool Towards Quality Improvement. Oman Medical Journal, 29 (1): 37. Amalberti, R., Auroy, Y., Berwick, D. Barach, P. (2005). Five System Barriers To Achieving Ultrasafe Health Care, Annals of Internal Medicine, 142, pp. 756 764. https://annals.org/aim/article/718374/five-system-barriers-achieving-ultrasafe-health-care Beach, M. C., Saha, S. Cooper, L. A. (2006). The Role And Relationship Of Cultural Competence And Patient-Centeredness In Health Care Quality, The Commonwealth Fund, No. 960 Executive Summary, pp. vi x https://www.commonwealthfund.org/usr_doc/Beach_rolerelationshipcultcomppatient-cent_960.pdf Braithwaite, J. Travaglia, J. F. (2008). An overview of clinical governance policies, practices, and initiatives', Australian Health Review, 32(1): 10-22. https://www.publish.csiro.au/?act=view_filefile_id=AH080010.pdf Chassin, M Loeb, J. (2013). High-Reliability Health Care: Getting There from Here, Milbank Quarterly, Sep, 91(3): 459490. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3790522/ Cochrane, B. S. Mitch, H., Gino P., John A. K., Marshall, D. A., Brian N. Craig D. (2017). High reliability in healthcare: creating the culture and mindset for patient safety, Healthcare Management Forum, 30(2): 61-68. Carroll, J. S. Quijada, M. A. (2004). Redirecting traditional professional values to support safety: changing organizational culture in health care, Quality, and Safety in Health Care, 13, ii16 ii21. https://qshc.bmj.com/content/13/suppl_2/ii16.full.pdf Chassin, M.R. Loeb, J.M. (2011). The Ongoing Quality Improvement Journey: Next Stop, High Reliability. Health Affairs, 30 (4): 559568. Available at: https://content.healthaffairs.org/content/30/4/559 Cantiello, J., Panagiota, K., Shirley, M., Sabiheen A. (2016). The evolution of quality improvement in healthcare: patient-centered care and health information technology applications. Journal of Hospital Administration, 5 (2). doi:10.5430/jha.v5n2p62 Donaldson, L. J. Fletcher, M. G. (2006). The WHO World Alliance for Patient Safety: towards years of living less dangerously, Medical Journal of Australia, 184(10): S69 S72. Gauld, R. Horsburgh, S. (2015) Healthcare professionals perceptions of clinical governance implementation: a qualitative New Zealand study of 3205 open-ended survey comments, BMJ Open, https://bmjopen.bmj.com/content/bmjopen/5/1/e006157.full.pdf Glickman, S. W., Baggett, K. A., Krubert, C. G., Peterson, E. D. Schulman, K. A. (2007). Promoting quality: the health-care organization from a management perspective, International Journal for Quality in Health Care, 19(6): 341 348. Henneman, E. A. (1 October 2007). Unreported Errors in the Intensive Care Unit, A Case Study of the Way We Work. Critical Care Nurse, 27 (5): 2734. Available at: https://ccn.aacnjournals.org/cgi/content/full/27/5/27 Hackman, J. R. Wageman, R. (1995) Total Quality Management: Empirical, Conceptual, and Practical Issues, Administrative Science Quarterly, 40, pp. 309-342 https://www.jstor.org/stable/2393640 Jeffery, L. (2009). The Toyota Way, which describes the 14 principles of the Toyota management philosophy. You can read about these at https://strategy-insight.blogspot.com/2009/07/toyotas-14-principles-key-success.html (14 principles) and https://strategy-insight.blogspot.com/2009/08/toyota-way-2001.html Kane, R. L. Mosser, G. (2006). The challenge of explaining why quality improvement has not done better, International Journal of Quality in Health Care, 19(1): 8 10. Ker, K. Edwards, P.J., Felix, L.M., Blackhall, K. Roberts (2010). Caffeine for the prevention of injuries and errors in shift workers. The Cochrane Database of Systematic Reviews (5): CD008508. doi:10.1002/14651858.CD008508 Krause, T. R. Hidley, J. H. (2009). Taking the Lead in Patient safety, How Health Care Leaders Influence Behaviour and Create Culture, Hoboken, New Jersey: John Wiley Sons. Makary, D. Daniel, M. (2016). Medical errorthe third leading cause of death in the US. BMJ. Available at: https://www.bmj.com/content/353/bmj.i2139 Marjoua, Y. Bozic, K.J. (2012). A brief history of the quality movement in US healthcare. Current Reviews in Musculoskeletal Medicine, 5 (4): 265273. doi:10.1007/s12178-012-9137-8 Neale, G.; Woloshynowych, M. Vincent, C. (July 2001). Exploring the causes of adverse events in NHS hospital practice. Journal of the Royal Society of Medicine, 94 (7): 32230. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1281594 Petr, C. J. Walter, U. M. (2009). Evidence-based practice: a critical reflection, European Journal of Social Work, 12(2): 221-232. Provonost, P. J., Berenholtz C.A. Goeschel D.M. Needham, J. Bryan S.D.A., Thompson L.H. Lubomski J.A. Marsteller M.A. Hunt E. (2006). Creating High Reliability in Health Care Organizations, Health Services Research, 41 (4): 1599 1617. Sandars, J. Cook, G. (Eds) (2007). ABC of Patient Safety, Oxford: Blackwell Publishing. Stevens, K (2013). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas, The Online Journal of Issues in Nursing, Vol. 18, No. 2. https://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice Stevens, K. (2013a). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas, The Online Journal of Issues in Nursing, 18(2). https://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice Varkey, P., Reller, M. K. Resar, R. K. ( 2007). Basic Quality Improvement in Health Care, Mayo Clinic Proceedings, 82(6): 735 739. Walshe, K. Boaden, R. (Eds) (2006). Patient Safety, Research into Practice, Maidenhead, Berkshire: Open University Press. Wolff, A. Taylor, S. (2009). Enhancing Patient Care, A Practical Guide to Improving Quality and Safety in Hospitals, Sydney: MJA Books. Zhang, J.; Pate, V.L. Johnson T.R. (2008). Medical error: Is the solution medical or cognitive? Journal of the American Medical Informatics Association, 6 (Supp1): 7577. doi:10.1197/jamia.M1232
Wednesday, April 22, 2020
Philos, Eros, Agape Love in Religion Essay Example
Philos, Eros, Agape Love in Religion Paper Philia, eros, and agape are three different Greek terms for the word. These three terms explain the different types of love a human being can acquire. Philia is a love of friendship, which is grounded in commonality. However, eros is a kind of love that seeks something from the other person or thing. Lastly, agape is the love that wills the good of the other and is completely self-giving. The meanings of these Greek terminologies, philia, eros, and agape, allow us to better understand and discuss our relationship with God and human fulfillment. In order to find human fulfillment, one must find God of Jesus Christ as well. Erotic loving is our desire for this fulfillment, which can be seen through eros. Human nature can be simply defined in our constant want and need for infinite. The infinite, for humans, is never being satisfied, always wanting more, the best, and as much as we can get of something. This insatiable drive within all of us takes us to the question of human fulfillment. Eros is not a noun but yet an action or an activity. For instance, eros is the longing and search for a significant other throughout our lives. We will write a custom essay sample on Philos, Eros, Agape Love in Religion specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Philos, Eros, Agape Love in Religion specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Philos, Eros, Agape Love in Religion specifically for you FOR ONLY $16.38 $13.9/page Hire Writer By the same token, we search for God and yearn for infinite happiness and fulfillment from God. All human beings in one-way or another seek about human fulfillment. An example of someone who struggled with human fulfillment is Augustine. Although later he became known as Saint Augustine, in his earlier years he was everything but. Augustine was very intrigued by very common materialistic desires such as worldly possessions and lust. These skewed desires enthralled his thoughts, words, and actions. Consequently, Augustine became involved in petty crimes in order to feed this idea of ââ¬Å"loveâ⬠in the materialistic world. This concept of love and desire can be further illustrated as a receding horizon; the farther you continue into the horizon the bigger and more numerous your wants become. Later on Augustine reflected upon his materialistic ways of life and made significant life changes to become the Saint Augustine he is referred to today. As exemplified, the essence of eros can have a negative outlook and has been evaluated as such by Jean Paul Sartre. Sartre attested that the human being is a useless passion due to our insatiable desires. Markedly, human beings desire to retain the infinite and that need is simply impossible. For the search for the unlimited is tiresome and unappeasable. Conversely, there is an alternate way of looking at eros. In order to have hope, God has to appear to human life as not a receding horizon but an absolute savior. Human beings long for the truth and due to the constraints of science and history, Jesus is seen in an alternate way because he is no longer limited by space or time. In this case, Karl Rahner and Saint Augustine both agree that God always initiates the relationship with human life. Namely, they asserted that we are constantly drawn to God and God is not drawn to us. Because of this, we have the option of forming a better relationship with God. Rahner said that God dispenses his grace to all human beings of every religion in and God is continually accepting. Chiefly, it is not Godââ¬â¢s choice to accept or deny us, for that is not his matter?. Anthony De Mello describes another explanation of human fulfillment to us. He explains to us that in order to have human fulfillment, we must detach ourselves from our worldly attachments. As human beings, we allow ourselves to believe that we cannot be happy without a certain thing or person in our life. Thus, that is not correct. We completely wreck ourselves with the belief in finite things. De Mello also emphasizes that we shouldnââ¬â¢t not care about these things and people in our life but rather we realize that we can live without them and be intent with that. ? Besides eros being a description of love there is also philia. Philia is the love of friendship or brotherly love. This kind of love is seen most commonly between friends who share things in common. Once we seek God, we have a friendship with God. Although, God is not described by philia because it is not completely reliable due to changes in friendships in positive and negative ways, and Godââ¬â¢s love never changes. On the contrary to philia, agapic love is God. The terminology of agape explains Godââ¬â¢s love as it wills the good of the other. Agape is all self-giving and never asks for anything in return. When a person gives them self to God, this love is agape. Nevertheless, agape and philia types of are critical to having a strong relationship with God. ?à à à à à à à The doctrine of the Trinity can be viewed as God invites human beings into the inner life of God. Consequently, the doctrine of the Trinity correlates with this topic of discussing the types of love. The idea that God is three persons, yet one essence exhibits that God revealing Godself. God not only communicates with us, but he also draws us into the Trinity. Rahner expressed that the doctrine of the Trinity ââ¬Å"is not a subtle theological and speculative game but is about the self-communication of God. â⬠In the final analysis, there are two models that Christian theologians have formulated in an attempt to address the question of the salvation of non-Christians. These models are the Replacement Model and the Fulfillment Model. The Replacement Model mainly represents the Fundamentalist and Evangelist churches which existed over most of Christian history. This model emphasizes the scriptures from a literal standpoint. According to the Replacement Model, in order to be saved one must be in connection with the Church. Quite clearly, the Replacement model is not very accepting of other religions and believes only Christians will have salvation. ? The Fulfillment Model represents the majority of modern day Christians. The Fulfillment Model preaches the perspective that Christians need to have dialogue with non-Christians. In addition, many Christians think itââ¬â¢s not fair to punish those who have never learned the religion of Christianity or even heard of it. The Fulfillment Model is a way to accommodate people of all different faiths and as long as they are moral, that they too will see eternal life with God. By and large, Karl Rahnerââ¬â¢s ideas mostly correlate with the ideas of the Fulfillment Model. The only real difference is that he states is that other religious views are also true. The church did not accept Rahnerââ¬â¢s view because quite simply the church thought that other religions couldnââ¬â¢t be true and by believing so it devalued the image of Jesus in the Christian Church. In Vatican II, the council agreed with Rahnerââ¬â¢s except they said there was no such thing as ââ¬Å"anonymous Christiansâ⬠and that other religions cannot be viewed as ways of salvation. Moreover, I believe that the Fulfillment model is the most accurate description of how non-Christians should be viewed. I believe that all people have salvation in God because God knows and loves all human beings. Lastly, I believe that by thinking that God doesnââ¬â¢t save non-Christians limits the idea Godââ¬â¢s everlasting love.
Tuesday, March 17, 2020
Tattoo or not to tattoo... the
Tattoo or not to tattoo... the Tattoo or not to Tattoo: An informative guide to the history, selection, care, and removal of skin art.Tattoo or not to Tattoo Tattoos or skin art as it is commonly called, seems to be the latest fashion trend today. Everywhere you look someone else is getting inked, be it could be the college student, the young mom next door, or the executive in his business suit. The history, selection, safety , and care along with some removal methods are not always obvious nor is a non-permanent alternative. All these things and more will be revealed in a few short moments.The history of skin arts beginnings are some what unclear. Some people like tattoo artist Erik Reime think that it goes back to biblical times, in fact it could be conceived that GOD created the first tattoo when he put "the mark upon Cain" (3). For others it originated n Egypt or as V.English: Marc Pinto drawing a design on a client a...Wageman reviews in Victoria Lautmans book The New Tattoo the first tattoo may have come abo ut when "some stone age klutz fell down near a hearth[and] found charcoal embedded in his flesh"(8).through out history we can see that tattoos have served a variety of purposes. They have been the distinguishing mark of a slave or a ruler, they were and still are used in prisons and more recently have become a means of personal expression. In the eighteenth century Capt. James Cook brought back to England some tattooed South Sea islanders. Cooks seamen were among the first westerners to have full body tattoos. From there tattoos progressed to the US where slaves were branded with their owners name or some other distinguishing mark. In a web page written and maintained by Robert Birkins we can see how skin art was also used in the...
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