Essay on The Eloquent Rhetoric of Feminism - 1062 Words

The National American Woman Suffrage Association (NAWSA) was a major organization responsible for several courageous efforts in the promotion of women’s rights, notably the movement to ratify the 19th Amendment in 1920. Elizabeth Cady Stanton served as the first president of the NAWSA and a significant figure of the feminist movement. At the Women’s Rights Convention in 1848 Stanton delivered her momentous resignation speech entitled â€Å"The Solitude of Self.† Addressing her audience, Stanton delivers an inspiring and rhetorically eloquent speech. She uses metaphors and logical interpretation to provide her audience with the knowledge and understanding of true equality. The following essay details the effective attributes and distinct style†¦show more content†¦Referencing the Bible, she utilizes an excerpt to suggest past rationale for the concern of solitude stating â€Å"Bear ye one another’s burdens†¦ how few the burdens are that one s oul can bear for another† (Stanton, 5). From a religious perspective, Stanton appeals to the Protestant ethic of the American public. The Protestant ethic teaches each faithful servant to take control of their own individual conscience and judgment (Stanton, 4-5). Furthermore, considering the children of each man and woman in her audience, Stanton stresses the innocence and vulnerability of the child who has to progress through the world alone and on their own merits. This appeal emphasizes the familial dynamic of Americans who cherish their children and raise them with strong ethics and Protestant values. Stanton’s intent was for her audience to consider the life of their daughters, and to realize the potential that equality can bring to their future. Although, during this time men and women were not equal, Stanton was an accomplished woman, intelligent, and with the innate ability to excel alongside the males of her generation (biography.com). When Stanton delivered her speech in 1848, the United States government was primarily staffed by Protestant men. Stanton advocated for the opportunity for higher education, the ability to attain politicalShow MoreRelatedGender and Postmodern1508 Words   |  7 Pagesforce working towards eradicating difference and not natural in any sense nor is the normative expressions of human sexuality. A key concept is the performativity and argues that all references to gender, sex and sexuality are natural as mere rhetoric. Butler initially observes that the culturally constructed as well as maintained nature of performance of gender are fairly based on the uncontentious as well as widely expounded idea of feminist theory stating that cultural expressions of genderRead MoreIndian English Novel17483 Words   |  70 PagesIndian intelligentsias with his remarkable understanding of Indian History, as well as unification of Indian history with language. This further paved the way to portray India with her sheer grandeur, tradition, realities, myths, heritage in the most eloquent way. Perhaps this supported Amitava Ghosh to dabble the post colonial Indian realities while helped Vikram Seth to picturise a rather new India laced with an air of Victorian aristocracy. The cobweb of romance, the strange mind of the women and theRead MoreMetamorphoses Within Frankenstein14861 Words   |   60 Pagesinterpr etation is the Monster h imself : ‘ â€Å"H ateful d ay when I receiv ed lif e!†, I ex claimed in agony. â€Å"Cursed creator! Why did you form a monster so hideous that even you turned from me in disgust?† ’ (p. 105). An often clear eyed and alw ays eloquent interpreter speaking out of the narrative cen tre of the novel, the Monster in f act can be said to hav e preempted most of th e allegorical readings of th e novel. Few cr itics follow Moer s’s precise emphases and most try to avoid the naivelyRead MoreRastafarian79520 Words   |  319 Pagespolice, the only case that could be brought against them would be for possession of the holy herb, or wisdom weed.6 Though not widely used, violent confrontation periodically appeared in the Rastafarian arsenal of resistance. Of course Rastafarian rhetoric against Babylon has always been laced with violent images, such as the frequent invocation of â€Å"blood and ï ¬ re† against Babylons agents and â€Å"baldheads.†7 Early Rastafarian leaders, particularly Howell, advocated the violent overthrow of the colonial

Benefits You Get From Only Regular Exercises Essay

Benefits You Get From Only Regular Exercises By Job Kiruki | Submitted On March 25, 2016 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Physical activities such as walking, athletics and games, which may all be grouped as exercises, are important in maintenance of health at all ages for both males and females. Regular exercises are particularly useful for those normally involved in occupations that do not involve much movement like office assistants, administrators, accountants and lawyers among others. Many people are not aware of the benefits that can be drawn from regular exercises. For best results the amount and type of exercise done will depend on the age and even health of the individual. When the right amount and type of exercises are undertaken, all parts of the body work at their best. By carrying out exercises for a period of time, the muscles become firm in tone, strong and work at maximum efficiency. Fatigue and accompanying aching and soreness are postponed during exercise. The heart, whose role is to pump blood round the body, also works more, efficiently. For example, when an individual is resting, the heart pumps five liters of blood every minute. During exercise, it canShow MoreRelatedHealthy Aging917 Words   |  4 Pagesan active lifestyle is more important than ever. Regular exercise helps seniors maintain health, boost energy, and improve confidence. The good news is, no matter your age, your health, or your fitness level, you can benefit from moving more. Whether you are generally healthy or are managing an illness, there are big and small ways to get more active and boost your fitness level. Exercise is extremely important for everyone, no matter what age you are. However for seniors, it becomes even moreRead MoreBenefits Of Exercising Regularly Can Make You Feel Better And More Energized915 Words   |  4 Pagesregularly can make you feel better and more energized. When you feel good, you can tackle tough tasks throughout your day. It can benefit your emotional and mental health too. There are so many benefits to regular exercise. The Benefits of Regular Exercise Controls Weight Regular exercise can help you lose weight or control your weight. As we age, our bodies metabolism starts to slow down, which can cause weight gain. While you might be doing the same thing you did when you were younger, yourRead MorePersuasive Speech : Effects Of Obesity1297 Words   |  6 PagesCorey Knoble Effective Speaking Professor Traci Alexander Persuasive Speech Why America Needs to Get in Shape Children now spend more than seven and a half hours a day in front of a screen whether it be a television, computer, smartphone, or playing video games (cite). No I didn’t stutter, no I’m not exaggerating, seven and a half hours a day, can you believe that? As sad as it is, I’m unfortunately not surprised. Society continues to rapidly evolve as we continue to become consumed by technologyRead MoreExercise for Optimal Emotional Health651 Words   |  3 PagesExercise for Optimal Emotional Health People who are emotionally healthy are more efficient in controlling their behavior and emotions. This makes it easier for them to take on life’s daily challenges with strength and resilience, without experiencing depression and emotional breakdown. Lifestyle changes are essential in keeping the balance in our emotional health and it includes healthy eating, exercise and focusing on positive mindset. Regular exercise is not only essential for physical healthRead MoreEffects Of Physical Activity On Children s Health1460 Words   |  6 PagesBenefits of Physical Activity in Youth Children’s health is something that is very important and people need to become more familiar with how to get their youth healthy and how to keep them healthy. Children need physical activity on a daily basis to stay mentally and physically fit. There are nine primary studies done between sedentary behavior and mental health. Having a high level of sedentary behavior negatively impacts your health. Physical activity has potentially beneficial effects for reducedRead MoreEffects of Exercise to Muscles1711 Words   |  7 PagesEffects of exercise to muscles Jezreel E. Rodriguez Communication Arts II Professor Manlapig, B. May 22, 2012 â€Æ' Thesis statement: 54 percent of human body mass is muscles, and through regular exercise these muscles could be made healthier. I. Introduction II. Muscles and exercise a. Three types of muscles 1. Smooth muscle 2. Cardiac muscle 3. Skeletal muscle b. Benefits of exercise to muscles 1. Muscle Strength 2. Muscle Endurance 3. Muscle Size 4. MuscleRead MoreEssay The Many Benefits of Exercise1513 Words   |  7 Pageslargely instigated from the lack of education about health and exercise. Exercise has a wide variety of positive effects on the body and mind that can be categorized into three main parts. Part one describes psychological benefits, including the influences exercise has on the mind and its functions, as well as the behavioral changes it presents. Part two explains the physical qualities that exercise can enhance. This effect incorporates the body as apposed to the mind. Exercise affects your overallRead MoreForget about Your Weight, Start Moving Essay990 Words   |  4 Pagesnumerous benefits, but many still do not take time to do so. I am one of those people six months ago. I had led a sedentary lifestyle. I know exercise is good for me, but I always find an excuse not to do it. I do not wish to go back to my old ways, thus, I chose to do a book review on Ted Mitchell, Tim Church, and Mortin Zuckers M ove yourself: the Cooper Clinic medical directors guide to all the healing benefits of exercise (even a little!). It explores the health benefits that can come from regularRead MoreEssay On Importance Of Exercise1263 Words   |  6 PagesThose who think they have no time for bodily exercise will sooner or later have to find time for illness. ~Edward Stanley You can change your life for the better and propel it to achieve a much higher goal and position by sincerely following one simple activity and that is: Exercise. Top executives, world leaders and other peak performers all have one thing in common; they have thoroughly understood the tremendous power of vigorous exercise on a daily basis as a tool for excellence. Many studentsRead MorePersonal Healthy Living Plan853 Words   |  4 Pagesthe recommendations found in Canada’s Food guide. Base on what the food guide says, what menu changes, if any, would you make to the meals you ate over the three days you tracked and that you eat in general? Why? Compared to my eating habits for the past three days, to the eating baits with the recommendations found in Canada’s Food guide, it seems like my habit is a little off from being healthy. I should eat a little more for breakfast, and sometime more healthier during lunch. I might try adding

Developments in Improving Care for People with Special Needs

â€Å"How a society treats its disabled is the true measure of a civilization† (Chen, 2012). Such notion may indicate how significant it is for a certain society to be less ignorant of the disabled. Living with disabilities can be challenging, particularly for those who live without a solid support system, namely financial support. Despite the growing population of people with special needs around the globe, the barriers they have to accessing care, be it from communication to financial constraints, are high (World Health Organization, 2012). In Brunei, although numerous strategies and programmes, which aim for the rights of the disabled to be protected, have been developed, Her Royal Highness Princess Sarah (HRH) asserts that there is still room for improvements (Rabiatul Kamit, 2013). This essay will thus discuss a series of developments in improving care for people with special needs, in terms of education, employment, and welfare. First of all, because people with disabilities are more likely to attend only special learning institutions where they are separated from others (Nasrullah El-Hakiem, personal communication, April 14, 2014), the education system for the disabled in Brunei shall foremost be ameliorated. For people with special needs, being excluded from their non-disabled peers may lead to an assortment of problems, such as poor communication skills and not being able to fully participate as members of society. This, however, can be improved by allowing disabledShow MoreRelatedThe Policy Process1582 Words   |  7 Pages In today’s health care system it is constantly improving and changing, due to the demands of the health care system. For this to happen new policies must be created or even improving old policies. Congress is involved in the process of policy making; including three stages such as foundation stage, legislative stage, and implementation stage. When a health care topic is in p rocess of becoming a policy it hopes to reach a desired outcome to have a positive effect on people. In the policy makingRead MoreEarly Childhood Care: Professional and Family Empowerment657 Words   |  3 PagesEarly Childhood Care Professional and Family Empowerment: Families with children with special needs usually experience distinctive additional challenges in supporting their children and promoting their holistic development. While these children can achieve extraordinary things through necessary support from families and friends, they usually fail to receive support from their families. Generally, these children need care, necessary support for growth and care, and safety. One of the major reasonsRead MoreIdentify the Current Legislation and Codes of Practice to the Promotion of Equality and Valuing of Diversity.1402 Words   |  6 Pagesrights of all children and young people. The policies in place work to ensure equality and inclusion; this can be conducted through the teaching and learning that occurs in the setting. However, the policies must also pay regard to the values and practice which are part of all aspects of school life. All work with children should be underpinned by the principles and values as stated in the National Occupational Standards in Children’s Core Learning and Development. These principles and values areRead MoreLife Long Learning for Students with Disabilities Essay example639 Words   |  3 Pagesfor young students with disabilities is not negotiable. This is because, these young learners requires special care and services in their day to day activities. Developmental disability has become a common diagnosis in children these days. This disability starts during a child’s development period and may last for a life time. Special educational programs are available for children with development disabilities. The diagnosis of developmental disabilities can be done at an early age. It is the dutyRead MoreChild Welfare Committee / Juvenile Justice Board968 Words   |  4 Pagesconsidered as a child under need of care and protection. Some of the other organisation which focus on the prevention of trafficking among children and protection of the child victims are: ï‚ § SAARTHAK: working in Delhi focus on providing mental health resources and process for the victims after rescued. ï‚ § RESCUE FOUNDATION: working in Maharashtra and runs shelter home with facilities such as counseling, training (vocational and life-skills), legal assistance, health care services (physical and psychological)Read MoreCache Level 3 Diploma for the Children and Young Peoples Workforce (Qcf) England1555 Words   |  7 PagesUnit title: principles of implementing duty care in health, social care or children’s and young people settings  Ã‚   Unit number:  SHC 32  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Unit reference:  R/601/1429      Unit level:  3  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Unit credit level value:  3      |  Name:   |Annam  Khan   |Today’s date:   |   |    1. Understand what is required for work competence in own work role.   1.  Describe the duties and responsibilities of ownRead MorePhysical Therapy And Traditional Physical Therapists1710 Words   |  7 Pagesneeded all over. They help people with their injuries and helps them cope with any pain they may have. Pediatric physical therapy and tradition physical therapy only differ in the age that they work with. Pediatric physical therapists work with children under the age of eighteen, while tradition physical therapists work with people over the age of eighteen. Some factors that are considered when looking into the pediatric physical therapy career are, the reasons someone needs pediatric physical therapyRead MoreThe Legacy Of Health Care Reform Essay1403 Words   |  6 PagesHealth care reform is not a new concept in fact it has a long history in this country and has been on many political platforms. In 1948 Harry Truman had national health insurance on his campaign platform as part of the new deal but it never came to fruition due to democratic o pposition and socialist fears (Christiansen, 2012). In 1965 president Johnson did have some success with signing Medicare and Medicaid into the social security act as well as President Nixon with the Health Maintenance OrganizationRead MoreHealth Care1342 Words   |  6 PagesUniversity Health care The United States is having major problems with crisis in health care such as high insurance cost, Medicaid and Medicare recipients, and uninsured people in America. The United States focus on Universal Health care or coverage. â€Å"The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them (WHO, 2014)†. The cost of health care is continuing to rise and millions of people are withoutRead MoreThe Delivery Of Health Related Services1461 Words   |  6 Pagespatients from one care setting to another. Also recognized as transitions of care these actions often occur between acute-care hospitals and post-acute care settings such as rehabilitation centers and nursing homes. Transitions of care, however, do not only occur between in-patient settings. Patients discharged from the hospital to their home or shuffled between a primary care clinic and specialty clinic also experience t ransitions of care. In any instance, transitions of care place patients at

What Are Nursing Research - 1359 Words

What is nursing research and why is it important to nursing? Research is essential in all aspects of life. Research guides decisions on what cars will be bought, what houses will be purchased, or where children will attend school. So, why would research not be an important part of deciding what is best in regards to healthcare? Research is conducted to gather data about a particular subject. Data that is collected through research should strive to be obtained from resources that are valid, credible, and peer reviewed. Nursing research is defined as â€Å"a systematic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice† (Houser, 2015, page 5). Nursing research and†¦show more content†¦Research must be unbiased, trustworthy, and relevant to today’s world. Nursing research is not an easy task and requires a great amount of time and hard work. Even though this process may be difficult at time s, the rewards of improving nursing care for years to come makes it all worthwhile. Evidence-based practice is â€Å"the use of the best scientific evidence integrated with clinical experience and incorporating patient values and preferences in the practice of professional nursing care† (Houser, 2015, page 12). Evidence-based practice is important to nursing care for many different reasons. One of the main reasons is that using evidence-based nursing care provides better patient outcomes verses using the traditional trial and error method. Evidence-based practice is based on scientific studies and desirable patient outcomes. Healthcare professionals who provide patient care using evidence-based nursing practice are acting in the best interests of their patients. Errors in clinical decision making have greatly been reduced by using evidence-based practice for providing nursing care to patients. Patients are often placed at a higher risk for harm or injury when using the traditional trial and error method of nursing care. Therefore, the trial and error method s hould be avoided at all costs because it is unethical and unacceptable from a nursing standpoint (Houser, 2015). Evidence-based practice

Income statement Free Essays

The Gamester trade-in model Is relatively seamless and allows the company to maintain a negative working capital balance that outpaces any big-box specialty retailer† (Morrison, 2014). As I worked throughout this assignment I referenced three financial reports in order to gain a better understanding of Game Stop Corporation’s financial position: 2012 Game Stop Annual Review, Hoofs Game Stop Income Statement, and Y Charts GEM Statement of Cash Flows. I have two sons and they are avid gamer and Game Stop Rewards hat receives an abundance of dollars of my income each year. We will write a custom essay sample on Income statement or any similar topic only for you Order Now Game Stop Competitive Position In terms of competitiveness is that Game Stop Corporation holds a superior advantage against most of their competition in the electronic software retail market. By taking a look at the attached spreadsheet we can come to this conclusion by looking at the volume of sales and net income of the company. Game Stop generates more than four times the amount of income and revenue than that of Play n’ Trade, their closest competitor. Game Stop first went public in August of 2001 , after recording over 200 million dollars in sales the previous year. Prior to producing an initial public offering Barnes and Nobles Inc. Agreed to purchase 66. 3 percent of all Game Stop Corp.. (GEM) class B stocks; which represents over 92 percent of the voting shares of all GEM common stock. This move made Game Stop and all subsidiary stores (Baggage’s and Software Etc. ) a wholly owned subsidiary of Barnes and Nobles Inc. (Game Stop, 2013). In respects to free cash flow Game Stop spent $680,000 more than it brought in during fiscal year 2011. Although the company is in the red in this department, the active number does not necessarily denote poor operations on the part of the company. Sometimes a company needs to spend to expand its business, and we are all familiar with the term â€Å"It takes money to make money’. This is most likely the case with Game Stop as the organization has expanded its footprint to include operations in Canada, China, Japan, and more than 100 European locations. Taking this into account I would consider the organization to be in a good relative cash position, as they seem to efficiently use their cash and assets in order to expand their operations n hopes of reaching new markets to generate more revenue (Game Stop, 2013). How to cite Income statement, Papers Income statement Free Essays The following set of numbers represents my net operating cash flow: IQ -$339,925, Q -$108,188 Q -$42,128, Q $197,078. Based on my pro-formula cash flow which were for IQ -$339,925, Q – $108,792 Q -$109,915, Q $539,469, and going back and understanding the concept of pro-rata formula and budgets, I was not successful in implementation of these concepts. The reason being is that my projections in comparison of my results, I was if by $342,391. We will write a custom essay sample on Income statement or any similar topic only for you Order Now The first three quarters it appears that my decisions were successful as my results were beating my projections, but by making the decision to â€Å"throw all my chips in† I did not apply any decision making strategy, which proved to hurt my results. I definitely think that if I were to complete the simulation again I would be able to apply pro-formula statements and budgets successfully, with knowledge, throughout all four quarters. In successfully applying the pro-formula concept; I would have been able to take my numbers end from the previous quarter, such as inventory, accounts receivable, and fixed assets, and used my computer based so, I could make any necessary adjustments, like reduce my manufacturing costs or increase production and marketing costs to have a better bottom line at the end of that quarter. This process would have allowed me to make logical and intentional decisions had I fully understood the concept during the simulation. 2. A. The Just in Time approach was designed and first implements by the Toyota manufacturing company in Japan. It’s entire purpose and concept is to optimize the production process while eliminating waste. Waste is considered to be things such as, but not limited to; cost of inventory, defective items, and the time an employee sends waiting for equipment or supplies to come in (Roy, 2005, p. 160-161). The following are the results for each quarter in regards to my ending inventory; IQ O Q 23 Q 113 Q 0. The fact that my ending inventory increased each quarter shows that I really wasn’t quite sure what I was doing, but after reviewing the lessons, I realize that my increase in ending inventory ended up costing the company money. The way that I could have implemented the Just in Time approach, is to better understand what the actual demand for my product was and then to adjust my production levels based on the actual sales of the previous quarter. If I were able to implement the approach, I would have been able to set my base production level lower than what my projections were incase sales dropped, but then if I were to seeing sales pick up, I could increase my production and order supplies as necessary. This would greatly increase my operational efficiency as it would reduce my ending inventory and only be ordering and using the supplies needed, thus reducing the cost and time to the customer and increasing my profits and customer satisfaction. B. Lean Operations being externally and have a more central focus on the customer, meaning that the process can be optimized by adjusting operations and processes based on a customer perspective (Higher, Render, 2011, p 636). Unfortunately due to my confusion during the simulation I did not apply the concept. If I had been able to apply the concepts though I would have developed a system that could have allowed me to better predict my customers’ wants rather than guessing as well as putting my clients’ needs first. The first way that I could have been successful is Just by simply choosing the correct target audience. In doing so, I could’ve saved a lot of time and money on marketing and focused those resources into activities that would further support and enhance my business. Since the overall goal of lean operations is to remove all non-value add activities, if I were able to implement this strategy, I would have been much more successful as my cost would be lower as well as had higher sales results based on better customer satisfaction. All of this would in turn allow my business to be running closer to optimum operational efficiency. . Work cells allow a single product to be developed further in stage by a single machine/area and don’t require movement to a separate location to continue development. This is generally an automated process done so by machines, which the newer machines can be combined with older ones, therefore reducing the company’s need to replace expensive machinery more frequently. There is great benefit to this process as it eliminates the buildup of inventory at various parts to their next phase in completion. Cost would also be reduced as work cells typically require fewer workers, thus reducing labor costs. In the simulation, since my product had so many different parts and assembly requirements, work cells would greatly benefit this type of industry as the individual parts can all be assembled in separate work cells and then brought together for final assembly. While initially my cost with straight line production are lower as it requires less training and less accountability of the employees, work cells would end up being cheaper in the long run. The simulation also did not account for employee happiness which work cells would have a direct effect on. Due to employees being less engaged ND not being required to be accountable for the products quality in a straight line production, they would be unhappy with work and in turn be less productive. By implementing work cells, I would create a sense of pride and empowerment in the employees thus improving productivity as well as quality. I would also be able to hold the separate cells accountable for their finished products and praise where appropriate or reprimand when necessary. By using work cells, I would be completely content with paying a larger cost initially to increase productivity and quality in the Eng run; thus after a certain amount of time, work cells would actually be cheaper and save the company money and inevitably increase profits. 4. As previously stated, my decisions during the simulation were not based on any definite rational as I became lost and confused rather quickly, but I am able to look back on the simulation and consider it more as a what-if and apply the safety stock concept in theory. In the simulation, since the company was a new business, safety stock would have been a very useful concept to utilize. At the beginning all of my projections were Just hat, projections, they were not founded on historical numbers. By apply the safety stock concept; I would have given myself the appropriate safety net to allow for my projections to align with the actual demand of the product without any interruption to manufacturing. When reviewing my ending inventory for each quarter, I have come to the conclusion that I ended up with too much safety stock and incurred more carrying costs than were necessary. I could have decreased my production, thereby reducing my ending inventory, and lowering my carrying costs. 5. My preferred mutinous improvement program that I would have liked to implement in my company would be Six Sigma. I like this program as it provides a comprehensive, thorough investigation into all aspects of the company and focuses specifically on taking past errors and identifying how they could have been prevented. Particularly in the simulation the first area I would have evaluated and fixed would be management. The company would have fared much better had I been in partnership with an individual who had a better knowledge base and understanding of how to run a company. By applying Six Sigma though, it allows the focus to be placed on one rear of the business at a time, and then while the next area is being evaluated, the previous one is able to begin implementing the recommendations, based on the finds that came out of its own evaluation. How to cite Income statement, Papers

Nursing Leadership Hospital Nurses

Question: Discuss about theNursing Leadershipfor Hospital Nurses. Answer: Introduction In Australia two categories of nurses are registered to practice, the first are registered nurses that are degree educated and the second are enrolled nurses that have a diploma/certificate in nursing. In the recent years nurses work in the health care settings has intensified due to patient keenness and decreased length of hospital stays. This intensification has blurred the skill boundaries of many health care roles. The recent administrative chart audits and databases have pointed towards an association between health care roles for patient outcomes, skill mix and workload division. Same goes for the work of a registered nurse and enrolled nurse but we are no where even close to consider that the enrolled nurses do the same work as the registered nurse. Now lets first understand the difference between a registered nurse and an enrolled nurse. According to the Nursing and Midwifery Board of Australia or (NMBA) registered nurses are accountable and responsible for supervision of the nursing activities of the enrolled nurses. An enrolled nurse is a second level nurse that provides care under the supervision of a registered nurse. This supervision can be indirect or direct which is according to the nature of the nursing care(Dwyer, 2011). Lets see how the work of a registered nurse is different than that of an enrolled nurse.( Jacob et al. 2012) The work of the registered nurse involves of thinking strategies in making decisions for quality care nursing. According to standard 1: thinks critically and analyses nursing practice of NMBA the registered nurse has to access and analyse various research findings in order to ensure a safe and quality care. Their practice develops through experiences, beliefs, knowledge and actions. Whereas the standard for enrolled nurses states that they have to reflect evidence based practice and show essential skills and knowledge. Standard 2: engages in therapeutic and professional relationships of the NMBA standards for registered nurses states that the registered nurse has to participate and lead a collaborative practice. This means that the enrolled nurses have to work alongside the registered nurses and demonstrate competence in delivering a person centered care. This person centered care is in accordance to the standard that entitles the registered nurse to foster a culture where health pro fessionals like enrolled nurses work towards helping a registered nurse to make health related decisions. According to the new standard for enrolled nurses they have to collaborate with the health care team members to achieve desired health outcomes. The registered nurses are regulated health professionals who are accountable for ensuring that they are always capable for practice. This is stated in the standard 3: Maintains the capability of practice of the NMBA which requires the registered nurse to self manage and respond for their professional contribution and development of others. They would help people in making decisions related to their health. They have to provide information that would enhance individuals control over his or her health. They have to possess a lifelong approach to learning in order to continue to develop professional development of self and others. They have to seek and respond to practice feedback and give reviews. The standard 4: Comprehensively conduct a ssessments of NMBA, a registered nurse has to conduct assessment that are culturally appropriate. The impact of colonization on Australia is significant which has contributed to the significant health inequality across the country. This standard ensures that the registered nurse should be able to recognize the diverse mixture of linguistic and cultural diversity in Australia. The standard 5: develops a plan for nursing practice of NMBA states that registered nurses have to develop plan in partnership with other heath care roles and is responsible for negotiating the time frame of engagement. The standard 6: provides safe, appropriate and responsive quality nursing practice of NMBA states that registered nurse has to appropriately delegate aspects of practice to enrolled nurses according to their scope of practice. Lastly the standard 7: Evaluate outcome to inform nursing practice states that registered nurses are responsible for the evaluation of other nursing practice (enrolled nur ses etc) by monitoring progress based on expected goals and the desired outcomes. They have the authority to revise the plan based on their evaluation. They have to document and communicate the revised goals to the relevant person. After closely evaluating all standards provided by NMBA for registered nurses, we can easily draw a conclusion that registered nurses are responsible for a lot more than any enrolled nurse. The role of an enrolled nurse is principle based and broad as they have to ensure that they are sufficiently dynamic for the health care settings. On 21st October, 2015 NMBA gave the Enrolled nurse standards of practice that states that an enrolled nurse has to work under the indirect or direct supervision of a registered nurse, they would be accountable for their actions and they would be accountable in providing delegated care. An enrolled nurse has to practice within their scope of practice and their own educational preparation. This proves that enrolled nurses contribute to care and planning but they do not act independently, as a registered nurse has to retain that responsibility. The national competency standards clearly gave the responsibility to the registered nurses as they have the auton omy in the practice decisions. Many researchers such as Duffield and his colleagues, Gibson and Heartfield conducted studies to determine about the activities of nurses in Australian hospitals (Duffield et al. 2005), (Duffield, Wise, 2003). A Comparison of Activities Undertaken by Enrolled and Registered Nurses on Medical Wards in Australia: An Observational Study was a study conducted by Wendy Chaboyer and his colleagues. This study was conducted on nursing staff that included enrolled nurses as well as the registered nurses that provided care, part time and full time care in the wards. In their results they found out that the enrolled nurses were performing almost double direct care than registered nurses (which included admission, assessment, patient hygiene medication, IV administration). The registered nurses were performing more indirect care activities (team meetings, patient rounds, verbal report handover, clinical pathways and care planning). This clearly supports the skill mix that the health care settin g is experiencing lately. We can see how assessment and admission which includes the physical assessment and vital signs monitoring is being completed by enrolled nurses. These findings are then interpreted by the registered nurses. Both registered and enrolled nurses were spending equal time in assisting patients with daily living and mobility. These findings along with the previous studies findings provide us the insight that models of care require teamwork. O Connell and his colleagues in the year 2006 suggested in his study that building good working relationships and exchanging knowledge among team members is crucial for team functioning in a healthcare setting (OConnell et al. 2006). The implications for patient care of enrolled nurses not working to their scope of practice can be huge. As we can highlight that there may be some similarities between the activities of the different nursing care roles but the education and experience that a registered and a enrolled nurse hold is quite different (Whitehead, Myers, 2016). Where a registered nurse is trained in the universities the enrolled nurses only have vocational training (Richardson, Cunliffe., 2003). The enrolled nurses are taught about nursing interventions and health assessment in their scope of practice but still they are expected to work under the supervision of a registered nurse. They should be only contributing to patient care not leading it any way. The registered nurses on the other hand should know about the impending complications and should intervene to prevent them. They are educated and skilled to perform these tasks. According to a study conducted by Aitken and colleagues the role of a registe red nurse should never be taken by an enrolled nurse (Aiken et al. 2002). The study conducted by Wendy Chaboyer and his colleagues showed how the enrolled nurses were performing almost double direct care than registered nurses (which included admission, assessment, patient hygiene medication, IV administration). Assessment and admission come in the observed direct care and in medical wards such as oncology etc where patients are usually admitted with chronic diseases. In many hospitals there are number of admissions where patients are old and mentally confused to properly describe their symptoms (Wiles et al. 2003). These situations need a critical decision making skills at the time of assessments. Without this critical decision making skills it is quite possible that the assessment that is made is not appropriate. It is crucial that considerate staffing is provided to ensure that adequate numbers of registered nurses are present to assess the data and also to analyse it (Pelletier, Duffield, Donoghue, 2005). It is quite possible that a enrolled nurse data can differ than the observation made by a registered nurse. Now lets take an example where both the registered nurse and enrolled nurse are performing wound dressings on a patient. Both are dressing similarly but the registered nurse is focusing more on central lines and complex incision wounds whereas the enrolled nurse is providing routine care. If the patient is from complicated surgery these dressings are of great importance for his recovery but if an enrolled nurse is caring for him, his recovery can take more time. The differences are crucial when assigning a pool or float staff and therefore staff activities should always be tailored (Spilsbury, Meyer, 2001). Another example from the study conducted by Wendy Chaboyer and his colleagues team meetings and patient rounds are an indirect care activity. But this planning requires a strong communication skills and knowledge base (Chaboyer et al.2008). Whe n planning the rosters and staffing, these characteristics in the staff should be kept in mind rather than just focusing on nurse abilities in the area. According to a recent study conducted by Aiken and colleagues with the title Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care he mentions how ensuring a good skill mix is increasing challenging for the health care systems (Aiken et al.2016 ),(Aiken et al, 2003). He states how technology and medical advancement will only increase nurse staffing requirements. According to his study the higher proportion of nurse assistants with limited training resulted in higher mortality rates. Similar results were observed in a study conducted in NHS where higher percentage of nurse assistants in comparison to registered nurses resulted in higher mortality rate. It was also seen that if there is a 10% increase in registered nurses numbers there was a 11% decrease in the patient deaths after a surgery. Each 10% decrease in registered nurse numbers increased the patient deaths by 12%. Their research suggested that su bstituting enrolled nurses, nurses assistants or any lower qualified health personnel resulted in preventable deaths or any other adverse effects on the patients.( Aiken et al. 2012) Studies like these supports the belief that hospital nursing skill mix should be cautiously monitored as this could result in life threatening or adversely affecting outcomes for the patients (Jennifer, 2014). By not implementing policies that can prevent this we are risking preventable deaths, but we need to understand that eroding the nursing skill mix can result in negative impact on the quality of care(Parker, 2004). There is a need for a respectful and collaborative partnership between the health care roles that results in a mutual trust and understanding relationship. Nurses should be competent to perform for the health needs of the people and should be accountable for the care of the people. They are accountable for their actions, behaviors, responsibilities and decisions. The nursing profession is about the human rights of the people and about the moral responsibility to safeguard the dignity of these people. Nurses should foster constructive and supportive relationships with their colleagues as they are the pillars in providing culturally and ethically competent care. References Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., Silber, J. H., 2003. 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