The new graduate Free Essays

The new alumni medical caretakers (NGN) are confronted with different issues and difficulties particularly in their first year of nursing practice. The time of change from an understudy to an alumni nurture is a requesting period that is loaded up with new encounters and there are a few concerns and factors that can influence the progress procedure. The examination into the issues has suggested a few procedures that can be used to facilitate the progress procedure from being an understudy to an expert rehearsing medical attendant. We will compose a custom paper test on The new alumni or on the other hand any comparable theme just for you Request Now Weariness, reality stun and time the board are a portion of the entertainers and issues that the new alumni may experience during their first year in their profession. There are a few suggested programs, which have been created to address the issues that impact the change time frame, for example, tutoring, encouraging groups of people and time the board organizers. This exposition will talk about in detail the scope of issues, just as the methodologies and assets to encourage the change in accordance with the new job of another enrolled nurture. Romyn et al. 2009) expresses a few factors that impact the change time frame from an understudy to an alumni medical caretaker and how rapidly recently graduate attendants can emonstrate authority of their new job including individual characteristics of the individual enlisted attendant, for example, age, past work understanding, development and goals. It was discovered that understudies who have filled in as nursing partners appeared to impr ove in their job as they had early hands-on understanding. Different components incorporate the nature of instructive planning got during their pre-enrollment nursing program and the time of clinical encounters. Likewise, the span and nature of progress programs for new alumni which is given by establishments of work, the ttitudes and conduct of the more experienced medical attendants in utilizing foundations just as the requests been put on the enrolled nurture in clinical circumstances (Chang Daly, 2012). Fink, Krugman, Casey and Goode (2008) found that the progress of graduate medical attendants from an understudy into an expert work on setting is a worry, which is long-standing and generally perceived as a time of pressure, reality stun and job modification. This is frequently because of the reality the understudies are been seen by a medical attendant when performing clinical undertakings. When the understudy graduates, they experience reality stun, when they attempt to change in accordance with their new job. Reality stun is a term used to portray a hole between what the understudies are educated to expect, and what is really experienced during their beginning periods of work and regularly the stun happens when the new alumni medical attendants find it hard to incorporate the information acquired in the college into their every day protessional practice. In addition they find there is a hypothesis practice hole as the hypothesis they have been educated in addresses contrasts to the hypothesis required in a clinical setting (Vieira da Silva et al. , 2010). Duchscher (2008) states that the inconsistencies between what graduates comprehend s nursing from this present reality of conveyance of social insurance administration contrasted with their instruction leaves the new nursing graduates with a feeling of unfoundedness. The nursing condition moves the new alumni from the nursing practice received in their instructive procedure towards a progressively profitable, proficient and accomplishment arranged setting that places significance on institutionally forced social objectives which prompts job equivocalness and interior clash. Duclos-Miller (2011) recognized that job pressure, job over-burden and job vagueness all add to change issues. Job pressure is the incongruence between seen xpectations, job and accomplishments, which happens because of the status change from an understudy to graduate medical caretaker. Besides, trouble experienced from the difficulties of the new job, for example, absence of reliable and clear data about the conduct anticipated from them, absence of unmistakably determined duties, absence of certainty, just as adapting to the starting degree of fitness as an enlisted nurture (Duclos-Miller, 2011). Job vagueness is the absence of data required for job definition and conduct that is normal in their new job, which incorporates the mental, social parts of job execution. Though, job over-burden incorporates learning of new jobs, trouble with time the executives and organizing task. Likewise different stressors incorporate the sentiment of not being able, experiencing new methodology and circumstances, dread of committing errors because of expanded outstanding burden and working with experienced staff nurture that are reluctant to help (Duclos-Miller, 2011). West, Ahern, Byrnes and Kwanten (2007) show that the new alumni medical caretakers may have not worked all day previously; given that graduate attendants start their profession with an all day Job can prompt weariness. It was found that move work prompts esynchronisation of physiologically decided circadian rhythms which has a significant psychobiology impact and it is normally seen the impacts of move work add to graduate medical attendants wearing down rate. The NGNs frequently have a significant level of worry because of upset resting designs, as they find to adaption to move work or turning work hours troublesome. In the end, it prompts sentiments of absence of Job fulfillment, fatigue and investing of less energy with their loved ones, which can in the long run could prompt burnout (West et al. 2007). Dyess and Sherman (2009) found that new alumni medical caretakers communicated concerns session their capacity to appoint and administer different attendants or unlicensed assistive faculty as they felt ill-equipped to manage any kind of contention, they will in general keep away from a circumstance as opposed to stand up to the circumstance, as they felt unequipped to investigate to struggle exp ertly. Another issue experienced by the NGN is the capacity to impart witn doctors and different individuals ot the multidisciplinary group ot which associations with doctors were a wellspring of uneasiness and stress. Besides, the absence of expert certainty that new alumni may feel can be increased, when nother proficient communicates nauseate or utilizes a blunt tone. This is a security issue on the grounds that a feeling of uncertainty can add to the NGN staying away from contact with the doctor, except if a patient encounters an extraordinary physiological decrease (Dyess Sherman, 2009). Morrow (2009) states that most alumni medical attendants experience level viciousness in their first year of training, they felt underestimated and dismissed by different medical caretakers and experienced impolite and embarrassing verbal explanations and crooked analysis. The most widely recognized type of level viciousness was in type of mental provocation, which ncludes terrorizing, prohibition, and insinuations. The total effect may prompt truancy and dissatisfaction that may prompt the thought of leaving the nursing calling (Morrow, 2009). All together for the elements and issues that encompass the progress from an understudy to an alumni attendant to be tended to, specific techniques should be executed that can facilitate the change time frame. An Important procedure that can be actualized to help the alumni medical attendants to acclimatize into an expert workplace is an alumni program. It will help to fabricate the certainty of the new alumni nurture hrough the arrangement of help and mentorship during their time of modification, and help the new medical attendant to absorb into the emergency clinic condition, think basically and issue settle which will permit the alumni to manage obstructions experienced in quiet mind and set them up for a deep rooted learning and furthermore help them in the joining of hypothesis to rehearse (Davey Vittrup, 2009). The formation of formal preceptor and mentorship is a viable procedure to encourage an effective progress. A preceptor is an allocated job where a proficient representative helps with the turn of events and direction of the new alumni; they are normally esponsible for assessment and regulating crafted by the preceptee. Notwithstanding, a guide effectively bolsters the alumni nurture with individual and profession improvement, individual help, directing and acknowledgment. Additionally, they help the amateur medical attendant to raise their certainty and perceive their constraints. Also, guides help fledgling attendants in defining practical objectives by suggesting fitting game-plans (Ellis Hartley, 2012). NGN require assets and data that are intended to encourage their modification in a clinical zone, which will empower them to pick up abilities and information to perform sufficiently in their Job. Assets, for example, a direction program includes the acceptance of a NGN to the authoritative crucial vision proclamation, just as a prologue to the methodology and approaches identified with nursing exercises, for example, medicine organization. A proper direction and enlistment program will guarantee that a NGN can securely plan and lead understanding consideration. Likewise, with a proper direction program the NGN knows about the general culture of the emergency clinic, which can make the NGN to teel acknowledged and part ot a group in a clinical domain, which can advance in general positive results with working environment atisfaction of the NGN (Burgess D’ Hondt, 2007). Viable methodologies that improve the time the executives abilities which is one of the previously mentioned issue for new alumni are to show up to work a lot prior, staying away from distractors, for example, concentrating on issues of associates, survey patients to note if any additional provisions will be expected to complete clinical strategies, keeping shift record on target and to outline during the move and not toward the finish of the move and organize undertaking to be performed (Booth, 2011). In any case, to organize task the amateur medical attendant needs to figure out how to appoint. To begin with, to upgrade the expertise the medical caretaker ought to consider how others have designated t

Last Name Meaning and Origin of Moore

Last Name Meaning and Origin of Moore Moore is a typical family name in numerous nations, with a few potential birthplaces: One who inhabited or almost a field or damp lowland, from the Middle English progressively (Old English mor), which means field, bog, or fenFrom the Old French increasingly, got from the Latin maurus, a term that initially signified a local of northwestern Africa yet came to be utilized casually as an epithet for somebody who was dim complexioned or swarthy.From the Gaelic OMordha, with O meaning relative of and Mordha got from Morâ meaning extraordinary, boss, strong, or proud.In Wales and Scotland, the name Moore was frequently presented as a moniker for a major or huge man, from the Gaelic mor or the Welsh mowr, both importance incredible. Moore is the sixteenth most normal family name in America, the 33rd most basic last name in England, and the 87th most regular family name in Scotland. Last name Origin: English, Irish, Welsh, Scottish Substitute Surname Spellings: MORES, MORE, MOARS, MOOR, MOAR, MOORER, MUIR Well known People With the Surname Demi Moore - American actressClement C. Moore - creator of A Visit from St. NicholasAnn Moore - Inventor of the Snugli child carrierMandy Moore - pop vocalist and actressGordon Moore - prime supporter of Intel which presented the universes first single-chip microchip Where Is the Surname Most Commonly Found? The Moore last name is most generally discovered today in Northern Ireland, as indicated by WorldNames PublicProfiler, followed intently by the United States, Australia, United Kingdom, and New Zealand. Inside Northern Ireland, the Moore last name is found in most noteworthy numbers in Londonderry. Inside the United States, Moore is discovered most much of the time in the southern states, including Mississippi, North Carolina, Alabama, Tennessee, Arkansas, South Carolina, and Kentucky. Ancestors rank Moore as the 455th most basic last name on the planet and incorporates chronicled information from 1901 when Moore was increasingly visit in the Northern Ireland provinces of Antrim (seventh most famous family name), in spite of the fact that followed reasonably intently by Down (positioned fourteenth) and Londonderry (positioned eleventh). During the period 1881â€1901, Moore likewise positioned exceptionally in Isle of Manâ (4th), Norfolk (sixth), Leicestershire (eighth), Queens County (eleventh), and Kildare (eleventh). Family history Resources for the Surname Moore Genealogy - Western NC, SC, and North GAA site archiving Moores living in Western North Carolina, Upper West South Carolina, and North Georgia through ca 1850. Moore Family Genealogy ForumSearch this famous parentage discussion for the Moore last name to discover other people who may be looking into your precursors, or post your own Moore inquiry. Source: Cottle, Basil. Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967. Menk, Lars. A Dictionary of German Jewish Surnames. Avotaynu, 2005. Beider, Alexander. A Dictionary of Jewish Surnames from Galicia. Avotaynu, 2004. Hanks, Patrick, and Flavia Hodges. A Dictionary of Surnames. Oxford University Press, 1989. Hanks, Patrick. Word reference of American Family Names. Oxford University Press, 2003. Smith, Elsdon C. American Surnames. Genealogical Publishing Company, 1997.

Sunday in Downtown Urbana

Sunday in Downtown Urbana Q: What’s the best part about going to the University of Illinois at Urbana-Champaign? A: We get two downtowns!! Today, after hearing so much about it, I finally made the trip to downtown Urbana. It seemed pretty quiet and small in comparison to downtown Champaign, but it has plenty of its own charm. Some highlights: Flying Machine Coffee: I’m currently writing from this very spotâ€"it’s the perfect place to meet with friends or be productive. In addition to coffee, they also serve all sorts of delicious pizzas (I might just order one and write a post about it later.) My Iced Americano Coffee See You CD Vinyl: If you’re on the hunt for some new tunes, look no further! This is the cutest little record storeâ€"I was so tempted to pick something up, but I guess Id have to buy  a record player first… Priceless Books: We stopped at this used bookstore and almost got lost in the maze of shelves (in a good way!) One could easily kill a few hours browsing their collection. A view of the book stacks Farmer’s Market: From May through November, you can check out the Farmer’s Market on Saturday, open 7AM-12PM. I try to go downtown as frequently as possible over weekendsâ€"it’s nice to leave campus and switch things up a bit. If you’re visiting campus soon, I’d definitely recommend checking out both downtown Urbana, as well as downtown Champaign ?? Ria Class of 2018 I'm studying both Finance and Information Systems and Information Technology in the Gies College of Business. I’m from Los Altos, California.

Reverend Edwards And The Great Awakening - 923 Words

It is year 1741, in Enfield, Connecticut, and Puritan Pastor Jonathan Edwards gives one of his best sermons- Sinners in the Hands of an Angry God. Reverend Edwards was a religious leader during â€Å"The Great Awakening†, a time of spiritual revival, and desperately wanted all of his congregation to have faith, and be saved in the Heavenly Father. As a result, Edwards crafted a sermon rich in figurative language. By constructing a sermon that relied heavily on imagery and repetition Edwards created an enduring image of hell and how one can be saved from its wretched realities. Edwards cuts straight to the core of his argument within the first paragraph when he generalizes all men in, â€Å"So that, thus it is that natural men are held in the hand of God, over the pit of hell; they have deserved the fiery pit, and are already sentenced to it†¦Ã¢â‚¬ . In starting his sermon in such a bold way Edwards commands the attention of the audience-believers, and sinners. Soon aft er, Edwards utilizes an appositive, â€Å"[This is that you have heard is the case of every one of you that are out of Christ. -- ]That world of misery, that lake of burning brimstone, is extended abroad under you†. The appositive is â€Å"that lake of burning brimstone† which clarifies the â€Å"world of misery†, hell, that Edwards is referring to. By utilizing accusatory language when addressing a Puritan community as well as utilizing an appositive to refer to the blackening and burning hell, Edwards grabs attention and begins to delveShow MoreRelatedAnalysis Of The First Great Awakening1219 Words   |  5 Pagesfrom late 17th century to early 18th century, the First Great Awakening was a period of religious growth throughout the British American colonies from approximately 1720 to the 1740s. This awakening was led by many religious figures such as John Wesley - a founder of Methodism in the Church of England, George Whitefield - an Anglican who preached th roughout the colonies from 1739 to 1740, and Jonathan Edwards - an Apologist of the Great Awakening who led the revival in Northampton, Massachusetts. AlthoughRead MoreGreat Awakening Essay1441 Words   |  6 Pagescomfortable and assertive, and had forgotten its original intentions of religious prosperity. The result was a revitalization of religious piety that swept through the American colonies between the 1730s and the 1770s, a movement known as The Great Awakening. This revival was part of an evangelical upsurge occurring simultaneously in England, Scotland, Germany, and other inhabitants on the other side of the Atlantic. In all these Protestant cultures, a new Age of Faith had arisen contrasting theRead MoreJonathan Edwards Essay982 Words   |  4 PagesJonathan Edwards (1703-1758) is widely recognized as one of America’s most profound Theologians. Some might even consider him the master of Puritan revival, since he was the leader of the Great Awakening. During h is time he was a devout Calvinist who had the power of single-handedly keeping the Puritan faith strong for over twenty-five years, by using vivid imagery to provoke his audience. Edwards dialect was exquisitely influential and yet wielded with class and ease. This essay argues thatRead MoreThe Great Awakening By Theodorus Frelinghuysen884 Words   |  4 PagesBefore the Great Awakening, Theodorus Frelinghuysen, a German pastor’s son, born on November 6, 1692 in Lingen, Germany answered the call to theology. After Frelinghuysen’s education at the University of Lingen and ordination in 1717, he accepted his first pastoral commitment at Emden, then another one at East-Friesland before accepting a sub-rectorship position./At that time, his doctrine ascribed to living a Godly confessional style of piousness with heart, mind, and soul regarding the law, realizingRead MoreThe Great Awakening By Christine Leigh Heyrman1409 Words   |  6 PagesThe Great Awakening A restructuring of religious doctrine, beliefs, and social practices during the 17th and 18th centuries in England, and in North America, infused with Calvinistic religious doctrine initiated the beginning of The Great Awakening. Following this further, according to Christine Leigh Heyrman, The First Great Awakening: Divining America,† a New Age of faith rose to counter the currents of the Age of Enlightenment. Ultimately reaffirming the view that being truly religious meant trustingRead MoreReligious Doctrine, Beliefs, And Social Practices1348 Words   |  6 Pagesrestructuring of religious doctrine, beliefs, and social practices during the 17th and 18th centuries in England, and in North America, infused with Calvinistic religious doctrine initiated the beginning of The Great Awakening. Following this further, according to Christine Leigh Heyrman, The First Great Awakening: Divining America,† a New Age of faith rose to counter the currents of the Age of Enlightenment. Ultimately reaffirming the view that being truly religious meant trusting the heart rather than the headRead More The People, Words and Effects of the Great Awakening Essay2789 Words   |  12 PagesThe Great Awakening was an event that occurred in the early 18th century characterized by fervent and enthusiastic worship in a series of revivals that spread throughout the American colonies. This event was noted for the growth of the Christian church and the promotion of traditional Puritan views on the issues of election and salvation. The success of the Great Awakening rests in the pluralistic, ecumenical, and sociological efforts of men from various theological backgrounds, yet espousing aRead MoreImpact of Religion on American History to 1877934 Words   |  4 Pagesunintended consequence of the war between France and American colonies. Significant turmoil remained as a result of the war. It destroyed American regions and drove refugees into Salem Village in Massachusetts Bay. Salem’s first ordained minister, Reverend Samuel Parris, was greedy and devious. Villagers openly voiced concern, stating the turmoil in their region was inspired by the devil. In attempt to combat the evil, a group of young girls in Salem, Massachusetts claimed to be bewitched by olderRead MoreFirst Great Awakening2076 Words   |  9 Pagesan interesting topic and one that can be explored at great depths. Revivals of the past, if looked at through the right lens, can awaken hope and desire for God to move again, even in the darkest times. Revivals show us that God is still very much active and interested in His people. The Father desires that we would know Him as a real Person and who loves to make Himself known through His Son Jesus. I wrote my paper on the First Great Awakening mainly because I am from New England and I have a passionRead MoreThe Great Awakening, By Jonathan Edwards And Benjamin Franklin Essay1739 Words   |  7 Pagesevents, respectively, are Jonath an Edwards and Benjamin Franklin. Jonathan Edwards was brought up on deeply Calvinist and Lutheran teachings, and was one of the many people responsible for The Great Awakening in America. Benjamin Franklin, although he was also brought up on Calvinist teachings, chose to develop his religious beliefs around reason and argument. The differences and similarities between the religious experiences of Benjamin Franklin and Jonathan Edwards include the way they questioned

The reason why roman republic collapsed - 972 Words

The reason why roman republic collapsed Roman republic began with the over throw of the roman monarchy and its replacement by a government headed by two consuls, elect annually by the citizens and advised by senate. During the first two centuries of its existence the Roman republic expanded rapidly through a combination of conquest and alliance, from central Italy to the entire Italian peninsula. Then republic continues to conquest new land such as North Africa, Greece, Southern France and Spain. For about 500 years, the Roman republic exists and has many significant achievements in many fields. However, the republic finally collapsed and reformed as participate. Octavian becomes the first Augustus which was the first Roman emperor.†¦show more content†¦They become prey to demagogues and many become supporters of that warlord. This cause a unstable in Roman republic society. The gap between upper classes and lower class has significant increased. One other weakness is the power of warlords. In Roman republic, generals have strong power. They have army and these army more like a private army. These army usually fight enemies far away from Rome. They all support their general. Some powerful generals can even use army to seize political power.(Textbook 104) The one first general to do so was Gaius Marius. Marius gained much reputation by winning a war and defeated an invasion by some Germanic tribes. Marius abolished the old requirement that a soldier had to own at least a modest amount of property, and he also accepted volunteers instead of just drafting men for service Finally he converted the army in to an instrument for ambitious commanders during the remaining years of the republic. For Sulla the dictator, he is and later general. He invaded the city of Rome with his supports. Sulla did have some political program to re shape the Roman republic. He enforce the dictator ship and reduce the power of senate. He forced a law t hat blocked tribune from holding any other office, they also had to wait ten years to be reelected. These discourage those ambitious politicians from seeking this office. (Textbook 104)And even for the laterShow MoreRelatedThe Collapse Of A Society1484 Words   |  6 PagesNo single reason can usually be attributed to the collapse of a society. Civilizations both thrive and fall due to numerous reasons. Invasion from foreign forces, natural disasters, overexpansion, and decay of religious beliefs can all be attributed to decline in civilizations, but looking further into the decline there is another pattern. The breakdown in moral behavior precipitates the collapse of civilizations. The desire for power and wealth most often cause morality to decay. This pattern isRead MoreComparative Look At The Roman Empire And Han Dynasty Economies Essay1409 Words   |  6 Pages A COMPARATIVE LOOK AT THE ROMAN EMPIRE AND HAN DYNASTY ECONOMIES Scott Hosier History 111: World Civilization Before 1650 December 27, 2016 â€Æ' The Roman Empire and Han Dynasty had simple economies--when compared to current global economies--founded on agriculture, mining, trade, and taxation. Although those economies were straightforward it allowed civilizations to grow and eventually collapse. However, the two civilizations had drastically different methodologies on the exchange ofRead MoreHow Strongly Ancient Societies Affected The Formation Of Today s Society1434 Words   |  6 Pagesbasically originating from civilisations of Ancient Antiquity such as Greece and Rome. The civilized culture is dated back to ancient Greeks and Romans. Their contribution to philosophy, literature and politics has undeniably helped to form notions of modern Western cultures. This is because, assorted essential features in the life of Ancient Greeks and Romans which will be broadly analyzed, such as culture, society, trade, politics and slavery signified their civilizations’ importance. Furthermore,Read MoreThe Fall of Rome and Na zi Germany697 Words   |  3 Pageswar. These obstacles are hard to overcome, but not impossible. These obstacles weaken and tear at societies, until they finally break, turning them into a piece of history. Political Corruption and the fall of government are one of the main reasons why societies fail. Lina and Doon have found many things in the City of Ember. One of them leading through the pipeworks, to the Mayors â€Å"Secret Hiding Place†. They had discovered that the Mayor had been stealing food from the citizens in Ember, whenRead MoreCollapse of Bronze Age Greece Essay1955 Words   |  8 Pagesknows for sure the exact time period in which it began and ended. However, these are the dates that are most widely known to be accurate. No other civilization has been able to remain a dominant world power longer than this time period, which is why this is such an incredible period of history. During this time, Greece saw major advances in just about every aspect of a modern society. They grew by leaps and bounds socially, economically, and technologically; among many other areas as wellRead MoreThe Decline Of The Roman Empire Essay1768 Words   |  8 Pages The Roman Empire was or could be one of the greatest empires to have ever existed to this day. Just like many empires the Roman Empire fell to betrayal, religion, and war. Lasting from 27BC to 1453 the Roman Empire to me is the most interesting empire to talk about. When you take any history class that explores times outside the US, you hear about the Roman Empire being involved some way or somehow. The Roman Empire history can go on for days. I will pack most of the history into a small 5 pageRead MoreThe Book By Daron Acemoglu And James A. Robinson Why Nations Fail1228 Words   |  5 PagesThe book by Daron Acemoglu and James A. Robinson Why Nations Fail: The Origins of Power, Prosperity, and Poverty discusses th eories that explain the differences in standards of living and incomes among rich countries, such as the United States and the United Kingdom, and poorer countries in regions of South Asia and Central America. The basic theme of the book is that nations fail because of political institutions, rather than geography, culture, or economic policies. Acemoglu and Robinson theorizeRead Morehistory As germany and italy Essay1360 Words   |  6 Pagesthe process by which governments secured majorities from amongst the different factions in parliament by bribery and using pressure through prefects on local government). Therefore creating political instability, in the Italian liberal state. 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Reflection Free Essays

This essay will reflect upon an incident in practice when I administered a drug to a child. I will use Gibbs reflective model (Gibbs 1988)(see appendix 1). This model of reflection will be applied to the essay to facilitate critical thought and relating theory to practice where the model allows. We will write a custom essay sample on Reflection or any similar topic only for you Order Now Discussion on the incident will include the knowledge underpinning practice and the evidence base for the administration of the drug. A conclusion to the essay will then be given which will discuss my knowledge and competence of the incidence being reflected upon. The drug that I have chosen to reflect upon is Fragmin (see Drug Profile 1 Appendix 2) which was administered as a parenteral subcutaneous injection to a 14 year old girl, who shall remain anonymous for the purpose of patient confidentiality in accordance with the regulations of the NMC (2008). I have chosen to reflect on this drug as it was the first injection I had given during my training which encouraged me to further develop my knowledge within this area. The first stage of Gibbs model (1988) of reflection requires a description of events (see Appendix 3). The next stage of Gibbs (1988) reflective cycle is related to thoughts and feelings aroused during the event which I can use to reflect upon (see appendix 4). The third stage of Gibbs (1988) model of reflection encourages exploration of both positive and negative experiences encountered and I have chosen a few that I propose to discuss further within this reflection. Throughout the incident the correct hospital policy was followed by my mentor in relation to preparing and administering an injection. However I was not familiar with this policy which could have negatively affected my practice as Grey (2008) suggests, that when administering medication by the parenteral routes, familiarization with local drug administration policy is essential. The patient’s initial refusal of the injection into the abdomen made me think about the child’s rights in refusing to consent to the administration of a medication as I was aware that the law states that anyone under the age of 18 is a child (Children Act 1989, section 105) and as such there are certain matters with which they are not able to make their own decisions. The patient’s refusal to allow me to use the abdomen as an injection site also made me question my knowledge base on this subject, as I did not know where I would have injected in the abdomen if consent had been given. I also realized at that point that I have no knowledge on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will vary depending on the size and age of the child (Cocoman, 2008). It was only through my mentor’s guidance that I felt confident on allowing the change of the site. Stage four Gibbs (1988), is the critical analysis. After reflecting on this incident I will now analyse what I feel are the most important aspects by looking at the evidence underpinning it. References Cocoman, A. , Barron, C. (2008). ‘Administering subcutaneous injections to children: what does the evidence say? ’ Journal of Children’s and Young People’s Nursing, 2 (2), pp: 84-89 Gray, T. , Miller H. (2008) ‘Injection technique’, The Foundation Years, 4 (6), pp: 252-255 Royal Cornwall Hospital NHS Trust: ‘Medicines Policy’ Available at: http://www. rcht. nhs. uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Pharmacy/RulesAndGuidanceOnOrderingStoringAndAdministeringMedicines. df (accessed on 30/05/2011) Appendices Appendix 1 This model of reflection incorporates description, feelings, evaluation analysis, conclusion and an action plan (Gibbs 1988). Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old girl . The medication was in a pre-prepared syringe in the clean prep room by following local hospital policy. However, on inspection of the injection, I did question the need for the air bubble within the syringe but was assured by my mentor that it is normal to find an air bubble in a pre-prepared syringe and to leave it there for administration. The medication was checked by another staff nurse in accordance to local policy and my mentor and I approached the patient. The patient was lying in bed with no relatives present and I asked consent before administration. The patient became a little distressed at this point and refused to have the injection in her abdomen saying it was too painful, however she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before in practice. As I was administering it under the supervision of my mentor this made me feel very nervous and self conscious, however I also acknowledged the fact that I should appear confident and at ease in front of the patient as she was herself showing signs of distress. After the patient’s initial refusal I began to doubt my competence of skills and considered asking my mentor to take over, however my mentor put me at ease by explaining that if the patient consented, then it would be fine to proceed with the injection in the upper arm. After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely content with the knowledge that I had performed my first injection correctly. How to cite Reflection, Papers Reflection Free Essays To understand why having MET meetings are Important, and the Importance they have on effective patient care. Structure Membership Attendance0Technology (availability and use)physical environment of the meeting venue Preparation for MET meetings Organization/administration during MET meetings Clinical Decision Making Case management and clinical decision-making process Team-workingÃ'ËœPatient-centered care/co-ordination of service Team Governance Leadership’s collection, analysis and audit of outcomes Clinical governance Professional development and education of team members Development and training. So what? MET meetings happen weekly on the ward, usually Fridays as this Is when the appropriate staff are available and patient’s are usually eager to be discharged before the weekend. We will write a custom essay sample on Reflection or any similar topic only for you Order Now MET meetings can happen for various reasons, such as; change in the patient’s care plan or new diagnostic information. In my case, the MET meeting was to promote discharge, and ensure all professionals caring for the patients were up to date and aware of the care the patient was receiving at the present time. When It has been determined that a patient Is medically ready for discharge, the lath care team must determine the most appropriate setting for ongoing care. Determinants of the appropriate site of care Involve medical, functional, and social aspects of the patient’s illness. The patient’s acute and chronic medical conditions, potential for rehabilitation, and decision-making capacity must be taken into account. A multidisciplinary team (MET) is composed of members from different healthcare professions with specialized skills and expertise. The members collaborate together to make treatment recommendations that facilitate quality patient care. Multidisciplinary teams form one aspect of the provision of a streamlined patient journey by developing individual treatment plans that are based on ‘best practice’. Multidisciplinary teams aim to address treatment that is focused on both the physical and psychological needs of the person suffering with the orthopedic condition or illness. The MET meeting took place on the ward, and all members of the team were aware of the time the meeting was taking place so avoid any delays and confusion. I was asked by my Mentor ( ward manager) If I wanted to fill In her he care we were at with the patients on the ward and what further implementations we felt were needed to promote the patients discharge. Then what? To start off the meeting, I was asked to discuss with the other professionals information about each patient, what they had firstly come to the ward with, what care they were receiving from the nurses, what the doctors had put into place to promote their health, and if they needed any further input from the members in the team present. It was important that I discussed all relevant information with the there professionals to ensure the appropriate care plans were in place and the patients discharge wasn’t being delayed. Throughout this discussion with the MET members, I was able to give them an estimated discharge data, and also if I felt their intervention was needed. For example; Patient A was awaiting a physiotherapist assessment before going home to ensure that they were safe and felt comfortable with their physical needs (embroiling) at home. In another patients circumstances, they were awaiting a bed at a community hospital. At this stage, the bed managers in prevention is required. The role of the bed manager was to allocate beds around the different hospitals and ensure that when a bed was made available, the patient was able to go. The medical necessity of continued hospitalizing is primarily determined by the presence of an acute health condition of sufficient severity that ongoing diagnostic or therapeutic intervention, or careful monitoring, is required. However, patients often appropriately remain in the hospital when these criteria are not met, due to the lack of a suitable alternative setting to provide necessary care or other social factors. Mature discharge or discharge to an environment that is not capable of meeting the patient’s medical needs may result in hospital readmission. In addition, early hospital discharge may not lead to overall cost-savings if it results in need for more intense subsequent healthcare utilization, including emergency department or nursing facility visits, a s indicated by one observational study comparing patients who received hospital care from a primary care physician with care by a hospitals The period following discharge from the hospital is a vulnerable time for patients. About half of adults experience a medical error after hospital discharge. This is why it is most important that patients are discharged from hospital safely, confidentially, and any package of care they require is put into place. Discharging patients from the hospital is a complex process that is fraught with challenges. Preventing avoidable rationalizations has the potential to profoundly improve both the quality-of-life for patients and the financial well-being of healthcare systems. In order for the patient to be deemed safe and ready for discharge to home or to a on-acute environment (rehabilitative, transitional, or chronic care), I took into account the following aspects; Patient cognitive status. The nature of the patient’s current home and suitability for the patient’s conditions (egg, presence of stairways, cleanliness). Availability of family or companion support. Ability to obtain medications and services. Availability of transportation from hospital to home and for follow-up visits. Availability of services in the community to assist the patient with ongoing care. Approximately three-quarters of hospitalized patients are able to return to their mom environment following discharge. For discharge home, patients, with help from family or other caregivers if available, should be able to; Obtain and self-administer medications. Perform self-care activities. Eat an appropriate diet or otherwise manage nutritional needs. Follow-up with designated providers. Now what? Discharge planning is the development of an individualized discharge plan for the patient prior to leaving the hospital, to ensure that patients are discharged at an appropriate time and with provision of adequate post-discharge services. Such leaning is a mandatory part of hospital accreditation. Once the patient had been made medically fit for discharge, and all members of the MET were happy for the patient to be discharged, I was then able to commence their discharge process. The discharge process usually requires the following; DES completion by doctors, medications sent to pharmacy and explained to patient, any family/friends made aware of patients discharge, and ensuring any transport is booked for the patient. A challenge I found when carrying out discharge, was the patients medications. The first tepee is having an accurate medication list at hospital discharge, which depends on the following: From my placement, I have gained important knowledge on the following: Having an accurate pre-admission medication list. Having an accurate list of medications being taken by the patient at the time of discharge. Having knowledge of what medication changes were made during hospitalizing and the reasons for the changes. An example from my placement is; Was a proton-pump inhibitor (PIP) initiated for stress ulcer prophylaxis and therefore no longer required, or is ongoing PIP therapy necessary for treatment of an ulcer? How to cite Reflection, Papers Reflection Free Essays Reflection about the learning modules and simulation Chapter 8 This module was very Informative. The module provided detail Information In regards to the history and the organizations of the courts. Looking back on the primitive days leading up to modern day court system the same elements still exist. We will write a custom essay sample on Reflection or any similar topic only for you Order Now The best module I liked was the courtroom rules. In this module, it showed the key player and their roles. Now I have a better understand as to what each duty is. I learned the difference between grand Jury and trial Jury. Grand Jury, may consist of up to 23 Jurors, and serve for a particular period and may serve on multiple Juries at one time. They handle cases that are high-profile. They are able to require testimony and tangible evidences. This juror is used to bring an indictment protects law enforcement from accusation of bias. Trial Juror consists of 6-12 Jurors, serve only for the duration of the trial and decides the facts of the case with very strict and controlled procedures by the Judge. In addition to the module. The video was helpful because It describes a typical day of a judge. The video was like a real life experience working as a judge, prosecutor, and a defense attorney. In the second video, relating to issue 1: The affect of the backlog of cases on the court, she discussed how long it takes to complete one case, approximately 15 hours. She also describes how CO Simpson case moved fairly quickly through the court processes the courts. The activities were very helpful. They were like a refresher at the end of the reading and knowledge check. I enjoy these activities because It a good interaction tool with learning and having fun at the same time. How to cite Reflection, Papers Reflection Free Essays My Reflection Essay Being the billionth paper that I wrote in this class, I thought my observational essay was pretty good. It had decent wording in it, consisted of many different techniques of writing, and was just overall well written. To write this paper, I started a week in advance. We will write a custom essay sample on Reflection or any similar topic only for you Order Now I went to my dad’s house and sat in his office for about 5 hours writing the entire paper, while taking a few breaks of course! The office was totally quiet, which is one factor that I require in order to write a wonderful paper The easiest part of the assignment was thinking of ideas for the paper. They came to me immediately. The hardest part was putting those ideas onto paper. Transferring ideas into writing is one of the hardest things I have ever encountered in school. Some of the strengths in my paper include the different styles that I used, the wording, and the length. My wording sometimes sounds like words coming out of my mouth, and not just a dull sentence. The length of the paper is not too long and not too short, which makes it easier for someone to read it without losing interest. Some weaknesses about my paper are the lack of details and the plain-and-simple style that I sometimes slipped up and used. Details can be added, but the styles are hard to change. My plain and simple style can be told apart from my other styles, and it stands out in some papers, but not very much in this one. My Cats ideas were extremely helpful in process of writing my reflection essay. It saved me a lot of time. I used her ideas and combined them with mine to improve my paper. After writing this paper, I have found that I am no longer a terrible writer. I have matured a whole lot over the past summer, and perhaps have caught back up with my fellow classmates. I think my paper is basically ready for my portfolio. A few minor changes may need to be made, such as adding a few more details where needed, and maybe change some of the wording, but other than that I think it is ready. How to cite Reflection, Papers

Max Weber - A Political Philosopher free essay sample

An examination of the theories propounded in two works by this German philosopher with special consideration of his views on capitalism. In this paper the author begins by considering the ?science of meaning?. Much emphasis is given to two works of Max Weber, ?Protestant Ethic and the Spirit of Capitalism? and ?Science as a Vocation?, and his theories on capitalism, religion and education. The paper also examines theories of Foucault, Arendt and Rubenstein. The author concludes with the assertion that political decisions infringe on human rights and suggests that the link between the two can often be overlooked. From the paper: ?When discussing religious affiliations and social stratification, Weber notes that various members of the society perform better. He says that if the occupational statistics of Europe are observed, it becomes apparent that invariably, protestants are the ones who hold higher positions in the society, ?business leaders and owners of capital, as well as the higher grades of skilled labour, and even more the higher technically and commercially trained personnel of modern enterprises, are overwhelmingly Protestant. We will write a custom essay sample on Max Weber A Political Philosopher or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page ? A relationship is established between the character of the Protestant members of the society and capitalism.?