MEASURING QUALITY Essay Example | Topics and Well Written Essays - 250 words

MEASURING QUALITY - Essay Example Outcomes define the end results of nursing interventions and are indicators of problem resolution or progress toward problem or symptom resolution. (ANA) The ICNP ® defines a nursing outcome as the measure or status of a nursing diagnosis at points in time after a nursing intervention. (ICNP 2001) There are several indicators used by health care providers in measuring patient outcomes. This paper would only discuss two (2) indicators: (1) functional status and (2) patient satisfaction with care. A patient undergoes functional assessment to determine his/her abilities to perform activities of daily living. Functional status is assessed in terms of the ability to feed, dress, toilet, move, transfer, and ambulate self independently or with some degree of required assistance. This is usually done upon admission, during confinement, and before discharge from the hospital or healthcare institution. The quality of care provided is measured by the difference or improvement in functional abilities upon admission and before discharge. Patient satisfaction with care is measured using customer satisfaction surveys or questionnaires which gauge the ability of healthcare providers to satisfy the needs of the patients. Areas for improvement could be identified using the questionnaires. Immediate courses of action should be instituted to improve on the weaknesses and to commend quality care. The role of healthcare providers in quality care can never be overemphasized. â€Å"As stewards of patient care, nurses maintain a unique role in identifying and guiding the intervention processes central to quality care†. (Gantz, et.al. 2003) Their personal approach to their patients makes them the front liners in patient care. To enable healthcare providers to ensure that the provision for quality care is being delivered, there should be a continuous quality

World War 2 Essay Example | Topics and Well Written Essays - 1250 words

World War 2 - Essay Example To ensure that there was improvement of the social economy of the US, there had to be personal sacrifice. The personal sacrifice would be realized through payment of higher taxes funds. Also for sustainable development, the globe should have been founded upon vital freedoms of humans. The first of the four freedoms was that of expression and speech, freedom of worship, freedom from fear and freedom from want. According to this essay, a society that is good should have been in a position to face global domination schemes as well as foreign revolutions with no fear portrayed. The order of the world being sought as per the essay is that of cooperation as far as free nations was concerned, working as a friendly unit and as a society displaying civilization. (The ordeal of world war II, pp 228-230) The second essay is essay number five about a Japanese American reminiscing the impact of internment upon the unity of Family in 1942. As per the essay in 1942, the department of war took change of camps in entirety. Afterwards, machines of sewing were brought into the barracks and these barracks became transformed into a factory of clothing. Because of the bad conditions in the kitchens food got most of the soldiers sick with diseases like typhoid and other stomach ailments. The essay also says that the conditions of toilets were deplorable, that inside them, the floors were covered with human excrement and blocked bowls. All the toilet blocks were housed in similarly designed building blocks. Inside the toilet blocks, they were built in a similar type of design in ten camps. These camps ran from the California area all the way to Arkansas. Each block was a room that was totally open, built on a slab of concrete. Sinks were usually a metal trough that was long, put against a single wall and a spigots’ row with both hot as well as cold water. In the center of a room were a dozen toilet bowls arranged in pairs of six and these were

American Civil War Assignment Example | Topics and Well Written Essays - 1500 words

American Civil War - Assignment Example The southerners wanted to crop their land into the newly acquired states so that they could extend their cotton fields. Acquiring new land meant that these people would require more slaves thus making Texas and other states slave states. Northern states wanted the new states from Mexico to be free states. This motion was moved in congress but was always opposed by the southern states because they had a higher representation in the senate. David Wilmot, the congressman of Pennyslavania, introduced the Wilmot Proviso of 1846, which advocated for mexican acquired states from to be free from slavery. The Wilmot Proviso was raised in the house of representatives. Its main aim was to raise funds to support peace negotiations to end the Mexican American War. The Wilmot Proviso was also supporting a bill by President James Polk to raise 2 million dollars to end the war. The intention of the Wilmont Proviso was to prevent slavery being introduced in the new Mexican states. The Wilmont Proviso was passed to the senate for approval, but was never approved. Some parts concerning the Proviso were passed. The Free Soil Party was also against the introduction of slavery in Texas and other states acquired from Mexico. This party was strong in the New York city and was mainly supported by the former anti-slave members of the Democratic Party. The Free Soil Party, which lasted between 1848 and 1852, argued that free soil and free people contributed better to the growth of the economy. California sought to be recognized as a free state in 1849. This was faced by opposition especially from the southern states that advocated by slaves providing cheap labour for their farms and working long hours. The request was also controversial because gold had been discovered in California and there was a Gold Rush. Henry Clay drafted the Compromise of 1850 that admitted California as one of the free states, and other territories such as Nevada, Utah, Arizona and New Mexico would not have slave ry any more. Another development in the Compromise of 1850 was the solution to the Texas border problem. Additionally, in Columbia, the slave trade that was practised in the area was abolished, but slavery was still permitted. The Compromise of 1850 increased the number of free states, causing an imbalance between the states supporting slavery and free states. This contributed to the American Civil War. 2 The Kansas-Nebraska Act of 1854 was created by the Senator of Illinois Stephen Douglas. This act, which involved two territories Kansas and Nebraska, allowed these territories to decide for themselves if they wanted to allow slavery in their land. This arrangement was against the Missouri Compromise of 1820 which did not allow slavery north of latitude 36 degrees 30’. Following the enactment of the Kansas-Nebraska Act, those supporting slavery and those against moved into the Kansas and Nebraska teritorries in order to affect the outcome of the elections. The first election since the passing of the Kansas-Nebraska Act was held. Those supporting pro-slavery won, but the election was nullified because of rigging. Other elections were held by the supporters of anti-slavery, but the rest refused to vote. This led to a war between the anti-slavery supporters and those supporting slavery. After the war, both parties established parallel governments within the territory and Kansas was not recognized as a state. In another election, the pro-slavery supporters won but again accused of cheating in the elections,

Case study analysis Essay Example | Topics and Well Written Essays - 1000 words - 2

Case study analysis - Essay Example As Shaw (2010) notes, the verdict of the Supreme Court in June 2012, that declared the Obamacare as constitutional,  supports the ethical principle of justice approach health care, and provides the roadmap for states, insurance companies, employers, and beneficiaries to effective implementation of the plan. The piecemeal implementation of Act is expected to climax in 2014, when major changes will take effect. Provisions in the legislation are intended to have more people under insurance cover, trim soaring medical costs, and prevent illnesses among vulnerable populations (Almgren, 2012). The Act targets adults aged between 19 and 64, since health care has been beyond their reach since the 21st Century began. Those who do not have insurance cover are given priority of health care under the law. Some of the major reforms in Obamacare include; pushing insurers to cover persons with pre-existing health conditions, lowering the bar for Medicaid applicants and beneficiaries, standardizin g insurance premiums, and giving business organizations incentives to provide medical cover for their employees (Almgren, 2012). The Act’s utilitarian spirit means insurers will have to absorb as many people as possible when major provisions of the Act become effective in 2014. The legislation is expected to better health services across all societal segments at affordable cost. The program is expected to boost life expectancy among American citizens by saving thousands from treatable illnesses. This is evident in the outcomes a recent research in the Act has been reputed for saving the lives of more than 5% of Americans in three states that extended affordable medical to low-income earners (Almgren, 2012). The end result was one adult life saved for every 176 people insured under the reformed Medicaid (Almgren, 2012). Conversely, despite these positive outcomes envisaged in the Act and the vote of confidence by the Supreme Court, some still feel that the pitfalls in Obamacar e outweigh the benefits. For example, allowing people with pre-existing conditions to benefit from insurance cover contravenes fairness to insurers, since they will have no option but to spend more in care provision than is reasonable and some may collapse. Impacts of Obamacare on society As Shaw (2010) has suggested, American citizens are in consensus on the four important goals that the health care system should achieve. Firstly, there is a need to access high quality services that can keep the highest number of Americans healthy in the long-term. Secondly, an effective health care law should be one that allows Americans to exercise their freedom to choose the right health care for them; when to adopt a particular care, and where to get services from. Thirdly, Americans expect a favorable health care system that a majority can afford. Lastly, there is need to share medical costs and gains of health care fairly. Despite the consensus, it beats logic to be divided in thought on Obam acare. Perhaps the point of departure on health care is that priorities of care vary across people, groups and business organizations. Social injustice and fairness should therefore be the guiding principle in the system, since the values advocate for the treatment of all parties with fairness, more so when the health care plan brings together the rich and poor, for-profit organizations and non-profit organizati

Is the cost of college too high Essay Example | Topics and Well Written Essays - 500 words

Is the cost of college too high - Essay Example Many argue that the fee structure in most of the colleges is utterly costly and is so designed to keep out the poor. Actually, it is not so. Students find colleges costly because they tend to approach education in an unorganized (Kaplan 36). Students can readily earn college credits by opting for advanced placement classes in their High Schools and accruing high scores on a range of standardized tests. Earning college credits can save students much money while pursuing a college education. One other argument that is put forward is that most of the top notch colleges have a way too high tuition fee and the education imparted by these colleges does not commensurate with their high fee structure. Well, realistically speaking, students should evaluate colleges on a cost to benefit basis (Bissonette 46). If the cost of education in a college is not at par with its fee structure, students could always relinquish such colleges and opt for institutions which extend value for what they pay (Bissonette 46). Students should opt for value instead of a snob appeal, while selecting colleges. Often, the payment capacity of the students is cited as an excuse for not being able to access college education. It is argued that many a times, students and parents end up in debt to seek college education. The reality is that there are many colleges with a low fee structure, which students can easily pay by working in summers and weekends. They can opt for affordable in state colleges that offer scholarships instead of costly private colleges (Tanabe & Tanabe 12). This way they can solicit quality college education without being a burden on their parents and without accruing debts. So the crux of the matter is that the cost of college education is not too high. Students can afford a good college education if they choose to be resourceful and planned. Earning college credits by opting for standardized tests in High Schools could significantly lower the

Project Learning Plan Essay Example | Topics and Well Written Essays - 5250 words

Project Learning Plan - Essay Example Additionally, the decisive factor gained from my own personal and professional experiences are by establishing parameters and determination to learn initiatives within those boundaries at being the most effective as a professional in my career. Furthermore, my Master of Professional Studies will be based on my studies that I achieved throughout my career along with my reflections from those experiences. â€Å"With these skills† I am able to relate to projects that are endeavoured to undertake in my business as a Safety Professional with Qld/NT BCM Boral Ltd. The Company operates as a Global and National Construction and Materials company. I am responsible for ensuring that all Queensland sites include the effective safe management and support mechanisms in regard to safety of employees throughout the organisation. My role increasingly places me as an internal leader with my peers. By providing the use of effective interpersonal skills in the provision of leadership, advice and support, I maintain the standards of the principles in performance and standards that I have established as a role model within the safety team. In order to continue my inclinations to succeed, I must essentially set my own conclusions of focus settings within my organisation and externally. Additionally, I must continue to be adaptable in all situations of this position and everyday life experiences. Therefore, by employing and utilising my strategies of project management within the Company and researching the best practices outside the industry, my planned learning methodology will align with the Company’s business objectives and be an active role model of the team. In my Professional Masters, I will be directing my studies into all aspects of my Company: 1) Researching methods and techniques, while drawing on comparisons within the industry; 2) Utilising frameworks and structured approaches to solving project orientated areas; 3) Develop and implement the best practices and procedures within the industry; 4) Work towards managing risks of my organisation to function effectively with these projects. Furthermore, my Professional Masters studies will forward my professional standings within the industry and grading as a Fellow of the Safety Institute of Australia as a proven leader in my profession. In summary, of my Masters, the remaining subjects to finalise this qualification include: WBL 8000: Learning Plan: 1 Unit WBL 8020: OHS Safety Management System National Implementation Project – two Units (submitted). I am currently self-sponsoring my degree in my Masters. However, early indications that these projects have the full support of the Company in regard to time and resources for project completion are assured. Moreover, my mentor in the company has considerable expertise learning in all aspects of my projects, which will greatly expand my existing knowledge to his standard. As I extend my journey, my University lecturer will lead me thro ugh the system by having extensive

Buddhism Research Paper Example | Topics and Well Written Essays - 500 words

Buddhism - Research Paper Example Buddhism is among the few leading religions. This religion started about 2, 600 years ago in India. Sakya is believed to have started it is a prince of the tribe called Siddhartha Gautama (Kozak, 2011). The basic teachings of Buddha came from the time he became enlightened after a certain farmer had beaten his ox in a grazing field. Buddha wondered why the farmer had beaten up his ox and why a living thing like an animal ought to feed on another creature in order to survive (Kozak, 2011). He was able to discover three prominent marks of reality. Everything that exists is due to conversion from one form to another. Nothing new has been formed, or nothing destroyed completely but simply changed (Kozak, 2011). If man destroys something around the environment, he is destroying himself. Buddha was aware of this truth. For this reason, Buddhists did not kill animals (Kozak, 2011). This is a universal truth that he strongly believed. Everything is constantly changing, and this is the reason why there is a different history from the life that is lived now. People and other living things die out and are being replaced by others. The environment also changes from one state to another (Kozak, 2011). He also believes in constant transformation, and the universe, which is stated as karma. Nothing ever takes place in our lives unless we ought to have it. The measure of what we receive either good or bad is exactly what we earn. This is a lesson that teaches individuals to create a bright future (Kozak, 2011). He believes that suffering is common to all. Everyone gets to suffer from life situations that make us unhappy. The reasons for these sufferings are due to people’s ignorance and greed. Every person should enjoy life without being greedy. In order to do this, all the greediness and ignorance should be cut off entirely (Kozak,