Time Management And Its Effects - 1800 Words

The idea of time management and leadership being closely related is not a difficult idea to think about. To a successful leader, proper time management is often a given. Everyone has the ability to manage his or her time to some degree, but when the skill is mastered, it can become an invaluable tool. Proper time management promotes productivity, a comfortable sense of control over daily situations, and significantly lowers stress. Once mastered, time management becomes habitual, and an integral part of ones lifestyle. Procrastination is often the result of poor time management and its effects can harm others especially if someone in a leadership role is prone to procrastination. According to Crutsinger (1994), time management involves determining what one should do by setting goals, deciding which events are the most important and realizing that other activities will have to be scheduled around them (prioritizing). Time management and prioritization go hand in hand, with prioritizat ion being the most important element of effective time management. When viewed from each the three â€Å"lenses† of leadership (Leader, Follower, Situation), the application and benefits of proper time management and prioritization can be seen more clearly. When you apply the tools of proper time management and prioritization to leadership in the fleet, you have a key ingredient in the recipe for a successful unit. Our first lens, the situation, often dictates the amount of time management that thatShow MoreRelatedCause and Effect Essay Time Management811 Words   |  4 PagesThamer AlHajri Written Communication Cause and Effect Essay Time management is the key to any success in life. Life has academic, social, work, and personal aspects that take time. A successful life with low levels of stress is very hard to achieve with time management. Usually the end result is chaos and tasks that do not ever become finished. From my past experience in school, I knew that my previous time management plan wasn’t going as good as I expected, so I decided to change my wholeRead MoreThe Effect Of Time Management On College Students Essay1375 Words   |  6 Pagesrelationship between time management and stress in college. Time management can have several positive influence on our overall well-being both professional life and college life. However, Poor time management actions such as not being able to find time to study or last minute preparation is a source of stress and poor academic performance. In this proposal, we will look at how time management can have a huge impact on our academic career. The methods that can be used to examine how time management has an impactRead MoreThe Effect Of Time Management On Learning Habits And How We Can Improve Their Habits2310 Words   |  10 Pagesthe use of time management, learning management, course learning outcomes, peer support groups and the ALC (Academic Learning Centre). 1st paragraph - What is time management (what) Time management is the systematic, priority-based structuring of time allocation and distribution among competing demands(Dowling, Hadgraft et al. 2016). These competing demands can be many things including family life, recreational time, relaxing time and then study. While some people may spend a lot of time working, theirRead MoreProject Risk And Risk Management1412 Words   |  6 Pagesrisks or overall project risk. The project risk management includes six process: 1- Risk Management Planning: Deciding how to plan and execute the activities. 2- Risk Identification: Determining which risks can be affect the project. 3- Qualitative Risk Analyses: Priorization risks for consequent further analyzes by assessing and combining their probability of occurrence and impact. 4- Quantitative Risk Analyses: Analyzing probabilistically the effect of risks on the project objectives. 5- Risk Response:Read MoreEffects Of Cash Management1482 Words   |  6 PagesHe utilized hypothesis with Working Capital Management, Investment decisions and financing decisions as independent variables were used to measure financial performance in place of the dependent variable. The researchers were used self-administered questionnaire with quantities, and sample size of 100. The study presented that measured individually; there is a positive relationship between working capital management; investment decisions; financial decisions and financial performance. Also, the studyRead MoreEssay on Effects of Bad Management on Workers522 Words   |  3 Pages EFFECTS OF BAD MANAGEMENT ON WORKERS Bad management causes a long list of problems in the workplace. These problems become severe and further create negative impacts on the subordinate workers and the firm itself at the same time. Ripper B. (2013) states â€Å"The negative effects of bad management practices are numerous, but to name a few; deflated employee morale, stress that results in sometime health issues for employees and cost to company in terms of high turnover and low productivity†. ThreeRead MoreImplementing Integrated Financial Management Systems Essay1577 Words   |  7 Pagesand expenditure management reforms in the early 1990s.Governments started to critically review the existing systems and processes mainly as a response to concerns from the donor community. Due to inadequate and outdated systems, governments decided to introduce of integrated financial management systems (FMS) along the experience of developed countries in the ‘70s and ‘80s (Heidenof et al., 2002). In Tanzania ambitions to reform program to improve public sector financial management, which initiallyRead MorePlacebo Use For Pain Management1692 Words   |  7 Pagesissues in the last century. This paper set a statement and rationale for eliminate the use of placebo according to the available scientific and ethical literatures on the controversial subject of the use of placebo in pain management. Placebo use in pain management 1. Introduction Pain is a significant public health problem impacting millions of people’s worldwide. It’s a distressing feeling affects multidimensional aspect of life; physical, social, spiritual and emotional. Pain isRead MoreThe Effects of Channel Management Decisions on the Marketing of Subway1064 Words   |  4 Pagesï » ¿Table of Contents Effect of channel management decisions on the marketing of  Subway 1 Effect of channel management decision on Promotion 3 Effect of channel management on Product 3 Pricing 4 Impact of channel management decisions on product life cycle 4 Product mix 5 References 5 Effect of channel management decisions on the marketing of  Subway There are three major decisions being taken with regards to channel management. These are: Introduction of new distribution channel inRead MoreSymptoms And Treatment Of Pain After Surgery1171 Words   |  5 Pagesand it is an issue of concern for nurses working in PACU. Ineffective pain management during the immediate postoperative period can prolong patients stay in the PACU especially if the necessary measures are not implemented.. Nurses in PACU have a responsibility to continuously assess and give proper pain treatment to the patient (Tedore, 2015). During my placement, I noted that nurses play an important role in management of pain during the postoperative period. Therefore they should be equipped

The End Of The Stranger By Albert Camus - 1859 Words

At the end of The Stranger by Albert Camus, the protagonist Meursault says: For me to feel less alone, I had only to wish that there be a large crowd of spectators the day of my execution and that they greet me with cries of hate. (123). It is here that Meursault proposes a new look at the relationship between internal suffering and the external manifestation of that suffering: hateful spectators. Similarly, in Crime and Punishment, Marmeladov and Katerina have their individual miseries highlighted through both personal strife and, inevitable, their public deaths. Despite the different circumstances of their deaths, both seem to suggest that the crowd of disgusted spectators offer validation to Marmeladov and Katerina’s suffering. The†¦show more content†¦Additionally, the carriage drivers story is corroborated by three bystanders: â€Å"‘That s exactly how it was! some witness responded from the crowd. ‘he did shout †¦ another voice responded ‘everybody heard it! cried a third.† (175). This demonstrates how the audience has a vested interested in being a part of the narrative. Here, Dostoevsky uses the parallel of the coachman s three shouts with the three witnesses to show a contradiction between the motives of the two similar but distinct parties. The carriage driver attempts to distance himself from the tragedy of the event, while the crowd strives to become part of the tragedy, whether it be by encroaching on the scene, or by confirming the coachman s story. The witnesses strive to be a part of the struggle, and in doing so, it serves to highlight the magnitude of Marmeladov’s physical suffering. This interplay between sufferer and spectators culminates when Dostoevsky uses the narrator to highlight the entertainment value of a tragedy and to elaborate on the satisfaction that the audience receives from the spectacle. As Marmeladov’s death scene approaches its end Katerina pleads with the spectators to leave: â€Å"‘You might as well let him die in peace! she shouted at the whole crowd ‘A fine show you ve found for yourselves!’† (179). Katerina laments about the show that Marmeladov s death has become. She is frustrated that a room full of spectators that she hasShow MoreRelatedTaking a Look at Albert Camus831 Words   |  3 PagesAlbert Camus Albert Camus was a philosopher, author, and journalist. He was the second son born to the parents of Lucien and Catherine Camus on November 7, 1913 in Mondovi, Algeria. The Camus family was not financially stable. Albert Camus grew up in working class suburb of Belcourt, Algeria. In the year of 1923, he was awarded a Scholarship to continue his education. Camus Attended the University of Algeris and married Simone Hie a year later. While attending college he worked two jobs and playedRead MoreAlberts Aimless Absurdity898 Words   |  4 PagesIn Albert Camus’ novella, The Stranger, he exposes his beliefs on absurdism through the narration of Meursault. Camus’ definition of absurdism is a philosophy based on the belief that the universe is illogical and meaningless. Camus, founder of absurdism and French Nobel Prize winning author, sends the reader his underlying theme that life is meaningless and has no ulti-mate significance. This underlying theme of life’s absurdity is extremely personal to Camus through his own individual experiencesRead MoreAlbert Camus and Bohemian Rhapsody Comparison1695 Words   |  7 Pagesthe writings of â€Å"Queen† and Albert Camus Albert Camus was one of the most renowned authors during the early twentieth century. With writings such as The Stranger, and The Plague, Camus has struck the world of literature with amazing works that are analyzed to a great extent. This amazing success was not just handed to Camus on a silver platter however; Albert endured many hard times and was often encumbered with great illness in his short life. These hardships that Camus had to face, emphasized inRead MorePhilisophical Background of The Stranger Essay1436 Words   |  6 PagesCamus’ The Stranger Its Philosophical Background Albert Camus’ novel, The Stranger, appealed to a younger European generation that was trying to find its view of life after the tragedies of WWII and Nazism. Though he eventually came to more mature notions of how a human being should act before his tragic death from a accident in 1960, Camus always believed in the ideas expressed in The Stranger that man must find his own meaning in life, separate from religious or political doctrine. WhileRead MoreAnalysis Of Meursault A Stranger To Society1026 Words   |  5 Pagesthe crowds would scream their hate for him on the day of his execution. Albert Camus accurately depicts Meursault as a stranger to society, to himself, and to human emotions in general, while arguing for the philosophy of absurdism. Meursault is a stranger to human emotions. In Part I, preceding Maman’s funeral, Meursault sits by the window in his apartment. He makes observations of the happenings on the street and at the end of the chapter he remarks, â€Å"It occurred to me that anyway one more SundayRead MoreThe Topic of Defiance of Societal Rules in The Stranger Through Absurdism1018 Words   |  5 Pagesdeliberately, but rather because one’s own beliefs dont parallel. In the novel The Stranger by Albert Camus there is a prevalence of characters breaking societal rules, but as a result these characters face the consequences. Albert Camus connects these actions to the overarching themes of the books in order to convey his message more effectively. To what extent does the topic of defiance of societal rules in The Stranger convey the theme of Absurdism in the novel? The sub-themes of femininity, individualityRead MoreLiterary Analysis: The Stranger and The House of the Spirits1165 Words   |à ‚  5 PagesThe novels The Stranger and The House of the Spirits have distinctly different plots. The authors of the books have different styles and techniques used to create their vision of a great story. In The Stranger by Albert Camus and The House of the Spirits by Isabel Allende, the characters, Meursault and Esteban Garcia are established as socially distant from their associates. They have neither emotion nor remorse for anything they have done. These characters are only connected to each other throughRead MoreThe Stranger By Albert Camus1495 Words   |  6 Pages Albert Camus said, â€Å"Basically, at the very bottom of life, which seduces us all, there is only absurdity, and more absurdity. And maybe that s what gives us our joy for living, because the only thing that can defeat absurdity is lucidity.† In other terms, Camus is indicating that absurdity affects us all even if it’s hidden all the way on the bottom, but it’s the joy that comes from absurdit y that makes us take risks and live freely without any thought or focus. Camus also specifies that the onlyRead MoreEssay about Absurdism in The Stranger by Albert Camus1271 Words   |  6 PagesThe Stranger by Albert Camus focuses largely on the concept of absurdism. Camus uses family and personal relationships, or the lack of it thereof, to show the isolation that the main character, Meursault, undergoes in the novel and it’s effect on him overall. Camus utilizes the protagonists’ character development as a tool to further his plot of the novel. The absence of family and personal relationships tied in with the particular recurring topics of the novel are crucial in both the developmentRead MoreEssay on The Caracter of Meursault in The Stranger (The Outsider)1136 Words   |  5 PagesThe Caracter of Meursault in The Stranger      Ã‚   Albert Camus The Stranger is a startling novel at worst and a haunting classic at best. Camus presents a thrilling story of a man devoid of emotion, even regarding the most sensitive, personal matters. The main character, Meursault shows no feelings after the death of his mother, during his romantic relationship with Marie, or during his trial for the murder of an Arab. Meursault never shows feelings of love, regret, remorse, or sadness

Definition and Examples of Generative Grammar

In linguistics, generative grammar is grammar (or set of rules) that indicates the structure and interpretation of sentences which native speakers of a language accept as belonging to the language. Adopting the term generative from mathematics, linguist Noam Chomsky introduced the concept of generative grammar in the 1950s. This theory is also known as transformational grammar, a term still used today. Key Takeaways: Generative Grammar †¢ Generative grammar is a theory of grammar, first developed by Noam Chomsky in the 1950s, that is based on the idea that all humans have an innate language capacity.†¢ Linguists who study generative grammar are not interested in prescriptive rules; rather, they are interested in uncovering the foundational principals that guide all language production.†¢ Generative grammar accepts as a basic premise that native speakers of a language will find certain sentences grammatical or ungrammatical, and that these judgments give insight into the rules governing the use of that language. Definition Grammar refers to the set of rules that structure a language, including syntax (the arrangement of words to form phrases and sentences) and morphology (the study of words and how they are formed). Generative grammar is a theory of grammar that holds that human language is shaped by a set of basic principles that are part of the human brain (and even present in the brains of small children). This universal grammar, according to linguists like Chomsky, comes from our innate language faculty. In Linguists for Non-Linguists, Frank Parker and Kathryn Riley argue that generative grammar is a kind of unconscious knowledge that allows a person, no matter what language they speak, to form correct sentences: Simply put, a generative grammar is a theory of competence: a model of the psychological system of unconscious knowledge that underlies a speakers ability to produce and interpret utterances in a language...A good way of trying to understand [Noam] Chomskys point is to think of a generative grammar as essentially a definition of competence: a set of criteria that linguistic structures must meet to be judged acceptable. Generative grammar is distinct from other grammars such as prescriptive grammar, which attempts to establish standardized language rules that certain usages right or wrong, and descriptive grammar, which attempts to describe language as it is actually used (including the study of pidgins and dialects). Instead, generative grammar attempts to get at something deeper—the foundational principles that make language possible across all of humanity. For example, a prescriptive grammarian may study how parts of speech are ordered in English sentences, with the goal of laying out rules (nouns precede verbs in simple sentences, for example). A linguist studying generative grammar, however, is more likely to be interested in issues such as how nouns are distinguished from verbs across multiple languages. Principles of Generative Grammar The main principle of generative grammar is that all humans are born with an innate capacity for language—and that this capacity shapes the rules for what is considered correct grammar in a language. The idea of an innate language capacity—or a universal grammar—is not accepted by all linguists. Some believe, to the contrary, that all languages are learned, and therefore based on certain constraints. Proponents of the universal grammar argument believe that children, when they are very young, are not exposed to enough linguistic information to learn the rules of grammar. That children do in fact learn the rules of grammar is proof, according to some linguists, that there is an innate language capacity that allows them to overcome the poverty of the stimulus. Examples of Generative Grammar As generative grammar is a theory of competence, one way to test it is with what is called a grammaticality judgment task. This involves presenting a native speaker with a series of sentences and having them decide whether the sentences are grammatical (acceptable) or ungrammatical (unacceptable). For example: The man is happy.Happy man is the. A native speaker would judge the first sentence to be acceptable and the second to be unacceptable. From this, we can make certain assumptions about the rules governing the order of parts of speech in English sentences (for instance, a to be verb linking a noun and an adjective must follow the noun and precede the adjective).

Global Burden Of Disease Cervical Cancer - 1011 Words

Anthony Sleiman Dr. Baker and Dr. Story International Health 3 November 2016 Global Burden of Disease – Cervical Cancer On a global scale, cancer is now responsible for double the amount of annual deaths than malaria, tuberculosis, and AIDS combined, according to the Center for Disease Control (CDC, 2016). With cancer rates now increasing rapidly in developing countries, the World Health Organization has predicted that the amount of cancer deaths worldwide will increase by 80% by 2030 (WHO, 2012). Most of these new cases will emerge in the developing regions of the world, regions that lack efficient healthcare access and proper screening procedures to catch the disease early on. Cervical cancer is one of the most prevalent cancer types among humans today, ranking as the 7th most prevalent cancer overall, and 4th most prevalent among women. Furthermore, almost 9 out of 10 (87%) of cancer deaths occur in developing regions of the world (Globocan, 2012). Clearly, the global burden of cervical cancer is not evenly distributed. Already, it can be seen that gender and socioeconomic status, among other determinants, play a role in susceptibility to the disease. This paper explores the various factors that account for the unequal global burden of cervical cancer, and presents an intervention strategy that targets the root causes of discrepancy for the disease. In 2012, there were 528,000 global cases of cervical cancer, of which 266,000 affected cases were fatal. However, onlyShow MoreRelatedCervical Cancer : A Preventable Death1182 Words   |  5 PagesCERVICAL CANCER – A PREVENTABLE DEATH Introduction Research on cervical cancer reached a turning point when German virologist Harald zur Hausen discovered that women became susceptible to developing cervical cancer following HPV (Human Papilloma Virus) infection. Awarded with half the Nobel Prize in Physiology or Medicine 2008, Harald zur Hausen presented novel human papilloma viruses as key contributors to the cancer, as HPV type 16 and 18 genomes and expression of its specific DNA genes mergedRead MorePrevention Of Cancer Of Uterus / Cervical Cancer With The Human Papilloma Virus1250 Words   |  5 PagesFlorence F. Odekunle BINF 5130 Term Paper Fall Semester 2015 Prevention of Cancer of Cervix/ Cervical Cancer with the Human Papilloma Virus (HPV)-16/18 L1 Virus-like Particle Vaccine Introduction In this paper, I would like to critically review the article titled â€Å"Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and18: follow-up from a randomized control trial† that was written by Harper, Franco, Wheeler, Moscicki, RomanowskiRead MorePrevention Of Cancer And Early Detection1293 Words   |  6 PagesOctober is Breast Cancer Awareness month and it is just timely that I would like to delve into one most of the debilitating chronic diseases worldwide. Cancer affects millions of people in all ages, various races, and all walks of life. all forms of media, prevention of cancer and early detection has been propped up to increase public awareness and improve the quality of life of those people suffering from this serious condition. The aforementioned topic has caught my eye especially recentlyRead MoreCauses And Effects Of Cancer1048 Words   |  5 PagesCancer is a name given to collection of various diseases that are caused by a similar mechanism: uncontrolled division of cells that results in formation of abnormal cells that grow without stopping - tumors. Cancer is caused by changes in genes of the cells that control the way they function. Those changes can be caused by various environmental factors, such as excess ultraviolet exposure from the sun, chemicals in tobacco smoke, radiation from radioactive elements and many other factors. The onlyRead MoreReflections On Personal Learning And Process Of Writing1998 Words   |  8 PagesFrazer is a Scottish-born Australian scientist, renal physician, clinical immunologist; specializing in viral immunology and autoimmunity. Frazer’s ground-breaking discovery of vaccine for cervical cancer was one of medicine’s great breakthroughs, for it was the f irst live-saving vaccine designed to prevent cancer. This report concentrates on Frazer’s life, discoveries in immunology by considering his significant contributions to the discipline, as well as critically evaluating how these achievementsRead MoreReproductive Freedom And Its Impact On Women s Rights1521 Words   |  7 Pagesand lessen the degree of equality of their gender compared to men, often present reproductive options as a taboo to discuss. This can lead to misperceptions and ignorance about healthy reproductive choices such as birth control and prevention of disease which should be universally acknowledged by women. As expressed by Perez (2015) class notes, every culture defines and understands health differently...we tend to see the world through the prism of or expectations. This is true in the sense thatRead MoreThe Global Cancer Burden Of Cancer1946 Words   |  8 Pages Cancer is the leading cause of death in economically developed countries and the second leading cause of death in developing countries. ( Organization, 2004) The burden of cancer is increasing in economically developing countries as a result of population aging and growth as well as, increasingly, an adoption of cancer-associated lifestyle choices including smoking, physical inactivity, and â€Å"westernized† diets. In this article, we provide an overview of the global cancer burden, includingRead MorePre Study Arrangements : A Research Protocol2446 Words   |  10 Pagesaround what to include as part of this as well of ways of costing all elements of treatment and care, especially from a patient and carers perspective. We assumed that there would be no changes to the other preventative strategies in place, like cervical screening programmes, over the time horizon of this analysis. It was assumed that the vaccines had a life-long effect and therefore the period of time over which the vaccinated cohort results were modeled, was over a lifetime time horizon. The costingsRead MoreRunning Head : Eliminating Cancer2012 Words   |  9 PagesRUNNING HEAD: ELIMINATING cancer ELIMINATING cancer Eliminating Cancer Chauncey Caffey Kean University If there is a disease that needs to be eliminated from the plant it should be Cancer. Cancer is the number one cause of death in countries that are economically developed and the second leading cause of death in developing countries. (Organization, 2004) The burden of cancer is increasing in economically developing countries as a result of population getting olderRead MoreEssay on Common Gynecologic Malignancy: Cervical Carcinoma1454 Words   |  6 PagesINTRODUCTION: Cervical carcinoma is the third most common gynecologic malignancy with an approximate 85% of the global burden is from developing countries, where it accounts for 13% of all female cancers [1, 2]. Even though there have been significant advances in surgical techniques, radiotherapy, and chemotherapy, there are still approximately 30% of these patients with invasive cervical carcinoma who die as a result of residual or recurrent disease [3]. As the prognosis and survival has improved

Frankenstein and Exploration Free Essays

Frankenstein and Exploration â€Å"Curiosity killed the cat. † This phrase is used in reference to children, animals, and even adults. With cats, curiosity often leads to exploration. We will write a custom essay sample on Frankenstein and Exploration or any similar topic only for you Order Now The phrase refers to a negative experience with exploration. A negative experienced exploration would be, for example, a stray cat that has found a family’s full garbage can to rummage through. Some people do not tolerate cats in their garbage cans, let alone cats themselves. This could get the cat in serious trouble or even killed. On the other hand, an example of a positive experienced exploration for a stray cat is finding a good home with a family who takes care of the cat and accepts it into their home. The positive and negative aspects of exploration have many different outcomes and consequences not just for cats, but for people or even other beings as well, depending on the kind of explorations. Exploration is defined as the act of investigating unknown regions. The unknown regions could be a physical place in the world, a place in the imagination, or even the acquiring of knowledge. Positive explorations are the most thought of aspects of exploration itself. They lead to great achievements in life for those who pursue it. As for negative explorations, they do not lead to great things. Sometimes acquiring too much knowledge can impact someone or something in a negative way, causing very bad consequences in their life. Exploring is mostly caused by a want of knowledge. Many great people in history are famous because of their strive for knowledge, causing them to go on a great exploration. The there are people like Victor Frankenstein. He wanted so much knowledge that he went above and beyond the expectation of mankind; he created life. This led to the fall of Victor Frankenstein and his creation. This is one example of how exploring can affect you in a negative way with too much knowledge. You could say that the less you know, the better off you are. Curiosity is the desire to learn about anything. This goes hand in hand with exploration. Any being that explores is more than likely curious about something they do not know. Famous explorers or even cats start out being curious. This curiosity leads to an exploration to gain the knowledge that they did not have before. Victor Frankenstein wanted to be famous. This led him to curiosity with life itself, which in turn led to exploring. He explored the ways of life and how life itself works. After all was said and done, Victor Frankenstein gained the knowledge that he nor anyone else had ever acquired. This knowledge led to his and the monster’s death. Maybe â€Å"curiosity killed the cats,† the cats being both the monster and Victor Frankenstein. Walton is striving for knowledge of what is beyond the boundaries of the ordinary way of living. He is exploring the North Pole with hopes of returning with a plethora of new knowledge. On his voyage, he encounters Victor Frankenstein at the end of Frankenstein’s journey. Walton is warned by Frankenstein to stay away from the acquiring of too much knowledge. Victor Frankenstein has been through the whole process of being curious, leading an exploration, and gaining too much knowledge. He knows that if Walton is just like he is, Walton will end up like him. Victor Frankenstein does not want to see anyone go through the misery that he was put through during his lifetime. The monster was created and then left on his own to fend for himself. He had no idea what the world consisted of and the dangers lurking everywhere he went. Much like a toddler, Frankenstein’s monster wanted to know and learn everything there was to learn in the world. He taught himself all the dangers of life, like fire and bad weather, and even how to speak and read. He acquired so much knowledge that he started looking back on his life. He hated Victor Frankenstein for leaving him to battle the world alone. He hated his creator so much that the monster wanted to destroy Frankenstein. If he would not have gained the knowledge like he did, the monster would not have known anything about his creator and how negatively Frankenstein treated him. The monster’s way of exploring was through this gaining of knowledge. This way of exploring is seen in many ways, making exploration a symbol for gaining knowledge, and reversely gaining knowledge is then made a symbol of exploration. Walton, Frankenstein, and the monster all had explorations of their own. Walton’s exploration was prevented by Victor Frankenstein for the good of Walton’s life. He was on his way to a negative exploration, and Frankenstein knew it. Frankenstein also knew that Walton’s exploration started with simple curiosity, much like himself. He did not want Walton going through what Frankenstein had to go through. The monster’s exploration was negative because he decided to use it in a negative way. He gained knowledge of Victor Frankenstein and decided to destroy him for making the monster’s life miserable. The monster is much like the cat. He did not have a home; he moved from one place to another often and did not stay very long near populated areas. He was always getting into other people’s stuff, like at the village. The whole village went after the monster for terrorizing the village. This is similar to a stray cat getting into a family’s garbage can. More than likely, a member of the family will chase the cat away before it does any more damage. After being rejected all his life, the monster finally gave up and committed suicide. In a way, the monster is like the cat, and curiosity definitely killed this cat. How to cite Frankenstein and Exploration, Papers

Health Facilities Purpose The Terminology

Question: You need to reflect on your clinical experience to date and identify an issue of interest to research such as, wound care, nursing care procedures etc. You are then required to develop a quality improvement proposal on this topic of interest. The content of the proposal will include: the background and significance of the project; statement of the problem; significance or importance of the problem; the premise of the project /or clinical question; assumptions and definitions; review of related literature; outline of the project procedure; use of appropriate improvement approach etc. Answer: Introduction Background Each day in health facilities, the responsibility of caring for the patients is transferred from one or a team of care providers to another. This exercise arises in a busy and interruptive setting which typically describes a hospital. This process is known as handover, handoff or end-of-shift-report. It is primarily done through communication and therefore, for this projects purpose, the terminology handoff shall be used. Information, responsibility, and authority are the three fundamental things that are transferred for the continuation of care or management as planned (Farhan, Brown, Vincent, Woloshynowych, 2011). Various hospital sections such as the emergency department have the problem of overcrowding and overburdening, and they mostly handle critical cases that require utmost attention. It means that the handoff process has to be thorough to avoid any unlikely situations such as delays in treatment, substandard interventions, and patients leaving without being attended to, and worse off, unnecessary deaths. Frequently, handoffs have been conducted in various ways, and they depend on the roles of the caregiver, traditions, circumstances and hierarchies (Fernando, Adshead, Dev, Fernando, 2013). The utilization of a standardized handoff guideline has been identified as the most efficient way of ensuring the patient is safely managed. An information system of managing clinical details known as Electronic Medical Record (EMR) is dedicated to the manipulation, collection, availing and storage of patient information that can help in the delivery of care (Han, 2014). Some of these systems are automatic and handle information such as doctors prescriptions, nursing care notes, results from the laboratory and others. Since there lacks a proper process of standardizing handoffs, the potential of EMR is not maximized. Whereas handoffs occur at all hospital departments, this project focuses on those that occur between the emergency department and the nursing staff of the inpatient unit. Significance The handoff process was set for some adjustments as a goal under the National Patient Safety program. The patients information transfer is a critical issue in that any interruption of communication among health care providers has contributed to the events referred to as Sentinel. The Joint Commission (TJC) defines a sentinel event as an unexpected happening that may cause serious psychological or physical impairments, and even death to one or more patients, also, it is not attributed to the patients illness as a natural course. For instance, injury due to the constant replacement of a given medication with another ("The National Patient Safety Foundation and the AAPM", 2013). Relating to sentinel events, it has been established that between 64%-74% of the occurrences are related to a breakdown in communication (Weyand, Kang, Junck, Heiner, 2014). Poorly communicated handoffs have been identified as the cause of poor patient satisfaction, delayed prescription and treatment, and increased admission of patients with minor problems. The most reported issues include leaving out essential information and its misinterpretation. Plans have been established to maximize the use of EMR for standardization of handoffs. It is unlikely that most of the information is shared verbally than it is recorded in EMR. Also, some factors such as work culture, tradition, and context complicate the application of EMR in health care facilities ("The National Patient Safety Foundation and the AAPM", 2013). Nursing implications. As much as a structured process of communication has been in place to guide nursing practice, there is no evidence suggesting best practice in handoffs. Researchers have not carried out a quality study about the topic. Patterns of communication between doctors and nurses had the highest interruption rates at 30%. This finding on nurses and physicians communication also confirms that details about the patients alternating condition and needs are deficient and thus creates a series of errors in manageable cases. The intention of handoffs is ensuring that there is continuity of care, identify and communicate a patient response to interventions and address any changes in the condition of the patient. Lingard (2014) emphasizes that the epicenter of quality outcomes in teamwork is communication (Goldszmidt, Dornan, Lingard, 2014). Care of patients is a complex activity where different health workers collaborate in a bid to restore full functionality. A healthcare environment has a lot of mixed issues ranging from interruptions, chaos, sadness and others. It is imperative to comprehend the uniqueness of the context of handoffs process during admission from the emergency department. It was established that vulnerabilities in information technology, communication, the environment, allocation of duties and flow of patients influence the emergency department handoffs. This project is meant to provide an opportunity for nurses from all cadres to understand handoff as a nursing procedure and engage them in formulating the best way possible for quality improvement. An opportunity to improve care is critical to advancing the nursing profession (Duncan, Montalvo, Dunton, 2011). Problem Statement. The details presented by a nurse on duty to another or other care providers during a change of shifts is crucial for the management of the patient. A significant number of patients may pass on because of inadequate provision of handoff information. Success in the general outcome of treatment and care in emergency department pivots on the concept of standardized handoffs. Precious time may be wasted on the uninformed particulars such as availability of laboratory results. For instance, missing out on the main issues like communicating the cause of the patients problem as blunt trauma may lead to a lot of time wastage instead of an immediate intervention through surgery and intensive care therapy. A study carried out on 264 physicians of the emergency department identified that 31% of the respondents reported at least one adverse event attributed to handoffs. A similar study noted that 74% of the handoffs are conducted in a common area within the department. 90% of them reported that there is no policy regarding the process. 50% indicated that the physicians receive patient information verbally from the nurses and their colleagues. They say it gets rampant when they familiarize with each other (Flanigan, Heilman, Johnson, Yarris, 2015). A review of the literature indicates that there is a significant mortality and morbidity caused when health workers delay initiating best practice interventions because of weak inter-shift transfer reports. Concerning this project, a fair amount of research has been undertaken overseas. There is the limited literature on research about this subject particularly in the field of nursing in Australia (Bish, Kenny, Nay, 2013). Significance Of The Problem The proposal is essential for nurses and other health workers because it would provide guidelines on some of the significant means of improving handoffs and ultimately the outcomes of health interventions. They would gain knowledge and expertise in health promotion and quick response in an emergency department as the remedies touch on the emergency response which integrates inter-shift transfers. Furthermore, patients and families would be enlightened on their rights in an emergency department so that quality is always expected. Professional development would also be fostered especially the professions of nursing and medicine as the project incorporates local and international policies on healthcare. Premise Of The Project The deliberate ignorance of using handoff guidelines by nurses and other healthcare providers is wrong and has to be punitive. Furthermore, most of the hospitals do not lay the best strategies in helping patients and encouraging their staff to uphold best practice in all departments, specifically the emergency section. Also, there are inadequate nursing profession-based research studies on the subject hence promoting the rampant problems in the handoff process. The best way of improving adherence to the guidelines is the use of EMR and triggering consciousness in every healthcare professional to optimize ethical principles such as do no harm and respect for humanity (Halstead, 2012). Assumptions And Definition Of Terms Assumptions. The assumptions identified about the relevance of this proposal include; All the emergency departments have a clear policy on the handoff process. It is because the project identifies gaps in the policies and proposes how quality can be improved. All hospitals have an emergency department and in-patient sections so that there is at least an initial management of cases before they are referred; this is because the project focuses on handoffs between an emergency department and the inpatient section. The hospitals have the capability of installing EMR systems. It is a recommendation in this project to help improve handoff and promote good patient outcomes. The nursing literature on the topic is sufficient to make credible recommendations on the subject. All hospitals have sufficient staff who are involved in the handoff process. Completeness of the available records is guaranteed. Based on these records, recommendations and conclusions shall be projected for future nursing practice and studies. Definition of terms. Emergency department: the section of a hospital that receives and admits patients who need immediate care like in trauma. In some hospitals, it is the first point where clinicians see all patients. Inpatient Department: A section in a hospital where patients are admitted for further management and monitoring after receiving primary care in the emergency department. Handoff: The process of transferring responsibility, care and accountability of a patient from one staff to another. Management: Treatment or care of a patient. Patient outcome: The response of a patient to treatment with the inclusion of possible complications in the first 48 hours of management. Sentinel events: An event that is unanticipated in care and it is not related to the natural cause and course of the health problem. Review Of Related Literature. Little, Risenberg and Leitzsch (2012) finished a review of the literature in a systematic way by majoring on nursing handoffs in the United States and the utilization of mnemonics. One of the mostly raised mnemonics was Situation, Background, Assessment, and Recommendation (SBAR) (Riesenberg, Leitzsch, Little, 2012). Authors expressed concerns about the lack of evidence on its validation. They recommended further studies that would prove how useful mnemonics are for handoff process (Sloper, Edmonds, Bailey, Lewis, Charlton, 2015). Additionally, Leitzsch and colleagues did a nursing literature review relating to handoffs and established that among the more than 90 articles studied, there were only twenty that involved nursing. Based on other reviews, it was found that quality nursing research on handoffs was limited (Burns, Grove, Gray, 2011). Even though the topic of some of the recognized nursing studies was handoffs format, the outcomes and content accuracy was not integrated. Impediments and organizers to handovers in Nursing were identified, but there was no prove of best practice (Riesenberg, Leitzsch, Little, 2012). Outline Of Project Procedure There are steps developed by the Institute for Healthcare Improvement (IHI) which help conduct a quality improvement project. First, the organization establishes the main issue to be improved and develops goals that are measurable and time-specific (Sivaram Tan, 2011). Secondly, develop measures which prove the strategy works. Additionally, the changes needed for improvement are then examined using Plan-Do-Study-Act (PDSA) model. PDSA has to begin with smaller sections before it is spread throughout the entire organization. Finally, the changes are implemented entirely to realize the improvement (Byrne, Xu, Carr, 2014). Use of an appropriate improvement approach. Firstly, the strategy will identify process owners and early adopters. A team of few members who are ardent about this proposal has to be ascertained, and they will begin the first PDSA stage by utilizing the SBAR approach for handoffs (Eberhardt, 2014). The first cycle of PDSA has to involve; plan, where a tactic of lowering destructions is developed, there is the use of SBAR and question time established (Byrne, Xu, Carr, 2014). Draft a concise statement of what is to be achieved. It has to be smaller and focused for the purpose of improvement. Again, you can establish a target that you are hoping to achieve. Additionally, the steps to be implemented are established for the cycle. Also, the population to work with and the timeline for the study are determined. Predictions can be made on what may happen and for which reasons. Do, where adopters test the process. It involves execution of the plan and a keen scrutiny is employed to ensure finer details are captured. Afterwards, draft the findings during the observation for instance, it may be the reaction of patients, nurses, doctors and other workers to be interviewed. Ask self if things went as planned or if there is need for modification. The study, where satisfaction is evaluated. It involves going through the results. Identify a new thing that was learnt and establish whether the goal was met. Communicate how well the approach worked after you have achieved the goal. Observations may be unexpected therefore it has to be documented for that matter. The entire process involves analysis. Finally Act, where the changes are implemented after satisfaction. It is realized through identifying the conclusion from the cycle. Standardization of handovers in an active emergency department is crucial in that the needs are prioritized hence safety. The next step is for them to identify the residents who can convince others that the approach improves patient outcome during shift change. The adopters may want to train the broad groups who will later adopt their own PDSA utilization measures. Furthermore, it involves developing a plan for the subsequent study if modifications are to be made. In a nutshell, plan includes; set objectives, who are to be involved? What do they do? When and where? Do involves; pilot beginning, carrying out the plan, observation and making data. Study; data analysis, compare results with target, and establish changes. Act; implement changes or redo the cycle. There may be some barriers that impede this process like the inability to follow instructions. Therefore, clinicians have to be cooperative in sharing any necessary information. Furthermore, opinion leaders may want to sustain the status quo in fear of the unknown. They may hinder the process, and so early adopters have to work an extra mile in ensuring full adherence (Apolinarski, 2012). The use of EMR has to be fostered in most of the hospitals when there are cases of neglect and malpractice, patient prioritization is not affected, and therefore, the outcome of care is always upheld. References Apolinarski, A. (2012).Proposal for a leader nurse role implementation at Palomar Pomerado Health. Bish, M., Kenny, A., Nay, R. (2013). Using participatory action research to foster nurse leadership in Australian rural hospitals.Nursing Health Sciences,15(3), 286-291. https://dx.doi.org/10.1111/nhs.12030 Burns, N., Grove, S., Gray, J. (2011).Understanding nursing research. Maryland Heights, MO: Elsevier/Saunders. Byrne, J., Xu, G., Carr, S. (2014). DEVELOPING AN INTERVENTION TO PREVENT ACUTE KIDNEY INJURY: USING THE PLAN, DO, STUDY, ACT (PDSA) SERVICE IMPROVEMENT APPROACH.Journal Of Renal Care,41(1), 3-8. https://dx.doi.org/10.1111/jorc.12090 Duncan, J., Montalvo, I., Dunton, N. (2011).NDNQI case studies in nursing quality improvement. 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