Nurse practitioner Essay Example | Topics and Well Written Essays - 2000 words

Nurse practitioner - Essay Example within the present structure of the available health services mainly in order to facilitate their journey within the healthcare continuum (Sweet, 2005). Nurse practitioners have responded to this social and political need and professional challenge through expansion of the scopes of their practice with action, plan, and rigor. As a result in today’s changing contexts, this professional role has literally evolved into development of skills and expansion of scope of practice so this category of service providers can provide efficient, safe, comprehensive, and accessible care to the patients and the communities (Ashington Audit Group., 2004). Before going into the critical examination of the conditions of this development and its social and political contexts, it would be prudent to define a nurse practitioner. According to Australian Nurse Practitioners Association, nurse practitioners are senior clinical nurses within their specialty of choice with a Masters of equivalent degree and registered with the state nursing boards (Redshaw and Harvey, 2001). Professionally they are experienced with high level of skills suitable for different healthcare settings. The political motive for this role is to support the existing system of patient care while at the same time improving access of people to care that may be adequate or even better for certain clinical conditions. In the Australian context, the nurse practitioners are able to cater to the health needs of the population independently through their clinical skills and are able to meet the health needs of the population at the given level through their ability to recognize the holistic health needs in the context of their environments. In any way, this provision is not designed to provide care that is does not fulfill the competency standards of healthcare delivery. They provide services with accountability within this extended scope of practice in conformity with the evidence that nurse practitioners are quite able

Educational Needs Analysis Research Paper Example | Topics and Well Written Essays - 750 words

Educational Needs Analysis - Research Paper Example The hospital is situated in the centre of the city and hence it has quite a lot of incoming traffic in its emergency ward as compared to other things. In total they offer health service in cancer; women related health issues, burn center, and diabetes center and as well as anesthesia and pain management center. It also has a huge blood bank and one of the biggest facilities that they offer is the walk in Huntington disease facility. This is one of the few hospitals to do so. Since the above mentioned facilities are the specialties of the hospital therefore they offer specialized training for the nurses. EDUACTIONAL NEED ANALYSIS Their hiring process is quite a comprehensive one. They hire nurses when they have done their basic education only. This is their only requirement; rest of the selection is dependent upon the assessment center alone. The Assessment center contributes a lot to the assessment of educational needs if they exist. In the assessment center they have a series of pro cess that an applicant has to go through there are in all five practical steps and the sixth and the final one is the written test. The written test comprises of five multiple choice questions and the second part of the written test is an essay. The essay has three parts in total, the first part is about what field the applicant wants to choose for specialization, the second part talks about why and what made them choose it and the final part of the essay talks about the applicants existent knowledge about the field. Once the applicant is selected, they are given the curriculum of the whole course and then they are to fill out a form in which they have to mention what they felt would be required and is not mentioned in the curriculum. This method is extremely helpful as the applicants are from all over states and as well as international students, they all come with their own background knowledge and insights and this helps expand the curriculum to be more broader and as well as com prehensive. If some if the things that have been mentioned cannot be included in the curriculum then they are given as additional training to the students (Deb, 2006). The needs for education or training was determined by conducting a full fledge study. It has been learned through previous experience is that if trainings are forced upon the nurses then they tend to feel like rebels and they do not pay full attention and it ends up as a waste of money and resources and time on the part of the nurses. The training and development department of the HR department of the hospital conducts annual searches word wide and as well as locally so as to gather information about any new trainings and courses that are trending and then they put it up on the notice boards, if the training is very necessary then every nurse has to attend it and then they are paid overtime for the hours that they spend in learning. Similarly some of the courses are put up and the interested nurses voluntary sign in t heir names. They are given credit through bonuses and special recognition rewards, this motivates them (Deb, 2006). The other method that is used is through the doctors. The doctors are inquired as to what they feel further that the nurses should be equipped with and then necessary trainings are identified and the nurses are trained. The main restraining factors in the case of further training or certificate courses

Research into motivation in sport

Research into motivation in sport This reviewed research is on motivation in sport. A variety of definitions and approaches to the study motivation will be discussed. One of the forms of motivation being discussed will be intrinsic and extrinsic motivation. Intrinsic motivations are very important for promoting satisfaction and long term participation in sport. There are three academic approaches to the study of intrinsic motivation: behavioral, cognitive, and motivational. Researchers have found that the intrinsic motivation of athletes seems very important for continuing participation, and elite performance in sport. Extrinsic motivation refers to motivation that an individual has that comes from outside sources. The motivating forces are external or exterior rewards such as money or awards. These rewards supply fulfillment and satisfaction that the mission itself may not supply. Another form of motivation has to do with gender. Researches have determined that there are motivational differences among male and femal e sports. Its also been determined that male and female athletes possess different strengths and weaknesses within the motivational climate. Some detailed differences stated were that men had higher levels of motivation in competition, social acknowledgment, strength and endurance, where women had stronger motivation to control weight. The last factor I will cover is cultural effect on motivation. Introduction to your Research Topic Intrinsic and extrinsic motivations are both adaptable and adjust in reaction to specific situations. While not easy to define, intrinsic motivation can be explained as an internal drive to perform an activity. While extrinsic motivation is known as an external motivating source that drives action. It is said that people attribute their behavior either to an internal or external source. Intrinsic motivation correlates positively when people attribute their motivation to internal sources, while extrinsic motivation is correlated to belief in an external source for their behavior (Wiersma, U. J., 1992). Extrinsic motivation, by definition, is changeable since it is an external motivator one can change the reward or external. Meta-analysis of intrinsic and extrinsic motivational research by Deci, Koestner and Ryan (1999) found that intrinsic motivation is negatively affected when tangible extrinsic motivation is attached to the behavior. This undermining of intrinsic motivation is post ulated to be the result of a perceived decrease in autonomy and competency by the individual receiving the extrinsic reward. Self-determination Theory states that humans have three innate needs: autonomy, competence, and relatedness. Of these, autonomy and competence are the key drivers of intrinsic motivation (Franken, 2002). As a result we see that intrinsic motivation can be changed by adding an extrinsic motivating component. Background of the Research Topic When you start discussing the nature of motivation of sport through gender, you have to ask yourself a question. Has the perceptions of sports progressed in ways that reflect participation in sport? Additional contribution in media exposure of high action sports has increased considerably since the earlier studies had examined attitudes toward gender-appropriate sports. Motivation in sports and exercise has been studied over the last century but only in recent decades has motivation by gender been analyzed. Studies in the area of motivation by gender in these sports and exercise fields: individual and team sports and exercise, martial arts, basketball, volleyball, track and field, and general sports participation and exercise (Kilpatrick, Hebert, Bartholomew, 2005). These results were the most consistent throughout the reports with other similarities and differences noted with each study. Deci, et al. (1999) stated that intrinsic motivation can also be improved by increasing an individuals perceptions of autonomy and ability. Deci, et al. (1999) also showed that research supported the notion that extrinsic motivations impact on intrinsic motivation was influenced by the controlling nature of those extrinsic rewards. For example, positive feedback that is not measured as controlling would likely add to a persons perceived ability to have a positive effect on their intrinsic motivation. Vallerand (2000) looks at motivation in a multidimensional approach that changes more than the differences in intrinsic and extrinsic motivation. He states that motivation for both is on a scale that ranges from a high to low level of willpower and that operates on three distinctive levels: global which is an individuals overall general motivation in a specific domain or field such as education or sports. Situational or the here and now. For each of these levels individuals can have dive rse motivation levels both intrinsic and extrinsic way. For instance, a person can be greatly intrinsically motivated to participate in sports, but less intrinsically motivated concerning education (global). However, if a person is feeling sick or tired, they may not have the equal intrinsic motivation to participate in sports activities that day (situational). Extrinsic rewards can be useful to both and impact situational motivation in both the short and long term. For example, that individual might be highly motivated to do well on a test and receive a good grade (extrinsic motivation) so that they can be eligible to play on their sports team (intrinsic motivation). Vallerand (2000) postulates that repeated levels of low levels of situational intrinsic motivation will likely have a diminishing effect on the larger contextual intrinsic motivation. He highlights research done on motivation to play basketball where intrinsic motivational levels were affected by situational motivation al levels during tournament games. This research has many implications for organizations and educational situations. While understanding that extrinsic motivation is one of the main drivers of the business world, compensation and other incentive packages need to address their impact on intrinsic motivation and be developed in ways that will reduce the adverse affects or possibly even add to the intrinsic motivational levels. More research on real life situations would be beneficial. Impact on sports Gender: Even though the experiences of many girls and women in the United States point to the opposite, research demonstrates that media always present sports as the a male dominated field (Duncan Sayaovong, 1990; Hardin, Lynn, Walsdoff, Hardin, 2002; Pedersen, 2002). Several studies have established that female athletes have been greatly underrepresented in the media (Bernstein, 2002; Pedersen, 2002). The rationale for this may possibly be that the mainly accepted sports in the country are those looked upon to be masculine sports (Messner, 2002). However, since Title IX, the progress of women into various sports that are not considered feminine has been extraordinary. Women participate in practically all types of sport, including those used to display the ultimate masculinity. Even though gender-role differences are natural in accepted perception, research has extensively demonstrated that, as an alternative, most are publicly constructed (Bandura, 1986; Messner, 2002). Gender stereotypin g is everywhere, unseen regulators of relationships and opportunities. Banduras social cognitive theory is a key in understanding the factors in socialization. The theory argues that behavior, environmental actions, and cognitive factors work to form attitudes and action. Individuals consider action and its result, projecting cost and adjusting accordingly. Therefore, action is not a result of imprinted histories as much as it is a result of cognized futures (Bandura, 1986, p. 19). Bandura emphasizes the role of the media in social learning so much that, he argues; television persuade has dethroned the primacy of interpersonal experience. As a result, life models the media (Bandura, 1986, p. 20). Findings of previous research Gender Motivation is a crucial factor within the sport and exercise field. Understanding what and how motivation works is equally important. Based on these reviews gender also plays a role within the motivational climate. Studies have revealed variations in motivational factors within each gender. In Chie-der, Chen, Hung-yu, and Li-Kangs journal 87 male and 87 female basketball players from the HBL were selected for the research. Four research questionnaires were used to measure four phenomena: participants goal orientation, the motivational climate they perceived, perceived personal athletic ability, perceived personal sport-related confidence (Chie-der, Chen, Hung-yu, Li-Kang,2003). Using a t test gender differences were detected. Males tended to record higher scores than females for sports related confidence variables. Males scored higher within ego orientation, perceived ability, and in physical performance. Females tended to score higher in task orientation, perceived task climate, and leadership styles (Chie-der, Chen, Hung-yu, Li-Kang,2003).   In Kilpatrick, Hebert, Bartholomews study 233 students were studied, 132 women, 101 men. The purpose behind this study was to compare sports participation and exercise motivation through a highly differentiated scale of physical activity. The second objective was to investigate the impact of gender on motivation. This study determined that men were more highly motivated then women when it came to endurance and strength, social recognition, challenge, and most notably competition, where women were more motivated by weight management (Kilpatrick, Hebert, Bartholomew, 2005). It was further suggested in this analysis that motivations to engage in sports differed from motivators to engage in exercise. It was also noted that more of the health related motives were linked to exercise opposed to sports participation thus indicating that sports participation are more closely related to intrinsic motives. It was suggested that ba sed on these findings that men leaned more closely to intrinsic motivation then women. This study further implied that men viewed exercise and fitness opportunities as a means to achieve ego related goals that support their sports participation where as women seemed to enjoy exercise and sports participation equally (Kilpatrick, Hebert, Bartholomew, 2005). Conclusions section It is concluded that it is important for coaches, teachers and parents to stress to young athletes the need to improve skills, teamwork and sportsmanship over the win at all costs attitude. Terms/concepts Self-determination Goal orientations Motivational climate Perceived competence Behavioral Cognitive Motivational Global motivation Situational motivation Perceptions References page JAM Murcia,(2008) Relationships among Goal Orientations, Motivational Climate and Flow in Adolescent Athletes: Difference by Gender,The Spanish Journal of Psychology, volume 11, number 1, 181-191. Kilpatrick, Hebert, and Bartholomew, (2005) College Students Motivation for Physical Activity: Differentiating Mens and Womens Motives for Sport Participation and Exercise, Journal of American College Health, volume 54, number2 Gareth W. Jones, Ken S. Mackay, and Derek M. Peters, (2006) Participation Motivation in Martial Artists in the West Midlands Region of England, Journal of Sports Science and Medicine CSSI, 28-34 Dongfang Chie-der, Steve Chen, Chou Hung-yu, and Chi Li-Kang, (2003), Gender Differential in the Goal Setting, Motivation, Perceived Ability, and Confidence Sources of Basketball Players, The Sport Journal ISSN 1543-9518 Gillison, Standage, Skevington, (2006), Relationships among adolescents weight perceptions, exercise goals, exercise motivation, quality of life and leisure-time exercise behavior: a self-determination theory approach, Oxford Journals, Vol. 21, no. 6 Deci, E. L., Koestner, R., and Ryan, R. M., (1999). Meta-analytic review of experiments examining the effects of extrinsic reward and intrinsic motivation. Psychological Bulletin (125). Retrieved on November 13, 2010 from EBSCOhost. Franken, R. E., (2002). Human Motivation. Wadsworth, Belmont, CA. Vallerand, R. J., (2000). Deci and Ryans Self-Determination Theory: A view from the Hierarchical Model of intrinsic and extrinsic motivation. Wiersma, U. J., (1992). The effects of extrinsic rewards in intrinsic motivation: A meta-analysis. Journal of Occupational and Organizational Psychology (65). Retrieved on November 13, 2010 from EBSCOhost.

The Influence of Greek Thought on Modern Science and Mathematics Essay

The Influence of Greek Thought on Modern Science and Mathematics Parallels can be drawn from Greek thought and compared to today’s modern world views. This comparison also brings forth the influences of the Greek philosophies to the world’s contemporary aspects. More specifically, mathematics and science elicit the relationships of the ancient Greek beliefs and the existing theories and truths. Mathematics, as it relates to the Greek era and the present time, had created and still creates a very new approach to the thoughts of the mechanics of nature. For instance, Pythagoras, the Greek mathematician and philosopher, believed the physical world would be explained by numbers. He used his theory of numbers and applied them to the phenomena of â€Å"harmony.† Using the strings of a lyre, Pythagoras explained his theory through his application of mathematical ratios for the principles of musical intervals. He also believed that there was a â€Å"perfect† number, 3, defines Harmony and the â€Å"All,† while the â€Å"virtue of a number† is 10, for it â€Å"perfects and realizes all things . . . ...

Information Systems Essay

This facility is one of the most leading and innovative healthcare organizations. It provides a full spectrum of healthcare and wellness programs throughout North and South Carolina. Our diverse network of more than 650 care locations includes academic medical centers, hospitals, healthcare pavilions, physician practices, destination centers, surgical and rehabilitation centers, home health agencies, nursing homes, and hospice and palliative care. Carolinas HealthCare System works to improve and enhance the overall health and wellbeing of its communities through high quality patient care, education and research programs, and a variety of collaborative partnerships and initiatives. Carolinas HealthCare System is an outgrowth of a community hospital originally founded in 1940. Since that time Carolinas HealthCare System has grown into one of the nation’s largest and most comprehensive systems, with more than 48,000 employees, more than 6,200 licensed beds (acute care and post-acute care), and an annual budget exceeding $6. billion (comparable to many Fortune 500 companies). Premier facilities include Levine Cancer Institute, Levine Children’s Hospital, Sanger Heart & Vascular Institute, CMC Neurology and The Transplant Center. Other specialties include maternity (regular and high risk), assisted reproduction, interventional oncology, radiation therapy, minimally invasive surgery, and many others. Through careful integration of services, Carolinas HealthCare System has built some of the nation’s largest accredited multi-hospital networks for treatment of stroke and heart attack. Ultimately, our success is determined not by the buildings we construct, but by the investment we make in the people and programs that bring each new facility to life. We are providing a broad framework of support that enables extraordinary professionals to bring caring, commitment, integrity and teamwork to a vitally important healing mission. The motivating force behind all of this activity is fulfilling our duty to meet community needs. Each of our hospitals is locally managed by a hospital administrator who makes ecisions that affect each hospital. Carolinas HealthCare System (CHS) is governed by a group of people who are dedicated to serving our community by providing the healthcare resources needed for our growing region. The Board of Commissioners and Advisors meets on a regular basis to review policies and procedures, as well as current and changing healthcare rules and regulations for our state and nation that impact how we provide these services. Below are the members of these committees. CHS uses electronic records which is called Canopy. Canopy is Carolinas HealthCare System’s electronic medical record program, formerly called (EPACT). It is one of our most critical strategic initiatives and a significant leap forward to bolster our ability to improve clinical outcomes, ensure patient safety, and enhance our delivery of quality care through technology. All physicians and mid-level providers will use the electronic system for tasks such as CPOE, Medication Management and Structured Electronic Documentation. Transcription services will not change. The information that is dictated now may be dictated on and after conversion to CPOE. The expectation is that dictation will not increase, but will decrease over time. The physicians and nurses all play a big part in the facility. They use the information systems to document the health concerns of the patients, and to also transmit the information to documents that can be easily read and understood. Many employees use the system to add, obtain, and program the patient records and personal information. Carolinas Healthcare System provides convenient outpatient programs in physical, occupational and speech therapies throughout Mecklenburg and surrounding counties. We are also leaders in the field of workers’ compensation and vocational rehabilitation, aiding patients at their workplaces and helping them regain work skills if an injury or illness interferes with employment. Functional Capacity Evaluations are used to ascertain if a patient may return to work successfully. Designed to accelerate each patient’s recovery efforts, our outpatient facilities are staffed by accredited specialists utilizing the most advanced equipment and techniques available. With an extensive network of outpatient centers throughout the region, we are always within reach of individuals seeking therapy, and skilled at providing the care, support and confidence vital to successful rehabilitation. The facility is very discrete with the way they access their records. Everyone has a to login to a secure network to bring up the sites for the employees to use. With more than 30 hospitals and more than 600 other care locations, CHS is strongly committed to robust electronic medical record (EMR) solutions. The goal is to guarantee that a patient’s most recent information is quickly and securely available to all the medical providers who need it. This enables everyone on the care team to better coordinate and personalize treatments. Every patient encounter is electronically documented. For that reason, physicians at any point of contact can quickly research and gauge possible drug interactions, avoid or treat allergic reactions, or judge the possible impact of previous injuries or surgeries. Having all of this information immediately accessible not only saves time, it helps a patient’s record speak for them if necessary. Carolinas HealthCare’s Information Services Department worked with emergency-department physicians and Cerner Corp. (NASDAQ:CERN), its electronic-health-record vendor, to design the single-order entry computer application. The streamlined order-entry process was piloted in 2011 at CMC-Northeast, a Concord hospital that has one of the busiest emergency departments in North Carolina. It was launched simultaneously with the rollout of the health-care system’s electronic-health-record initiative which features computerized physician-order entry. During the pilot, order entries were reduced by nearly 2. 5 minutes per patient. That will save more than 2,600 physician hours per year. This facility has many positives about the employees and the site. I would like to be a part of this facility so I could put my skills to work and help the community have healthier people. Some of the strengths about the system are that it is very secure. There is a login for every employee to access in order to get in. Some of the downsides are that many others may try to hack the system and breach every ones privacy. It is important to have a secure system to protect the patients’ rights and information. It is possible to obtain policies, procedures, brochures, and training at this facility. They even provide different schools to educate their employees, and the new individuals that want to pursue a career with them. This would be a great company for interested people to work at. It is very important that they show that their interests are in the wellbeing of their employees and newcomers.

ESP Course at Technical Secondary Vocational School for Construction and Building Trade students Essay

The paper is about ESP course in technical secondary school to construct the trade students. The paper first discuses the meaning of ESP and then tells about its characteristics. It discusses the role of English as a trade and finance language globally and then further narrates the various steps that are being taken by various countries’ governments to promote English for Specific Purposes programs for its workforce. The paper reflects that these governments understand the importance of introducing ESP courses at secondary level so that their people can comfortable choose the vocational field of their own choice. This paper offers a research of made efforts especially by Asian countries. There are three reasons for the emergence of ESP (Kristen Gatehouse, 2001): i) The revolution in linguistics; ii) The demands of a Brave New World and iii) Focus on the learner ESP has some following characteristics (Kristen Gatehouse, 2001): †¢ ESP is to fulfill some particular requirements of the learner. †¢ ESP includes grammar, lexis, skills and varieties of activities. †¢ ESP can have some particular disciplines. †¢ ESP is mainly planned for intermediate or advanced students. †¢ ESP is planned for adult learners who can be at secondary level also that is in a professional work situation. According to Dudley Evans and St. John (1998), there are five major roles for an ESP practitioner: i) course designer; ii) teacher; iii) researcher; iv) collaborator and v) evaluator (Kristen Gatehouse, 2001). David Carter has categorized ESP in three parts (Kristen Gatehouse, 2001): †¢ English with some particular topics †¢ English for Occupational and Academic Purposes both †¢ English as a Restricted Language English with some particular topics transfer from purpose to topics and it is generally used by the scientists. Hutchinson and Waters have made three divisions of English for Occupational and Academic Purposes: a) English for Business and Economics that is EBE; b) English for Science and Technology that is EST; c) English for Social Studies that is ESS. English as a Restricted Language is used by traffic controllers and by waiters (Kristen Gatehouse, 2001). According to Carter (1983) ESP courses have three common features (Kristen Gatehouse, 2001): †¢ Authentic Material †¢ Purpose Related Orientation †¢ Self-Direction Dudley Evans (1997) has argued that ESP should be recommended at secondary or intermediate level. His argument was that at this stage authentic leaning material is very practical that can be modified and unmodified in form which makes it ESP’s main characteristic. It emphasizes on self directed study and research tasks. Most of the students were evaluated on the basis of independent study assignments for doing language preparation for Employment in Health Sciences where the learners needed to make researches and they had to show their area of interest. The students were motivated to make researches by using various kinds of resources including internet (Kristen Gatehouse, 2001). In the 21st century the function of English has become as the language of trade, technology and finance. This language is bonding the rest of the business world for international trade and economic development. The children who belong to this globalize age, it has become necessary for them to get hold of the communication abilities in English as a business and trade language (Dorothea C. Lazaro and Erlinda M. Medalla, 2004). As ESP program is spreading in various countries on different levels, in Czechoslovakia it began in 1991 that aimed to promote the teaching of ESP in the Technical Universities and their allied institutions (Serena Yeo, 1995). Presently the aim of the course is almost same but there are some changes to use it at some broader aspect to make it more influential. It aims to increase the confidence of teachers at secondary level. Various kinds of seminars are conducted by the advisors for the university lecturers and ESP teachers of vocational and specialist secondary schools (Serena Yeo, 1995). In many developing countries of Asia, the altering demands of the labor force are daring the utility of traditional schooling and university education. People want the assurance the skills and the language learned at school will help them professionally. In Japan, ESP is being widely recognized and ESP training programs are being given importance. The main idea is to motivate the students by improving their communication skills which later help them to adopt the professional field of their choice. China is also vigorously executing English proficiency training programs to motivate its people. ESP courses are being introduced at secondary level. In Taiwan, English has become compulsory subject at junior and senior levels in schools. Hong Kong is also following the same trend (Dorothea C. Lazaro and Erlinda M. Medalla, 2004). Now there is a hope that these motivations on various levels in many countries can have a bright future for ESP that is being understood a major effort to build the future of students professionally or vocational level. For making it more successful the role of teacher is also being assumed very significant. So it can be observed that the teaching of ESP at vocational level is very much demanding everywhere in schools.