General Epistles Essay

Apparently, the first-century Jewish Christians were having a difficult time in knowing what true religion was. Hence the need for James to pen the following verse; â€Å"Pure, unspoilt religion, in the eyes of God our Father, is this: coming to the help of orphans and widows in their hardships, and keeping oneself uncontaminated by the world† (James 1:27, NJB, 1990). â€Å"Religion is normally understood in terms of cultic obligations, but James has a burning ethical, prophetic interpretation of pure religion† (Painter, J., 2006). True Faith: â€Å"Listen, my dear brothers and sisters: Has not God chosen those who are poor in the eyes of the world to be rich in faith and to inherit the kingdom he promised those who love him?† (James 2:5, NIV) In showing favoritism people judge those who they deem as less valuable by their standards. True Wisdom: In James 3:13-18, James contrasts the wisdom of the world with Godly wisdom. He states that, worldly wisdom, i.e. bitterness, envy and selfish ambition, comes from the enemy. Where on the other hand, Godly wisdom is this, is first â€Å"†¦pure, then peace-loving, considerate, submissive, full of mercy, and good fruit, impartial and sincere† (James 3:13-18). 1 and 2 Peter Christian Behavior in Suffering: â€Å"Beloved, I implore you as aliens and strangers and exiles [in this world] to abstain from the sensual urges (the evil desires, the passions of the flesh, your lower nature) that wage war against the soul† (1 Peter 2:11, 1987, Amp). By using Christ as the example, Peter, taught the Jewish Christian how to live their lives in the middle of suffering. Danger to Growing Christians: Peter warns the believers of false teachers who would come into their presence and speak lies and devastating heresies. He goes on to say, â€Å"They will be paid back with harm for the harm they have done. Their idea of pleasure is to carouse in broad daylight. They are blots and blemishes, reveling in their pleasures while they feast with you† (2 Peter 2:13) 1, 2, and 3 John Admonition against Antichrists: In 1 John 2:19-26, John admonishes the Gentiles congregations to, â€Å"See that what you have heard from the beginning remains in you. If it does, you also will remain in the Son and in the Father† (1 John 2:24). John knew that, as long as individuals stay in Christ and do not shrink back, they will see the â€Å"Day of Christ† with much joy. Pride: Diotrephes had fallen into pride by loving himself above all others, refusing to welcome other brothers in the Lord, and he would have nothing to do with the brothers. He was also a, gossip, and stopped those who wanted to do what is right and just. (3 John 9-10) Jude Danger of False Teachers: Because certain individuals whose judgment was written about long ago had covertly snuck in among the church, Jude â€Å"†¦felt compelled to write and urge you to contend for the faith that was once for all entrusted to God’s holy people† (Jude 3, 4). Responsibility to Fight for Faith: â€Å"But you, dear friends, by building yourselves up in your most holy faith and praying in the Holy Spirit, keep yourselves in God’s love as you wait for the mercy of our Lord Jesus Christ to bring you to eternal life† (Jude 20-21). References Callahan, A. D., 2009, Babylon boycott: The Book of Revelation, Retrieved, March 27, 2011, from: http://web.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?vid=3&hid=104&sid=82d03de1-65f2-4e8e-8c4d-3a8793c9a0fb%40sessionmgr113 Life Application Study Bible New International Version, 2005, New Testament notes and Bible helps, 1986, Copublished by: Tyndale House Publishers Inc., Carol Stream, Illinois 60188, USA, Zondervan, Grand Rapids, Michigan 49506, USA Niswonger, R. L., 1988, New Testament history, Zondervan Publishing House, Grand Rapids Michigan 49530 Painter, J., 2006, James as the First Catholic Epistle, Retrieved, March 26, 2011, from: http://web.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?vid=5&hid=104&sid=39154ae2-54ba-4ba8-9761-087a07496117%40sessionmgr112

The Role of the Individual in Candide

All around the world the roles of the individual and of society are completely abstract. As the world changes and develops, the roles of the individual and society change to meet the needs of the people. Voltaire's Candide which involves France during the Age of Enlightment & Marx & Engels' Communist Manifesto which involves Germany around 1848 both discuss the roles of the individual and of society in different ways. In both pieces of literature what is expected of the individuals and of society is very different from what is presently happening. The Communist Manifesto discusses human nature and social class while Voltaire discusses the flaws of society and the realities that not everything is for the best. In Communist Manifesto, the role of an individual is to be an equal and work towards the greater good of society and the role of society is to provide equality for all people. However in Candide, the role of an individual is to be an individual while the role of society is based upon the society you are living in. The role of the individual according to Marx and Engels is to be an equal with everyone else in society. The immediate aim of the Communists is the same as that of all other proletarian parties: Formation of the proletariat into a class, overthrow of the bourgeois supremacy, conquest of political power by the proletariat† (Communist Manifesto 13) The Bourgeois are the 0. 1% of the population that owns the means of production and The Proletariat are laborers who are 99. 9% of the population. Carl Marx state s here that the goal of Communism is equality for all. If you overthrow the Bourgeois it insures that power will be balanced because its 99. 9% in control now instead it’s 0. 1% in control. Marx describes his distaste for how everyone in society is being manipulated by the small percentage in control. Marx goes on to say that â€Å"The Bourgeoisie has subjected the country to the rules of the towns. It has created enormous cities, has greatly increased the urban population as compared with the rural and has thus rescued a considerable part of the population for the idiocy of rural life† (Communist Manifesto 7) People are being control in a majority of their daily routines and being an individual is not something truly supported by the Bourgeoisie. â€Å"You say individuality vanishes. You must therefore confess that by â€Å"individual† you mean no other person than the bourgeois, than the middle-class owner of property† (The Communist Manifesto 16) The idea of communism is to encourage people to actually be individuals while being an active member of society. Although the role of the individual are made very clear by Marx they fail due the ideals of human nature. It is said that the human nature can be considered the downfall of communism. Communism as proposed should be extremely successful but due to human nature there is no way for communist success. The success declines as soon as it starts because people lose motivation. People have no motivation to work as hard as they possibly can because everyone is economically equal. This is a flaw of the communist society as opposed to capitalism. Marx wants people to work as an autonomous collective to gain power and take it away from capitalism however, people are only invested in something that benefits them, and communism relies on an â€Å"all for one, one for all attitudes. According to The Communist Manifesto. the role of society is to provide equality for all people. As stated â€Å"In bourgeois society, living labor is but a mean to increase labor. In communist society accumulated labor is but a means to widen, to enrich, to promote the existence of the laborer† (The Communist Manifesto 15) Marx describes a comparison between the society currently and what Marx’s hopes society will be. Individuals are promised so much more in a Communist society. The difference between the idea of increasing labor and widening labor although minuscule provides hope for the people who are sick of their current society. In communist society, the present dominates the past. In bourgeois society, capital is independent and has individuality while the living person is dependent and has no individuality† (The Communist Manifesto 15). This shows how people, while working toward the greater good have their own individuality under communist society. In a Communist Society although people are allowed to be unique they are all considered equal no matter what. In Candide the role of an individual is to be an individual. Voltaire, throughout the skill of repetition exploits how people behave. He describes for instance how everyone feels someone is better off than they are. Voltaire uses Candide's journeys to portray the human assumption that the grass is always greener on the other side. Now even though most people are not pleased with how their lives are currently, they are esteemed individuals. Individuals work for the benefits of themselves as they cultivate their farms and work hard to make sure their families are well fed and stable. â€Å"‘I have only twenty acres of land’ replied the Turk, ‘which my children and I cultivate. Our work keeps us free of three great evils: boredom, vice and poverty’† (Candide 112). This shows how in Candide, society’s individuals work hard on their own to make something out of themselves. According to Voltaire in Candide the role of society clearly depends on what kind of society you are currently living in. Societies, according to Voltaire had many flaws. As Candide comes to the land of Eldurado, we are shown an almost flawless society. â€Å"Candide asked to see the law courts, he was told that there were none, that lawsuits were unknown. He asked if there were prisons; the answer was no. †(Candide 64) In this nearly flawless society all men are free and the king is the complete opposite of a tyrant. â€Å"I know my country doesn’t amount to much, but when man is fairly well of somewhere, he ought to stay there. I certainly have no right to prevent foreigners from leaving: that kind of tyranny is sanctioned by neither our customs nor our laws† (Candide 66). Another society Candide discusses is Paris. â€Å"Yes, I’ve been in Paris: it’s a mixture of everything found in all the provinces. It’s a chaos, a restless throng in which everyone is looking for pleasure and hardly anyone finds it, or at least that’s how it seemed to me†(Candide 75) In Paris it seems that this society has no partake in it’s citizens lifestyle. The individuals yearn for what society has to offer them. Voltaire uses satire to take aim at the military, religion, and societies' shallowness to disprove Pangloss’ theory that â€Å"all is for the best†. The world that we live in is not the best of all possible worlds.

Questionnaire Coursework Example | Topics and Well Written Essays - 750 words

Questionnaire - Coursework Example The American population, unlike their president, is against the use of violence in resolving the ISIS situation. This standpoint is different to their previous positions on using violence to resolve the Iraqi situations, under the rule of Saddam Hussein. In the historical context, Americans were supportive of the violence during Saddam Hussein’s era (UConn Today, 2011). Since then, the American people have been against the use of violence in Iraq. In support of the public opinion, President Obama has ruled sending combat troops. However, other alternatives such as the use of airstrikes are being considered. According to the hypothesis, Americans who have supported the use of violence in addressing the Iraqi situation, in the past, are likely to support its use in the current situation. The September 11 attacks on the World Trade Center are the catalyst in the decision to use violence in resolving Iraqi conflicts (Outsidethebeltway.com, 2014). Americans, who are pro-violence in the ISIS situation, seek to retaliate against all forms of terrorists. The Republican portion of the American population supports the use of military action against the ISIS establishment. The Independent and Democrats portion, on the other hand, do not favor the use of military action. The Republicans, according to a research conducted by Gallup, are â€Å"worried† about Iraq. The study found out that 52% of Republicans, 39% of Independents and 34% of Democrats are in favor of using military action in Iraq (Gallup 2014). Now the Democrats enjoy a majority in the decision-making in the U.S. For this reason, President Obama is more likely to lean towards not sending combat troops to address the ISIS situation. However, as stated earlier they have opted to use other means in preventing Islamic militants from spreading their influence to other states. The Gallup survey presents a true representation of the attitude of Americans towards foreign intervention;

Project Management of Hamza BioDiesel Essay Example | Topics and Well Written Essays - 1250 words

Project Management of Hamza BioDiesel - Essay Example Activity C can commence thereafter for prompt completion as well. Once activities B and C are completed, activity F can commence. All the resources will be diverted to this activity so that subsequent delays can be contained. This will ensure that the process does not exceed the current length of the critical path. Thus, activity F will be completed latest on the 14th week. Presumably, activity D can commence and be completed within one week (latest 21st week). The management consultant may have considered the main roads leading to major cities. People driving to major cities are definitely going to spend time and money on the establishment. They could be nationals or foreigners who are on business trips in the cities. Therefore, setting up petrol stations on those roads will enable them to meet the fuel needs of the drivers. While drivers refuel in their vehicles, they could refresh themselves with soft drinks and foodstuffs provided in the establishment. The management might also have considered the purchasing power of the targeted consumers. Inhabitants of major cities and their environs have a relatively higher purchasing power than their counterparts in the outskirts or rural areas have. Putting up the stations on roads leading to the major cities will definitely tap the spending power of these consumers. The stations will also have competitive prices for their products dictated by the purchasing power of the consumers. This project hopes to create a sustainable source of income. In addition, the management might also have considered the nature of goods and services preferred by the target group. Consumers in these areas use goods and services at relatively higher prices than other parts of the country. This is why it was suggested that they stock ready-to-eat foods, wines, and spirits, which are a luxury as opposed to a necessity.

History of Industrial Design Essay Example | Topics and Well Written Essays - 250 words - 1

History of Industrial Design - Essay Example As a result of these negative impacts, major players such as Germany made great improvements to secure the future of plastics. Some of these changes were around things such as an assumption that the consumers would willingly and eagerly purchase the new and advanced plastic (Venturi & Rauch, 1978). Secondly, there was also the aspect of an emerging mass-culture. Mass media completely changed the culture of the plastic consumers. Also intensified new communication forms that never existed before made a cultural climate change inevitable. This plastic influence on culture emanating from the earlier motives of innovation and substitution drastically conditions the people’s perception on plastics and lifestyles. As a result of these changes, plastics continue to exist in the present world. High tech plastics are been applied in a world of places. The absolute dominance of plastics has to the world that it is not a bad thing as it was once thought. The American architect wrote his Complexity and contradiction in architecture to verify a fact in the theory of architecture and practice. Venturi tries to reinforce the principles of architecture back a mainstream that is always established under the popular culture. In his work, Venturi privileged some issues in an attempt to underscore his objective. Venturi privileged the non-straightforward Architecture. He clearly puts it clear the he appreciate and likes elements that are hybrid as opposed to pure, He also puts it openly that he likes elements that are distorted as opposed to straight forward ones (Venturi & Rauch, 1978). Secondly, on contradiction and simplification, he puts out clearly that the modern architects have opted for the primitive methods of solving problems while ignoring the most diverse and sophisticated ones. Venturi believes that for perfect work then the architects must establish a balance between these two sides of the coin. And lastly, venture also touches on the ambiguity.

Topic Essay Example | Topics and Well Written Essays - 1250 words

Topic - Essay Example Thereby, as per Epicurus, every individual is free to lead the kind of life one wants to lead and to choose the values that one respects and considers sacrosanct and worthy. Hence, it is quiet not possible to understand the dogmas of Epicureanism, without paying heed to the importance that Epicurus endows on free will and the human capacity to engage in rational decision making. Consequently, the restraint suggested by Epicurus in the sphere of simple living and parsimony needs to be understood in the light of these innate human capacities. As per Epicurus there is a limit to simple living and any individual indulging in the extremes of simple living is as likely of being erroneous as the one who engages in prolific extravagance. As per Epicurus, every person tends to seek pleasure in life. To put it in simple words, each and every individual tends to aspire for a life that is endowed with a measure of gratification and happiness. The values like honesty, prudence and justice cease t o hold a pragmatic and viable meaning in case an individual’s life is totally devoid of pleasure. ... Epicurus suggests that while opting for a viable choice in the matters or simplicity and for that matter any other value, one needs to ascertain the amount of pleasure and pain it would lead to and thereby should decide matters while weighing the one against the other. As per Epicurus, â€Å"Necessity is a bad thing, but there is no necessity to live with necessity (36).† Thereby, if one tends to translate the Epicurean philosophy in the matters of simple living, it amply gets clear that Epicurus vehemently stands against any such idea of simple living that not only augments the content of pain in life, but also deprives one of the minimal necessities required to lead a fruitful and happy life. Extremes of simple living expose life to a situation of dearth and necessity that eventually gives way to pain and hurt. Epicurus warns the human intellect against ascribing to this idea of leading a simple life that unnecessarily augments pain and necessity and consequently dilutes ple asure or happiness. As per Epicurus, â€Å"Life is ruined by delay and each and every one of us dies without enjoying leisure (36).† Thereby, it gets quiet evident that Epicurus is totally repugnant of the idea of adhering to extremes, whether it be living an extremely simple life that is ascetic in its approach and deprives the human experience of all pleasure, or adhering to a life of profligacy and extravagance, which force the human consciousness to make comprises in the quest for extreme pleasure, and thereby eventually getting mired in the bog of pain and dearth. Thereby, the Epicurean approach towards the matter of living a simple life is one of moderation and balance, which on the

MRP5 - Methodology Assignment Example | Topics and Well Written Essays - 750 words

MRP5 - Methodology - Assignment Example However, it will adopt the use of ethnographic study, case study and survey research designs. These will help in analyzing and describing all the necessary data about the target population’s history, behaviors and responses through the use and analysis of the available primary and secondary sources. Thus, the research will be valid, authentic and reliable. As the foundation of education, elementary school needs to be under a good management. This is the only ay through which it can help in preparing learners to be well-groomed and competitive students as they proceed to the middle school, high school and college. However, many cases of poor performance have been experienced in the past especially in the American elementary schools. One of the reasons for this has been lack of motivation to the teachers. This paper will conduct an intensive research to find out if it is really true that elementary school teachers produce dismal performances because they are demoralized. Hence, the research will be a useful one since it will help in giving out recommendations aimed at rectifying the situation. The vastness of education sector means that it has a very large population. With interest groups ranging from learners, teachers, school administrators, school management boards, Department of Education officials and the general public, it means that the list of participants will e so big. However, to save on time and costs, the researcher will have to use a purposive sampling procedure. It will help in identifying the proportionate population sample to rely upon as the representative sample for the entire target population. Giving each participant an equal opportunity to participate in the study will definitely make it bias-free. The hypothesis of this study will be: To what extent does the motivation of teachers influence the performance of teaching staffs in American

Descartes and his Meditations on the First Philosophy Essay

Descartes and his Meditations on the First Philosophy - Essay Example He proves that nature is our teacher because it tells us what is right and wrong. Our intellect, understanding, and free will help us act upon what we have learned through nature and obtained through our senses. We then make judgments in life even though we don't have complete knowledge of anything and everything is doubtful and believe that God will pass the best judgment because God is all-knowing. Â  Descartes created his Meditations to unlearn everything and build stronger foundations for all the ideas that exist within humans. He said that often human beings make errors of judgment habitually and believe things without reason. He wanted to prove to the world that God exists not through religion or science but through a rationalized argument. In his meditations, Descartes discusses how we know that we exist as human beings, how the senses work, how we gain knowledge, make judgments and that God exists and is the best judge of all. Â  "Nevertheless, the belief that there is a God who is all-powerful, and who created me, such as I am, has, for a long time, obtained steady possession of my mind. How, then, do I know that he has not arranged that there should be neither earth, nor sky, nor any extended thing, nor figure, nor magnitude, nor place, providing at the same time, however, for [the rise in me of the perceptions of all these objects, and] the persuasion that these do not exist otherwise than as I perceive them (Descartes, Meditation 1, section 9) Descartes asks a critical question in the first meditation. He wonders if our mind is in God's control as is everything else in the universe how do we know if the universe really exists. The mind thinks and that is its only purpose. All the information gathered by our five senses is registered with our brain for us to know what we felt, saw, smelt, heard or tasted. We lose one of our senses if we lose that part of our body. For example, if a person loses his eye s he loses his sight and if a person loses his ears he loses his hearing. Everything in the body is connected to the brain, therefore, if one part of the brain is damaged, everything connected to it gets affected. The mind is the sensory treasure box. To think and to act are controlled by the mind. The mind is controlled by God as long as a person believes that there is a God and has created us. Therefore, it is absolutely possible that anything that mind observes and thinks maybe an illusion. We know there is a sky because we can see a sky; we know there is an Earth because we feel it under our feet. We know all of this because all signals we sense are shot up to our brain and processed so we know what we have sensed.

Employee Engagement in the Oil & Gas Sector Essay Example for Free

Employee Engagement in the Oil Gas Sector Essay 1. Introduction According to Aon Hewitt (2012), employee engagement refers to the â€Å"state of emotional and intellectual involvement that motivates employees to do their best work through examination of employees’ level of engagement relative to the organisation’s antecedents† (p.5). Scarlett (2010) defines employee engagement as â€Å"the measurable degree of an employee’s positive or negative emotional attachment to their job, colleagues and organisation that profoundly influences their willingness to learn and perform at the workplace†. White (2011) however states that â€Å"employee engagement represents an alignment of maximum job satisfaction with maximum job contribution† (p. 5). Varied statistics show that employee engagement is a pertinent aspect in enhancing an organisation’s productivity. Beddoes (2011) states that engagement levels are stabilising globally with a 58% increase in 2011 as compared to 56% in 2010, with the greatest levels experienced in Asia Pacific and Europe. After the economic crisis, engagement levels lagged but economic indicators show increasing improvement between 2009 and 2010 around the globe (Aon Hewitt, 2012). Minton (n.d.) states that four out of ten employees are not engaged translating into 58% engaged and 42% partially or totally disengaged, with motivational factors, career development opportunities, employee recognition and the organisation’s reputation playing a major contributory factor to the results. This study has developed the following objectives (1) identification of employee engagement levels/models, (2) identification of employee engagement drivers. (3) Identification of effective ways to engage employees, (4) advantages realised by having an engaged work force. 2. Engagement Model/ Levels Aon Hewitt (2012) define engagement model as â€Å"a model that determines employee engagement levels in the organisation through examining employees’ level of engagement towards the organisation in the relation to the set organisational antecedents† (p.5). This model states that engagement in one’s work or organisation is an individual choice but regularly influenced by group affiliations, developed by the employees, psychological and behavioural capacity regarding the organisation. The management particularly human resource managers should incorporate, encourage and develop the model’s components while relating with the employees. The model incorporates three main components (1) ‘Say component’ that encourages the management and employees to think and speak highly of the organisation and its activities to colleagues, potential employees and clients. (2) ‘Stay component’ that encourages the employees to continually desire to be part of the company through encouraging recognition, appraisal, teamwork and team building activities thus reducing employee turnover and encouraging potential employees and clients (Schneider, White Paul 1998). (3) ‘Strive component’ that encourages growth of an organisational culture that encourages hard work and achievement of success, thus enhancing input of extra effort from employees which in turn enhances commitment and increased productivity. Incorporation of the above model leads to more engaged employees, which lead to increased quality delivery, client satisfaction and sales, which eventually leads to increased efficiency (Organ, Posdako ff Mackenzie 2006). 3. Engagement Drivers Sijts and Crim (2006) define engagement drivers as factors that increase employee engagement in organisation through effective management of engagement levels. These drivers identify potential improvement areas in the organisation pertaining to employee engagement. These drivers are interrelated thus work in unison. Engagement drivers therefore help management identify lacking areas that prohibit employee potential, thus enhancing focus on improvement efforts that enhance productivity through increased employee commitment (Organ, Posdakoff MacKenzie 2006). 3.1 Quality of Work Life Quality of work life refers to creation of a work environment whereby employees’ activities are prioritised through execution of work structure activities that deem the activities less routine thus more rewarding to the employees (Sigy, Efraty, Siegel Lee 2001). It therefore involves creation of a conducive physical environment through availing the required resources necessary for work execution such as proper safety clothing and equipment thus enhancing productivity and engagement. It also involves enhancement of a work-life balance policy, which enables employees to clearly define and separate their work and social lives thus enhancing growth of an all-rounded employee, which enhances engagement leading to increased productivity (Richard Deci 2000). 3.2 Company Practices The organisation’s practices greatly contribute to employee engagement levels. Integration of interactive human resource policies enhances employee involvement in decision making, which in turns motivates them thus enhancing employee engagement (Aon Hewitt 2012). Introduction of effective management performance policies will enhance creation of efficient performance management and appraisal systems, which will recognise employees’ work input thus increasing their engagement leading to increased productivity (Cook, 2008). Extensive brand alignment through increased marketing and advertising will enhance engagement, as employees will view the organisation as a long-term venture as it has demonstrated continuity of operations (Payne 2012). Increasing and developed organisational reputation will enhance engagement, as employees will be more at ease to work in a reputable organisation thus demonstrating its continuity and job security. Development of a diversity culture relating to the organisation’s activities and employment of diverse individuals concerning race or gender, will enhance engagement, as it will eradicate any occurrences or fears of discrimination. According to Hynes (2012), creation of an effective communication system and structure will ensure that any important information pertaining to employees work activities or welfare are timely relayed thus enhancing growth and development of work interrelationships which enhance efficiency and effectiveness of operations. 3.3 Total Rewards Organisations should clearly outline its reward structure, as this will contribute to the engagement or disengagement of employees. Clear definition of employees’ expected pay and benefits package will enhance clear understanding about the pay package thus enhancing engagement (Harter, Schmidt Theodore 2012). The oil and gas sector should also clearly stipulate systems used to determine recognition payments regarding bonus allocation. 3.4 Opportunities To effectively enhance employee engagement, organisations in the oil and gas sector should clearly outline career opportunities available to employees who want to further advance their careers within the organisation regarding promotions and transfers that contribute to career development. Organisations should also outline the available learning and development opportunities within the organisation (Richard Deci 2000). Such opportunities could include sponsorships, study leave and provision of work-study allowances. 3.5 People People involved in the management, operational and end-user aspects of the organisation have a great impact on employees’ engagement. Organisations should therefore enhance creation of a proper work structure and culture that will enhance effective cooperation and communication among management, employees and customers (Aon Hewitt, 2012).This will in turn enhance development of interrelationships, leading to increased efficiency and effectiveness through increased employee engagement. 3.6 Work Activities An organisation’s work structure can contribute to either engagement or disengagement of employees within the organisation. Development of an elaborate and conclusive work structure will enhance clear development of work tasks, work processes, provision of necessary resources, hence providing the employees with a sense of accomplishment through effective and efficient execution of allocated work (Sahoo Mishra 2012). This will therefore lead to increased employee engagement. 4. Ways to Engage Employees Employee engagement is essential to organisations in the oil and gas sector as it enhances efficiency and effectiveness through increased production. Incorporation of various aspects has been identified as potential ways to increase employee engagement. These aspects include (1) Enhancement of employee career opportunities by creating career path for employees through training them in preparation for their next career role by creation of lateral growth opportunities (Aon Hewitt, 2012). (2) Increasing employee recognition through providing them with feedback regarding their work activities and how to improve on them by providing the necessary reinforcements and also rewarding them for work well done (Cook, 2008). (3) Management should strive to engage the employees more with the organisation through its vision, mission and objectives by explaining to them why the employer is the most desirable by offering a compelling proposition, reward and work experience structure thus enhancing the organisation’s reputation as the most preferred employer (Payne, 2012). (4) Creation of an engaging communication structure through enhancement of corporate communication which will appeal to employees emotional, behavioural, psychological and social aspects thus enhancing commitment to the organisation (Hynes, 2012). (5) Increased management of employee performance as employees will be effectively rewarded for their efforts thus enhancing employee engagement. (6) Provision of favourable pay as it will enhance employee engagement through provision of a pay and benefits package that is relative to their work performance (Zablah et al. 2012). 5. Advantages of having Engaged Employees Employee engagement directly relates and affects employee efficiency and effectiveness in relation to performance. Several advantages are extended to organisations in the oil and gas sector, which have employees who are actively engaged in the organisation and its production activities: * Employees exhibit high levels of performance as they are highly motivated leading to increased production that enhances efficiency and effectiveness. * Development of an interrelating link between employee engagement and profits realised thus leading to increased revenues that enhance organisational growth. * Leads to increased employee retention and loyalty, which enhances business success through efficient and effective production. * Enhances creation of a competitive environment which increases production thus enhancing effectiveness and increased profits. * Enhances team-work that provides new ideas that enhance innovation and creativity thus enhancing creation of new and effective products. * Development of brand ambassadors through employees for the organisations products thus enhancing marketing and advertising activities which enhance profit realisation. 6. Recommendations i. Oil and gas companies should encourage employee engagement through creation of an organisational culture that develops engagement, through increased employers, leaders and stakeholders involvement in the process by enhancing team work and being a part of the process. ii. Increasing focus on drivers that provide the greatest impact in organisational improvement such as increasing opportunities for improvement which leads to increased rate of return due to increased profits. iii. Increased recognition of employee efforts through provision of feedback which in turn motivates them thus increasing productivity. iv. Organisations should continually connect with employees through regular communication of organisation’s strategy, which keeps them focussed on achievement of set organisational objectives. v. Creative creation of employee career growth opportunities by re-navigating employees’ expectations towards growth in areas that will satisfy growing business needs such as lateral movements. vi. Selecting employees during recruitment who show aspects that encourage engagement such as loyalty, diversity and work aggressiveness. 7. Conclusion Employee engagement is a pertinent aspect in management of employees in the oil and gas industry. Clear understanding of the aspect regarding its impact on the organisation and application of the findings can lead to increased employee engagement through increased productivity, which increases the overall profits realised thus enhancing the sector’s growth. This has led to the identification and incorporation of various engagement models/ levels by organisations and they include stay and strive components. It has led to the identification of engagement drivers which enhance understanding of the drivers that contribute to increased employee engagement and how they can be incorporated. Engagement drivers include (1) Quality of work life which incorporates physical work environment and work-life balance. (2) Company practices which incorporate human resource policies, performance management, brand alignment, organisational representatives, diversity and communication. (3) Total rewards which incorporate pay, benefits and recognition. (4) Opportunities drive, which incorporates career opportunities, learning and development. (5) People drive, which incorporates management, employees, colleagues, people-focus and clients. (6) Work activities, which incorporate work tasks, work processes, resources and a sense of accomplishment. The study has also identified ways of enhancing employee engagement which include increasing career opportunities, increased recognition, enhancing organisational reputation, enhancing communication, enhancing performance management, and provision of fair remuneration in relation to one’s contribution. Employee engagement extends various advantages to the organisations, which include increased revenues, increased productivity, quality delivery, decreased turnover, increased employee loyalty and enhanced organisational reputation. Employee engagement is therefore a pertinent aspect in the oil and gas industry and should be considered to ensure that the organisations have increased quality delivery, productivity and revenue generation.

Composition About Film Essay Example for Free

Composition About Film Essay The film that I saw last week is about the dangerous art of extraction valuable secrets from deep within the subconscious during sleep, when the mind is most vulnerable. The main character of the film called Cobb. He is a talented thief, the best of the best in his work. At the beginning of the film we see Cobb’s dream in which he with his wife lived in their town that they create alone in unexpected for me and I was surprising when I saw how in our dream we can see people who not existent in the reality. Then the point is that Cobb’s command received the proposition to change some events in the life of one of the richest company in the world. They had to do that this company fell down and other man who managing other company could be the first and control others. If Cobb, and his command do this he promise Cobb to help him with law, because as we know he was a thief and all police search him and that’s why he can’t returned home to his children. For this work he must to find a new architecture, because without him it will be not possible. Architect a specialist defining illusory world for another dream. The purpose of the architect when extracting designed sleep so sleep could not distinguish it from reality and create a sleeping most complex maze of sleep, from which the victim could not easily escape. The complexity of this work was that this dream consisted of three levels, that is to say they must to reach the deepest within of the subconscious to change what they want. Now their task not to steal an idea, but to implement it. If they succeed, it will be the perfect crime. I realized they done this work in the best way. To my mind this film is very interesting and exciting, but it is necessary to understand . It is fantastical, but as for me it was interesting to see what we can do when we sleep.

Incorporating Telemedicine into a Surgical Practice

Incorporating Telemedicine into a Surgical Practice Kristen Harkey Complex wounds can create a challenge for the patient as well as the surgeon. The challenges faced include operative management, cosmesis, long-term management, effects on lifestyle for patient and caregiver, and self-image (Park, Copeland, Henry Barbul, 2010). Hospitalized patients will have the surgical team, the wound care specialist, and a bedside nurse to assist them in their daily care. When these patients are ready to leave the hospital they can feel anxiety about providing care for themselves, especially if they have a complex wound present. This anxiety can decrease once they learn how to care for themselves at home while having the readily available supplies, but then they must leave their homes to travel to come to the surgical office for a wound check. This can be a burden to not only the patient but their primary caregiver. The purpose of this paper is to introduce an evidence-based change project that focuses on providing patients with the option of telemedicine office visits. Background In 2010, approximately 51.4 million inpatient surgeries were performed in the US according to the National Center for Health Statistics (CDC/NCHS, 2010). Wound complications can be an important cause of postoperative morbidity following a laparotomy (Mizeell, Sanfrey, Collins, 2014). Acute wound care is needed in all patients with surgical and traumatic wounds, when an incision is made this creates a wound which will need further attention. There are a multitude of ways to address these wounds such as wet to dry dressings, dry packing strips, wound vac systems, and if needed further surgery such as a skin graft. These wounds can then become chronic when they have failed to proceed through the reparative process to produce anatomic and functional integrity in 12 weeks (Sen, 2009). Both acute and chronic wounds can become a significant financial burden on both the healthcare system and the patient’s themselves. Significance With the sheer number of surgeries listed above, this will create wounds that need to be managed appropriately. Not only are wounds created by surgery, they can also be created by trauma or massive soft tissue infections (Park, Copeland, Henry Barbul, 2010). Part of this management may be further surgical interventions to restore the fascia or possibly watchful waiting. In our facility in 2014, 3349 patients were evaluated by our wound care specialist. Of these 695 patients had surgically created wounds and approximately 656 were managed with wound vacs (G. Caldwell, personal communication, January 20, 2015). These patients will need to be followed in the outpatient setting for ongoing wound assessments, possible change in wound management, or further surgical intervention if indicated. The outpatient care to these patients will include discussions on proper nutrition to promote wound healing, activity levels, timing of dressing changes, and ongoing assessments of the wounds. It can create a significant burden to patient and caregiver to travel to office visits for ongoing assessment of the wounds which can take as little as ten to fifteen minutes to examine once they have arrived back to the exam room. This short office visit can create a significant burden to the patient and their caregiver, this burden can include ability to keep themselves clean throughout the trip, financial, and time-strain. PICO Question and Components Evidence-based practice (EBP) can be described as a â€Å"life-long problem solving approach to clinical decision-making that involves the conscientious use of the best available evidence with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and systems† (Melnyk Fineout-Overholt, 2011). EBP will help to ensure high quality, safe, relevant, and up-to-date care while at the same time improving patient outcomes (Robb Shellenbarger, 2014). One of the ways to create EBP in a way that will yield the most relevant information from a search is to form a question in the PICOT format. The PICOT format is composed of the following: â€Å"P† will describe the patient population, â€Å"I† will reveal the intervention or issue of interest, â€Å"C† will reveal the comparison intervention or status, â€Å"O† will reveal the outcome, and â€Å"T† will reveal the time frame in w hich the intervention/issue of interest will accomplish the outcome (Melnyk Fineout-Overholt, 2011). For the purpose of this paper, the author will include all components listed except for time which will be addressed at another juncture. Population The population of focus will be outpatient postoperative patients in the home health setting. The patient population will be those with acute/chronic wounds, ages eighteen and up, both male and female patients with no restrictions on ethnicity. The wounds will likely be compromised of complex abdominal wounds, however no limit will be placed on the type/cause of the wound. The patient’s will live in North Carolina or South Carolina and reside within a 4 hour drive from Charlotte, NC. No restrictions will be placed on the agency providing home health services to the patient. Intervention Telemedicine is defined by the World Health Organization (WHO) to be the practice of healthcare using video, interactive audio, and/or data communications (Chanussot-Deprez Contreras-Ruiz, 2008). With the use of telemedicine the patients will be able to stay in their own home. This will also provide an enhanced team based approach because we will have both the patient, patient’s caregiver if applicable, and the home health nurse. This will provide accurate documentation of wound measurements. The appropriate wound care will then be provided by the home health nurse, and if applicable the wound vac will be re-applied. Comparison The comparison group will be a standard office visit. The standard office visit will consist of the patient and their caregiver coming to our surgical practice, in one of our two locations. The patient will be required to wait for their appointment time and wait as required for the provider to see them. If a wound vac is present, this will be removed in the office and will not be re-applied per standard operating procedures. The patient will have a temporary dressing replaced and will then need the home health nurse to come to their home upon their arrival to re-apply the wound vac. This consists of a standard office visit in our practice. Outcome The anticipated outcome, will be no effect on wound healing when using telemedicine. For the practitioner, one important aspect of examination of the wound is not only using your sense of sight but also your sense of smell. The smell of a wound can be indicative of necrotic tissue that requires further debridement or possibly a wound infection. This sense will be missing with telemedicine and the practitioner will need to rely heavily on the home health nurse for this aspect of assessment. Another outcome for this study will be increased patient satisfaction. The patient with a complex abdominal wound may have difficulty at baseline maintaining adequate coverage for the drainage, this is more of a challenge when you add frequent position changes associated with traveling to a health care provider’s office. In summary, a postoperative surgical patient will require care for the surgical wound in an outpatient setting. This care can be frustrating for the patient, the patient’s caregiver, and the home health nurse. With the addition of telemedicine to a surgical practice this will decrease the burden of traveling to a standard office visit as well as enhance multi-disciplinary care for the patient. It is the hope of the author that for complex wounds that remain difficult to manage in the outpatient setting, the inpatient wound ostomy nurses who provided care inpatient will be able to assist more in the outpatient setting by providing continuity of care. Conclusion With every surgery performed a resultant wound is created. Wounds can also be created by trauma or massive necrotizing soft tissue infections (Park, Copeland, Henry Barbul, 2010). The surgical wound can heal without difficulty and the patient returns to his activities of daily living, however a multitude of wound complications can occur delaying wound healing. Some wound complications will require further surgery, however due to the nature of these wounds surgery may need to be delayed for up to one year or longer. This can cause caregiver strain and for the patient can take away many of the freedoms we enjoy on a daily basis. As part of a standard office visit the patient is expected to arrange transportation to our office, wait for his/her appointment time, have their wound examined, and then if a wound vac is used they are expected to have this re-applied when they get back to their home by the home health nurse. With the addition of telemedicine to the patient’s postopera tive care, they would be able to have a multidisciplinary team visit them in the home using telemedicine resources. This would significantly decrease the burden travel can create for these patients with complex wounds. References CDC/NCHS National Hospital Discharge Survey (2010). Retrieved from  http://www.cdc.gov/nchs/data/nhds/4procedures/2010pro4_numberprocedureage.pdf Chanussot-Deprez, C. Contreras-Ruiz, J. (2008). Telemedicine in wound care. International  Wound Journal, 5(5), 651-654. Melnyk, B. Fineout-Overholt, E. (2011). Evidence-based practice in nursing healthcare: A  guide to best practice (2nd ed.). Philadelphia, PA: Wolters Kluwer|Lippincott Williams   Wilkins. Mizell, J., Sanfrey, H., Collins, K. (2014). Complications of abdominal surgery. Retrieved  from http://www.uptodate.com. Park, H., Copeland, C., Henry, S., Barbul, A. (2010). Complex wounds and their  management. The Surgical Clinics of North America, 90(6), 1181-1194.  doi: 10.1016/j.suc.2010.08.001 Rob, M., Shellenbarger, T. (2014). Strategies for searching and managing evidence-based  practice resources. The Journal of Continuing Education in Nursing, 45(10), 461-466. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T. K., Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair Regeneration, 17(6), 763-771. doi:10.1111/j.1524-475X.2009.00543.x Incorporating Telemedicine into a Surgical Practice Incorporating Telemedicine into a Surgical Practice Kristen Harkey Imagine presenting to the hospital for your planned cesarean section, a time of great anxiety and joy. During the procedure you unfortunately have a complication and an enterotomy (cut into the intestines) is made, but missed at the time. Hours later you develop increasing abdominal pain and a rash spreads quickly across your abdomen. Your healthcare providers explain you have an infection called necrotizing fasciitis and this requires further surgery to treat the condition. The individual then wakes up possibly weeks later with most of their abdominal wall, upper thigh skin, some muscle layers missing of both the abdomen and thigh, as well as stool draining from the middle of the wound. The individual is informed they have an enterocutaneous fistula that will likely not be able to be repaired for several months to a year. This person is finally able to transition home with their newborn, a gaping abdominal wound, stool draining from the wound, not allowed to have anything to eat or drink, and are attached to intravenous nutrition twenty-four hours a day. This would be overwhelming for the most health literate patient, much less an individual with limited resources and low health literacy. Our health can change quickly with an unexpected surgery that causes a complex surgical wound. This wound must be monitored closely in the outpatient setting to prevent further complications including loss of limb or possibly life. Typically the patient’s wound care has been provided in the home by a home health nurse. Subsequently the patient and family caregiver are then expected to travel to the doctor’s office for intermittent follow-up examinations of the wound over a weekly to monthly schedule which could last up to one year or more postoperatively. Leaving the patient’s home with these complex wounds can be a burden due to factors such as increased pain, time-consumption, financial costs, and possible embarrassment if the wound or ostomy appliance leaks. Some of this burden could be relieved with virtual visits. Overview of Problem of Interest In the United States 6.5 million individuals are affected with chronic wounds that require ongoing care (Sen et al., 2009). Patients are expected to travel to their healthcare provider’s office for follow-up examinations and sometimes this requires a long care ride, wait in the office, and then travel home. It is difficult to maintain a dressing on the wound in the most basic of circumstances, such as during times of everyday activity in their home. With the addition of traveling this can become an overwhelming and untidy endeavor while the healthcare provider will likely only spend minutes examining you. Due to this some patients will not come to their follow-up appointment and this can be detrimental to their health by prolonging wound healing, increasing risk for infection, and delay future surgical repairs. When the individual is at home, they require home health services for ongoing wound care as well as provision of supplies. The home health nurse sees the patient on a m ore regular basis than the healthcare provider and will call the providers’ office with important changes they note. Unfortunately this process may take several phone calls which takes valuable time for the home health nurse and increases wait time for care of the patient. Most patients have an expectation that surgery will help them heal or cure their disease. Unfortunately approximately 22% of patients may experience moderate to complete postoperative disability (Shulman et al., 2015). Home health nursing will provide some relief for the patient and a multidisciplinary approach is necessary to manage complex treatment modalities (Wilkins, Lowery, Goldfarb, 2007). In Carolinas Medical Center Main in 2014, 3229 patients had wound care provided by our wound ostomy care nurse team and of those 820 were surgical patients (G. Caldwell, personal communication, January 25, 2015). These are many of the patients that require ongoing care in the outpatient setting to prevent further complications. In the United States (US) in 2000, forty million inpatient surgical procedures were performed and at that time the need for post-surgical wound care was sharply on the rise (Chittoria, 2012). In the US the amount of money spent on wound care, diminished quality of life, and the loss of productivity for the individual and caregiver comes at a great cost to our society (Sen et al., 2009). Therefore it is in our best interest as providers to provide safe and effective care to our patients in the most convenient format for both the patient, caregiver, home health nurse, and the healthcare provider. Review of Literature One of the first steps to address a problem is reviewing evidence available to support the proposed intervention. Virtual care is currently being used in many different platforms such as urgent care, psychiatric care provided in ER’s, preventing readmissions in heart failure patients, and many other venues. The examination of acute and chronic wounds is one venue that has found success. In the plastic surgery population where visual exam is heavily relied upon for decision-making, telemedicine has been shown to have great potential. Gardiner and Hartzell (2012) performed a systematic review of twenty-nine articles. Twenty-eight of the articles noted a benefit including improved access to expertise and cost reduction through conserving hospital resources and avoiding unnecessary transfers (Gardiner Hartzell, 2012). Wallace, Hussain, Khan and Wilson (2012) had similar findings in the burn population where they noted improved assessment and triage, avoidance of unnecessary trans fers and a potential for health care savings when using virtual care. In the trauma population a 90% accuracy was noted in assessing traumatic plastic surgery injuries whether the practitioner was using bedside visual exam or transmitted digital images (Gardiner Hartzell, 2012). Wilkins, Lowery, and Goldfarb (2007) used their initial investigation to determine the feasibility of virtual wound care and then moved forward with performing a pilot study using a store and forward technique. At the time of initial referral the mean wound surface area was noted to be 5.85 cm2. Using virtual care the authors noted in 58.2% of the wounds, the diagnosis or treatment plan was changed. This change in diagnosis or treatment plan resulted in an average decrease of 58% from the initial wound size over an average time period of 40.2 days. The authors went on to note 95.5% of patients found telemedicine consultation more convenient than traveling and 98.2% of patients were either satisfied or very satisfied with the care they received (Wilkins, Lowery, Goldfarb, 2007). An article published in 2014 by Kidholm, Dineseen, Dyrvig, Rasmussen, and Yderstraede was noted to be the largest and most comprehensive research project to evaluate telemedicine effectiveness and costs for patients with chronic diseases. The results revealed telehealth reduced mortality with an odds ratio of 0.54. Mortality in the control group was noted to be 8.3% while the intervention group was 4.6%. The authors also noted a 10.8% lower hospital admission rates in the intervention group with an odds ratio of 0.82 (Kidholm, Dinessen, Dyrvig, Rasmussen, Yderstraede, 2014). Telemedicine may be applied to many different aspects of medicine, but a benefit has been shown in the examination and long-term treatment of wounds (Wilkins, Lowery, Goldfarb, 2007). Telemedicine has been shown to satisfy both the clinician as well as the patient, while continuing to provide quality care. Therefore a solution to the burden of traveling to the doctor’s office, decreasing financial strain, decreasing caregiver strain, and improving access to care are all potential benefits of providing care using virtual visits. Purpose of Project The purpose of incorporating telemedicine into our surgical practice is to provide our patients with the most efficient high quality care in the most appropriate setting for the patient. A standard office visit consists of the patient traveling to our office, being evaluated by the medical team, and then having to travel back to their home. This evidenced based project will allow the patient to stay in their own home and have the providers visit them via a virtual visit. Upon discharge from the hospital the patient will be evaluated for inclusion into the virtual visit program. If the patient is determined to meet the criteria including living in NC, using Healthy at Home to provide home health services and have a complex surgical wound; then an appointment will be made for the virtual visit. The home health nurse will proceed to the patient’s home at the assigned appointment time and use their tablet for the visit. The provider will then join the home health nurse in the virt ual setting and the patient’s wound will be evaluated. Appropriate changes in the treatment plan for the wound will occur and the provider will assure all questions/concerns are addressed with the patient, caregiver, and home health nurse. One desired outcome for this project will be to maintain a high level of patient satisfaction, as we do in our office. As providers, we would like to provide more efficient care and this may be possible by having one provider performing postop visits virtually while another provider evaluates new consults in the office. It will be important for this project to provide the same level of care that we provide in the brick and mortar office, as well as following all current standards of care. Project Management The facility where this project takes place is a Magnet facility. To receive this designation an organization must prove they have several key characteristics including empirical outcomes as well as integrating evidenced based practice and research into operational and clinical processes (American Nurses Credentialing Center, 2014). An important goal for our organization this year will be to provide care in new ways, one of which will be providing more opportunities for our patients to experience virtual care. This innovative project is meant to assure that we are improving quality, enhancing value and dealing with the complexity of health care today (Harris, Roussel, Walters, Dearman, 2011). Implementation Team The backbone of quality improvement work is the team and their teamwork (Ogrinc et al., 212). The team for this project will include individuals from different disciplines to ensure success. The author of this paper will serve as the operational lead on the project, assuring all aspects of the project are coordinated. Our administrative lead will be the practice manager for our outpatient sliding scale clinic. He will be able to assist the project in assuring we meet meaningful use standards as we do in the office, as well as building templates in our scheduling software, and facilitate changes in the organization. A management associate with the virtual care division will remain part of the team, as she has had past experience with implementing similar projects and has provided invaluable support. The next member of the team will be a member of the IT department and will assist the team in choosing the right technology/platform for this project. He will not only assist in the beginn ing stages of this project but will be a constant resource for ongoing IT support. The administrator for the home health agency will be a member of this team, she will provide information regarding her organization and provide us with establishing workflow for the home health nurse. This will be an important step as this project is meant to provide multidisciplinary care, however it will not be beneficial for it to provide more efficiency for our team but not the home health team. The chairman of surgery who also serves as the interim lead of the acute care surgery team, as well as the two surgeons who practice on the same service. This team will serve to bring virtual care visits to our surgical practice. Risk Management Strategy It is important to examine every project to identify external and internal items that either positively or negatively affect the project. One type of assessment that can be performed is the strengths, weaknesses, opportunities, and threats analysis (SWOT analysis). During the SWOT analysis the system is fully examined from the clinical micro to the macrosystem perspective (Harris, Roussel, Walters, Dearman, 2011). For this project some strengths noted include other departments within the facility using virtual visits and a department dedicated to assisting new groups to use this technology. Another strength is the patients included in this project will remain in the global ninety day postoperative fee which will not require reimbursement from insurance companies and keep the cost incurred limited. It is important to then examine some of the weaknesses which include removing a provider from an already overbooked clinic to participate in this project, the additional cost of the techno logy, and surgical postoperative care has not been provided in this manner in our facility prior to this. When further evaluating opportunities associated with this project, the ability to be the only surgical providers providing care virtually will set this team apart and appeal to more consumers and home health agencies. Another opportunity would be to include all home health care providers in our area and obtain licensure to be able to provide virtual visits in South Carolina. Some threats to this project include newer technology that hasn’t been tested, a good working relationship with the home health agency must be in place, and is it possible for the team to provide confidential care to our patients using virtual visit technology. Organizational Approval Process Initially this project was approved at the departmental level after multiple discussions with the chairman of surgery for the metro division of our healthcare system. Prior to proceeding to the IRB process, the facility requires submission of your proposal to the Nursing Scientific Advisory Council (NSAC). Once NSAC has evaluated a proposal fully and any revisions have been completed you may move forward with your submission to the IRB. Role of Information Technology in this Project Information technology will play an integral part of this project. Although virtual visits are used throughout the hospital system, they have not been incorporated into the surgical practices within our system. This project will include an IT tech to assist in choosing the best platform to serve our patient population while being user friendly for our home health nursing colleagues. It will be important for our platform to work well with the technology available to the home health nursing team. This will assure we are able to provide the best quality visit and address not only the provider’s needs, but also the home health team, patient, and caregiver. The project needs IT support for both the onsite provider as well as the home health team in the patient’s home. Plans for IRB Approval An institutional review board (IRB) is a committee that is mandated by the National Research Act, Public Law 93-948 and is required in institutions that conduct biomedical or behavioral research that involves human subjects (Harris, Roussel, Walters, Dearman, 2011). IRB approval will be sought for this project using the Carolinas Healthcare System’s IRB. The submission type will be expedited. This approach was chosen because it is evidenced based research and poses minimal human risk to the participants (Chatham University). Prior to approval by the IRB this project must be submitted to the NSAC therefore this will be performed in September 2015. Once approval has been obtained by the NSAC the information will then be submitted to the IRB for approval, likely in November 2015. This letter can be reviewed in Appendix A of this paper. References American Nurses Credentialing Center. (2014). Magnet model. Retrieved  fromhttp://www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model Chatham University. (n.d.). Institutional Review Board (IRB). Retrieved from  http://my.chatham.edu/tools/irb/ Chittoria, R. (2012). Telemedicine for wound management. Indian Journal of Plastic Surgery,  45(2), 412-417. Gardiner, S., Hartzell, T. L. (2012). Telemedicine and plastic surgery: A review of its  applications, limitations and legal pitfalls. Journal of Plastic, Reconstructive   Aesthetic Surgery: JPRAS, 65(3), 47–53. doi:10.1016/j.bjps.2011.11.048 Harris, J., Roussel, L., Walters, S., Dearman, C. (2011). Project planning and management:  A guide for CNLs, DNPs, and nurse executives. Sandbury, MA: Jones Bartlett  Learning. Kidholm, K., Dinesen, B., Dyrving., A, Rasmussen, B., Yderstraede, K. (2014). Results from  the worlds largest telemedicine project-The whole system demonstrator. EWMA journal,  14(1), 43-48. Ogrinc, G., Headrick, L., Moore, S., Barton, A., Dolansky, M., Madigosky,  W. (2012).Fundamentals of health care improvement: A guide to improving your  patients’ care(2nded.). Oakbrook Terrace, IL: The Joint Commission and the Institute  for Healthcare Improvement. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T., . . . Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair and Regeneration, 17, 763-771. Shulman, M. A., Myles, P. S., Chan, M. V., McIlroy, D. R., Wallace, S., Ponsford, J. (2015).  Measurement of Disability-free Survival after Surgery.Anesthesiology,122(3), 524-536.  doi:10.1097/ALN.0000000000000586 Wallace, D., Hussain, A., Khan, N., Wilson, Y. (2012). A systematic review of the evidence  for telemedicine in burn care: With a UK perspective. Burns, 38, 465-480. Wilkins, E., Lowery, J, Goldfarb, S. (2007). Feasibility of virtual wound care: A pilot study.  Advances in Skin Wound Care, 20(5), 275-278.

Domestic Violence: No One Deserves to be Abused Essay -- Violence Again

What is domestic violence? Domestic violence is the use, or threatened use of physical force, violence, a deadly weapon, sexual assault, or the intentional destruction of property. It is behaviour that has the intent or impact of placing a victim in fear of physical injury, and a pattern of behaviour resulting in emotional and psychological abuse, economic control, and/or interference with personal liberty that is directed towards the following: a current or former spouse, or a person with whom the abuser shares a child in common, or a current or former intimate partner. Domestic violence is behaviour – emotional, psychological, physical, or sexual abuse – that one person in an intimate relationship uses in order to control the other. It takes many different forms and includes behaviour such as threats, name calling, isolation, withholding of money, actual or threatened physical harm and sexual assault. Most domestic violence is committed against women by their male partners. It also occurs in lesbian and gay relationships and is common in teenage dating relationships. Women’s Stories: My husband constantly came home after a long days work, frustrated and irritable. He’d walk in the door, eat his dinner, look up at me, and say, â€Å"Marsha, I want to have sex.† My three year old and seven year old children were always in bed and asleep at this time of night, so they could never hear my pleads for Jamie to stop. He’d never listen to me. In the end I just gave up and agreed to have sex with him. When I did not, then he would rape me. This went for 6 months before I built up the courage to leave him. My partner is over protective. He doesn’t let me visit friends or family, but instead says that I have to stay at home. Onc... ...goal. We decide how to reach our goals based on what we believe is OK or what we are willing to do. Abusing is no different. Women continually describe how their partners go from one tactic to another when they want something. Some abusers will go as far as emotional abuse, isolation, or intimidation. Some will choose to control economic resources or threaten physical harm to the victim, her children or loved ones. Some ultimately choose violence to get what they want, and the underlying threat of physical violence affects the every aspect of a relationship. Whatever the tactics if you are forced to make decisions on how your partner may hurt you physically or emotionally, your partner has behaved inappropriately; and when violence is used, they have acted criminally. Using violence and/or other controlling behaviours is not acceptable. No one deserves to be abused. Domestic Violence: No One Deserves to be Abused Essay -- Violence Again What is domestic violence? Domestic violence is the use, or threatened use of physical force, violence, a deadly weapon, sexual assault, or the intentional destruction of property. It is behaviour that has the intent or impact of placing a victim in fear of physical injury, and a pattern of behaviour resulting in emotional and psychological abuse, economic control, and/or interference with personal liberty that is directed towards the following: a current or former spouse, or a person with whom the abuser shares a child in common, or a current or former intimate partner. Domestic violence is behaviour – emotional, psychological, physical, or sexual abuse – that one person in an intimate relationship uses in order to control the other. It takes many different forms and includes behaviour such as threats, name calling, isolation, withholding of money, actual or threatened physical harm and sexual assault. Most domestic violence is committed against women by their male partners. It also occurs in lesbian and gay relationships and is common in teenage dating relationships. Women’s Stories: My husband constantly came home after a long days work, frustrated and irritable. He’d walk in the door, eat his dinner, look up at me, and say, â€Å"Marsha, I want to have sex.† My three year old and seven year old children were always in bed and asleep at this time of night, so they could never hear my pleads for Jamie to stop. He’d never listen to me. In the end I just gave up and agreed to have sex with him. When I did not, then he would rape me. This went for 6 months before I built up the courage to leave him. My partner is over protective. He doesn’t let me visit friends or family, but instead says that I have to stay at home. Onc... ...goal. We decide how to reach our goals based on what we believe is OK or what we are willing to do. Abusing is no different. Women continually describe how their partners go from one tactic to another when they want something. Some abusers will go as far as emotional abuse, isolation, or intimidation. Some will choose to control economic resources or threaten physical harm to the victim, her children or loved ones. Some ultimately choose violence to get what they want, and the underlying threat of physical violence affects the every aspect of a relationship. Whatever the tactics if you are forced to make decisions on how your partner may hurt you physically or emotionally, your partner has behaved inappropriately; and when violence is used, they have acted criminally. Using violence and/or other controlling behaviours is not acceptable. No one deserves to be abused.

Matthew Henson and Merrick Johnston Discovery of the North Pole :: essays research papers

Matthew Henson and Merrick Johnston both achieved something extraordinary. Matthew Henson was awarded as the co-discoverer of the North Pole. Merrick Johnston was the youngest person ever to climb Mt. McKinley. Although they differ, both of their ambitions were hard to achieve and were a huge milestone for each person. Life was forever changed for both Henson and Johnston when they reached their destination. In the dictionary, a goal is â€Å"something that one hopes or intends to accomplish.† Henson accomplished his goal on April 6th, 1909. As a boy, he traveled around on ship and achieved seagoing experience. When he was a store clerk, Robert Peary hired him and introduced Henson to his new goal, which was to climb the North Pole. After a number of tries, he finally reached the top. Johnston had her dream of climbing Mt. McKinley since she was 9. She finally started her journey up the mountain on June 2nd. Although snow occasionally kept her from advancing on her path, Johnston finally touched the top on June 23rd when she was 12 years, 5 months, and 5 days old. Henson and Johnston both accomplished their dreams. Henson and Johnston each needed certain qualities and characteristics to achieve their goals. Henson had experience at sea, was fluent in the Eskimo language, and was skilled in making useful equipment that was needed to survive the path to the North Pole. His perseverance kept him trying to achieve his dream after a number of times in which he failed. Johnston’s training had consisted of gymnastics, hiking, skiing, and snowboarding. She even climbed Mt. Goode to get more experience. Her ability to keep focus on her goal brought her to the top of Mt. McKinley. Determination burned in both Henson and Johnston day after day. If it was not for these qualities, Henson and Johnston might not have reached their destination.