Professional Development Essay Example for Free

Professional Development Essay Nurses are the largest work force in the healthcare industry. The increasing demands for nurses opt to increase the quality of care given by these nurses. The Institute of Medicine (IOM, 2010) states that patients â€Å"deserve the care that centered on their unique needs and not what is most convenient for the health care professionals†. Nursing practice has changed significantly since the beginning of the profession secondary to increased demand for high quality care given and for the safety of the nurses and the patients. In order to overcome these challenges the Institute of Medicine (IOM) created a report that served as a foundation for the future and advancement of nursing. IOM reported that, â€Å"Nurses have the opportunity to play a central role in transforming the healthcare system to create a more accessible, high quality, and value-driven environment for patients†. (Institute of Medicine [IOM], 2010, pg. 85) The IOM report, †The Future of Nursing: Leading Change, Advancing Health†, emphasized on different topics with regards to the future of nursing especially the importance of nursing education, nursing practice and the roles of nurses as a leader in the healthcare system. The goal of nursing education is for the nurses to be prepared to face the increasing needs of a diverse population of patients and to deliver a safe and quality patient care. In addition, the transformation of nursing education is encouraged to prepare new nurses to work hand in hand with other healthcare professionals in different settings. These changes are needed because of technological advancements, older patient population and increasing complexity of the patient conditions. Care in the acute care setting and outside the hospital has become more complex as well. Nurses have to be trained on flexibility and ability to take in more roles than what is expected when they graduate nursing. With this note, advancement in the education curriculum and changes are needed to compensate for these demands. Nurses should be able to have evidence-based practice care, collaborative skills with other professionals, be proficient with the new technologies and even more skilled on the acute and chronic healthcare settings. Most hospitals are teaching hospitals and require more BSN graduate nurses  in their workforce. The IOM has a view to increase BSN nurses working in hospitals from 50% to 100%. In spite of this view, IOM set a goal of having BSN nursing percentage of 80% by 2020. This is â€Å"necessary to move the nursing workforce to an expanded set of competencies, especially in the domains of community and public health, leadership, systems improvement and change, research and health policy†. (IOM, 2010, pg. 173) In addition, having a BSN degree is a good foundation for nurses to advance to a higher education, APRNs and Doctorate levels, that will in turn advance nurses to research, faculty nurses to teach future nurses, ability to participate in creating healthcare policies and leadership roles. IOM also encourages having bridge programs from RN to BSN and having a residency program that will allow nurses to gain more skills, experience and knowledge and alleviate the stress around new nurses that are being thrown out of the real world without enough exposure and understanding of the profession. There are plenty of barriers in accomplishing these goals but with proper incentives, motivation and encouragement that are given to nurses, it is not impossible to have a better future in nursing education and have more educated and advanced nursing workforce in our society today. IOM also emphasized the importance of advancing the nursing practice to the community and not just concentrate in the acute care setting due to the increasing needs of the population and changes in the healthcare system. The outdated policies governing nursing scope of practice is a hindrance to the advancement of nursing practice and because of this patients are limited to access a better quality of care. IOM stressed on their report that a necessary alteration in nursing practice is needed to provide patient-centered care; deliver more primary as opposed to specialty care; deliver more care in the community rather than the acute care setting; provide seamless care; enable all health professionals to practice to the full extent of their education, training, and competencies; and foster inter-professional collaboration. (IOM, 2010, pg. 86-87) Nurses are encouraged to pursue their education to Advanced Practical Registered Nurses (APRN) due to a shortage of primary care professionals in the acute and mainly in the community healthcare setting. APRNs are knowledgeable, well trained and proficient enough to provide safe and high quality of care without the supervision of a primary doctor. IOM believes that changes in the regulations and expanding the scope of practice of nurses and of APRNs are necessary so that they can have the ability to practice and make decisions more independently. â€Å"The committee believes all health professionals should practice to the full extent of their education and training so that more patients may benefit†. (IOM, 2010, pg. 96) Again having bridge programs and residency programs for new nurses will help with the advancement of nursing practice. Redefining the roles and extending the scope of nursing practice is highly recommended by the IOM for the future of the nursing profession and to keep up with the evolution of the healthcare environment. Another vision that the IOM has is nurses as leaders in healthcare. It is time for nurses to move forward from bedside roles and start being active as leaders and partners with other healthcare professionals in delivering high quality care to patients. Together with the changes of nursing education and nursing practice, nurses as leaders are required to finally reach the goal of an advanced healthcare system. IOM’s vision â€Å"specifically challenges nurses to demonstrate full partnership with physicians and other healthcare professionals in redesigning U.S healthcare.† (Porer-OGrady, 2011, pg. 33) in addition the IOM â€Å"report suggests that the nursing profession must produce leaders at every level of the system and accept key leadership positions in policy, politics, organizations, and practice.† (Porer-OGrady, 2011, pg. 33) Today’s advancements in technology, nurses have an important role in research and they assist in developing evidence-based practice care to maintain safety. Nurses are the main caregivers and they understand very well the healthcare process. Nurses also play a vital role in delivering quality patient care through facilitation, coordination and making sure everything is at ease. So it is imperative that nurses be involved in policy making and provide strategies to improve care delivery and ensure quality  care. With these expectations put into nurses, it is every nurse’s responsibility to advance in their career, through education, be very well rounded with competencies and be active partners and be future leaders in the healthcare system. In conclusion, IOM has a very broad insight and goals with regards to the future of nursing. In order to achieve these goals, the importance of advancing nursing education and practice are emphasized as well as having more nursing leaders in the healthcare system. Having more BSN graduate nurses in the acute care settings and having more APRNs extending their services to the community is going to facilitate the advancement that the IOM views. Changing policies and extending the scope of practice for nurses to avoid limiting their abilities to practice and taking advantage of the nurse’s full capabilities is another goal that the IOM envisions. Lastly, nurses are seen more involved as leaders for a successful reform and in turn provide a better quality and safe care to patients. References Porer-OGrady, T. (2011). Future of Nursing Special:Leadership at All Levels. Nursing Management, 32-37. Retrieved from http://www.nursingcenter.com/lnc/journalarticle?Article_ID=1163290 The future of nursing: leading change, advancing health. (2010). Washington, D.C.: The National Academies Press. Retrieved from http://www.nap.edu/catalog.php?record_id=12956

Suguru Ishizakis Improvisational Design: Continuous Responsive Digital

Suguru Ishizaki's Improvisational Design: Continuous Responsive Digital Communication Digital communication is interactive, dynamic and continuous. People working with digital communication (visual designers, human-computer interaction professionals, and software engineers) need a unique set of communicative methods that equal this dynamic flow of digital communication expressions. Ishizaki explores the development of a theoretical framework of an iterative process that meets this need and suggests how designers might use the framework. The concept Ishizaki terms improvisational design is illustrated with five brief case studies in this slim nine-chapter book. Ishizaki, a Senior Staff Engineer at QUALCOMM Incorporated, became interested in this topic over twenty years ago, developed his dissertation on the topic and presents it here in a sleek and easy to read volume. Drawing upon the concept of improvisation in music, theater, and dance, Ishizaki proposes that designers of the systems we use in everyday digital communication might follow the same patterns where multiple age...

Garbage Pollution

I would like to acknowledge all the persons who have helped me to complete this assignment. These persons are my mother and my social studies teacher. Introduction This school based assessment is based on garbage pollution. The area chosen for survey on garbage pollution is the community of august town. You will learn about the causes that contribute to garbage pollution and the effects of it. The person’s views of garbage pollution will also be taken into consideration.All refuse other than industrial waste and effluents. It consists largely of easily decomposable and putrefying organic (animal and vegetable) waste from preparation, handling, storage, and sale of serving of food.Statement of Problem Why is garbage pollution one of the major issues of my community? What are the effects of it and how it can be solved? Reason for Investigation The reason for this investigation is due to inconsistency of appearances of the garbage collectors assigned to the august town community. And when the garbage is not collected it causes garbage pollution which attracts rodents and insects which can be dangerous to the human health due to the diseases that they carry. Another reason is to research and know different means by which the community cleanliness and beauty can improve.Method of Investigation The researcher has chosen the questionnaire as a use for the investigation in attaining data. It is a simple way of collecting data and does no requires too much time. Procedures for Data Collection The research was conducted on September 1, 2012, on garbage pollution in the community of august town. The researcher walked around the community and distributed 30 questionnaires, randomly to persons that were seen, including friends and family. The questionnaires were given to persons between the ages of 12 to 18 years old.Out of the total respondents 15 were females and 15 were males. Getting the information that was necessary for the questionnaire on the spot made it much easier and it also saved allot of time. But I ensured that each respondent spend enough time completing it so it wasn’t being done in much has te.Questionnaire for Community MembersSex Male ( )Female ( )Age 12-15yrs ( )16-18yrs ( )Where in August Town do you live? Central August Town ( ) Brycill ( ) Hermitage ( ) Goldsmith Villa ( ) Bedward Garden ( ) Vietnam ( ) Jungle 12 ( ) Barrette Drive ( ) Bedward Crescent ( ) July rd. )How long have you live in the community? 1-4yrs ( ) 5-7yrs ( ) 8-10yrs ( ) others ( )Are you an environmental friendly person? Yes ( ) No ( )Do you have a problem with garbage pollution? Yes ( ) No ( )Do you recognise how dangerous is garbage pollution to our environment? Yes ( ) No ( )How does garbage pollution affect you negatively? Causes flies to be around ( ) Attracts Rodents ( ) Emits foul scent ( )Do you think that politics has to deal with how good you get service for garbage collection? Yes ( ) No ( ) Not Sure ( )How often do the garbage collectors collect your garbage? Every day ( ) Weekly ( ) Monthly ( )What do you think can make the garbage collectors come on time? More money for their job s ( ) More discipline ( ) Fired if continuously unpunctual ( ) If they are treated with more respect from community members ( )Do you litter? Yes ( ) No ( ) Sometimes ( )Would you support recycling? Yes ( ) No ( ) Maybe ( )Have you ever called the garbage company about the corrosion of garbage? Yes ( ) No ( ) Thought about it ( )Has the rodents and insects attracted to the garbage pollution ever affected you with any sickness or diseases? Yes ( ) No ( )Do you treat the rubbish collectors with respect? Yes ( ) No ( ) Sometimes ( )What is the longest time the garbage collector has ever taken to collect your garbage? 1 Week ( ) 1 Month ( )2 Month ( ) 3 Month ( ) other ( )Have you ever witnessed someone in the community littering and you tell them to pick it up? Yes ( ) No ( ) Afraid ( ) No because I do the same ( )Who should be blamed for garbage pollution the most?Me ( ) Persons who litter on the street ( ) the government systems the garbage collectors ( )Who should be blamed if the g arbage pollution attracts insects and rodents which give leptospirosis, malaria, yellow fever and other diseases to children? Me ( ) persons who litter on the street ( ) the government system ( ) the garbage collectors ( )Presentation of data These are the views of the august town residents showing how often the garbage collectors collect their garbage. 3. 3% of them say that garbage is collected daily, 10% say that it is collected weekly, and 86. % of them say it is collected monthly. Suggested options from residents to make garbage collectors be more punctual These are the opinions of residents on what they think would make the garbage collectors be more punctual. 40% of the residents think that if they received more money for their jobs they would be more punctual. 30% of them believe that if they are treated with more respect from community members they would be more punctual. 16. 7% say that if they have more discipline they would come on time, and 13. 3% say that they should be fired if ontinuously unpunctual. This is a diagram showing the ratio of persons in percentages who litter, which also contributes to garbage pollution. Though 50% of the respondents litter sometimes, and 17% per cent of them do litter, I congratulate the 33% of the persons who do not litter. These persons are environmental friendly and contribute to the cleanliness of the environment. This is a representation of the longest period that garbage has been ever been collected. 3. 3% say that the longest garbage has ever been collected is a period of one week. 3% say that the longest time for collection is one month, 20% say two month, and 13. 3% say three months. And the other 30% say others which mean it extends the period of three months. This is a diagram which shows the persons being blamed for pollution by residents. 63% of the persons litter on the streets and are blamed for the pollution because they contribute to it the most. 13. 3% blame the government, 13. 3% blame the garbage collectors, and 10% says â€Å"me† which means they blame themselves for the pollution. Analysis of interpretation of dataGarbage pollution is a problem in the community that must be solved especially because of its negative effects such as; causing flies to be around, attracts rodents, and emits foul scent. During taking the views of the residents into consideration, I realised that most persons were affected negatively by the rodents.Pests such as rats were seen th e most as rodents, and can be very dangerous especially due to the fact that they can give diseases which are dangerous to humans. Most persons garbage is collected monthly which also contributes to pollution because it gives more time for the garbage to become in excessive amount.This causes more of the person’s garbage not being collected at a punctual time which makes the residents angry, frustrated, and wondering why does collection takes so long. One of the main problems is that the garbage collectors don’t come on time, which causes the garbage collection, but most persons believe that if they were being paid more money they would be more punctual. Some of the same persons who have a problem with the garbage pollution are some of the same ones who are contributing to it, especially the persons who litter on the street.There are also persons who do not litter but still has to face some of the effects of garbage pollution especially the amount of rodents. Another n egative effect is the long length of time that the garbage collectors take to collect the garbage, because the longer it takes for the garbage to be collected is the worse the pollution will be and the effects of it. During the various conversations with the residents I was informed that the longest garbage had not been collected for, is about three to six months.I think the government should implement garbage collection systems to ensure that these long periods of garbage collection be improved and do not take place again. Persons who are blamed the most for garbage pollution are the persons who litter on the street, especially because they make it difficult for the environment to be cleanly. Statement of finding * The persons who litter on the streets are seen as one of the main factors for garbage pollution.The longer the garbage is taken to be collected are the worse the garbage pollution gets and the negative effects of it. If garbage collectors are being paid more money their interest would be increased, so they would more likely collect the garbage’s on time. Recommendation As said before I the researcher believe that the government should implement garbage collection systems to ensure that these long periods of garbage collection be improved and do not take place again. The residents should also give the garbage collectors more respect, and make the environment better by not littering either. Bibliography Social Studies CSEC Module By; Rampersad Ramsawak and Ralph R. Umraw Garbage: Pollution Garbage pollution means littering civic waste particularly household waste into places not designated to dispose it off. It is mainly caused by mismanagement of solid waste when garbage is not lifted from streets and areas to carry it to landfill sites for its final disposal. It all happens owing to poor system of either garbage collection.Causes of garbage pollutionPollution of garbage increases in cities and towns where there is no proper system of garbage collection. Households have to simply collect the entire garbage of their houses and place it to outside home in dustbin or bag. Its collection is the task of civic agency of the area. If garbage collection agency or contractor does not play its role properly and does not collect the garbage regularly then the problem of this kind of pollution would obviously arise.Improper disposal mechanism is another cause of this type of pollution. If garbage collection agency simply collects the entire garbage of its area of responsibility b ut does not dispose it off in proper landfill site then it would litter around here and there and most of it would pile up in streets and other areas. It would eventually cause several diseases due to mushrooming growth of harmful bacteria in it. Effects of garbage pollutionIn least developed countries mostly garbage is dumped in open or freely available places and to make its final disposal entire garbage is burnt and no one stops them because of un-awareness. Burning garbage not only adds land pollution after being fully burnt but it also becomes source of air pollution by emitting harmful gases while burning. It is called one of the worst air polluting acts because it remains directly in breathing zone of human beings.Garbage pollution is main cause of various bacterial diseases and gastro is one of them. Moreover, typhoid, malaria and various infectious diseases are also caused by it. Mosquitoes and other insects amasses in places where there are piles of garbage and ultimately spread various diseases in the  area. Solutions for garbage pollutionThe key solution for garbage pollution lies in proper management of solid waste. Apart from that there are three slogans to address this issue; reduce, reuse and recycle. In this way garbage pollution issue could be solved with simply community efforts. Here reduce means to generate garbage less means fully use the thing and then treat it as garbage like write on every inch of a paper and then through it as useless. Similarly reuse means if possible use again and again an item instead of throwing it away; for example if you buy oil in a bottle so after consuming that oil use the bottle to keep any other liquid item in it like liquid soap or dish washer liquid etc. Recycle means instead of disposing of garbage in landfill site sort out from it the things which can be made reusable after slight treatment to it like cans, tins, bottles et

Jet Blue Case Study Essay example - 1203 Words

1. The decision maker in the Jet Blue case was former CEO David Neeleman. He was the person who started Jet Blue and formed it to become a low cost airline provider, providing luxury and comfort and destinations to various cities at a low affordable cost. He understood how to cut cost and keep operating expenses low, and as a result Jet Blue had rapid expansion and flew to 53 destinations in 21 states, including Mexico, Puerto Rico, and the Caribbean. Up until 2007, when David Barger took over, Neeleman made Jet Blue prosperous and consistently made strategic moves in order to produce the best outcome in the areas of maintenance, total operating expenses, and benefits. Even as a response to the ice storm in 2007 where passengers were†¦show more content†¦Increases in cost were partly also due to rise in fuel cost in an attempt to cost operating costs. Customer Complaints: Customer complaints (ranging from cancelled flights, poor customer service, and discrimination) had placed Jet Blue in the top 5 (#2, 2, and 4 respectively) of the 9 airline carriers. This is something that has a direct impact on the customer and has room for potential lost business. Lack Of Proper Training: In a survey by employees, the results showed Jet Blue wasn’t fully training its staff with proper tools and skills to handle various situations. Many employees struggled before a year on the job. This exemplified a weakened infrastructure. Flight attendants, maintenance crews, pilots, and other members work together to make sure operations run smoothly and customers have the best experience. If one area is struggling, the infrastructure begins to collapse such as the ice storm in 2007 where 1,100 flights were cancelled over 6 days, and 130,000 passengers were affected. Their systems didn’t support a huge crisis which led to a backup in phone lines and standbys. This left a negative impression from the consumer’s point of view, and has potential for lost business. Lost Baggage: Jet Blue ranked in the top 3 for 2005, 2006, and 2007 for lost or damaged baggage; when a customer’s personalShow MoreRelatedCase Study Jet Blue3093 Words   |  13 PagesUNIT 1 JetBlue Hits Turbulence CASE STUDY In February 2000, JetBlue started flying daily to Fort Lauderdale, Florida, and Buffalo, New York, promising top-notch customer service at budget prices. The airline featured new Airbus A320 planes with leather seats, each equipped with a personal TV screen, and average one-way fares of only S99 per passenger. 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