Tuesday, May 5, 2020

Professional Communication Skills for Nurses

Question: Discuss about the Professional Communication Skills for Nurses. Answer: Communication is an important part of nursing practice to promote safety, health and well-being of patients. As nurses, have complex role and have to deal with diverse patient group, professional communication knowledge is imperative for them to facilitate better collaboration with staffs and patients, yield better patient outcome, reduce error, improve patient satisfaction and promote efficiency care. Apart from the communication skill of nurses and clinician in practice, professional communication is also dependent on use of effective health information technology and care delivery model in hospital (Arnold Boggs, 2015).The aim of this essay is to discuss the importance of professional communication in ensuring safety of patients and ways to develop the professional communication skills of staff in care. Patient-centered care is a necessary element of professional communication process in health care. With the change in system of health care delivery, patient-centered care promotes patient-safe communication in clinical setting. Patient-centered care is delivered on the values and principle of autonomy, dignity, respect, transparency and empathy. Patients come in clinical setting with their own understanding and knowledge about disease and illness and patient-centered care approach helps staff to engage in mutually beneficial partnership with patients. Nurses and clinician working on the basis of this approach appreciate the values and life history of patients that shapes their health relate knowledge. By this means, patient is actively involved in treatment and health care decision-making process. It enhances emotional and physical comfort of patients and ensure better coordination and continuity of care. Patient-safe health care practice and communication is possible by patient-cen tered approach as it is entirely dependent on consideration of patients preference and values while delivering care (Levett-Jones et al., 2014). Patient-safe communication enables health professional to share information with patients, clarify regarding treatment and verify information to establish a collaborative relation with patients. Nowadays clinicians and nurses are highly encouraged to interact with patients to understand their concern and do everything possible to make patient comfortable during the delivery of care. This approach of professional communication has an impact on patient outcomes in many ways. Effective communication has been identified in increasing compliance with medication, reducing stress and anxiety in patients, pain management and improving functional and psychological status of patients (Okuyama, Wagner, Bijnen, 2014). A randomized controlled trial study evaluated the impact of communication skills intervention for nurses in the quality of communication with critically ill patients. In this study, the quality of care was assessed by measures of depression and functional status of patients. Nurse s reported positive professional development in them such as acquisition of new skills to deliver bad news to patients and professionally responding to emotional distress in patients. This form of skills prepares nurses and clinicians to mitigate negative effects of illness and promote recovery of patients (Curtis et al., 2013). Efficiency of nurses and staff in patient documentation process is also an important aspect of professional and patient-safe communication. Written or electronically generated health record stores data on interaction with patients on levels such as assessment, diagnosis, treatment planning and evaluation of care. The presence of accurate and sophisticated management information system and provisions of accurate training to staffs in using these systems makes the care delivery process accurate, secure and confidential. Nurses are expected to review and revise the system so that high quality care is provided and there is minimum chance of medical error or risk to patient (Hill, Hall, Glew, 2017). The wide application of electronic health record in clinical setting has enhanced patient safety and improved the process of evaluating quality of care. It also promotes efficiency in workflow. Although there are numerous benefits of electronic health records, however nurses faced challenges in using it due its complex design and cumbersome electronic processes. With this problem, there is a need to adapt those tools that are specific to the work area of nurses. Furthermore, necessary training and skill development program is necessary before the implementation of electronic health record to achieve the purpose of safety and efficiency in the care process (Lavin, Harper, Barr, 2015). The national competency standards for the registered nurse as laid down by the Nursing and Midwifery Board of Australia (NMBA) on professional practice by means of fulfilling legal, ethical and professional responsibilities in nursing practice. According the standard 2.1of nursing practice, nurses need to practice in accordance with professional code of ethics and conduct (National competency standards for the registered nurse, 2017). This is necessary in the communication process too so that sensitive needs of patients is met during the treatment or care process. Nurses can also engage in professional communication by having knowledge about profession conduct needed for nursing practice. The code of Professional Conduct for Nurses in Australia mentions that nurses are responsible for safe and competent nursing care and they need to ensure that care delegation does not compromise the quality of care. Following the standard of nursing practice is also important to enhance safety. Duri ng the communication process, safety can be maintained by means of respecting the dignity, culture and belief of people in receiving the treatment. This means refraining from discriminatory attitudes and protects the interest of patients in care (Code of Professional Conduct for Nurses in Australia, 2017). The essay summarized the importance of professional communication in patient safety and promoting positive health outcome for patients. Along with effective communication skill, patients centered care, use of appropriate documentation tool, knowledge of professional standards of nursing practices promotes the delivery of safe and quality care. Patient-centeredness is an important attribute of professional communication, which ensure care is delivered according to the preference and cultural values of patients. Proficiency of nurses in patient-centered communication prevents resentment among patients and eliminate any barrier experienced by staff in delivery of care. In order to maintain the dignity and better health of patient, it is necessary that organization takes necessary action to train newly placed nurse regarding appropriate professional communication and provide necessary tool to maximize safety and accuracy in the delivery of care. References Arnold, E. C., Boggs, K. U. (2015).Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences. Code of Professional Conduct for Nurses in Australia. (2017). Retrieved 13 April 2017, from https://file:///C:/Users/admin/Downloads/6_New-Code-of-Professional-Conduct-for-Nurses-August-2008-1-%20(2).PDF Curtis, J. R., Back, A. L., Ford, D. W., Downey, L., Shannon, S. E., Doorenbos, A. Z., ... Arnold, R. W. (2013). Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial.Jama,310(21), 2271-2281. Hill, R., Hall, H., Glew, P. J. (2017). Fundamentals of Nursing and Midwifery: A Person-Centred Approach to Care. Lavin, M., Harper, E., Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings.OJIN: The Online Journal of Issues in Nursing,20(2). Levett-Jones, T., Gilligan, C., Outram, S., Horton, G. (2014). Key attributes of patient-safe communication| NOVA. The University of Newcastle's Digital Repository. National competency standards for the registered nurse. (2017). Retrieved 13 April 2017, from https://file:///C:/Users/admin/Downloads/Nursing-and-Midwifery-Board---Standard---National-competency-standards-for-the-registered-nurse%20(14).PDF

Friday, April 17, 2020

Pygmalion and Dollhouse Plays Essay Example

Pygmalion and Dollhouse Plays Essay Apart from being problem plays , Pygmalion and A Doll s house deal with the common theme of transformation of individuals . In Pygmalion, Shaw explores the idea that if a person is born in a low class and gets the opportunity to be trained in the ways of correct speech and manners then he or she can easily come to the social and intellectual level of the higher classes . He proves this by transforming Eliza Doolittle, a poor flower girl from the slums, to a sophisticated woman by changing her speech . Similarly ,Nora s transformation from her expected role of a doll to that of a woman who is conscious of her position within the family and her society is a fact that brings both plays in the same plane. In fact, Nora s transformed identity gave her the strength to question the notions of patriarchy. Nora and Eliza , both transform from an inanimate life to being involved in their own destiny, the former from the oppressions of her class and the latter from her life under patriarchy. The feminist concerns of both plays are evident in the characterizations of Eliza and Nora in their ability to question the injustices against them . Bernard Shaw believed that women were treated poorly in modern society and often he dealt with themes for womens rights . Ibsen s perspectives about women s position in the family and society are evident from A Doll s House . Though the theme of Pygmalion is different , Shaw has rendered Eliza a personality which allows her to stand on her own opinions and not dependent on anybody . We will write a custom essay sample on Pygmalion and Dollhouse Plays specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Pygmalion and Dollhouse Plays specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Pygmalion and Dollhouse Plays specifically for you FOR ONLY $16.38 $13.9/page Hire Writer She is an earning woman and that had rendered her dignity and self respect . In conclusion while the cosmetic aspects of each play are different the deeper more lasting themes are very similar. Nora being a doll in her life transformed into a women who could question her place in society. While Eliza came from the lower classes and posed as a noble showing us that everyone is the same.

Tuesday, April 14, 2020

Essay on Death - How to Write a Sample Essay on Death

Essay on Death - How to Write a Sample Essay on DeathWriting a sample essay on death is an essential part of the advanced sociology degree. The sample should be brief and to the point, but specific enough to provide the student with something that he or she can work with. The word 'sample' is appropriate here because, as is true in every course, the sample should be reflective of the course. If it isn't, then the student will be practicing and re-practicing what will eventually be learned in the course.It is important to note that the sample essay should be done on a blank page. Anything else would make it unreadable, at least for those who will review it. Some examples could be asked as a class assignment, but this is not very helpful to the students since it is still based on a course outline. In any case, a sample essay on death has to be submitted to the professor as a whole, which includes not only the topic but the tone and style of writing. Even though an assignment may have a lot of format specifics, it should still be submitted to the professor.What follows are some suggestions on how to write the essay. It is always good to get some feedback on your sample. Make sure you pay attention to what is said by the professor and fellow students, and don't copy exactly what you hear.The first step is to introduce yourself, as well as the purpose of the essay, by making a brief introductory paragraph. The writer should come to his or her own conclusions based on the evidence presented. It is important to note that the first paragraph will make the topic clearer. The writer must then describe what the essay will cover. Remember that the sample will be used for reference.The writer should always begin the next paragraph by identifying a few names, places, or events that are going to be discussed. These details should be included in chronological order to make the essay as a whole coherent. It is also good to include the time, place, and significance of these fact s. In addition, the writer should include the topic in a less simplistic way.The next paragraph will give background information and general knowledge of the topic. This is the first time the writer will use any kind of 'jargon.' This jargon may be defined by the fact that it contains certain terms that may be unfamiliar to those reading the essay. This allows the reader to more easily understand the concepts in the essay. Furthermore, the writer must recognize that the writing will be short and easy to understand.Finally, the writer will discuss the methods of those who feel the death of a loved one is worthy of discussion. This is an important step since it shows the writer is taking the topic seriously. Therefore, it is necessary to state this fact once. It should be emphasized that, while they do care about death, they do not necessarily believe it is a cause for grief.To summarize, writing a sample essay on death is fairly simple and can be done. As long as the student follows all of the instructions given above, then the student should be able to do the same. The key to writing a good sample is to follow the guidelines presented here. If a student does this, then he or she will definitely be writing a good essay on death.

Saturday, March 14, 2020

Molecular Mass Calculations

Molecular Mass Calculations The molecular mass of a molecule is the total mass of all the atoms making up the molecule. This example problem illustrates how to find the molecular mass of a compound or molecule. Molecular Mass Problem Find the molecular mass of table sugar (sucrose), which has a molecular formula C12H22O11. Solution To find the molecular mass, add the atomic masses of all of the atoms in the molecule. Find the atomic mass for each element by using the mass given in the Periodic Table.  Multiply the subscript (number of atoms) times the atomic mass of that element and add the masses of all of the elements in the molecule to get the molecular mass. For example, multiple the subscript 12 times the atomic mass of carbon (C). It helps to know the symbols for the elements  if you dont know them already. If you round off the atomic masses to four significant figures, you get: molecular mass C12H22O11 12(mass of C) 22(mass of H) 11(mass of O)molecular mass C12H22O11 12(12.01) 22(1.008) 11(16.00)molecular mass C12H22O11 342.30 Answer 342.30 Note that a sugar molecule is about 19 times heavier than a water molecule! When performing the calculation, watch your significant figures. Its common to work a problem correctly, yet get the wrong answer because its not reported using the correct number of digits. Close counts in real life, but its not helpful if youre working chemistry problems for a class. For more practice, download or print these worksheets: Formula or Molar Mass Worksheet (pdf)Formula or Molar  Mass Worksheet Answers (pdf) Note About Molecular Mass and Isotopes The molecular mass calculations made using the atomic masses on the periodic table apply for general calculations, but arent accurate when known isotopes of atoms are present in a compound. This is because the periodic table lists values that are a weighted average of the mass of all natural isotopes of each element. If you are performing calculations using a molecule that contains a specific isotope, use its mass value. This will be the sum of the masses of its protons and neutrons. For example, if all the hydrogen atoms in a molecule are replaced by deuterium, the mass for hydrogen would be 2.000, not 1.008. Problem Find the molecular mass of glucose, which has a molecular formula C6H12O6. Solution To find the molecular mass, add the atomic masses of all of the atoms in the molecule. Find the atomic mass for each element by using the mass given in the  Periodic Table. Multiply the subscript (number of atoms) times the  atomic mass  of that element and add the masses of all of the elements in the molecule to get the molecular mass. If we round off the atomic masses to four significant figures, we get: molecular mass C6H12O6   6(12.01) 12(1.008) 6(16.00) 180.16 Answer 180.16 For more practice, download or print these worksheets: Formula or Molar Mass Worksheet (pdf)Formula or Molas Mass Worksheet Answers (pdf)

Wednesday, February 26, 2020

Socio-technical leading to IT failure in Terminal 5 Essay

Socio-technical leading to IT failure in Terminal 5 - Essay Example Before merger of these two characteristics, socio and technical, the strategic planning for developing information systems was poor. The information systems were developed according to technological needs and the experts had formed systems on technical framework (Flichy, 2003). In this world of competitions, the organizations need perfection and reasons to be major contestant in the relevant field. Choppy and Sokolsky (2008) express that the efficiency, quality of services QoS, work load, accuracy and management are possible only by the help of socio-technical involvement. For the achievement of strategy of planning and development, the organizations implement and evaluate the state-of-the-art technologies with the flair of socio-technical system. On the other hand, as Godinez et al (2010) articulate, the dependency on technologies and hiring untrained staff are the factors which create lots of hindrances. And socio-technical system has also the limitations, so that the possibilities of design of faulty systems still persist in the world. Today, the concept of data management is incomplete, almost impossible, without information management systems. Information systems supply a complete and wide-range of solutions for organizations, either public or private. Curtis and Cobham (2008) express that the information system applications, based on software and hardware, are developed for different purposes and for different organisations. Airports, railway stations, hospitals, universities, accounts and audit bureaus and almost all the public organizations use these applications for ease in management. Information systems also help in decision making and timely completion of projects (Ulrich and Newcomb, 2010). In this paper, the relationship between information systems and socio-technical system is widely discussed. Moreover, the

Monday, February 10, 2020

Emerency Sevices Managment - Advaced Interactions of Hazardous Case Study

Emerency Sevices Managment - Advaced Interactions of Hazardous Materials IV - Case Study Example T2 laboratory was a manufacturer of methylcyclopentadienyl manganese tricarbonyl (MCMT). MCMT being a toxic and a highly inflammable liquid, it is classified as extremely hazardous substance (EHS) (United States & Chemical Safety and Hazard Investigation Board, 2009). A chemical recipe serves as a guide during the manufacturing process. Metalation is the first step where metallic sodium that was previously melted is reacted with methylcyclopentadiene (MCPD). This reaction occurs in the presence of diglyme (diethylene glycol dimethyl ether). Heat is applied before the reaction can occur, and this may be necessary to enable overcome the activation energy required for initiation of the reaction. Besides, the heating converted sodium to its molten form increasing the surface area and reduced the MCPD dimer into two molecules. These two changes are necessary for the reaction to occur. Two products are obtained from this reaction; hydrogen gas and sodium methylcyclopentadiene. The hydrogen gas produced is released into the atmosphere. Substitution is the second step during which dry powder of manganese chloride was added and reacted with sodium methylcyclopentadiene forming sodium chloride and manganese dimethylcyclopentadiene. The final step involves the addition of carbon monoxide, a process called carbonylation. It leads to loss of one methylcyclopentadiene, and its place is replaced by three CO molecules forming the famous methylcyclopentadienyl manganese tricarbonyl. Through the distillation of the mixed final product, you obtain clean methylcyclopentadienyl manganese tricarbonyl. During metalation energy was being lost in the form of heat, cooling was necessary for the reaction to proceed regularly. The rate of reaction also increases with the rise in temperature. It is evident that a 100C increase in temperature causes a two-fold increase in the rate of

Thursday, January 30, 2020

Intra Organization and Power Bargaining Model Essay Example for Free

Intra Organization and Power Bargaining Model Essay Intra organization is a key factor to the beginning stages of how successful a bargaining unit will be in negotiations. Intra organization is when each respective in a particular bargaining unit works towards a consensus. The inability to agree within ones bargaining unit slows down the process and can create dysfunction. Negotiating starts within each bargaining unit during pre-bargaining preparation. This is where discussion and negotiations begin within each bargaining unit to decide what is most important to least importance. Once the pre-bargaining preparation process is complete, the bargaining unit is ready to negotiate against the other bargaining unit. There were many forces that impacted our Intra-organizational bargaining. First we all had our individual perception on what was most important and what was least important. This had a lot to do with our personalities, attitudes, values and beliefs. For example, depending on our personalities, those who were shy didn’t get to fully express how they felt about their issue. On the other hand those in the bargaining unit who were out spoken would make it a point to not let up and fight for their concerns. Our bargaining unit had a variety of issues we wanted to push to get into the contract. We had to decide what we considered a must haves and what can be used as a bargaining chips. Discussions continued until we all had a good idea where our stance was as a bargaining unit with each issue. The end result of our intra-organization bargaining was difficult but successful. We were able to agree on what issues were most and least important to our bargaining members. We had a few bargaining representatives who were concerned with subcontracting and their job security. Then we have other members who felt subcontracting was irrelevant but having a flexible schedule was above all else. My concern was to allow management to keep their managing power in order to continue to be strong in this competitive market. I needed innovative ideas to create progress within the company, while building opportunity for our members. We agreed that machinist would get a 6% increase and nothing less. We wanted a wage increase across the board for all employees, but our team agreed if we can give employees other benefits outside of pay increase; we would still be in good stance. We understood that we should negotiate taking subcontracting out of the contract, and use it as a bargaining chip. While understanding that our bottom line in regards to subcontracting was the language; we wanted to make sure management doesn’t have full reigns. We would allow management the option to subcontract but at the same time put limitations to subcontracting with the language used in the contract. As a bargaining unit we knew that changing and adding into the contract different aspects such as, flexible schedules, use of vacation, adding health and safety and an apprentice program would help our overall contract negotiation process. Bargaining Power Model Bargaining Power Model a is held by both parties during negotiation process. Its Another important concept is the Bargaining Power Model. Both Union and Management have agreement and disagreement costs. Unions lower managements bargaining power when they receive financial supplements. On the other hand managements disagreements cost can decrease with the lack of need when it comes to employees. Unions and managements bargaining power can change from one day to the next. Incidents such as inventory, supply and demand, wage-price controls, economic changes along with social changes have major influences in the bargaining power model. Under the power bargaining model there are two major assumptions. The first being that â€Å"union and mangament negotiators cost issues in a similar manner and are rational individuals, and if it cost more for a party to disagree than to agree with the other, then the party will agree to the other party’s proposal. (labor relations process) As the union bargaining unit we have decieded to negotiate a win win bargaining strategy or also refered to Mutual gain bargaining. This strategy is used whern both partys negotiate in away where both needs are displayed and honesty takes the leading roll in negotiations. This strategy seemed to work well with our negotiation process considering we were able to pin point wehre we saw a common ground and dominate those areas. On the other hand we understood what was important to management and see what we can use to lower the cost of agreeing with management on specified issues. e understood that we have a lot of bargaining power considering 95% of employees are in the Union. We put that into consideration as we decided what it was we were going to negotiate and what type of resilience we were going to set for each issue. My Union bargaining member profile was Union International Representative. I had to be sure to negotiate a win-win contract. I wanted to make sure management kept their administrative rights, while implementing new programs to keep union bargaining members happy. My main objective was to make sure it was clear that a great contract is when both parties bargain in good faith. Showing to the members of the union that management is working with the and both parties want to make positive changes within the company for all employees. Implementing new programs such as apprenticeship along with health and safety article will bring positive reinforcement to union members and all members. This helped us come up with strategies to bargain an all-around good contract.