Tuesday, December 24, 2019

The Craft And Composition A Writer Is Crafted By More...

A writer is crafted by more than the ability to write. In many cases it s not about how precise the writer can write, but what the write has to write about. To have tools, but a lack of cause is pointless in writing. Therefore on page 9 in the Craft Composition: A Guide to First Year Writing at Armstrong, the main focus was on a writers mindset rather than their actual ability to write. This is because one can be extremely knowledgeable on how to write, but the writer must have a connection with the subject or else the person s ability to write can be compromised. This can be demonstrated by the use of curiosity. Curiosity is a very strong motivator for writing for the simple fact that it provides all the motivation as well as tools throughout the writing process. A very well written paper can be built upon curiosity because as the person goes along and does the research he or she will collect as much information as they possibly can. Thus giving the paper an abundance of facts and theories allowing the author to lead the piece of writing in multiple directions retaining the audiences attention. In addition to this, one s openness to a topic can be very important for writing certain papers due to a need of abstract ideas. Naturally a writer has a direct position in their paper, but if the possibility that there are other ways to arrive at the same conclusion or even look at the possibility that their whole thesis could be wrong could improve the textual evidence in theShow MoreRelatedMarketing Mix of Add Gel Pens Ltd9388 Words   |  38 Page stangibility. 2. Product may be intangible in the form of a service. 3. Product may have associated attributes to facilitate its identification and acceptance by buyers. 4. Product should have an exchange value. 5. Product should have the ability to deliver satisfaction of the consumers for whom these are intended. 6. 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Monday, December 16, 2019

Biased Justice Free Essays

Biased Justice I remember this quote, â€Å"Equal Justice under law Is not Just a caption on the fade of the supreme court building. It is fundamental that Justice should be the same, In substance and availability, without regard to economic status, by Justice Lewis Powell Jar,† when I read the cases of Del Gonzalez and Ethan couch. On the light of above quote and the two cases (incidents that would be further discuss more) I would like to discuss the effects of rich power on the justice and how bad upbringing of the children affects the society. We will write a custom essay sample on Biased Justice or any similar topic only for you Order Now And not only society also the future of the younger enervation. As only the rich are able to escape the sentence to life in prison but the rest of them are leading their whole life in prison. So in the essay the discussion will continue with, sentence to life in prison should that be given or not. Justice being biased is a very bad thing. This will give a very bad impact both on the Justice and also on the ones who will be facing the punishments. The ones committed the crime or even a part of that crime will be facing the prison and the ones who committed the crime and they are also rich will be left free and enjoying all the benefits of life. Everyone should be equally punished. The law which Is going to Judge what Is right and what Is wrong will It self be biased how can we have trust on the courts that It will provide us fair justice. According the article in the Los Angels Times on January 13, 2014 titled â€Å"Growing up in prison†, the two important people in the context: Del Gonzalez and Ethan Couch, whose lives changed drastically based on a judgment. I believe in the saying, â€Å"Injustice anywhere is a threat to Justice everywhere, by Martin†, and hence when I relate it this to our topic, Ethan Couch by eying the Justice into his hands, has brought injustice to all the four people he killed. He should actually be punished as per the law as he was drunk also when he committed that crime. Drunk and drive is itself a dangerous act and on top of that he was responsible for the death of four people. This Is not a small issue for the law to Just let him set free for the sake of some money. When we just compare these two case that Is the Del Gonzalez and Ethan Couch cases I strongly feel that Ethan couch should be sentenced to life in prison rather than Del Gonzalez as he did not do any hooting, he was just a member in that group, but he was convicted of murder and was sentenced to life. Just that Ethan couch parents were rich enough they could save him from that prison life. As Del Gonzalez was not rich enough he was facing prison from the age of sixteen. It’s not the problem that Gonzalez was not rich enough it’s that law is wrong at its state. Law is the only thing which will decide the right and wrong in the whole world and provide Justice to everyone and create some fear while doing the wrong things. This will also help the society walking in the right oath. But If the law Itself Is going in the wrong track from whom can we get Justice. How can we stop people In doing bad things? If the law Is so week then there will be lots of Injustice to lot many people around as everyone will not be so rich to buy the law. I always found that mercy bears richer fruits than strict Justice, which would have been true in case of Del Gonzalez, if he was released on parole. We can lead to a very dangerous mind set of the ones in the prison. They will develop a negative attitude as they might have a feeling that they wouldn’t have done such a gig crime to spend their whole life in the prison. And they will know that few people even though they have committed bigger crimes are enjoying their life outside the prison. This thought will make the ones facing the prison more worst as it’s a complete injustice. They will be a prisoner again rather than turning into a nicer person. In context, to effects of rich power on the Justice, I would like to rather comment on upbringing of young individuals, â€Å"Everything depends on upbringing†, by Leo Tolstoy (war and peace). We need to keep reminding ourselves hat some people are Just raised differently. They are set free, no limits and they actually don’t care of anything. Parents should try to understand one thing and also help their children in understanding the same thing that is there are few limits to do few thing and these limits are set for their safety and also for the safety of the others. We can clearly analyses that from the above case itself, Ethan couch wouldn’t be in such situation if he was restricted strictly not to drink and drive. As he was never stopped by his parents he ended up killing four people when he was drunk. The situation would be much better if their parents would have warned him for drunk and drive instead of buying his sentence and doing injustice to the once who are facing the prison. Parents are also giving wrong morals that whatever mistake you do we are here to buy the consequences of it. This is a very bad moral they are giving their children instead of setting them on to the right path. That is absolutely fine if the parent’s couldn’t provide a sound educational when they have a good upbringing. Hence, even Ethan Couch’s parents should also be convicted for their son’s crime, as hey didn’t set limits on him. I don’t think by Just giving 10 years’ probation, Couch got his complete punishment, and also he was given alcohol treatment facility. If that was the case for Couch, why was Gonzalez given Justice in respect to his role in murder and also he should have been sent to a centre for behavioral change. I strongly oppose with the Justice given to Gonzalez, it should be given by considering his role, his age and his future. Giving sentenced to life in prison for a sixteen year kid is not advisable according to my opinion. Especially in Gonzalez case he was Just a member n that group who shot the driver. Gonzalez dint even shoot the driver but he was sentenced to life without any chance of parole. This decision of court will badly impact the future of the kid. He should at least be given a chance to rectify his mistake or sent to some counseling centers. As it’s not a small thing for a sixteen year old kid to spend his rest of his life in prison where his age group people will be happily enjoying the life outside the prison. In depth, the use of power must always be accompanied by moral choice, instead of supporting the wealthier side. In case of Ethan Couch, it would have been better if his parents bequeath to him not riches, but the spirit of reverence to Justice. If Ethan Couch can be released, by introducing term â€Å"affluence†, which is his own issue, then I feel even Del Gonzalez should also be given a chance, when he was trying to lead an upright life, by overcoming all his evil deeds and also being guilty of his previous acts. In fact, every child who commits a crime deserves it. When we observe the Del Gonzalez case carefully, he was thoroughly drunk when he and two adult co-defendants attempted to steal a car, role and sentenced to life without parole. How to cite Biased Justice, Papers

Sunday, December 8, 2019

Safety and Quality in Health Care-Free-Samples-Myassignmenthelp

Questions: 1.Define Quality in Health Care and Explain the key elements of Total Quality Management and Continuous quality Improvement in the Health Care context. 2.Patient Safety is considered to be the cornerstone of hHgh-Quality Health Care. What is meant by the two terms safety in Healthcare and Patient Safety?3.In 2012 the Australian Commission on Safety and Quality in Healthcare implemented National Safety and Quality Health Service (NSQHS) Standards. What are these standards and why were they developed?4.What is understood by the term Safety Culture in Health Care and how can it be measured? What is the significance of a Poor Safety Culture for health care Professionals and Patients?5.What is the role of Clinical Leaders when ensuring Quality Improvement in the Clinical settings? Answers: 1.Quality in health care- Quality in health care is defined as the degree to which health care organization maintains desired health outcome for individual patient or population group. Quality in health care is also reflected by adherence to current professional knowledge and clinical standards of practice (Folland, Goodman, Stano, 2016).. When health care professionals do the right thing at the right time for the right people, then this leads to the delivery of quality care. The definition of quality may differ according to the perspective of a health care professional or health care consumer. A health care consumer regards the following elements as an indicator of quality in health care: Access and delivery of care in a timely manner Respect and understanding of patients preference Management of physical issues Good communication and health education Emotional support Effective patient follow up process (Anhang Price et al., 2014) The term continuous quality management and total quality management was given by McLaughline Kaluzny (2016) and it involved the systematic process in organization for planning and implement continuous improvement in health care quality and meeting key expectations. Continuous quality improvement is dependent on the following elements: Commitment of an individual to improve quality Responsiveness to patients need Organizational learning arrangements Adaption of new opportunities for continuous improvement Redesign of health care process On the contrary, total quality management is dependent on the ability of an organization to engage in participative management for safety and quality of care. Total quality management is also ensured by the commitment of stakeholders to maintain safety of patient (Kronick et al., 2015). 2.Safety in healthcare is an indicator of quality and it can be defined as the process of reducing the risk of unnecessary harm to a minimum level. Quality improvement initiative is an important part of safety in health care by means of which practice structure, systems and clinical care process is routinely examined. Safety in health care is dependent on the elements of knowledge and information management, professional and patient-focus care, competence and capacity and good management of finance (Vincent Amalberti, 2015). The Clinical Excellence Commission regards accreditation, education and training for quality, information management, continuity of care and competence of health care staffs as important part to promote safety in health care (Clinical Excellence Commission - Clinical Procedure Safety, 2017). Patient safety is one of the fundamental principle of health care that involves the process of management and prevention of errors and adverse affects to patient. Hence, major emphasis is on preventing errors, learning from errors that occur and building a safety culture in health care organization. Some of the example of patient safety practices include reducing negative outcomes in patient by resource management and tracking different type of failures in health care system such as communication failure, medical errors, clinical performance evaluation and patient management process (Carayon et al., 2014). Health care organizations now pay great attentions to patient safety and quality improvement to establish their reputation as a high quality care providers. Patient safety first starts with the development of patient safety culture where the core goal is well-being of patient. This is then driven by a vision and compliance with recognized standards of care. Patient safety culture c an be built by involving everyone at each level to foster a safe environment of accountability. Leadership commitment also determines the patient safety level within health care system (Okuyama, Wagner, Bijnen, 2014). 3.The Australian Commission on Safety and Quality Health Care implemented the National Safety and Quality Health Service (NSQHS) Standards in 2012 following public and stakeholder consultation. The main purpose was to develop and national and uniform measure of safety and quality in health care to address the gap in current and best practice outcomes in health care. Through the set of standards, the main aim was to assist health service organization to maintain safe and high quality care. The main stakeholders involve in the consultation and collaboration process included technical experts, health professionals and patient. The NSQHS helps to effectively evaluate whether minimum standards of safety and quality are met in health care organizations or not. The following are the NSQHS standards: Governance for safety and quality in health care organizations- This is related to quality framework required for the introduction of safe system in health care. Partnership with consumers- This standard defines the strategy for patient-centred health system Prevention of health care associated infection- It describes the strategies and systems needed to prevent infection of patient within the healthcare system Medication safety- It described the process needed for safely prescribing, dispensing and administering medicines to patients in health care setting. Clinical handover- It relates to the process of effective clinical communication for the safety of patient Patient identification and procedure matching- This involves the appropriate process to match the identity of patient and the assigned treatment for them to prevent adverse events. Blood and blood products- It explains the process needed for safe management of blood and products to preserve the safety of patient. Prevention of pressure injuries- It describes the best practice standards needed to prevent pressure related injuries in patient. Identifying and responding to clinical deterioration in acute health care- It involves the process needed by organization to effectively respond to patients with deteriorating clinical condition. Preventing falls- It defines the best practice standards to prevent and manage incidences of fall in health care organization (Australian Commission on Safety and Quality in Health Care, 2012). 4.Safety culture in health care is defined as the style and proficiency in health and safety management by combining the elements of individual and group values, attitudes and perceptions towards safety, competency standards and patterns of behavior to promote safety. Organizations can establish a positive safety culture by efficiently sharing perception of safety, adequate communication process and implementation of preventive measures. Building a true safety culture is a challenging task, however the progress in the development of safety culture can be measured by range of indicators. This includes measurement of observable behavior, attitudes and perceptions of individual towards safety. It can also be measured by the number of adverse events and safety problems in particular health care organization (Weaver et al., 2013). Some of the strategies for promoting a culture safety include the following: Adequate reporting of medical errors and adverse incidents Analysis and evaluation of the cause of errors and incidents Learning from errors and planning continuous improvement in the system to prevent the same incident again Regular review of hospital safety standards (Morello et al. 2013) Poor safety culture is very significant for health care organization as this may seriously affect the patient and their health care related outcomes. Negative safety culture increases the likelihood of fatal consequences for organization. Poor communication and lack of perception about the importance safety affects patient outcomes significantly. Safety culture has been found to have a link with patient outcomes as poor safety cultures increases the likelihood of hospital morbidity rates, adverse events, readmissions and health care cost (Weaver et al., 2013). 5.Clinical leaders play a very important role in promoting safety and quality of care. Health care environment is associated with many challenges like workforce issues, changing consumer expectations, increase in demand of care and concern about quality and safety. Clinical leaders manage all these things. In the area of implementing quality improvement initiatives in health care, clinical leaders play the following role: They formulate the goal and vision for continuous quality improvement Be accountable for quality and safety Set key priorities for quality improvement Uses practice data to enhance care, set quality goals and monitor clinical performance Engage in frank discussion with staff related to safety concerns Enhancing the credibility of the error reporting system Managing and responding to disruptive and unprofessional behavior of health care staffs Making changes in health care environment and organizational structure (McFadden et al., 2015) Clinical leaders have both legal and moral obligation to maintain safety of patient and improve the quality of care. They spend considerable time on quality and safety related activities. The clinical managers interaction on quality strategies and performance evaluation promotes the achievement of quality and safety standards. Some of the measures adopted by clinical leader, which lead to good quality performance, include adapting system wide measures for quality improvement. They play a role in developing improvement culture, promoting clinical involvement and safety climate attitudes. Effective clinical leaders with correct attitude have the capability to influence the culture of the organization and they are involved at all levels to promote quality improvement. Innovation is found as a factor to change the health organization and improve clinical pathways. This is also a focus for clinical leaders involved in quality improvement process (Parand et al., 2014). References Anhang Price, R., Elliott, M. N., Zaslavsky, A. M., Hays, R. D., Lehrman, W. G., Rybowski, L., ... Cleary, P. D. (2014). Examining the role of patient experience surveys in measuring health care quality.Medical Care Research and Review,71(5), 522-554. Australian Commission on Safety and Quality in Health Care. (2012). National Safety and Quality Health Service Standards. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety.Applied ergonomics,45(1), 14-25. Clinical Excellence Commission - Clinical Procedure Safety. (2017).Cec.health.nsw.gov.au. Retrieved 17 August 2017, from https://www.cec.health.nsw.gov.au/patient-safety-programs/assurance-governance/clinical-procedure-safety Folland, S., Goodman, A. C., Stano, M. (2016).The Economics of Health and Health Care: Pearson International Edition. Routledge. Kronick, S. L., Kurz, M. C., Lin, S., Edelson, D. P., Berg, R. A., Billi, J. E., ... Meeks, R. A. (2015). Part 4: Systems of Care and Continuous Quality Improvement.Circulation,132(18 suppl 2), S397-S413. McFadden, K. L., Stock, G. N., Gowen III, C. R. (2015). Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety.Health care management review,40(1), 24-34. McLaughlin, Kaluzny, A. D. (2006).Continuous quality improvement in health care: theory, implementation, and applications. Jones Bartlett Learning. Morello, R. T., Lowthian, J. A., Barker, A. L., McGinnes, R., Dunt, D., Brand, C. (2013). Strategies for improving patient safety culture in hospitals: a systematic review.BMJ Qual Saf,22(1), 11-18. Okuyama, A., Wagner, C., Bijnen, B. (2014). Speaking up for patient safety by hospital-based health care professionals: a literature review.BMC health services research,14(1), 61. Parand, A., Dopson, S., Renz, A., Vincent, C. (2014). The role of hospital managers in quality and patient safety: a systematic review.BMJ open,4(9), e005055. Vincent, C., Amalberti, R. (2015). Safety in healthcare is a moving target. Weaver, S. J., Lubomksi, L. H., Wilson, R. F., Pfoh, E. R., Martinez, K. A., Dy, S. M. (2013). Promoting a Culture of Safety as a Patient Safety StrategyA Systematic Review.Annals of internal medicine,158(5_Part_2), 369-374.