Monday, May 25, 2020

Nursing And Midwifery Council ( Nmc ) Code ( 2015 ) On...

The report focuses on a fictitious character, no reference to place names, services or related publications that are not available in the public domain will be made. This is in accordance with the Nursing and Midwifery Council (NMC) code (2015) on confidentiality and anonymity. The World Health Organisation (WHO) says health is â€Å"a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity† (WHO, 1946). Therefore â€Å"health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behaviour towards a wide range of social and environmental interventions† (WHO, 2015). These determinants of health are best seen in the rainbow model of health, see appendix 1 (Dahlgren and Whitehead, 1991). The report focuses on Rob, see appendix 2, who lives in a shared house in a small town in South Wales which will not be named. Within the report the ways the nurse can help Rob will be discussed. The area is ranked 10 out of 1909 LSOAs (Lower Layer Super Output Areas) in Wales, which places it among the 10% most deprived (Welsh Index of Multiple Deprivation (WIMD), 2014). It is reported as a very ethnically and socially diverse area, see appendix 4. It is has high levels of socio-economic deprivation, see appendix 5. It is among the 10% most deprived areas in Wales for education (WIMD, 2014) see appendix 6. Which relates greatly to Rob as he left school at 16 with fewShow MoreRelatedThe Domains At The Progression Point 21891 Words   |  8 Pagespoint 2. The four domains of nursing care are professional values; communication and interpersonal skills; nursing practice and decision making; leadership, management and team working (NMC, 2016). These are the essential areas where the student nurses have to improve their knowledge and skills prior to the nursing registration for improving the quality of nursing care that they provides afterwards (NMC, 2016). The chosen domain for this particular essay is the nursing practice and decision makingRead MoreThe Domains At The Progression Point 21886 Words   |  8 Pagesprogression point 2. The four domains of nursing care are professional values; communication and interpersonal skills; nursing practice and decision making; leadership, management and team working (NMC, 2016). These are the essential areas where student nurses have to improve their knowledge and skills prior to the nursing registration for improving the quality of nursing care that they provides afterwards (NMC, 2016). The chosen domain for this particular essay is the nursing practice and decision makingRead MoreCritical Study And Analysis Of Oral Care928 Words   |  4 PagesThe purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumon ia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009). The following document is a case study written by an intensive care nurse, who will explore the oral care provided to a patient admitted in an Intensive Care UnitRead MorePrinciples Of Health Promotion And The Nurse s Role As Behavior Change Facilitator1502 Words   |  7 Pagesdeprived district as determined by Welsh Index of Multiple Deprivation (2014). In accordance to confidentiality and anonymity code of Nursing and Midwifery Council - NMC (2015) the family members named in this report are fictitious; the district is named as Locality-A; and the facilities named are not available within the public domain. Definition of Health Promotion The World Health Organisation - WHO (2015) defines Health Promotion as fundamental discipline in disease prevention through social /environmentalRead MoreCritical Analysis Of Evidence Based Practice3419 Words   |  14 Pagesdifferent healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from  £43 up to  £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out byRead MoreThe Search Trail ( Various Searches And Outcomes6750 Words   |  27 Pageseducation were more likely to present negative attitudes towards EHR introduction. Another benefit of the EHR according to its supporters was its multi-task functions. Varieties of modules such as medicine module, vital signs, laboratory and radiology; nursing care plans, multidisciplinary plans, discharges, social workers’ sections were alluded to by Kossman (2006) Dahm and Wadenster (2008); DeVliegher et al (2010) and Stevenson and Nilsson (2012). Contrarily, Moody et al (2004); De Veer and Franke (2010)

Friday, May 15, 2020

Data Collection Methodologies Focus Group and Interview Free Essay Example, 1000 words

To understand the meanings and the reasons which an interviewee associate certain way of behaviour, allowing to understand, why a particular habit or behaviour is exhibited, which in ordinary life is not possible to understand. John (1985) argues that interview is special mode of interaction and understanding people s knowledge, norms, and cultural values in an impartial way giving an understanding, how people make sense of their culture, religion and social behaviour. In plain words, interview allows to reach inside people s head rather than keep on guessing, what means what. Semi-structured or unstructured interviews (informal interview) are useful when researchers want in-depth understanding of a topic. It is easy to interview people than to develop a written survey and capture all the possible variations. In informal interview, normally its trust between the researcher and the interviewer and is less stressful as the interviewer does not feel himself in a stressed situation and the communication takes place in a friendly atmosphere. The development of trust allows the researcher to explore beyond the personal ego allowing the researcher to satisfy his curiosity and explore the understudy question in depth without any obstacle. Structured in-person interviews can be useful when participants have difficulty with a written survey or when a researcher wants to clarify (qualitative) questions in addition to structured questions. We will write a custom essay sample on Data Collection Methodologies: Focus Group and Interview or any topic specifically for you Only $17.96 $11.86/page The interviewers ordinarily require less training and instruction compared to other methodsGarvey (1998) has mentioned that observational research method provides understanding of interaction between marketers and users, exploring members interaction in an organisation and understanding norms in a community.

Wednesday, May 6, 2020

Effective Quality Management And Risk Management - 874 Words

III. Effective Quality Management Although hundreds of management methods are developed, most research considers a non-holistic software quality management (SQM) viewpoint and focuses on development-phase-specific quality assurance (QA) methods and activities. To support SQM, we study effective quality management (EQM) to get acceptance of adequate product quality assurance activities by a minimum set of stakeholders, developers, customers, and users.[1] Value engineering (VE) is a method that developed by general electric after World War II,[1]Developers can use this method to find the most valuable functions and deliver it with the limited resources. As for risk management (RM), which can be considering as a method to reduce both the occurrence possibility and aftereffect of adverse events, is a crucial part of many projects develop processes. Although value engineering and risk management are widely used in many industries and many successful applications can be found, most application for Value engineering and risk management are separated. Therefore, how values and risks fit together is still a big issue. However, effective quality management contains value engineering and risk management together. In order to check the effectiveness and find advantages of EQM, we make a comparison: EQM versus value engineering and risk management. First of all, EQM is a combination of VE and RM. But EQM focuses on the effectiveness of risk mitigation during software developmentShow MoreRelatedInfluence of the Leadership and Governance of a Healthcare Organization710 Words   |  3 PagesHow does the leadership and governance of a health care organization influence the development and implementation of risk-management and quality-management policies? Risk Management A companys risk management strategy is largely governed by the degree to which company leadership emphasizes its importance. This denotes that organizational governance must prioritize risk-reduction as a leading operational imperative. Leadership should be directly involved in making difficult decisions that willRead MoreQuality And Safety Initiatives Throughout The U.s. Health Care Delivery System932 Words   |  4 PagesQuality and safety initiatives are driving important changes in the U.S. health care delivery system. Quality in health care is defined as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes are consistent with current professional knowledge (Nash Goldfarb, 2006, p. 6). The Institute of Medicine (IOM) report, To Err is Human, states that most of the medical errors are resulted from system error and processes. Medical Errors accountRead MoreThe Pharmaceutical Industry Has Been Privatized805 Words   |  4 Pagesand the quality of products has been low (Plumb, 2013). Many areas of business and government utilize risk management principles to ensure quality. The International Conference on Harmonisation (ICH) Quality Risk Managemen t guideline (Q9) (2005) states that â€Å"it is commonly understood that risk is defined as the combination of the probability of occurrence of harm and the severity of that harm†. The pharmaceutical industry has recognized the importance of quality systems and that quality risk managementRead MoreAn Organizational Structure Based on Risk and Quality Fundamentals823 Words   |  4 Pages2.3 Risk Management According to IRM-AIRMIC-ALARM (2002), risk management actually defines every organisational strategic management; it comprises the process which identifies and treats the internal and external risks and adds sustainable value to the organisation and its stakeholders by decreasing the probability of not achieving the organisation’s overall objectives. The specific institutes suggest that risk management lies in the strategic, tactical and operational levels, and its embodimentRead MoreRisk and Quality Management1593 Words   |  7 PagesRisk and Quality Management Assessment Summary Angelina L. Crudo HCS/451 University of Phoenix Lisa Kehlenbrink July 8, 2013 Risk and Quality Management Assessment Summary Risk management is about reducing the likelihood of errors with the aim of improving and monitoringRead MoreRisk Management Process Is Risk1436 Words   |  6 PagesRisk management is developed in order to reduce the likelihood of possible events that have negative effects for patients, staffs and the organization; to reduce the risk of death and injury or disease for patients, staffs, and others as result of services provided; to improve patient outcomes; to manage resources effectively; and to support legislative compliance and to ensure organizational viability and development. In order to achieve these goals, risk management teams should follow the fourRead MoreAn Organizational Structure Based on Risk and Quality Fundamentals1038 Words   |  5 Pages1. INTRODUCTION As organizations strive to maintain economic viability in a constantly changing global environment, they must continually modify their business processes and even their workforce to provide on-time quality services, despite often diminishing resources. The organizational effectiveness according to ILM (2003c) is affected by a variety of factors: political factors since governments set the law and the regulations under which businesses operate; economic factors that include operationalRead MoreHardware and Project Considerations When Implementing a New CRM System1638 Words   |  7 PagesConsiderations When Implementing A New CRM System The most effective Customer Relationship Management (CRM) systems are deliberately designed to align and enhance the strategic initiatives and programs of a given business or enterprise. They must take into account customer preferences, needs and wants as well, and strive to create a foundation of shared information and insight over time There are a myriad of studies that show how effective CRM systems are in transforming businesses and making themRead MoreEvaluation Of Beaumont Hospital s Risk Management1106 Words   |  5 PagesThe main objective of Beaumont Hospital is to provide high quality, efficient, accessible services, in a caring environment for Southeastern Michigan residents. Beaumont Hospital believes that patient safety is just as important as medical progression. Therefore, Beaumont Hospital’s risk management program consists of identifying hazard associated risks, controlling risks, and monitoring the effectiveness of procedures/practices. Risk is a part of patient care and services because everything doesn’tRead MoreAn Organizational Structure Based on Risk and Quality Fundamentals641 Words   |  3 PagesFollowing the review cited above, it is apparent that risk management cycle (hazard identification, risk assessment for prioritizing the need for response, decision for actions according to available resources, measures implementation, monitoring, feedback and identification of new hazards) dominates every business activity and consequently comprises the process that drives the organisational management and operations. From a wider viewpoint, Risk Management comprises the inevitable and inextricable process

Tuesday, May 5, 2020

Tanks The Evolution Of Tank Technology Essay free essay sample

Tanks, The Evolution Of Tank Technology Essay, Research Paper Ever since the debut of the armored combat vehicle into modern land combat, it has been a bold symbol of ground forcess of all states. Its beginnings based on that of a farm tractor, the armored combat vehicle now looms big over battlegrounds as a worthy enemy, and is in many instances the anchor of most modern twenty-four hours land manoeuvres. The armored combat vehicle was foremost developed by the British and the Gallic during World War I. These armored combat vehicles were really slow ( route velocity was about 5 miles per hour ) and were used merely for foot protection. Although they had some success in the battleground, they failed to perforate German lines. After World War I the Germans used the inter-war period to develop armored combat vehicle engineering and tactics. The consequences of their attempts showed in the Blitzkriegs of 1939 in Poland and of 1940 in France. The tactics involved utilizing newer, faster theoretical accounts of armored combat vehicles that operated as a individual unit, alternatively of merely as a shield for foot. In 1943 the Russians turned the tabular arraies at the Battle of Kursk, at the clip the largest armored combat vehicle conflict in history where about 4,000 Russian armored combat vehicles stopped a German offense of more than 2,000 armored combat vehicles. This conflict was a turning point in the war as it ended the German violative capableness in the East. Its position as the largest armored combat vehicle conflict in history lasted until 1973, when the Israeli ground forces counterattacked against the Egyptian offense in the Sinai during the Yom Kippur War. Interesting about this conflict was the fact that the Egyptians used Russian armored combat vehicle tactics affecting massed manoeuvre, while the Israelis used basically the German blitzkrieg technique, which emphasized single-unit manoeuvre. The Israelis won this conflict. Most late the armored combat vehicle dominated in Desert Storm where United States armored combat vehicles one time once more proved that manoeuvrability is more utile than massing, and the Western armored combat vehicles proved dominate over the Russian. The armored combat vehicle has developed in many different countries since its debut during World War I. The velocity, scope, deadliness, survivability, and the ability to pass on with or command a armored combat vehicle on the battleground have all improved greatly, but at that place haven? T merely been promotions in existent armored combat vehicles when it comes to this sort of warfare. Anti-tank warfare has besides seen great betterments in many of the same countries like arm scope and deadliness. One of the most singular countries of betterments has been that of velocity. During World War I where armored combat vehicles foremost saw conflict, the maximal velocity of a armored combat vehicle was around 5 kilometers per hour, and that is purely route velocity. In the state, the top velocity it could trust to achieve would be approximately half of that. Nowadays the German armored combat vehicle known as the Leopard 2 which is in service with many ground forcess, can achieve a maximal route velocity of around 72 kilometers per hour, and a cross-country velocity of 35 kilometers per hour. This is similar to the velocity of the Gallic Leclerc except in the maximal cross-country velocity it can accomplish. Like the Leopard, the Leclerc can achieve a maximal route velocity of 72 stat mis per hr, but because the Leclerc weighs 3200 Kg less than the Leopard, it can achieve a maximal cross- state velocity of merely 55 kilometers per hour. The chief difference between the two prevaricat ions in the fact that the Leclerc houses a crew of three soldiers, while the Leopard can transport and keep up to fourteen. A 3rd armored combat vehicle, the Israeli Merkava has a route and cross-country velocity which is approximately the same, with a upper limit of 65 kilometers per hours on the route, and 60 kilometers per hour in the state. Another factor that determines the velocity of a armored combat vehicle is what and where it is to be used. The Merkava is an Israeli armored combat vehicle so most of the combat to be had is in the desert, so it isn? t specifically tailored to the route. These velocities are a huge addition over the earlier theoretical accounts of armored combat vehicles ; they non merely travel up to about 20 times faster than the first armored combat vehicle, but they can besides cover a broad country as a consequence. The operating scope of armored combat vehicles has besides increased markedly. World War I armored combat vehicles had a scope of possibly 50 stat mis. The German Wehrmacht? s Prime Minister armored combat vehicle at the beginning of World War II, the Panzer IV, had a cross-country scope of 80 stat mis. The armored combat vehicle of today? s German Army, the Leopard II, one of the best armored combat vehicles in the universe, has a scope of 310 stat mis. Such scope means that armored combat vehicle units are less restricted in their operating radius and less tied down to repair fueling bases. Progresss in communicating have besides allowed for a much larger scope. Lethality, the ability to? kill? or disable other armored combat vehicles, has besides improved by orders of magnitude. Tank cannon have increased in quality and throw weight from 75mm cannon in the Panzer IV of WWII to 120MM in the Leopard II, U.S. M1A2, and other front line armored combat vehicles of today. Effective scope is further increased with the coming of new optical systems. They can observe enemies every bit good as Alliess at greater scope, enabling better aiming. Infrared systems enable the sensing of heat signatures, and laser aiming gives soldiers the ability to self-aim and let go of laser-guided explosives and weaponries. The optical maser is aligned with the fire-control computing machine, so the soldier uses his internal targeting system to take at marks. After the mark is illuminated with the optical maser, its guided weaponries are released and follow the optical maser beam right to the mark. This engineering allows for highly accurate targeting at longer scopes. Survivability is another country in which immense springs have been made. Armor became increasingly heavier and more sophisticated over the old ages. Today, most modern armored combat vehicles use low U, an highly heavy metal, as primary armour. It is about imperviable to all but the heaviest standard shells. Additionally, Explosive Reactive Armor ( ERA ) is used as an add-on to the primary armour. The armored combat vehicle? s primary armour is covered with an extra bed of tiles of ERA, which is an explosive sandwiched between steel home bases. The explosive in the armour is initiated due to the impact of a warhead upon it, doing it to detonate outward, opposing the payload that has merely hit it ; the consequence is minimum harm to the armored combat vehicle. ERA is a really recent development that saw its first important usage during Operation Desert Storm. Era is being used on an ever-increasing graduated table since so to supply protection against both kinetic and chemical warhe ads.. Since ERA is tiled on to the ( by and large ) level surfaces of a armored combat vehicle it does non supply optimum protection. There are countries of the armored combat vehicle the ERA does non cover ; many times these countries include the hull sides and rise up, every bit good as the rear of the turret. These infinites are now the armored combat vehicle? s Achilles Heel ; the enemy can disenable a armored combat vehicle with a hit in these countries. ? During the first month of the Chechnya battle in December 1994, 62 Russian armored combat vehicles were destroyed, all but one of them by hits in countries non protected by reactive armor. ? ( Biass, 56 ) As proved in that case, it is difficult, but non impossible to acquire around ERA. Another innovation that deploys facets of the ERA engineering is that of the Russian radio detection and ranging systems? Drozd? and? Arena? which use radio detection and ranging detectors to observe incoming missiles, and direct out grenades to prosecute such menaces. Such devices are really expensive and non easy to come by, but shortly these devices will go the norm, and defence engineering will develop even more. Presently, the US is researching the development of? blending detectors? which will be able to supply a stand-off capableness for missiles and missiles leting these to assail marks protected by ERA or other protection systems. All modern twenty-four hours armored combat vehicles are besides equipped with laser-warning receiving systems ( LWR ) , supplying an extra grade of survivability. These give visual or acoustic warnings that incoming optical maser energy has been detected, fundamentally stating the armored combat vehicle that they have been targeted. More sophisticated LWRs can give an indicant of the nature of the menace, and can besides originate fume grenades. Operating scope is besides affected by the ability to pass on. Communication with air support and other armored combat vehicles through the usage of orbiters and other new communications devices, is now much more dependable than it was even a decennary ago. This enhanced communicating allows for individual armored combat vehicles to happen out where they are, where the other armored combat vehicles in their unit are, and where the enemy is, every bit good as the construction of the land. This, in bend, enables them to steer with assurance over a greater scope. At the same clip, brigade, group and corps commanding officers can utilize enhanced communications engineering, including both cellular and satellite engineering, to hold a better image of the battleground and thereby be better positioned for tactical and strategic decision-making affecting armored combat vehicle companies and battalions. Tanks have evolved in legion ways since their debut during World War I, and will go on to germinate until they are no longer needed for land warfare, every bit long as the engineering involved continues to germinate. The blitzkriegs of World War II and the Yom Kippur war both demonstrated that armored combat vehicle manoeuvrability was the cardinal to land warfare success, so many engineerings have developed to increase the manoeuvrability of the armored combat vehicle. The velocity of a modern armored combat vehicle as compared to the earliest theoretical accounts has increased 15 crease on both route and cross-country surfaces. The scope of armored combat vehicles has besides increased over the past century. Tanks can now travel up to around five times farther than they could on the same armored combat vehicle of gas, which has allowed for an increased operation radius, which is widened even more by the execution of new communications systems. The deadliness coupled with the surviv ability of armored combat vehicles has allowed for a better battleground record and the ability to easy upgrade most armored combat vehicles ( e.g. the panels of ERA that can be placed on different subdivisions of a armored combat vehicle ) has allowed for a longer life. Tanks are on the taking border of engineering and are an indispensable portion of today? s ground forcess.