Healthcare for Proceedings of Singapore Healthcare-myassignmenthelp

Question: Discuss about theHealthcare for Proceedings of Singapore Healthcare. Answer: Context The article by Jones et al., (2011) has selected a significant research topic of nurse prescribing roles in the acute role. The role of nurses in acute care settings has evolved through the years to meet the increasing demand for health care services. According to Haririan (2016) prescribing by nurses is a key approach that aims to optimise the ability of nurses to bring improvement in the speed of access to high quality care. Non medical prescribing has bene indicated to bring improvements in clinical decision making across teams. A number of countries have implemented this novice role including Singapore where the practice is in the limelight. On an international basis, prescription rights for Nurse Practitioners varied significantly from limited formulary to full prescriptive authority. In 2014, National Nursing Taskforce (MOH) in Singapore recommended for the hospitals to initiate a prescription framework for nurses to prescribe medicines on the basis of drug formulary (Ayre Bee , 2014). As suggested by Jones et al., (2011) not much information is available regarding the implementation of this role into practice. At the time when the study by Jones et al., (2011) was conducted, there was a lack of suitable studies that evaluated nurse prescription in acute care settings. The majority of the studies was only responsible for reporting nurse prescribers view of the prescribing roles they had. In this regard, the perceptions of other stakeholders were not taken into consideration, which forms an integral element for understanding the suitability of this new emerging role. Further studies were needed that highlight the views of healthcare peers across different settings in relation to nurse prescribing roles as well as the dissimilarities in roles of nurse and medical prescribers. Key Aims The main aim of the study conducted by Jones et al., (2011) was to carry out an assessment of the functioning of nurse prescribing in an acute care hospital setting in the city of England, UK. The purpose of this study was to bridge the gap in existing literature regarding the ways in which nurse prescribers can work and lead to better patient outcomes and satisfaction levels. The author succeded in achieving their aims as the study was flourishing in addressing the research question. Methods The research was carried out following a mixed method single case study approach. The study was conducted in the year 2005-2006. An acute care hospital in England was the setting for the study that was located at a metropolitan borough of England that is densely populated and having it spopualtion from diverse ethnic backgrounds. The study had three clinical departments as units of analysis; namely the hypertension clinic, renal clinic and renal satellite unit. As the study method purposive sampling was done for recruiting the participants. A total number of 18 hospital staff were selected of which 3 were prescribers, seven were colleagues, and 8 were senior hospital staff. In addition, 2 nurses and 2 doctors took part in the study as non-participant observers. Semi-structured interviews was the tool for data collection with these participants. 52 patient-prescriber consultations were done with 47 patients. 122 patients were considered for a questionnaire survey was done with. Qualit ative data analysis was done with the help of data analysis framework porposed by Ritchie and Spencer. This was a deductive approach enabling an accurate sifting, charting and organisation of data depending on themes and key issues. SPSS software was used for quantitative data analysis. Descriptive statistics helped in summarising numerical data (Jones et al., 2011). A mixed method was suitable for the study as it was aligned with the research aim. Since the study wanted to highlight the overall experience of practitioners and stakeholders in relation to nurse prescribing, a mixed method enabled qualitative as well as quantitative approach. Such a method enures deeper, broader and more significant information. Rich datasets can be attained by this method (Nieswiadomy Bailey, 2017). As opined by Parahoo (2014) mixed methods augment the credibility and reliability of all studies with the help of the triangulation of the different evidences. A better understanding of the study problems is achieved through this method. However, it is to be noted that it was inappropriate to conduct the study in one single setting and with only three clinical departments. Due to such an approach, it can be stated that the study results were not generalised as the sample population was not a true representation of the general population. Purposive sampling has certain disadvantages, including researcher bias (LoBiondo-Wood et al., 2014). Findings The staffs taking part in the study pointed out that the main aim of nurse prescribing was directed towards patient benefits and enhanced team working. Further, nurse prescribing holds the potential for ensuring working advancements and legitimisation of practice. Staff satisfaction and increased patient satisfaction could also be achieved through nurse prescribing, as reported by the staff. The nurse practitioners reported that prescribing practice was a key approach for guiding better team work and patient care delivery. Nurses could also use their nursing skills in a better manner. The central themes emerging from the data set were increased confidence to prescribe, improved patient care, increased role fulfilment and successful implementation of nurse prescribing. The data did not point out any statistically significant differences between the manner in which doctors and nurses performed the prescribing roles. Nevertheless, it is to be highlighted that a statistically significant difference existed between the medication-related information satisfaction ratings of patients witnessing a nurse prescriber, compared to those witnessing prescription by a doctor. The findings of the study were easy to follow the flow of information were aligned with the research questions. The findings were also believable to the extent that nurses have come a long way in taking up different roles and additional responsibilities in acute care settings. Agreeing to the authors conclusion that the benefits of nurse prescribing roles can be better assessed with the help of performance indicators having clarity, it is to be stated that multidimensional approaches are required in future for studying such performance indicators based on evidence (Smith et al., 2014). Importance of findings The study findings added to the increasing body of research on the domain of nurse prescribing. It is to be mentioned that the findings were different from the existing literature since in the present case the researchers undertook an exploration of nurse prescribing from the organizational perspective. This was done by using data from different levels; patients from different ethnic groups and senior managers. There were certain aspects known about the research topic prioir to the present research. These were in relation to nurse prescribing works in certain primary care settings. Moreover, it was also known that nurse prescribing allowed physician-nurse substitution in acute care. There was also a pool of evidence indicating the presence of concerns in relation to patient safety. The present paper provided additional information that physicians and nurses provide equivalent care. However, patients report higher satisfaction rate when nurses provided medicine related education. More over, the study was a benchmark to highlight that patients across different ethnic groups can uphold similar viewpoints in this context. Based on the findings of the research healthcare settings can consider increasing the operational and supportive infrastructures for supporting nurse prescribing practices. The variables that are to be considered in this regard are shared vision, action learning, local championship, and peer support. Any restraining forces that hamper the implementation of the change are to be eliminated after analysing the importance of the same. The findings of the study also have implications for policy reforms. Policy makers are to consider setting up policies that guide nurse prescribing roles in varied settings. Changes are also to be sustained in the long run for ensuring best outcomes of the process (Gielen et al., 2014). Ethics There were come ethical issues pertaining to the design of the study. The first cocnenr was the relationship between the researcher and the prescribers. Secondly, there was a risk related to the fact that the study findings could have demotivated the nurses. Thirdly, there was a risk related to the fact that patient respondents might be not maximal in the presence of the researchers. Lastly, there was a risk that patients would indicate dissatisfaction with the service provided. Further research Against the backdrop of a growing evidence supporting nurse prescribing role, there is a requirement to put focus on further research in this direction. Researchers must shift the focus from prescribing performances suitable measures towards the influence of the role in bringing about advancement in care delivery. Future research needs to be carried out for identifying the process by which patient care quality can be enhanced in Singapore settings, and determining the interventions accordingly that suit patient population in Singapore (Hardey Mulhall, 2013). References Ayre, T. C., Bee, T. S. (2014). Advanced practice nursing in Singapore. Proceedings of Singapore Healthcare, 23(4), 269-270. Link : https://journals.sagepub.com/doi/pdf/10.1177/201010581402300401 Gielen, S. C., Dekker, J., Francke, A. L., Mistiaen, P., Kroezen, M. (2014). The effects of nurse prescribing: a systematic review.International Journal of Nursing Studies,51(7), 1048-1061. DOI: https://doi.org/10.1016/j.ijnurstu.2013.12.003 Hardey, M., Mulhall, A. (2013).Nursing research: Theory and practice. Springer. Haririan, H. (2016). Prescribing: A Crucial Factor in the Professionalization of Nursing in Iran.Evidence Based Care,5(4), 65-66. DOI:10.22038/EBCJ.2016.6160 Jones K., Edwards M. While A. (2011) Nurse prescribing roles in acute care: an evaluative case study. Journal of Advanced Nursing 67(1), 117126. doi: 10.1111/j.1365-2648.2010.05490.x LoBiondo-Wood, G., Haber, J., Cameron, C., Singh, M. (2014).Nursing Research in Canada-E-Book: Methods, Critical Appraisal, and Utilization. Elsevier Health Sciences. Nieswiadomy, R. M., Bailey, C. (2017).Foundations of nursing research. Pearson. Parahoo, K. (2014).Nursing research: principles, process and issues. Palgrave Macmillan. Smith, A., Latter, S., Blenkinsopp, A. (2014). Safety and quality of nurse independent prescribing: a national study of experiences of education, continuing professional development clinical governance.Journal of advanced nursing,70(11), 2506-2517. DOI: 10.1111/jan.12392

Descriptive Statistic Paper Essay Example

Descriptive Statistic Paper Essay In this paper Team B will examine the data that we have collected and we will draw a conclusion based on your findings, to get to the conclusion we will analyze the data using descriptive statistics, we will calculate the measures of central tendency, and dispersion, we will also show all the information with graphics and tables for a better understanding of the date, after all these steps are executed we will draw our conclusion. Data Analysis Using Descriptive Statistics Through this paper, Team B will use the philosophy of descriptive statistics to describe the main feature of the collection of data quantitatively (Main PS 1995). Descriptive statistics will provide simple summaries about the samples and the measures. In essence, we will show a summary of the data that the team has collected. Some of the ways that we will show the data collected will be in the form of first central tendency which is the distribution locates the center of a distribution of values. The three types of the central tendency are the mean, the median and the mode. Secondly, we will look at the dispersion which is the spread of values around the central tendency (Dodge 2003). The standard deviation is a more accurate way of measuring the dispersion. Thirdly, the use of graphics and tables to illustrate the data collected in a visual background. Fourthly there is the frequency distribution. In the frequency distribution is a summary of the ranges of values. We will write a custom essay sample on Descriptive Statistic Paper specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Descriptive Statistic Paper specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Descriptive Statistic Paper specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Frequency distribution can be shown by the team in graphic or tables that will be presented. Finally the use of the histogram will be depicted in the team analysis of the data that was collected. |Descriptive statistics | | | | | |Â   |# 1 | |count |11 | |Central Tendency |1,918,494. 273 | |sample variance |340,018,702,631. 6180 | |sample standard deviation |583,111. 2266 | | | | |skewness |-0. 2082 | | | | | | | | | |1989 |512,930 | | | | |1990 |578,930 | | | | |1991 |891,188 | | | | |1992 |1,084,408 | | | | |1993 |1,120,254 | | | | |1994 |1,188,679 | | | | |1995 |1,071,029 | | | |1996 |1,176,967 | | | | |1997 |1,383,578 | | | | |1998 |1,441,406 | | | | |1999 |1,720,050 | | | | |2000 |1,988,034 | | | | |2001 |2,264,403 | | | | |2002 |2,383,235 | | | | |2003 |2,555,476 | | | | |2004 |2,486,609 | | | | |2005 |2,632,655 | Central Tendency and Dispersion The best measures of central tendency and dispersion based on the skew value and histogram are the mean, median, range, sample variance, and the sample standard deviation. By looking at the histogram, the median exceeds the mean that shows the data as negatively skewed. The mean is one of the best measures of central tendency because it is the most familiar and uses all the sample information. The median is a good measure of central tendency when extreme data values exist. The range is one of the best measures of dispersion because it is the difference between the largest and the smallest observation. The sample variance and the sample standard deviation are both a good measure of dispersion because they help to show how individual values in a data set vary from the mean. The data collected by Team B and the sample size chosen does not seem to give a reasonable depiction of the skew for the histogram and distribution graph. Therefore, Team B can conclude that the information contained is biased and does not provide a proper skew coefficient and the information can be deduced as being biased. Team B included only two data points salary and winning teams. If Team B can increase the data samples then perhaps the frequency levels will conclude a proper outcome. Therefore, the results were uncertain for the data set shown and the hypothesis is uncertain. Reference: Mann PS (1995), Introductory Statistics, 2nd Edition, Wiley. Dodge, Y (2003), The Oxford Dictionary of Statistics Terms, OUP

Dare to Be Bold

Dare to Be Bold For the last couple of months, Ive been very bold. I finally managed to shut down the part of my brain that says, Who do you think you are? and allowed myself to ask for the work I wanted and the money I deserved. Heres what I did: First, I changed the way I communicate with magazine and book editors. Up to now, I had dealt with silence from my pitches I also sent out 20 letters of introductions to various toy companies in the US and Canada to offer them content writing and translating. I underlined my expertise and strengths then tweaked my letter to match each companys style. After receiving several enthusiastic well-keep-your-name-on-file, I finally found a taker. The one major difference between the taker and the maybes? I pinpointed exactly how I could help them. Looking over their website, I noticed flaws in the content and brought it to their attention. Voil- instant interest! When asked for my rates, all of my self-doubts resurfaced, cautioning me to ask for less. I knew from past experience that if I asked for my regular rate, I risked being turned down. Then again, did I really want to cheapen myself and my work? I finally chose to keep my regular rate and replied with For this type of work, Im usually paid $X. which I felt opened the door for negotiation. It worked so well that they accepted my price. While I was busy churning out LOIs and sending out pitches and follow-ups, I unexpectedly received an offer through a former colleague to do content revision and translation for a childrens book publisher in France. This time I was offered a flat fee. Although I was extremely flattered and the project really appealed to me, the fee was quite low. After mulling it over, I took my courage in both hands and sent back a message saying that Id love to work on the project but the fee seemed a bit on the low side. Would they consider raising it? And they did! All of this might not have been possible had I not believed deep down that I possessed the qualifications and ability to do the work. In her book, Making a Living Without a Job: Winning Ways for Creating Work That You Love, Barbara J. Winter stresses the importance of working on raising our self-esteem. As she says, The link between self-esteem and successful self-bossing is so strong that it deserves to be a top priority for anyone who aspires to be joyfully jobless. Low self-esteem can affect anyone, but perhaps part-time writers even more so, especially if you introduce what you do So be bold. Go after the writing you want, keep yourself at the forefront of editors minds, ask for fair compensation, and see what happens!

How the Mongols Took Over Baghdad in 1258

How the Mongols Took Over Baghdad in 1258 It took just thirteen days for the Ilkhanate Mongols and their allies to bring the Golden Age of Islam crashing down.  Eye-witnesses reported that the mighty Tigris River ran black with ink from the precious books and documents destroyed along with the Grand Library of Baghdad, or Bayt al-Hikmah.  Nobody knows for sure how many citizens of the Abbasid Empire died; estimates range from 90,000 to 200,000 up to 1,000,000.  In two short weeks, the seat of learning and culture for the entire Muslim world was conquered and ruined. Baghdad had been a sleepy fishing village on the Tigris before it was promoted to the status of the capital city by the great Abbasid caliph al-Mansur in 762.  His grandson, Harun al-Rashid, subsidized scientists, religious scholars, poets, and artists, who flocked to the city and made it an academic jewel of the medieval world.  The scholars and writers produced countless manuscripts and books between the late 8th century and 1258.  These books were written on a new technology imported from China after the Battle of Talas River, a technology called paper.  Soon, most of the people of Baghdad were literate and well-read. Mongols Unite Far to the east of Baghdad, meanwhile, a young warrior called Temujin managed to unite the Mongols and took the title Genghis Khan.  It would be his grandson, Hulagu, who would push the boundaries of the Mongol Empire into what is now Iraq and Syria.  Hulagus primary purpose was to solidify his grip on the heartland of the Ilkhanate in Persia.  He first completely annihilated the fanatical Shiite group known as the Assassins, destroying their mountain-top stronghold in Persia, and then marched south to demand that the Abbasids capitulate. The Caliph Mustasim heard rumors of the Mongols advance but was confident that the entire Muslim world would rise up to defend its ruler if need be.  However, the Sunni caliph had recently insulted his Shiite subjects, and his own Shiite grand vizier, al-Alkamzi, may have even invited the Mongols to attack the poorly-led caliphate. Late in 1257, Hulagu sent a message to Mustasim demanding that he open the gates of Baghdad to the Mongols and their Christian allies from Georgia.  Mustasim replied that the Mongol leader should return to where he came from.  Hulagus mighty army marched on, surrounding the Abbasid capital, and slaughtering the caliphs army that sallied out to meet them.   The Mongols Attack Baghdad held out for twelve more days, but it could not withstand the Mongols.  Once the citys walls fell, the hordes rushed in and collected mountains of silver, gold, and jewels.  Hundreds of thousands of Baghdadis died, slaughtered by Hulagus troops or their Georgian allies.  Books from the Bayt al-Hikmah, or House of Wisdom, were thrown into the Tigris, supposedly, so many that a horse could have walked across the river on them. The caliphs beautiful palace of exotic woods was burned to the ground, and the caliph himself was executed.  The Mongols believed that spilling royal blood could cause natural disasters like earthquakes.  Just to be safe, they wrapped Mustasim in a carpet and rode their horses over him, trampling him to death. The fall of Baghdad signaled the end of the Abbasid Caliphate.  It was also the high point of Mongol conquest in the Middle East.  Distracted by their own dynastic politics, the Mongols made a half-hearted attempt to conquer Egypt but were defeated at the Battle of Ayn Jalut in 1280.  The Mongol Empire would grow no further in the Middle East.

Poetry Essay Example | Topics and Well Written Essays - 1000 words - 1

Poetry - Essay Example This includes the season which is just as night starts in autumn, which is when the season of death, winter, starts. The short lines also make it seem as if there is not much left to waiting. The longest line is the first one, but its broken by the hard ‘b’ sounds. The other lines are very short, only three syllables each, and the last line is only two words. This makes it look like it’s coming to an end. 3(a) I think the meaning of the poem is that death waits for us all. A bird that usually symbolizes death is seen on a bare branch at the end of the living seasons and at the end of the day. I think this is how most people would interpret the poem. 3(b) The meaning of this poem is brought out through the poet’s use of literary devices such as alliteration, imagery and meter. Alliteration conveys the idea that something is about to stop and something else is about to happen. In the first line, the alliteration works on the repeated sound of the letter ‘b’ as in â€Å"bare branch.† This sound makes us come to a hard stop at the beginning of each word and makes us think of endings. This is reinforced by the imagery of the bare branch itself, which indicates life has stopped because all the leaves are gone. It is also reinforced by the meter of the poem because the line is so short. Alliteration is used in the second line to indicate that motion is about to start again with its rolling ‘r’ sounds as in â€Å"rook roosts.† Although the imagery includes a small bird finding a place to rest for the night, it also introduces a living animal into the scene which introduces motion, even if it is just the motion of breathing. This works with the meter to suggest the type of motion to be expected. The line is a full word and a syllable shorter than the first line, suggesting things slowing down. The bird roosts, which is to say that he is doing something. The bird is beginning to

Critical evaluation of the business strategy adopted by Ryanair Essay

Critical evaluation of the business strategy adopted by Ryanair - Essay Example During the last few years the low cost airline industry has notices a variety of landmark deals including those high profile acquisitions and mergers. The Ryanair airline has increasingly been becoming disconcerted about the growing threat from number of low cost no-frills airlines including Easy Jet, BMIbaby, Aer Lingus, DFDS Seaways. Against this backdrop of ever increasing competition, it’s imperative for Ryanair to initiate some far reaching changes in its HRM sphere (Simon, 2002). Cutting into existing niche market segments in the European Union has become too fashionable today because many of those airlines that venture into new market segments do so without paying much attention to the consequences of the unfolding scenario of competition. While Ryanair is not alone in the budget airline market segment in Europe, there are formidable constraints faced by its rivals in the evolving strategic regulatory and competitive environments. For instance Ryanair’s own formidable marketing machine has not been able to overcome some of the very difficult issues such as the market/customer orientation strategy of rivals. Above all the competitor orientation strategy of rivals has forced Ryanair to bring down prices below a certain minimum. The current market-centric performance of the Ryanair is determined by their internal and external environments. Thus Ryanair being an Irish low cost airline just focused on serving a niche market segment in Europe could have done still better to manage its HR function in the light of its strategically advantageous position. HRM involves such tasks as recruitment, training & development (T&D) of skills, employee relations, retention and motivation strategies, workplace culture and delegation of power, authority and responsibility. Effective HRM practices must be aligned with organizational outcomes such as internal value chain

Cross Cultural Leadership Essay Example for Free

Cross Cultural Leadership Essay Leadership is the process of getting work done through others. A leader encourages and motivates others towards accomplishment of certain pre-defined organizational goals. The management maintains the status quo whereas the leadership is responsible for predicting fresh solutions and methodologies. The leadership is responsible for motivating people to bring out their best. The modern leader must be multicultural because corporate success, profit, and growth depend increasingly on the management of a diverse work force. Cross-cultural leadership is a term that identify the diversity of work culture, the fact that the leader (or leaders) may come from social, linguistic, ethnic, or cultural groups but work would be remain same for all. Working with people from different countries, conducting meeting, dealing with clients, entertaining, negotiating and corresponding with colleagues or clients can be a beneficial to the employee to understand the intercultural differences. Understanding intercultural difference ultimately breaks down the barrier and helps to build trust and increase good relationship which yields concrete results in terms of business success. Few key components of cross cultural leadership skill are: Attitudes towards time, Commitments, Success Status Authority Accountability Planning Negotiation Rewards Teamwork Personal boundaries and social interactions Effectively managing a multicultural business requires at least a basic knowledge of employee’s culture and traditions. Familiarity with both is essential because each has a bearing on an employees every day behavior. Whether we realize it or not, culture and tradition are powerful principles we always carry with us. Culture is always with people even though people are unaware of it.