Inadequate Staffing Ratios in Nursing Essay Example | Topics and Well Written Essays - 250 words - 2

Inadequate Staffing Ratios in Nursing - Essay Example There is a growing concern over this issue considering the fact that many solutions offered depict some weaknesses. Fist, the decision to increase nurse ratio has been linked to struggles between cost-benefit and cost-effectiveness. Studies conducted by Reiter et al (2012), to reveal the financial performance encompassing the direct cost of nursing leaves a lot to tell. According to his research, about 80% of this performance equaled the remunerations and benefits, 44% comprised inpatient care costs, and 30% reflected hospital expenditures. Given this data, one can easily deduce why the state government is struggling with insufficient budget to support adequate nurse to patient ratios. Â  Secondly, there an increased uncertainty on how new healthcare reform will affect ratios. Reiter, Harless, and Mark (2012) study on California’s assembly bill (AB394) showed an increase of 20% daily nursing hours and estimated its cost to be about $168,000 to $2.3 over the following five years. With such costs, the general public (the patients included) is expected to pay heavily if this ratio is to be met. Â  Finally, there is increased concern for the lower number of a graduate from the nursing program. Medical schools across the nation depicted low student registration, a factor that has been linked to the current problems facing the nursing field. This deficit is made even worse.

Tantalus Poem Essay Example for Free

Tantalus Poem Essay Favored by the gods of Olympus He partied dined and wined Cool to the mortals was Tantalus But he soon would pay the fine. He went behind the god’s backs From them Tantalus stole He committed other cruel acts Once a friend now a foe. If Tantalus was more of an honest man He wouldn’t take advantage of the god’s trust Accepting the lending hand Instead of turning it into dust. If Tantalus had another shot He would make a better soup Not boil his son hot But use a chicken from the coop. If Tantalus had another take He wouldn’t have hid the golden pet He was the source of Zeus’ heartbreak Got caught he should fret. If Tantalus had another chance He wouldn’t have been so famished He saw nectar and ambrosia in a glance They noticed and his penalties were lavished. Tantalus wasn’t the only one whose life was filled with demise His family wasn’t allowed good fate Only positive thing was his son’s rise This left his family filled with hate which wasn’t so great. Tantalus suffered in the afterlife Placed above him an apple tree Trying to take a bite was strife I bet he wished he could flee. Placed below him was water Never allowed a sip Tantalus shouldn’t even bother He wasn’t even allowed a drip. Tantalus learned from his mistakes Although it was too late He learned not to see objects and take Also not to use his son as bate.

The Imagery of Othello Essay -- Othello essays

The Imagery of Othello Talks  Ã‚        Ã‚  Ã‚   In the tragedy Othello the Bard of Avon uses imagery to talk between the lines, to set moods, to create a more dramatic impact on the mind of the audience, and for other reasons. Let’s consider imagery in this essay.    A surprising, zoo-like variety of animal injury occur throughout the play. Kenneth Muir, in the Introduction to William Shakespeare: Othello,   explains the conversion of Othello through his increased use of animal imagery:    Those who have written on the imagery of the play have shown how the hold Iago has over Othello is illustrated by the language Shakespeare puts into their mouths. Both characters use a great deal of animal imagery, and it is interesting to note its distribution. Iago’s occurs mostly in the first three Acts of the play: he mentions, for example, ass, daws, flies, ram, jennet, guinea-hen, baboon, wild-cat, snipe, goats, monkeys, monster and wolves. Othello, on the other hand, who makes no use of animal imagery in the first two Acts of the play, catches the trick from Iago in Acts III and IV. The fondness of both characters for mentioning repulsive animals and insects is one way by which Shakespeare shows the corruption of the Moor’s mind by his subordinate. (21-22)    Just how strong a force is the imagery in this drama? Is it more powerful than the chorus in ancient Greek tragedy? H. S. Wilson in his book of literary criticism, On the Design of Shakespearean Tragedy, discusses the influence of the imagery of the play:    It has indeed been suggested that the logic of events in the play and of Othello’s relation to them implies Othello’s damnation, and that the implication is pressed home with particular power in the imagery.... ...enhaven Press, 1996. Reprint from Shakespeare: The Pattern in His Carpet. N.p.: n.p., 1970.    Heilman, Robert B. â€Å"Wit and Witchcraft: an Approach to Othello.† Shakespeare: Modern Essays in Criticism. Ed. Leonard F. Dean. Rev. Ed. Rpt. from The Sewanee Review, LXIV, 1 (Winter 1956), 1-4, 8-10; and Arizona Quarterly (Spring 1956), pp.5-16.    Mack, Maynard. Everybody’s Shakespeare: Reflections Chiefly on the Tragedies. Lincoln, NB: University of Nebraska Press, 1993.    Muir, Kenneth. Introduction. William Shakespeare: Othello. New York: Penguin Books, 1968.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wilson, H. S. On the Design of Shakespearean Tragedy. Canada: University of Toronto Press, 1957.      

Reality TV VS Real Life TV Essay

Reality TV vs. Real Life TV One of the main sources of news and entertainment is television. Every household has a television set in their home which the family consumes hours watching. Many reality TV shows are based on shallow and vague values. The growing trend in television now for our culture is â€Å"REALITY TV† (real life on TV). Just like the appeal to junk food or the internet reality TV has a dominant effect on our children and us as adults. There is real life and there is TV-life under influence of which viewers fall. Under the name of â€Å"Reality TV† viewers expect something as â€Å"real life on TV†. But while reality TV may seem like a harmless form of entertainment, the damage (which is done so subtly) is very powerful and therefore it deserves a closer look. So the question is ‘Do we really need another reality TV show or perhaps it’s time for a reality check?’ â€Å"Reality television is a genre of television programming which generally is unscripted, documenting actual events over fiction and featuring ‘ordinary’ people over professional actors.† . Reality TV has appeared following the creation of television broadcasting in the 1940s. What we know of as reality TV now started with such shows as â€Å"Candid Camera† (1948). Reality TV programs are rapidly developing and gaining more and more popularity changing contents of the programs according to time changes: participants become more opened to the viewers—which attracts constant interest to reality shows. The most popular reality TV shows today are: â€Å"The Bachelor†, â€Å"Who Wants to Marry a Millionaire†, â€Å"Survivor†. All over the world, on multiple TV-channels, millions of people are watching the products of reality TV. Reality shows are covering most valuable aspects of life: family relationships, love, and money. The main purposes of those shows are either fun, or competition amusement. So here is the true reality behind reality TV. Reality TV, which is in the business of making us feel good rather than be good, actually contributes to the growing problems in our society by celebrating human weakness rather than hum an excellence. Reality TV doesn’t empower us, but rather overpowers us by taking our innate power and inner knowing and spirituality away from us, leaving us feeling insecure, inadequate, less fulfilled, isolated and confused by virtue of the promotion of anti-social behavior, excessive self-indulgence, self-entitlement, greed, compromised integrity, obsession with winning at  all costs, and erosion in morality. All reality shows have their own level of gossip, some more than others. The Housewives series are known for carrying with them a swirl of scandal ranging from cheating husbands, missing child support and even suicides. Courtroom shows like â€Å"People’s Court† and â€Å"Divorce Court† also brings drama to viewers as cases of divorce, property damage and landlord negligence lead to explosive episodes of screaming matches and much mallet smashing. Although none of us wish to be tied up in such hairy messes and sticky situations, it is amusing to watch others ba ttle it out in what can be considered no less than a complete display of trashy behavior. We like to know what is going on behind closed doors and if it involves some type of controversy, that just makes it all the more intriguing. The Real World is often created with being the first reality tv show, but you can go back even further to the Fifties when Candid Camera first aired. It was a show of regular people put in adverse, funny situations and we got to see how they reacted first hand. We love Candid Camera. It ran in some form for fifteen seasons, spawned countless other shows (America’s Funniest Home Videos, Kids Say the Darndest Things and the latest, Punk’d) and will probably come back in some form in the future. Americans also love game shows, which can be compared to reality TV shows. We love to watch people win or lose fortunes within thirty minutes and see how they react to that and each other. Perhaps Dr. Annette Hill, a researcher at the University of Westminster put it best when asked by BBC News why reality TV shows were so popular – â €Å"†We found that, in general, people like to see what happens behind the scenes.† Some shows, such as Deadliest Catch, give us a glimpse into something we might never know about such as the dangerous lives of crab fisherman. Reality TV is at times so utterly fabricated that viewers can’t help but enjoy a different â€Å"reality† from their own. Whether you favor watching reality shows of the rich and famous, the survivors, or the love birds, all anyone wants is an escape from what becomes a monotonous routine. If from such outright mind-numbing shows we can gain either steadfast motivation to become wealthy ourselves or simply affirmation that we are not as screwed up as we think (compared to the nut-jobs on the screen), then I think the hour of reality TV is well spent. Of course, everything looks better through a clear window. So, if you have to watch reality TV smut, at least watch it on any HD service really. You can see all of their REAL wrinkles and cellulite! So what does this actually say about our American culture? Some may believe that our culture can be naà ¯ve and nosey. We enjoy looking into others lives and personal business as and use to their real life dilemmas as entertainment. It’s also fair to say that we are a culture that enjoys other people’s drama. The more fighting and arguing the show has the more we want to watch it. There are critics who judge reality TV and their arguments are worth of attention. Contemporary reality shows are harmful for what they teach the audience. There is an emotional abuse when certain participants fail to win, there is a psychological trauma on the side of viewers when something happens not as they have expected. Physical beauty is presented to be more important than cleverness and intelligence, feelings and emotions are common. If reality TV is so popular, why does most critical commentary regard in a negative light? Traditionally, documentary is considered a â€Å"sober† genre with a strong tradition of social commentary, while reality TV is seems as a trivial one. However, the increase of new hybrids formats blurs this idea finding documentaries based on entertainment and reality shows based on social issues. â€Å"New hybrid versions of documentary and reality television produce a new kind of public sphere in which shared knowledge and the experience of the everyday take centre stage†, Reality TV has broken the boundary between private and public. Audience wants to feel the guilty pleasure, a voyeuristic experience, of feeling part of ordinary people’s lives and them demands to watch it on television. According to Baudrillard, this idea is based on â€Å"a kind of primal pleasure, of anthropological joy in images, a kind of brute fascination unencumbered by aesthetic, moral, social or political judgments† . We have always been interested in other people’s liv es because they are a reflection of our own lives, our own ordinariness. Baudrillard suggests that images â€Å"are immoral, and that their fundamental power lies in this immorality. When you consider the magnitude of the challenges that are facing America today, it becomes obvious that what we need is certainly not another mind-numbing reality TV show, but rather a good reality check. Whether we recognize it or not, America is in desperate need of healing and true revival. It needs a jump-start, not only in the economy, but most importantly a jump-start in the spirit. After all, we are only as strong as our spirit, because when the spirit is weak it’s easier to  become overwhelmed by what life throws our way. But when the spirit is strong, no turbulences can affect us, much like a ship in the vast ocean that can sail smoothly as long as there are no holes in it to make it sink. America could use a reality check if only to reexamine our value system, which is out of balance and has led to social ills and failing systems and institutions. In a conflicted state of uncertainty, doubt and fear, it’s only natural for people to feel overwhelmed, wishing to escape from reality. However, reality TV proves only an artificial relief. It’s obvious that we are looking for love (real joy, fulfillment, meaning and purpose) in all the wrong places. In a culture that demands instant gratification, and relief from everyday anxieties, a quick fix (for coping), seems to be the chosen drug of choice. So now for that reality check; the reality is that the prevailing mentality in American society today is ‘more is better,’ acquiring external riches as opposed to internal riches and that you can get something for nothing. There is a sense of entitlement and an expectation of wanting the good life without having to work hard for it. This is reinforced, glorified and perpetuated by the media with shows like ‘The Lifestyle of The Rich and Famous.’ When all you see is glamour, but not the hard work and sacrifice that goes into achieving success, it only inspires more envy and the desire for a ‘get rich quick’ scheme leading to the erosion of morality and integrity. Works Cited Baudrillard. Represetning Reality. 1991. Bignell, J. Reality TV in the Twenty first Century. New York: Plagrave MacMillan, 2005. en.wikipedia.org. N0vember 2012. Nichols, B. Representing Reality Issues and Concepts in Documentary. 1991.

Evaluating Communication Strategies Essay

You are working as a human service worker at a local United Way agency that serves several multicultural clients. In addition to the multicultural aspect, the agency also serves children, women, the elderly, and the homeless. Your manager has asked you to decide the best communication approach for each of these clients. About the Clients In the human services profession it is becoming increasingly more important to know and understand the different cultures and their beliefs. When it comes to communicating effectively with people from different cultures, it can be of great help if you first understand the social and psychological forces that drive their verbal and non-verbal behavior. It is important to encompass skills like warmth, authenticity, empathy, permissiveness, and acceptance. Effective Strategies and Techniques Empathy refers to the ability to understand someone else’s point of view and ideas. When a client feels understood, and they think you are more understanding to their point of view, they are more likely to accept and listen to new ideas. Being genuine is the expression of true feelings. Being genuine can be of big usefulness to people in the human services industry. It is important to also be objective. Seeing things from an outside point of view can help the human services worker to be subjective. Self-awareness is the quality of knowing oneself. This can help to convey one’s values, feeling’s, attitudes, and beliefs. Acceptance is an important tool because it shows the clients you believe their beliefs are worthy of consideration. Multi-Cultural Awareness When working in the human services industry it is important to have  awareness of other cultures and their practices. Clients will be more accepting of good or bad news if they feel like they are at least being understood, and being treated fairly. Culture shapes a person’s life from their beliefs and values, to their preferences and attitudes. Understanding a person’s cultural background and beliefs can help you to more effectively communicate the what, why’s, and how’s of thing’s work. It can help you to better communicate what can and cannot be done to help them in their given circumstances.

pattern of organization Essays

pattern of organization Essays pattern of organization Essay pattern of organization Essay Patterns of Organization Separating supporting points from main ideas is an important reading skill. The organization of the supporting details will help you understand how an author thinks. Detecting the patterns of organization of the major and minor details can help with comprehension and retention. The main idea The thesis or main idea is usually a good predictor of the organization of an essay or paragraph. Main Idea Text Topic sentence Paragraph Thesis Essay Theme Story or Novel Patterns of organization Time Order List of Items Comparison and/or Contrast Cause and Effect Definition and Example Classification Order of Importance Problem Solution Process Mixed Patterns Signal Words Signal words, also known as transitions, are words which indicate the relationship between ideas, and the organization of the details. Also known and chronological order, steps and stages, narration or sequence of events, in this pattern, ideas are presented in the order in which they occurred in time. Questions Answered: When did it happen? In what order did it happen? When Used: Commonly used in anthropology, history, art history and political science. It answers the questions relating to time. Thesis Example: Between now and the election, the candidate will make a umber of campaign stops throughout the U. S. Time order signal words first, third ; next; then; finally; eventually; following this I ne ramous Leaning lower 0T Pisa nas Deen tlltlng Tor over years, ana recent improvements should allow it to continue tilting for another 300 more. On August 9, 1173, construction began on this well known Italian 1173 bell tower. Almost immediately, it began leaning because it was being immediately erected on the soft silt of a buried riverbed. Between 1178 and 1360, work 1360 stopped and started two more times as workers tried to continue the project and gure out how to compensate for the tilt. Over the next six centuries, the centuries towers lean continued to increase, although tourists were still allowed to visit. Then, in 1990, Italys prime minister feared the tower would collapse 1990 and closed it to the public. From 1999 to 2001, engineers excavated soil 2001 from beneath the tower. Now, the tower still leans out about 15 feet beyond Now its base, but it should remain stable for several more centuries. Covington, Richard (2001) Smithsonian. The Leaning Tower Straightens Up, p41-47 Also known as listing, series, addition and enumeration, the information isted may be items, facts, reasons, examples, features or characteristics. What examples support the main idea? What proof is there? Commonly used in history, art history, the social sciences and political science. It answers the questions regarding the appropriate proof, back-up or support. Managers experience a number of different personnel problems that must be solved before a department can work effectively. List of items signal words And, too, in addition, moreover, or, also, furthermore, as well as, plus, in fact, moreover, besides Many modern people are turning themselves into social victims. One example is a Tennessee woman who is suing McDonalds because she was badly burned on the chin by a hot pickle in her namourger. A cana01an woman Is anotner example. example She wants to ban the South Park television show because her son Kenny is victimized by the shows Kenny character, who is killed in each episode. A third example is a group of European and Australian women who want to ban urinals in mens restrooms because the require men to stand in a way that suggests violence toward women. Another group argues that single people are victimized because society ignores them. Leo, John. (2000) U. S. News and World Report. Victims of the Year, p24 Comparison and/or Contrast The material is organized to emphasize the similarities and/or differences between two or more items or topics . Readings answer the questions: How are two items similar? How are two items different? When Used: All Disciplines The items being considered usually fit into the same general category. Gangs and fraternities share many characteristics, but are quite different. comparison means what things have in common how items or concepts are alike the similarities between elements or ideas contrast means the differences between items or oncepts how things are not alike distinctions between elements Comparison and contrast sign al words Similarly, like, the same as, compared to, in the same way, likewise but, yet, on the other hand, however, instead, nevertheless, on the contrary My two children are so different that it surprises me every day. For one thing, my older child is a girl, and my younger child is a boy. My daughter loves reading, going to the movies, and writing in her Journal. My son, on the other hand, loves running, Jumping, and swimming- hand anything that requires using energy. My daughter loves all ifferent kinds of foods, but my son likes to eat only pizza. And while my son cant go a day without watching some kind of sporting event on television, my daughter will only watch a baseball game if nothing else is on. Adapted from O Magazine, (2001) Set Yourself Free, p37. This pattern describes or discusses an event or action that is caused by another event or action. On occasion, this pattern is also referred to as result. Why did something happen? What were the results of a particular event? Thesis Example: Research has shown that birth defects have various causes. Cause and effect signal words Decause, Tor tnls reason, Oue to, cause, on account of, if this, then this as a result, since, consequently, therefore, thus, in effect, resulting, and the outcome is There are four possible causeeffect relationships: single cause single effect single cause multiple effects multiple causes single effect multiple causes multiple effects Smoking is the single most preventable risk factor for fatal illnesses in the United States. Indeed, cigarette smoking accounts for more deaths than all other drugs, car accidents, suicides, homicides, and fires combined. Further, nonsmokers who inhale moke from other peoples cigarettes face an elevated risk for lung cancer and other illnesses related to the lungs, a fact that has given rise to a nonsmokers rights movement in the United States. Bernstein, et al. (1999) Psychology, p473 Definition and Example This pattern is found primarily in textbooks; a word or concept is introduced then explained or described. An example of its usage then follows. The pattern is very close to illustration or description. Readings answer the question: What it? All Disciplines Terms are often in boldface print with the definit ion in the body of the text, in the margin, and in a lossary at tne ena 0T tne text Thesis Example: Ragtime music is a style that developed at the turn of the twentieth century. Played primarily by piano, the Rocking Horse Rag is an excellent short sample of ragtime. Definition and example define as, is, known, the term means, is stated as, is used to mean for example, to illustrate, for instance, such as, specifically i. e. , e. g. A definition and example has three components: key term (often boldfaced, underlined or in italics) definition Acrophobia is an intense, unreasonable fear of high places. People with acrophobia exhibit emotional places nd physical symptoms in response to being at great heights. For instance, one sufferer of extreme instance acrophobia, Andrea Copeland, is unable to go above the third floor of any building without feeling enormous anxiety. Her acrophobia began one evening when she was working alone in her office on the eighth floor of a large building. Suddenly she was struck with terror. She gathered her things and left the building, Yet, she still has no rational explanation for her fear, which is also typical of this type of phobia. I nls pattern Is also wlaely usea textbooks; classification, also known as division or categorization, ivides a topic into parts that are based on shared or common characteristics. How do the parts work with the whole? Ex: What part does an editor play in the publication of a magazine? Thesis Examples: There are many people involved in the publishing ofa magazine. Classification signal words Categories, classifications, groups, classes, ways, elements, features, kinds, types, varieties, methods The Ordovician 505 to 440 Million Years Ago The Ordovician period began approximately 510 million years ago, with the end of the Cambrian, and ended around 445 million years ago, with the beginning of the Silurian. The Ordovician is classified into three parts: late, middle, and early. There are two groups in each part. In the late part, Ashgillian and Caradocian. In the middle part there are the Llandeilian and Llanvirnian. The early part is made of the Arenigian and Tremadocian groups. Classification is often accompanied by a graphic or visual aid to nelp clarlTy tn categories. The chart at right shows the major subdivisions of the Ordovician Period. Order of Importance In this pattern the information is given either from the least important feature to the most important, or from the most important important to the least important. This attern is also known as hierarchical or chain of command. Which point is the most/least important? Which element is crucial? When Used: The sciences, particularly in laboratory texts and experiments. Thesis Example: While the most basic need is physiological, workers aspire to self-actualization as their most valued need. Order of importance central, principal, chief, major, main, key, primary, significant finally, lastly, finishing with, ending with, least Almost everyone in the United States files a tax ret urn. There are several things that should be done during the year, beginning with the most basic and fundamental; eep copies of the tax return, W-2 fundamental statement and 1099 forms. It is also wise to keep seven years worth of documentation in files, Just in case there is an audit. Keep and compare figures on tax return to the Social Security statement. Also, retain a record of yearly medical expenses. But all of this is dependent of one crucial act. It is supremely important to Keep all permanent records storeo In an ImpregnaDle place, sucn strongbox. Problem and Solution The text presents a significant problem and explains it in detail. Then, a possible solution is proposed. Sometimes, only the problem is resented because there is no solution. What is the problem? What is a possible solution? When Used: Often in essays and editorials The items being considered usually fit into the same general category. Thesis example: Since pollution has a detrimental impact on modern living standards, a key solution is increased recycling of waste products. Problem and Solution signal words problem, need, difficulty, dilemma, enigma, challenge, issue answer, propose, sugges t, indicate, solve, resolve, improve, plan, respond to a need The growth of urban areas exacerbated many problems, problems as a TlreprooT ncluding the absence of clean drinking water, the lack of cheap public transportation, and most importantly, poor sanitation. Sanitation problems led to heavy urban mortality rates and frequent epidemics of typhoid, dysentery, typhus, cholera, and yellow fever. Government officials, recognizing the need for improvement, initiated the return to suburban and rural areas. The proposal involved several cost effective solutions. Local solutions village water delivery systems were improved, and as villages were substantially smaller, almost everything was in walking distance, thereby eliminating the need for public transportation.

Education,a personal essay in favor of educational reform in America.

Education,a personal essay in favor of educational reform in America. In today's society a college education is an essential part of pursuing a career. While in college aperson can determine his strengths and weaknesses in whatever path he decides to take in life. A collegeeducation is also the first step in being self-sufficient and living by yourself. College life also gives aperson a chance to express his ingenious and creative abilities and to supplement the skills that he learnedin high school. City University will give me an unprecedented opportunity to achievethese goals and to reach a new plateau in my scholarly studies.In my life I plan to pursue a career in the aerospace field. To get a job in this field one needs acollege education and City University fits the bill. Its curriculum and accomplishedprofessors will give me the chance to achieve my goal. Each of the independent colleges of the universitysystem is highly specialized and particular to its own field of training.English: City University's College Building on St ...This will help app licants like meconcentrate on my specific career path. I have visited the university campus twice and each time I havebeen impressed by the devotion of the faculty to ensure that the student's educational needs are met andsurpassed. I perceive that the university is concerned about the educational well-being of its students.This is exemplified by the abundant tutoring opportunities that the university offers. Not only is the staffexceptional, City University has phenomenal technology.City University is on the cutting edge of technology which is indispensable in theaerospace field. The EOS computing environment is a substructure for building a bridge to the future.This system will give me many opportunities to use its resources to intensify my skills while pursuing myoccupation. Having access to millions of computers all over the...