Friday, August 16, 2019
Do Black People Have Equality with Whit People in the Us in Teh 21st Century?
It was just fifty years ago that racial segregation was one of the defining features of American society. Blacks were forced to exist separately from the rest of America ââ¬â physically, economically, and socially ââ¬â so reducing them to a second- or even third-class status which denied them their basic rights. The famous court case: ââ¬Å"brown v the board of educationâ⬠, raised awareness of segregation was the first major step towards change. Education is a basic necessity for every young person whatever their background is. Due to the influences that slavery has had, public education was only designed for white people. Even though black children attended schools, these were often deprived, due to the lack of facilities available. Segregation is a form of racial discrimination, keeping black and white people apart. Thousands of people suffered from segregation, whether they were made to give up their seat on the bus or if they were simply forced to live in certain areas. The lack of education has meant that black people have no chance for moving up in the world. With poor qualifications, they would have poor jobs prospects, working long hours and being paid next to nothing. Their children have no chance of moving up in the world. They have no chance of attending college let alone university or if they do they are unable to pay the tuition fees. The low percent that do manage to go there, have to work part-time or join the army in order to pay the fees. Poor jobs mean poor housing, which in turn means living in poor neighborhoods resulting in violence due to guns, alcohol, drugs. All this means that there is a higher chance of dying younger. Poor jobs also lead to poverty and a poor diet and bad health. In the 1960ââ¬â¢s the civil rights movement lead by Martin Luther King and Malcolm X. fought for the rights of Black people. Both men believed in the same idea that equality was enshrined the constitution ââ¬Ëthat all men are created equalââ¬â¢. However, this was not being implemented. Both men went about achieving this in two different ways. Martin Luther King believed in a peaceful protest, whereas Malcolm X believed that violence was the key. There still isnââ¬â¢t enough black representation in the political system. Lack of political representation means that it has been difficult to enforce their rights. To conclude, the legacy of slavery has been the cause of the inequality between black and white people. Despite attempts to improve the lives of black people there has been only limited success . I think that the inequality of which black people suffer, has been caused by slavery. Without slavery having existed, would all men be equal?
Thursday, August 15, 2019
Effective Approaches in Leadership and Management Essay
The enactment of the affordable care act has significantly changed the structure of all health care. As the focus of treatment at health care facilities all across the country transitions from specialty care and acute illnesses to preventative and long term health management, many changes have taken effect that have directly affected the approach and delivery of care. One of the greatest changes is the vast amount of patients that are now seeking health care. In an attempt to keep up with these high demands, many facilities have been left scrambling to adjust their budgets, reduce excess spending, and implement more efficient means of care delivery. Nurses throughout this process have had to adapt to a work environment that is constantly being changed and restructured. As a result, decreased job satisfaction, increased incidence of compassion fatigue, and nurse to patient ratios involving higher acuity levels have all contributed to the vast nursing shortage that is being experienced today. In addition, patient satisfaction scores and Medicare reimbursement have been greatly affected as well. Despite all of the aforementioned issues, there are some facilities that are taking the extra step to recognize and promote nursing excellence by setting the standards higher in an attempt to gain Magnet status. The focus of this writing is to compare and contrast the expectations of the approaches that nurse leaders and managers may use regarding magnet status as well as discuss the approach that most identifies with the values and beliefs of this author. Magnet status, as defined by Miriam Hospital, is a designation awarded to hospitals for their creation of a ââ¬Å"Magnet Cultureâ⬠; an environment that not only supports nursing practice, but focuses on professional autonomy, decision making at the bedside, nursing involvement in determining the nursing work environment, professional education, career development and nursing leadership (Miriam Hospital, n.d.). The concept of magnet status was first conceived in the early 1980ââ¬â¢s and was born of an inquiry as to how certain hospitals were able to retain and motivate nursing staff. This concept was identified based on the results of several research studies and documented in an article entitled ââ¬Å"Magnet Hospitals: Attraction and Retention of Professional Nurses,â⬠written and published in 1983 by Dr. McClure president of the American Academy of Nursing (AAN), professor at Newà York University, and a member of the original task force (Hawke, 2004). Currently in the United States only six percent, or 389 hospitals, have achieved Magnet status with twenty-six of these located in California (ââ¬Å"Magnet,â⬠2013, para. 2). Statistics have shown that Magnet hospitals have excellent patient satisfaction scores, safer patient environments, fewer repeat admissions, and better patient outcome overall. There are many rigorous qualifications that must be met and maintained throughout a facilitiesââ¬â¢ designation. It is imperative that nursing leadership and management work together within their defined roles to accomplish the goal of recognizing, organizing and accomplishing the tasks and to ensure the staff participation needed to achieve nursing excellence. Only by existing within these defined roles, can the most efficient and accurate results be obtained. The role of management is to identify the resources that are required to accomplish the target goal of the organization. A manager must also plan, organize and implement strategies from an organizational level that outline what is required of subordinates in order to meet the proposed goal (Huber, 2010, p. 31). It is the responsibility of the manager to ensure that policies and procedures are implemented and carried out correctly. To achieve Magnet status the nurse manager would need to survey patients and staff to define areas of weakness that would need to be addressed by staff to improve patient satisfaction. These actions can include steps to becoming more financially efficient by reducing waste, ensuring Medicare reimbursement through patient satisfaction, and nursing practices that reflect these decisions such as bedside reporting, user-friendly patient education, hourly rounding and updating whiteboards. The role of the nursing leader is to assist the nurse manager in accomplishing the organizational goals by facilitating smoother transitions through communication, guidance and assisting staff in the understanding of what the vision is, why they are being asked to do certain things, and how they relate to the larger picture. This is accomplished by establishing trust and striving toward cohesion and mutual tolerance while managing conflict (ââ¬Å"The difference between leadership and management,â⬠2012, para. 2). In comparing and contrasting managers and leaders there are some points to consider. In management, many goals are established by other people and carried out by the managers within the organization. Leaders will act to develop new and fresh approaches toà problems that may exist within the organization. The leaderââ¬â¢s instinct is to take risks and to challenge those people and ideas within an organization that may be holding it back. Managers work to accomplish the tasks and usually will continue to do whatever is necessary to get the job done without taking on too much risk or moving forward (ââ¬Å"The difference between leadership and management,â⬠2012, para. 7). Magnet culture is one of empowerment, shared decision-making and accountability (Frellick, 2011, para. 8). In o rder for this vision to succeed, health care facilities must demonstrate mastery of specific core principles known as the Fourteen Forces of Magnetism which includes a high quality of nursing management, and an environment that is built upon strong participation, where nurses are recognized by the top levels of management. Another key to success is strong interdisciplinary relationships; meaning members from all departments of the health care team are able to work together; this includes nurses, physicians, pharmacists and therapists. Participatory leadership focuses on the mutual respect and involvement of all parties. It is democratic in nature and promotes shared responsibility for actions; it is this leadership style that this author most identifies with. It is of the opinion of this author that personal involvement and the inclusion of everyone is key to maintaining a working professional relationship between management and subordinates because it empowers everyone to work together to achieve a vision or goal. If employees on all levels feel that their opinions and ideas matter and are important, than they will be willing to go the extra mile to see that goals get accomplished as the organizationââ¬â¢s visions become their visions as well. This cannot be accomplished without managers and leaders who have the ability to harness this commitment and facilitate unity between all parties involved. True success is not gained through the dictation of what is and what will be, it is gained through the understanding that if we all work together, we can be really great because we all have something to contribute and when joined together, these contributions will make us the best we can be. References Frellick, M. (2011). A Path to Nursing Excellence. Hospitals & Health Networks. Advance online publication. Retrieved from http://www.hhnmag.com/hhnmag/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/04APR2011/0411HHN_FEA_workforce&domain=HHNMAG Frequently Asked Questions (FAQs) about Magnet. (2013). Retrieved from https://www.ucdmc.ucdavis.edu/nurse/magnet/faq.html Hawke, M. (2004, January). Magnet Status Attracts Mettle. Nursing Spectrum, 19-21. Retrieved from http://www.nsna.org/portals/0/skins/nsna/pdf/career_jan04_hawke.pdf Huber, D. L. (2010). Leadership and Nursing Care Management (4th ed.). []. Retrieved from http://pageburstls.elsevier.com/#/books/9781416059844/pages/49495303 Miriam Hospital. (n.d.). http://www.miriamhospital.org/services/nursing/magnet-hospital.html The difference between leadership and management. (2012). Retrieved from http://www.strategiesfornursemanagers.com/ce_detail/208037.cfm
Graded Assignment South Carolina Secedes Essay
The following question asks you to write a clear essay that analyzes South Carolinaââ¬â¢s reasons for seceding from the Union. Use both the documents listed on next two pages and your knowledge of the time period. You may also use the time line you previously completed. (100 points) 1. What were South Carolinaââ¬â¢s stated reasons for seceding from the United States in December, 1860? Do you believe that the stated reasons were the complete explanation for South Carolinaââ¬â¢s secession? Was South Carolina justified in seceding? Explain your answer in a well-organized essay that demonstrates your understanding of the documents and your knowledge of the time period.à Answer: In my opinion, South Carolina only has one reason for seceding from the United States. South Carolina wrote down all of their reasons why for succeeding. Although, I believe that their reasons were not complete or had enough ââ¬Å"goodâ⬠reasoning. South Carolina only had one really good reason for seceding. I believe South Carolina did not have enough powerful reasons for seceding. Throughout South Carolinaââ¬â¢s Secession, They mainly discussed the Government and how the United States takes care of us. They also discussed what they donââ¬â¢t like about the United States Government. South Carolina also talked about the mistakes and feelings they had about the United States Constitution. This proves they only had one reason for seceding. In excerpt one and two below, South Carolina starts talking about freedom and the rights United States had at that time. In excerpt two, it states; ââ¬Å"An amendment was added [to the United States Constitution], which declared that the powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States, respectively, or to the people.â⬠This statement says that South Carolina believed they didnââ¬â¢t have any say in where they lived or how they ruled. In excerpt four, they continued this discussion. People from South Carolina, kept saying how they didnââ¬â¢t agree with the United States Constitution. They proved this statement by saying; ââ¬Å"These ends it endeavored to accomplish by a Federal Government, in which each State was recognized as an equal, and had separate control over its own institutions.â⬠The people of South Carolina said this like itââ¬â¢s a bad thing. This statement also proved that how much they didnââ¬â¢t agree with The United States Government. The reasons why South Carolina seceded from The United States still are not good enough reasons. I still believe they should have had more than one reason to become their own government. I believe their reasons werenââ¬â¢t justified reasons and the statements above proved this. South Carolina could have prove a lot more reasons to secede from the United States but they decided not to. Document A Source: Confederate States of America Declaration of the Immediate Causes Which Induce and Justify the Secession of South Carolina from the Federal Union; adopted December 24, 1860 Excerpt 1 Thus were established the two great principles asserted by the Colonies, namely: the right of a State to govern itself; and the right of a people to abolish a Government when it becomes destructive of the ends for which it was instituted. And concurrent with the establishment of these principles, was the fact that each Colony became and was recognized by the mother Country a FREE, SOVEREIGN AND INDEPENDENT STATE. Excerpt 2 â⬠¦an amendment was added [to the United States Constitution], which declared that the powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States, respectively, or to the people. Excerpt 3 â⬠¦in every compact between two or more parties, the obligation is mutual; that the failure of one of the contracting parties to perform a material part of the agreement, entirely releases the obligation of the other; and that where no arbiter is provided, each party is remitted to his own judgment to determine the fact of failure, with all its consequences. Excerpt 4 The ends for which the Constitution was framed are declared by itself to be ââ¬Å"to form a more perfect union, establish justice, insure domestic tranquility, provide for the common defence, promote the general welfare, and secure the blessings of liberty to ourselves and our posterity.â⬠These ends it endeavored to accomplish by a Federal Government, in which each State was recognized as an equal, and had separate control over its own institutions. Excerpt 5 â⬠¦a new policy, hostile to the South, and destructive of its beliefs and safety. Excerpt 6 We, therefore, the People of South Carolina â⬠¦ solemnly declared that the Union heretofore existing between this State and the other States of North America, is dissolvedâ⬠¦ Document B Source: Jefferson Davisââ¬â¢s inaugural address, February 8, 1861 ââ¬Å"Resolved, That the maintenance inviolate of the rights of the States, and especially the right of each State to order and control its own domestic institutions according to its own judgment exclusively, is essential to that balance of power on which the perfection and endurance of our political fabric depend; and we denounce the lawless invasion by armed force of the soil of any State or Territory, no matter what pretext, as among the gravest of crimes.â⬠Document C Source: Abraham Lincolnââ¬â¢s inaugural address, March 4 1861 Apprehension seems to exist among the people of the Southern States that by the accession of a Republican Administration, their property, and their peace, and personal security, are to be endangered. There has never been any reasonable cause for such apprehension. Indeed, the most ample evidence to the contrary has all the while existed, and been open to their inspection. It is found in nearly all the published speeches of him who now addresses you. I do but quote from one of those speeches when I declare that ââ¬Å"I have no purpose, directly or indirectly, to interfere with the institution of slavery in the States where it exists. I believe I have no lawful right to do so, and I have no inclination to do so.â⬠Those who nominated and elected me did so with full knowledge that I had made this, and many similar declarations, and had never recanted them.â⬠Document D Source: Map of the Kansas-Nebraska Act, K12 Inc.
Wednesday, August 14, 2019
Healthy Living
Ms. Black Anat-6 21 March 15, 2013 Healthy Living Many factors affect your health. Some you cannot control, such as your genetic makeup or your age, but you can make changes to your lifestyle. This book includes a population health approach and focuses on the various environments and settings which influence healthy living, such as nutrition, personal care and hygiene, physical fitness home environments.Both physical activity and healthy eating are essential to good health throughout life, to increase resiliency and to protect against disease and disability. They are needed to lower the risk of chronic diseases and promote optimal health. In children, sufficient levels of physical activity and healthy eating are essential for healthy growth and development. Firstly, by choosing healthy eating habit, people will gain many rewards. To have good nutrition, people should reduce the amount of fat and in particular, the amount of saturated fat.People should increase the intake of fibre-ric h, starchy foods, such as bread, potatoes, pasta and rice by half as much again, reduce the average salt intake by around one-third, and increase the amount of fish eaten to at least two portions each week, one of which should be an oily fish. Besides that, practicing good personal hygiene is smart for two reasons. First, it helps to prevent people from catching and spreading illness and disease. Second, it helps people feel good about themselves and their body.Then, being physically fitness not only helps people live healthy in lives, it also helps people live longer. The best way to keep physical activity and exercise a permanent part of oneââ¬â¢s life is to make it fun and enjoyable. Finally, all of the issues that evolve out of the interaction between people and the environment fall under the umbrella of environment health. This book discusses the many different risks that threaten the environment as well as ways to protect the environment and those who live in it.
Tuesday, August 13, 2019
Wheelchair Forces. The Forces And Kinematics Involved In Self Essay
Wheelchair Forces. The Forces And Kinematics Involved In Self Propelling A Wheelchair - Essay Example The study took place at the Stanmore Clinical Research Facility (SCRF) at the Royal National Orthopaedic Hospital (RNOH), Stanmore. All participants gave informed consent to participate in the study. (Refer to Appendix __ ). The generation of forces were gathered through the front castors of the wheelchair and through the push rim. The forces generated are then recorded and analysed to investigate the hypothesis stated. The wheelchair users P:C Ratio was then calculated to establish whether the users exceeded their capacity when performing such tasks and whether Rear Axle Position (RAP) was found to influence this. As there are no existing methods for testing dynamic wheelchair stability of a manual wheelchair, an instrument was developed. Consequently, a force sensitive castor was designed to look at this pattern in more detail. The chosen model was a 17" Quickie GPV, rigid frame lightweight wheelchair. The model was chosen as the most adaptable size for most test participants and was then configured to suit each individual's needs. The wheelchair weighs 18kg with nearly 7kg of added weight due to an attached equipment. The wheelchair is fitted with 25" solid tyres to accommodate the Smart Wheel technology and 5" solid castors. There is a 3-degree camber on the rear wheels. Figure 1. Quickie GPV Wheelchair Each participant was set up in the Laboratory's test wheelchair. Only one wheelchair could be used as the instrumentation was not interchangeable between wheelchairs. 1.3.3 Development of the Castor Force Transducer An earlier work at ACDS (spell out acronym) (WOWSUP, 2005) using a wheelchair Ergometer showed that there was a substantial weight shift between castors and rear wheels during the propulsion cycle, which subsequently increased with the pushing resistance. The Ergomenter used force plates beneath the front castors during propulsion. The study explored what happened to the Ergometer when users propelled their wheelchairs to perform functional activities. A force sensor was integrated into the castor stem of the wheelchair to examine weight shift during functional mobility. This was initially constructed in combination with the castor stem and a number of washers to accommodate its size. Figure 2. The Wheelchair Ergometer 1.3.4 Calibration of the castor force transducer This was completed by loading the wheelchair with known masses and recording the voltage output from both the force transducer in the castor and the force plate underneath it (force plates already calibrated for previous testing). This calibration produced 2 curves in order to demonstrate whether a linear relationship was achievable
Monday, August 12, 2019
International commercial law coursework Essay Example | Topics and Well Written Essays - 7500 words
International commercial law coursework - Essay Example prohibits quantitative restrictions through the imposition of quota by any contracting party, and this principle is considered to be the cornerstone of the GATT system.1 Brazil has claimed that the quota restriction has been imposed on the ground that the solar plates emit radiation, and so, presumably the restriction has been taken as a measure to protect public health and environment. As per Article XX (b) of GATT 1994, Member states have the right take such measures necessary to protect human, animal or plant life or health, provided that such measures are not arbitrary or a disguised restriction on international trade, and relate to all obligations under GATT 1994 including Article XI paragraph 1 thereof.2 Consequently, Brazilââ¬â¢s imposition of quota restrictions on import of solar plates would be inconsistent with WTO law unless Brazil can demonstrate that the measure is covered by Article XX of GATT 1994. Brazil cannot place reliance on Article XX of GATT, 1994 to defend t he quota restriction placed on the import of solar plates for the following reasons: a). Requirement of scientific evidence and risk assessment: In order to claim the exception under Article XX of GATT 1994, there should be sufficient scientific evidence to conclude that there exists a risk for human life or health and that the measures taken by the particular Member State are necessary in relation to the objectives pursued.3 The elaborate rules for application of the provisions of Article XX of GATT 1994, including Article XX (b) thereof, are codified under the Agreement on Sanitary and Phytosanitary Measures (ââ¬Å"SPS Agreementâ⬠).4 As per the SPS Agreement any measure designed to protect human, plant or animal health, should be based on scientific principles and should not be applied without sufficient scientific evidence.5 The SPS Agreement also requires Member States to ensure that any such measures are based on an assessment of the risks to human, plant or animal life, employing proper
Sunday, August 11, 2019
The Use of Sociological Research in Public Debate Issues of Social Essay
The Use of Sociological Research in Public Debate Issues of Social Deviance - Essay Example On the other hand are the post modernists, who believed that these events are part of sociological change brought about by different factors, and thus, should not be remorsed but embraced. The two principles are governed by sets of reasons, but what drove them to stand is the information brought about sociological research. Sociological research on teenage pregnancy and co-habitation aims to transmit understanding to the people, in such a way that it would reconcile the traditionalist thought and modernist thought; however, it does not deny the possibility of widening the gap between the two principles. Sociology Sociology is the scientific study of the origins and development of organizations and the relationship of each person to their society. There is known to be an irrevocable relationship of an individualââ¬â¢s experiences to the whereabouts of his society; a person affects society as much as society affects the person (Newman, 2010, p. xxii). This seems to be a chicken-and- egg question, but truth remains that not one sociologist can pin point which affects whom and vice versa because society and people are two nondetachable elements. Sociological researchââ¬â¢s use is to examine the problems of the society, the reasons of such problems, and if those problems are still considered problems in the modern world, especially that several factors are present influencing social issues. Plummer (2010, p. 3) sees Sociology as a ââ¬Å"critique and wondererâ⬠who continually thinks and appreciate the ââ¬Å"complex patterns of social life.â⬠Complex, in a sense that peopleââ¬â¢s social thoughts are evolutionary, and sometimes, more negative perspectives than the positive ones show, described by Plummer (2010, p. 4) as a ââ¬Å"march of humanityââ¬â¢s inhumanity.â⬠As varied as the cultures of people, sociological research respects cultural norms. The studies are helpful in beginning to end bigotry, and begin tolerance in understanding oth er cultures and stresses the importance of eliminating bias, although at times it may be unstoppable. Issues such as teenage pregnancy and cohabitation are two most common social deviants, where both are favorite topics of formal and informal arguments. Teenage Pregnancy and Early Motherhood as a Public Issue There are a number of factors which may contribute to the widespread of early sexual experience among teenagers. An alarming 41,329 girls under age 18 became pregnant in 2008 (Rogers, 2010). This statistical record is already around 3% lower than what the nation made in 2007 but the decrease is not really a significant number to rejoice about because it represents only a small percentage of the total pregnant teensââ¬â¢ population. Adding to the reckless potential of the media is the teenagersââ¬â¢ attitude itself towards sexual activities. In Liscioââ¬â¢s (2011) report, the issue holds a different case, mentioning about the brighter side of teenage pregnancy. Accordin g to the study, teenagers are more likely to ââ¬Å"re-engage themselves at school once the baby is born.â⬠This is probably due to a humanââ¬â¢s parental instinct, that is one should have a child of his own, it is obligatory to give him or her brighter future. As education becomes a key of having better job opportunities, teenage parents do their best in academic performance. However, this does not make the issue at least acceptable because it is still an ongoing debate whether teenage pregnancy should be accepted as a part of change or should remain as a social taboo subject to restriction of discussion and adaption. Teenage mothers are forced to turn from single lifeââ¬â¢s luxury and face the responsibilities of motherhood
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