Improving Patient Services Intitiative & Standards in a Community Article

Improving Patient Services Intitiative & Standards in a Community Services Program - Article Example ll not only force an organization to develop and define its quality mission, but also ensure that the processes can be understood and actualized by all involved (Santiago, 1999; Hall et al, 2003). Several studies have shown intervention models that have improved the quality of health care and reduced the health care costs. One is the Total Quality Management (TQM) described as the â€Å"development of an organizational culture which is defined by, and supports, the constant attainment of customer satisfaction through an integrated system of tools, techniques and training† (Sashkin and Kiser, 1993 as mentioned in Walsh, Hughes & Maddox, 2002, p. 299). Since customer satisfaction is the goal of TQM, it should have an in-built culture of continuous improvement by focusing on an organisation’s activities on eradicating the causes of defective products and services which should never reach the customer. Blades (1995) discussed the Baxter Health Care Ltd. model for promoting quality improvement. The model involves coming up with pictorial signs to educate or remind staff of the high quality they need to render. These were initially used as slides for training and then turned to posters. It provides a framework for both analysis and education on quality issues, focusing on the elements of total quality management namely communication; commitment; customer focus and continuous improvement. Piette, Ellis, et al (2002) conducted a study with the purpose of determining the most effective quality of care using the facility’s ethical practices. In the study, constant monitoring and investigation ensure quality outcomes. A leadership council was formed, meeting monthly to discuss and communicate regarding corporate compliance and personnel programs, clinical outcomes reviews, and clinical issues. All committees and councils reported to the Board of Directors on the progress of their project. The study design utilized a clinical practice committee breakdown of the

The constitution Essay Example | Topics and Well Written Essays - 500 words

The constitution - Essay Example fectual in running a national government, so a combination of factors further pointed to the need of a stronger government than the articles of confederation provided. Congress could not provide protection for local industries because it did not have the powers, and so America’s manufacturing had failed to grow. Settlers in the west demanded a more aggressive policy on land cessions and wanted more to be done to protect them from Indian attacks2. Merchants wanted a government that could get them advantageous trade agreements abroad. While changing the Articles was not viewed as urgent among the southern and Mid-Atlantic States, their leaders too appreciated that free navigation of the Mississippi River and a solution of the dispute with Spain needed a response from a stronger government. Before the new constitution, only white males who owned property were allowed to vote. The new constitution, however, would allow all citizens to vote. It was also going to abolish slavery, meaning the propertied white would have to find an alternative source of labor3. The preamble of the federal constitution has the words ‘we the people’. These words can be interpreted to be meaning all the citizens of America. This is not true though, what it actually meant is that it excluded slaves, poor white males, women and Native Americans. These groups of people were not allowed to vote, for example. It denied congress the power to abolish the slave trade before 1808. It also required that fugitive slaves should be returned to their masters. The unrepresented groups in the American constitution include the Hawaiians, the Indians and many other ethnic minorities living widely as small minorities. A constitutional republic meant that whereas other people enjoyed the privileges brought about by the new constitution, the unrepresented did not since they were not properly recognized by the constitution. For example, the unrepresented people lost the right of suffrage. Though they

Improving Patient Services Intitiative & Standards in a Community Article

Improving Patient Services Intitiative & Standards in a Community Services Program - Article Example ll not only force an organization to develop and define its quality mission, but also ensure that the processes can be understood and actualized by all involved (Santiago, 1999; Hall et al, 2003). Several studies have shown intervention models that have improved the quality of health care and reduced the health care costs. One is the Total Quality Management (TQM) described as the â€Å"development of an organizational culture which is defined by, and supports, the constant attainment of customer satisfaction through an integrated system of tools, techniques and training† (Sashkin and Kiser, 1993 as mentioned in Walsh, Hughes & Maddox, 2002, p. 299). Since customer satisfaction is the goal of TQM, it should have an in-built culture of continuous improvement by focusing on an organisation’s activities on eradicating the causes of defective products and services which should never reach the customer. Blades (1995) discussed the Baxter Health Care Ltd. model for promoting quality improvement. The model involves coming up with pictorial signs to educate or remind staff of the high quality they need to render. These were initially used as slides for training and then turned to posters. It provides a framework for both analysis and education on quality issues, focusing on the elements of total quality management namely communication; commitment; customer focus and continuous improvement. Piette, Ellis, et al (2002) conducted a study with the purpose of determining the most effective quality of care using the facility’s ethical practices. In the study, constant monitoring and investigation ensure quality outcomes. A leadership council was formed, meeting monthly to discuss and communicate regarding corporate compliance and personnel programs, clinical outcomes reviews, and clinical issues. All committees and councils reported to the Board of Directors on the progress of their project. The study design utilized a clinical practice committee breakdown of the

William Blake English Coursework Essay Example for Free

William Blake English Coursework Essay From the poems that you have studied, what have you learnt about Blakes attitude to the treatment of children in his time? How does he try to persuade his reader to empathise with his characters? Which poem (or poems) do you think best achieve this aim, and why? One of Blakes main influences was the society in which he lived in. William Blake was born on November 28, 1757 in London. Blake was influenced by events in both the French Revolution and the Industrial Revolution, by the attitude of Jean-Jacques Rousseau. They inspired a new way of looking at the world. Blake thought that imagination was the force of art, and people thought his art was too adventurous and unconventional for that time. William Blake witnessed the effect Britains war with republican France had on society, and he talks about this in London (Songs of Experience) and The Chimney Sweeper (Songs of Experience) He had radical religious and political ideas, which led him to write Songs of Innocence and Songs of Experience. In a lot of Blakes poems, he tackles the issue of child labour. After the industrial revolution, with a rise in population came a rise in the number of children being made to work. An employer could pay a child less than an adult, and children were useful for more jobs, for example when Blake wrote The Chimney Sweeper. In both of The Chimney Sweeper poems, Blake attacks the treatment of children at the time. The first one, in Songs of Innocence, shows a naà ¯Ã‚ ¿Ã‚ ½ve view of how a child at the time felt. The first three stanzas are negative, starting with When my mother died when I was very young, and describing, thousands of sweepers were lockd up in coffins of black. But this poem shows children have a positive outlook on life, with the final three stanzas being positive. It talks about an Angel who set them all free. I think Blake is writing about God, and the children will be set free after being in their coffins and after death, and that all the children are happy in heaven. Blake is trying to convey the fact that the children do not fear death, perhaps because it is better than their lives. In the last stanza, Blake writes, Tom was happy warm, and he says the children are not worried as if all do their duty, they need not fear harm. This is slightly didactic, which is what a lot writing f or children was in the eighteenth century, but this last line also comes across as sarcastic and angry, as if Blake disagrees with what the children have to do in order to feel safe. The Chimney Sweeper in Songs of Experience is a contrast to The Chimney Sweeper in Songs of Innocence. In this version, Blake has taken on the persona of the chimney sweeper, and the chimney sweeper has been influenced by society. He has realised the faults of society that he had never noticed before. It still shows the children making the best out of life, but this time the chimney sweeper is questioning this, saying Because I was happy upon the heath, that They clothed me in the clothes of death. Blake is implying that because the children are happy doing these jobs, that the adults think this is doing them no harm. Religion plays a part in this poem, as it is mentioned a lot in the poem itself, saying his mother and father have gone up to the church to pray and are gone to praise the God his Priest King. Blake is conveying a message that it is hypocrisy; the mother and father in the poem are good religious people, but even so they are still exploiting the children. Another poem where Blake writes about children is The School Boy (Songs of Innocence and Experience). In this poem, Blake has written it to persuade the reader that children should not go to school, and uses phrases like O it drives all joy away! and The little ones spend their day/In sighing and dismay. Blake is trying to make the reader agree that there is something wrong with society, and that they are doing wrong by making innocent children go to school, when they should be free. At the start of the poem, Blake represents the schoolboy as a skylark (And the skylark sings with me). A skylark is associated with the morning and therefore connected to the children, and then connected to the boy himself. The skylark only sings in the sky, and the skylark is often used as a nickname for someone who is doing well, and this is why Blake used this particular bird to represent the schoolboy. Later in the poem, Blake refers to the schoolboy as a flower bud, using a metaphor to say the schoo lboy is beautiful and should be free. In The School Boy, Blake uses a contrast of positive and negative words next to each other to create an oxymoron. He uses phrases like blossoms blow away and the tender plants are stripped to highlight the fact that the schoolboy cannot experience the freedom as it has been taken away from him. The positive words are blossoms, tender and plants, but the contrast is used by adding words like blow away and stripped. The School Boy is similar to both The Chimney Sweeper poems, as Blake is attacking the way people were treating children. Blake believed that children should be free, otherwise The little ones spend their day/In sighing and dismay, and that they should not have to work or go to school (But to go to school in a summer morn,-/Oh it drives all joy away!) but to enjoy freedom and innocence. Blake refers to children in London (Songs of Experience). In the first two stanzas, Blake uses repetition and alliteration to create a mournful atmosphere. In the first stanza he uses words like wander, weakness and woe. This creates the scene of London; making it seem depressing and slow. In the second stanza, Blake repeats the phrase In every to draw attention to the points he is making, that nobody is happy and everyone is fearful. In the third stanza, Blake brings in religion, which is also clear in The Chimney Sweeper (Songs of Experience). Again, he is attacking religion, describing the church as blackning. He also refers to the chimney sweeper, saying How the Chimney-sweepers cry, which is very similar to The Chimney Sweeper and also shows he does not agree with it, by saying the children are crying. Blake says even infants are upset, with the new-born Infants tear. Blake makes the reader feel sorry for the children, by describing them crying, and using words like youthful and new-born, which makes them sound naà ¯Ã‚ ¿Ã‚ ½ve and innocent, and this makes the reader agree that they shouldnt be made to feel fear or be upset. Blake also makes the reader empathise with the children and infants in Infant Joy (Songs of Innocence). Infant Joy represents an innocent baby, who has come into a world where everything is expected to be joyful and well. It is as if Blake has adopted the persona of a mother or father, writing about how the child has come into the world. Blake is saying that all babies are happy, by using phrases like I happy am and Joy is my name. He is implying the baby is joy and expects joy. The reader immediately warms to the infant, because at the time people believed babies to be sinful, but Blake wrote about them as innocent. Blake believed children only did wrong because of the effects on society, and the baby in Infant Joy is represented as not yet part of society as it has no name (Joy is my name). Blake also describes how the baby is not only happy himself, but also brings joy to others around him, by saying Thou dost smile. This is one poem where Blake writes about a child or an infant being happy, innocent and free, as most of the others describe children as being trapped or upset. Infant Sorrow (Songs of Experience) is another example of a poem like this. It is a complete contrast to Infant Joy and it is not seen from a real babys point of view, so it is not a joyful or naà ¯Ã‚ ¿Ã‚ ½ve outlook on life, but it shows a more real view from the baby that is wise. The baby has been brought into a world of suffering, not joy. This world does not welcome the baby, but Blake describes how My mother groand! my father wept./Into the dangerous world I leapt. Both stanzas in the poem use a lot of plosives, like piping and bound, which makes the poem sound abrupt, and makes the reader more shocked. The phrase Like a fiend hid in a cloud, makes the baby sound like a devil in the thundercloud, and that the baby is seen as threatening and unwanted by the family. The reader automatically sympathises with the baby and the way the baby has been welcomed into the world. Many of Blakes poems highlight the treatment of the children, and I think the poems that best achieve this are the ones Blake wrote for Songs of Experience, as these are usually cynical views that draw the readers attention and makes the agree with Blake.

Negative Impact Of Playing Video Games Media Essay

Negative Impact Of Playing Video Games Media Essay Information Technology also known as I.T , refers to anything that related to computer technology , such as the internet , networking , hardware , software , or peoples that work with this technology . Research from UCLAs Higher Education Research Institute provide useful informations about the usage of video games on college campuses . These data shows that most of the college students play videos games regularly , and a small percentage use them as a primary means of entertainment and leisure . In the 2009 Freshman Survey, around 1% of respondents admitted to playing over 20 hours of videogames per week. Over 35% of the respondents stated that they play at least one hour per week. Computer games can have impact on teenagers , especially for those who spent hours after hours playing them. Games that played with a team can helps to reinforce concept of the effectiveness of teamwork . However , video games may have negative effects too . For my opinion , video games will definitely affect us as a college students . 3.1 Negative impact of playing video games Alertness Teenagers that do not have their video games playing time limit by their parents might find themselves playing until late at the night . This can result in a loss of sleep and a decrease in alertness in school. A decrease in alertness and focus at school can result in lower academic performance. HEALTH PROBLEMS If teenagers spent all of their free time playing video games, skipping meals or lose sleep because of their game play, it can negatively impact their health. The Mayo Clinic notes that teenagers who spent more than 2 hours a day in front of a television or computers might suffer from their childhood obesity. In addition, the University of Texas at Dallas also notes that the addiction can leads to medical issues , such as backaches, headaches, eyestrain and carpal tunnel syndrome pain and numbness that they might feel in their wrists, hands, shoulders and elbows. Death There are already few cases of death had been reported in the press . All linked to excessive play of video games. In the year of 2002 , a young man was found dead in the toilet of a cybercafe in Kwanju, South Korea . He was said to be previously glued to a computer, deprived of proper nutrition and sleep , also earlier in the same year, a mother in Louisiana sued Nintendo who caused her son suffered from seizures and consequently death. The report shows that he had play an average of 48 hours per week. POOR PERFORMANCE Long hours in playing video games can negatively affect teenagers performance in their school or at work if they are preoccupied with their video games or failing to work at their optimum level because they are exhausted from a late night of playing video games . The Mayo Clinic notes that teenagers who devotes more than two hours a day to television or video games might have the troubles of falling asleep, have problems paying attention than teenagers who dont spent as much time in front of the computer and video games . PREOCCUPATION Video games addiction can be harmful if teenagers are unable to participate in any outdoor activities rather than gaming . The On-Line Gamers Anonymous website notes that it may be a sign of an addiction if teenagers are constantly thinking about their next video game , devising ways just to get back to the game, abandoning former hobbies that dont related to the video games or declining social events with personal interaction because they are spending too much time on discussing the video games through the Internet. 3.2 Tips on managing teenagers media consumption Because of the popularity of video games, it can completely eliminating them from teenagers life might be difficult. But there are also few ways that can decrease the negative impact that they have on the teenagers . Know the rating of the video games that the teenagers are playing . Never install any video games equipment if necessary . Always set a limit on how often and how long teenagers is allowed to play video games. Take the time to discuss with the teenagers about the games they are playing or other media they are watching. Ask them how do they feel about and what they observe in these video games . This is an opportunity to share your feelings and grow closer with the teenagers . It is vital for teenagers to spend their time on both indoor and outdoor activities . Excessive time spent on video games may curb some outdoor activities among some of the teenagers. We might not want them to be game addicts at the cost of active outdoor pastimes. It is the responsibility of the elders to encourage teenagers to participate in outdoor activities as well, rather than sticking to the video games for all day long. Being able to monitor and control the amount of time that the teenagers spent on video games is the key to restrict the negative impacts of video games. Make sure to expose them to the right games with limited time log to benefit from this fun filled activity. 2.0 Define Peer Pressure In every day of a teenagers life , they get to experienced peer pressure in their school and the environment among them . Peer pressure means that friends trying to persuade you for doing something that you dont want to do . But maybe you want to do it and you dont have the courage and your friends talks you into it . Much research had shown that peer pressure had a much greater impact in adolescent behavior than any other factor . Try to think about it , teenagers nowadays spent most of their time with peers and family members , so the interaction is direct and much more powerful than the influences of the teachers and others authority figures . 2.1 Peer pressure risk factors : Teenagers with low self esteem Teenagers with low confidence Feeling isolate from friends or families Poor academic performance Without personal interest Peer pressure can be divided into 2 types :- Good Peer Pressure Good peer pressure can be a situation that your friends try to convince you not to do something that youre going to do because it maybe not your best interest . Good pressure is when you got pushed into something that you did not want to do but it turned out well . But for my opinion , the bad peer pressure is much more effectively towards the teenagers than the good peer pressure . Bad Peer Pressure Bad peer pressure is when you are being coerced into doing things that you did not want to do just because you friends said you should . It can be leads to experimentation with sex , alcoholic , skipping school , drugs and others high risk behavior . Your friends may had a tendency to think that they know what is the best for you . For example : if you friends offered you a stick of cigarette , you might say NO , but the real problem arises when you friends keep repeatedly asked you for doing something . Alcoholic One of the common peer pressures in school/college/university is alcoholic . I am sure that there are some of the people that sometimes dont feel like drinking , but they do because that is what everyone is doing , this is a negative form of peer pressure . Research shown that alcoholic abuse is one of the biggest problems among schools and colleges . The students usually end up with missing class , damaging property , getting injured and having unprotected sex as a result of abusing in alcohol . Nowadays , statistics shown that unsafe safe , drunk driving , and the sexually transmitted diseases are rising . All these problems are caused by the peer pressure of drinking . Drug addiction Drug addiction is another common peer pressure faced by teenagers . Initially, the teens are not aware about the adversed effect of drug addiction. When they become familiar with the adversed effect, it will be too late. This is a life threatening issues that is quite impossible to resolve. Drug addiction will ruined their futures completely.à ¢Ã¢â€š ¬Ã‚ ¨Ã‚   If teenagers are addicted to drugs , it can negatively impact upon the following: Marriage and relationships Home and family life Education Employment Health Personality Financial issues Unprotected Sex Sex is the common issues faced by the teenagers. Both of the boys and girls are equally affected by the sex problems. In this modern age, people love to have sex in their early age. For most of the boys , they thought that who dont like to make sex in the teenage are considered as weak and dumb, whereas Oral sex is more popular among teens. In oral sex, there is no chance of pregnancy , so that the teenagers dont considered oral sex is wrong.à ¢Ã¢â€š ¬Ã‚ ¨Ã‚   2.2 How to handle the peer pressure ? Choose the good friends that who will share the value of yours . Good friends will use positive peer pressure to help you to be your best self.   Avoid situation where your friends are doing things that you dont want to do.   Think about the reasons for doing things: Is it a good reasons? Are you really being true to yourself ? Practice to say no -always come up with excuses if it is necessary. For example you dont want to get in any troubles, damage your body or mind, or risk blowing Always Talk to your parents or a any adults about the kinds of peer pressure that you are facing and listen to their advices .   Nowadays , Peer pressure is a part of our daily life ,it can be a strong influences during the teenagerss years when peers are important to their identity.Teenagers must learn how to handle the peer pressure, and recognized when it is positive and negative . Lastly , do remember , if there are just one teenager stands up against the peer pressure, usually others will join him / her. Learning to handle peer pressure will gives teenagers more confidence and maturity.

Certified to Live :: Graduate Admissions Essays

Certified to Live    The day had finally come, and now it was over. I had worked diligently for four years, and what did I have to show for it? One measly little degree. All that work just for a piece of paper.    That night, after the graduation ceremony, I tossed and turned thinking about the past four years and what this degree meant. According to the University of Southern Mississippi Honors College, I was now certified to be a filmmaker. But what did that mean? Sure, I knew how to work a camera, edit film; I even knew the format for writing a script. I could classify movies into genres, and decipher the most complicated plots. However, these things did not ensure me a career in film. I needed talent, creativity, and drive to really be successful. I was suddenly very nervous about what I was going to do if I failed, and even got out my old college bulletin to look at other possible majors. A few more years of school did not sound so bad.    Then, I started recalling the past few years of my life. I had had so much fun in college. Staying up all night and talking with my friends, people-watching on the campus lawn, all those midnight McDonald's runs. College had been my first time to really be away from my family and friends. It had given me a chance to really come into my own, to realize the kind of person I really wanted to be. I had been able to make mistakes freely, and learn from them.    Throughout the four years, some of my professors had been wonderful. There had been my Freshman Comp. Professor who had pushed me until I finally became a good writer. My film editing instructor had always liked my work, and said she would help me to get started in the business.    The more I thought about it, the more I realized I knew.

How We Got The King James Version :: essays research papers

â€Å"The King James Version has become so sanctified by time and use that to many people it has come to be regarded as the Bible.† Our English Bible   Ã‚  Ã‚  Ã‚  Ã‚  James I was born in 1566 and died in 1625. He belonged to the House of Stuart along with all the other Kings of Scotland and a few from England. James I became the King of England when Elizabeth I, his cousin, died. This happened in the year 1603. When he took over the English throne, he was also the King of Scotland and ruled under the name of King James IV. He ruled both England and Scotland until he died. Charles I, James’s son, was the successor to both of the thrones. James believed in the divine right of kings, the ability to rule as a king from God, not the people. James had many thing named after him, and Jamestown is probably the most famous other that the King James Version of the Bible. James, formerly know as King James VI of Scotland, is accredited with this version of the translation of the Bible. Around 1603, James came to England for the reason of succeeding Elizabeth in the throne and became King James I. As soon as he arrived in England, the Hampton Court Conference was held for the reason to hear of the problems of the church. This conference failed its purpose, but one of the best translations of the word of God came from it. John Reynolds, president of Corpus Christi College, was the sole motivator for this new translation and he was the one that got King James to start on the translation. His immediately got James attention and he soon started the translations soon after There was one stipulation that James had and it was that there be no notes in the margins of the new book. He found all those notes to be untrue and dangerous to kings.   Ã‚  Ã‚  Ã‚  Ã‚  Within Six months the general plans were drawn up and ready to be carried out. James had had to choose scholars that he thought were trustworthy and ready for the task ahead. His original list consisted of 54 of these scholars. Before it was over with, this list had dwindled down to 47. The reason for the drop in number was because of death and also some of the scholars withdrew from the work. Now that all these men had been chosen, they had to be dived up into teams. How We Got The King James Version :: essays research papers â€Å"The King James Version has become so sanctified by time and use that to many people it has come to be regarded as the Bible.† Our English Bible   Ã‚  Ã‚  Ã‚  Ã‚  James I was born in 1566 and died in 1625. He belonged to the House of Stuart along with all the other Kings of Scotland and a few from England. James I became the King of England when Elizabeth I, his cousin, died. This happened in the year 1603. When he took over the English throne, he was also the King of Scotland and ruled under the name of King James IV. He ruled both England and Scotland until he died. Charles I, James’s son, was the successor to both of the thrones. James believed in the divine right of kings, the ability to rule as a king from God, not the people. James had many thing named after him, and Jamestown is probably the most famous other that the King James Version of the Bible. James, formerly know as King James VI of Scotland, is accredited with this version of the translation of the Bible. Around 1603, James came to England for the reason of succeeding Elizabeth in the throne and became King James I. As soon as he arrived in England, the Hampton Court Conference was held for the reason to hear of the problems of the church. This conference failed its purpose, but one of the best translations of the word of God came from it. John Reynolds, president of Corpus Christi College, was the sole motivator for this new translation and he was the one that got King James to start on the translation. His immediately got James attention and he soon started the translations soon after There was one stipulation that James had and it was that there be no notes in the margins of the new book. He found all those notes to be untrue and dangerous to kings.   Ã‚  Ã‚  Ã‚  Ã‚  Within Six months the general plans were drawn up and ready to be carried out. James had had to choose scholars that he thought were trustworthy and ready for the task ahead. His original list consisted of 54 of these scholars. Before it was over with, this list had dwindled down to 47. The reason for the drop in number was because of death and also some of the scholars withdrew from the work. Now that all these men had been chosen, they had to be dived up into teams.