Approaches Of Cost Out Nursing Services And Acuity...

Interventions Two approaches of cost out nursing services and acuity classification system proposed by Murray (2014) were presumed to be the most applicable after looking at many possible interventions. Nurse managers who focused on the individual needs and strive to meet those needs are more likely to retain their staff. A transactional leadership approach will work best under such circumstances because he or she can survey the nurses’ needs for a higher pay then set goals for them based on the expected performance (Huber, 2014). With appropriate protocols provided, nurses can demonstrate fiscal responsibility to help reduce costs such as using sterile packages efficiently. To articulate a definite need for change, Rogers (2003)†¦show more content†¦The second step in Rogers change model was for the nurse manager to persuade his or her nurses to form an attitude toward the innovation by having them participate in staff meetings. During these meetings, the nurse manager will discuss what is the expected performance to achieve the higher salary and other benefits as desired. The nurses will then follow the plan accordingly. Using a democratic management style, it is important to focus on human relations and teamwork as the key to success (Huber, 2014). The manager is must strive to involve all the nurses on the unit in any decision-making process and shares responsibility with the team. However, the nurse manager should be cautious when using this management style because motivating participation among the nurses will be a relentless challenge (Huber, 2014). Additionally, the nurse managers and staff should consider the differences among th e four different generational groups in the workplace (Workman, 2014). Each generation has its preference and perspective that must be taken into consideration during planning and decision-making processes. Nurses are obligated to document for each patient her length of stay, hours of care provided, and all of the interventions mentioned above. Next, the nurse manager can add up how much time and direct care costs needed to provide for each

Growing Up From An Economic Recession - 874 Words

Growing up in Ghana in the mid-nineties was a very challenging moment of my life. The West African country was recovering from an economic recession mainly attributed to series coup d’à ©tats that destabilized the economy and crippled most state institutions. These coup d’à ©tats, to an extent, left the country that once championed the emancipation of Africa in a deplorable state. The country experienced a protracted period of serious economic decline characterized by lax financial management, inflation rates well over 40%, extensive government involvement in the economy and an extremely high budget deficit. These weak macroeconomic fundamentals influenced the then government’s decision to implement a series of strenuous public policies; with the goal to place Ghana back on sound economic and social footing. I recall waking up one early morning to prepare for school. But I realized the â€Å"airwaves† were poised with anger. Most people in my neighborhood were glued to their radio sets, waiting impatiently on the government to confirm the rumors, circulating in the country about its decision to scrap the old tax policy and replace it with a new one; the Value Added Tax. Around midday, the government finally let the cat out of the bag and outlined in detail the various segments of the new tax policy. This policy mandates the government to impose taxes on consumer goods and services at all stages of production and distribution. Businesses can pass along a sizable percentage of theShow MoreRelatedGrowing Up From An Economic Recession1021 Words   |  5 PagesGrowing up in Gha na in the early to mid-nineties was very challenging for me and most people I came into contact with; yet provided the acumen to make sound personal and professional decisions. Ghana was recovering from an economic recession mainly attributed to series coup d’à ©tats that destabilized the economy and crippled most state institutions. As a result of this, the country experienced a protracted period of serious economic decline characterized by lax financial management, inflation ratesRead MorePros And Cons Of A Balanced Budget1397 Words   |  6 PagesTristan Santos Andrew Jalil Economics 351: History of Macroeconomic Policy 4/21/17 Pros and Cons of a Balanced Budget In 1995, US Congressional lawmakers introduced an amendment to the United States Constitution that would restrict federal spending to the sum of its collected revenues in any given fiscal year. The â€Å"Balanced Budget Amendment† would’ve taken full effect in 2002, guaranteeing a balanced federal budget unless a budgetary deficit was approved by two thirds of the Senate . The proposedRead MoreEssay on Analysing the Recent Economic Recession and Its Effects1122 Words   |  5 Pagesbetween economic downturns and economic upturns (Investopedia n.d.). A recession is an economic downturn and happens in every country and some recessions are worse than others and the output of GDP and employment are falling farther and faster. The great depression lasted from 1929-1933 and was a deep prolonged downturn in the business cycle before a recovery/expansion of the business cycle occurred and GDP and employment started to rise (Krugman Wells. 2012). The next recession lasted from 1981-1982Read MoreWorld War I And The Great Depression1598 Words   |  7 Pageseconomy was in a small recession when entering the war, which was reversed by a 44 month period of growth caused by production for the war (NBER). This 44 month period helped the economy expand, and furthered the strength of the country. It also furthered the confidence of American businesses and the government which contributed to the attitude that caused overconfidence and helped to spread the Great Depression. When World War I ended in 1918, it had many unforeseen economic consequences. DespiteRead MoreNorway : A Country That Occupies The North Region Of Europe1386 Words   |  6 PagesNorway, also referred to as Norge, is a country that occupies the north region of Europe. Norway occupies most of the western half of the scandinavian peninsula and is mostly made up of mountains. About half or more of Norway’s population live in the southern region. Norway is made up of an indented cost and around fifty thousand islands located off shore; these islands were carved by deep glacial fjords. The population of Norway is around five million, one hundred and thirty nine thousand (Joys)Read MoreEssay about 1980 s Double Dip Recession1407 Words   |  6 PagesDouble Dip Recession Overview I. Introduction The 1980-1982 Double Dip recession brings up the curiosity of how the stagflation of the seventy’s affected the early eighty’s in which it caused the Fed and the USA congress to be switching back and forth from stimulus and restraints causing us to fall to our first recession. Then not till later we will see that Paul Voucher Chairman of the Board of Governors use heavy monetary restraints to control the inflation and ending the first recession only toRead MoreUK Economy904 Words   |  4 PagesUK Economy An analysis of the latest figures for key economic indicators and the factors which have affected these indicators. This should include the figures for unemployment, inflation and economic growth. Unemployment The unemployment rate serves as one of the primary indicators of the overall health of the economy. The current the unemployment rate is at 7.8% (Office for National Statistics, 2012). This does not include a large portion of the population though. There is a large numberRead MoreInternational Monetary Fund And The European Union Has Changed The Environment Of The Country s Worst Economic Recession1210 Words   |  5 Pagesstruggling under the weight of the country’s worst economic recession in recent history, the economic, political, and social environment of both the native and immigrant people has changed dramatically, with employment and income rapidly shrinking, and competition within the two groups increasing. This has resulted in lower wages, a contracting labor market, and fewer regularized immigrants; all of which drawing attention to immigration as a growing threat to the cohesion of modern Greek society. Read MoreCurrent State Of US Economy1503 Words   |  7 P agesmost protracted recession since the Great Depression. The financial crisis that began in the fall of 2008 had enduring effects on economic performance. In the first quarter of 2009, real gross domestic product (real GDP) fell by 6.4 percent. Real GDP fell for four straight quarters, from third quarter 2008 through second quarter 2009. The good news is that we have enjoyed more than three years of uninterrupted economic growth (Real GDP) and falling unemployment since the  recession  ended in June 2009Read MoreThe Rate Of Gross Domestic Product And Unemployment863 Words   |  4 PagesUnemployment Of an economy† The economic power of an economy is what truly enables it to be a global ruler; furthermore a strong economy means the people are employed, successful and thriving. The best way to measure the economy’s current health is to just take a look at their Gross domestic production and unemployment rate. A strong economy stands for global dominance and influence, resulting in high standards of living, decreased unemployment, and prevention from recessions, depressions and also lower

Implementing Vygotsky’s Model of Child Development Free Essays

Implementing Vygotsky’s  Social  Learning Theory  in the Classroom Jodi Zeman Growing and Learning Theories VTE-ED 571 October 25, 2010 Sheryl Bunn 2 Implementing Vygotsky’s Social Learning Theory in the Classroom Contrary to Sigmund Freud’s theory,  Lev  Vygotsky’s concept is anchored in the idea that a child learns new complex tasks from a more advanced adult or sibling helping him or her through these new situations. His  cognitive-developmental approach based on an idea Jerome Bruner later labeled â€Å"scaffolding† (Wood, Bruner, ; Ross, 1976). This person leads the child through tasks that might otherwise be too advanced for a developing child  alone,  but with the guidance and help from the leader these are attainable. We will write a custom essay sample on Implementing Vygotsky’s Model of Child Development or any similar topic only for you Order Now This gives the child a guide as he or she progresses and eventually begins to conquer problems or new tasks independently. A large part of the  success of the child has to do with the structure  or â€Å"scaffolding† the child has in place  to help him or her along the  journey thus making social interaction a vital part of his  theory. This concept applies directly to the high school physical education â€Å"classroom†. There are unique challenges that a teacher comes across when trying to use traditional instructional methods in an atypical classroom. The learning environment is not always conducive to the educator communicating important points with visual, audio and tactile cues to help. There is no â€Å"note taking† or list of terms on the whiteboard used to offer reinforcement. Instead  of an  educator lecturing  the theories and fundamental rules involved in an activity, the teacher must take an active role to  engage with the students. Vygotsky’s approach is very hands-on, in that there is  no formal distance between the teacher and the 3 students in  instruction. The teacher interacts with the students and helps them to complete tasks that might otherwise be more advanced than they  would be able to handle on their own. An example of this in the area of physical education would be illustrated in  an introduction to volleyball. We would start by reviewing techniques used to do basic fundamental skills needed for volleyball while introducing the terms and names for these techniques. The teacher would then demonstrate these techniques for the students to use as a visual guide for what the skill set might look like, and also go over common pitfalls students might face in the  physical activity to alleviate pressures  some of the students might have before attempting the exercise. We would start with basic technical skills and give each student a chance to participate in the exercise. Once all the students demonstrate the basic skill discussed, we would introduce a slightly more challenging version of the first drill. For instance, initially the teacher or a partner would toss a ball up in the air to the person demonstrating â€Å"the pass† and the participant would then try to  pass the volleyball back to the tosser. The other students would watch and support the students when they were successful. The nature of a physical education class does lend itself to Vygotsky’s  cooperative ideas and team learning style. The students can break up into groups and work together to improve the skills set forth for the class. A modification of this exercise to make it more challenging would be to pair the students up and instead of tossing the ball back to each other they would try to pass the ball back and forth in a controlled manner to the other partner. They would try to  keep the passes going in a controlled manner back and forth to each other. I would then 4 observe and let the students try to explore the task with a partner. If there were people who struggled with the initial drill I would pair them  up with a classmate who successfully completed the task. Once we complete the initial introduction to the basic skill of passing we would then introduce the class to the actual playing area. This would serve both the struggling student and the one acting as a peer tutor to understand the skill further. The nature of Vygotsky’s theory is grounded in the concept that the environment we are in will have a direct and powerful role in how we might learn and grow. This is why it is so incredibly important for students to receive positive praise for their efforts. Anytime the students complete a requested task there should be a lifting up of that student and recognition that the goal was met. Physical education can be a bit tricky because you have so many students with different athletic levels and backgrounds. The students also may have self-esteem issues which are often put into the forefront when having to demonstrate skills in front of others. This leaves the student open to the possibility of failure of the task and consequently, ridicule. That is why in P. E. the instructor has to emphasize the importance of effort more than execution. A positive attitude and a effort-filled attempt is a praise-worthy demonstration of an exercise. Mastery will only come if the student feels comfortable enough to put himself or herself out there to try it. References Bee, H. , ; Boyd, D. (2004). The Developing Child. Retrieved from the University of Phoenix e-Book     Ã‚  Ã‚  Ã‚  Ã‚   Collection database. Barbara Blake and Tambra Pope (2008). Developmental Psychology: Incorporating Piaget’s and Vygotsky’s Theories in Classrooms. Journal of Cross-Disciplinary Perspectives in Education Vol. 1, No. 1 (May 2008) 59 – 67. How to cite Implementing Vygotsky’s Model of Child Development, Papers

Commentary on Women Beware Women free essay sample

Beware Women is a Jacobean tragedy, which has a complex plot and deals with corrupted characters. This tragedy is about corruption in the court and life in general, love by money and how women can lead other women to destruction. As Tricomi states about the characters, they ‘are not wholly the product of their circumstances, but their circumstances condition their choices and propel them toward their destiny’. Middleton, as other Jacobean playwrights before him, has managed to point out that ‘aristocratic life is brutal and corrupt’. 2] The focus of this commentary will be concentrated on marriage and to what can lead one to fall apart. The first scene (Act I), deals with the characters of the play’s main plot: Leantio, Bianca and the Mother. In this scene, the readers come across with the insulting behaviour towards Bianca, where she is treated as an object. Leantio speaks of his wife with words of business, to him she is â€Å"the most unvalued’st purchase†. He describes her as if she was a dangerous object that must stay hidden and safe, away from the sight of men. When he talks about her, it is obvious that Bianca is for him a treasure and he is the thief that now has to hide his â€Å"best piece of theft† (I. ii) in a safe place so no one will steal it from him. Such words describing a human being are rather cruel, especially when Leantio is talking about a person for whom he is supposed to have true and pure feelings of love. Leantio is aware that Bianca’s family is rich, but he also knows that by marrying Bianca in secrecy and taking her away from them, Bianca will lose all of the property and money that belongs to her. He has also written over to her his house and put his mother in jeopardy. Although his act seems a romantic one and, even though he speaks of that relationship and feelings as being pure, his love is not mature; rather, it is one filled with jealousy. In the beginning of the play Bianca could be characterised as the victim because she has a mother-in-law who is not fond of her and does not approve their marriage and she is now imprisoned in poverty and in home. However, Bianca is ‘as much a victim as perpetrator, and she is to be judged as a tragic protagonist with a vexing mix of virtues and flaws’. [3] As seen in the plot, the Mother aids and abets in Bianca’s meeting with the Duke. The Mother and Livia hatched up a plan for Bianca’s rape and she falls into the trap, as Isabella did, but the rape was almost enticed on her part. ‘The attitude towards Bianca is one of dehumanizing possession and manipulation’. [4] But Bianca, after that, changes drastically and soon enough she becomes one of the most corrupted characters, who along with others, brings about the downfall and the final bloodshed in the play. Bianca chose money over her marriage, although, she blames the other women for her disaster. ‘Treachery and betrayal [ ] are Bianca’s terms of explanation for her downfall’. [5] Bianca is seen by her mother-in-law as an added burden to her son’s finances. The Mother’s interest is focused only on money. For the Mother, Bianca as a wife has nothing to offer, she will only demand and receive. The Mother is sizing up the economics of their situation now that there are three members in the family. Leantio can barely support himself, and up until now he had to support his mother as well. The Mother doubts that her son is able to support a family of three. She claims that nothing can save him from this financial dead end by saying â€Å"My life can give you But little helps, and my death lesser hopes† (I. i). The Mother thinks of Bianca, as for every other wife, that she will require from Leantio â€Å"maintenance† (I. ii) fitting to her â€Å"birth and virtues† (I. ii), but also gratification of her desire for â€Å"affections, wills, and humours† (I. ii). [6] Leantio then expresses his intentions towards Bianca, by replying to his mother’s words, pleading with her not to â€Å"teach her to rebel† (I. ii) now that â€Å"she’s in a good way to obedience† (I. ii). Leantio’s â€Å"assurance† (I. ii), of keeping his â€Å"jewel† (I. ii) locked away â€Å"from all men’s eyes† (I. ii), is his mother. She is the one who holds the â€Å"key† (I. i) to his â€Å"treasure† (I. ii), and â€Å"old mothers† (I. ii) are â€Å"good to look to keys† (I. ii) when â€Å"sons lock chests† (I. ii). However, the irony here is that later on, it’s the Mother herself who pushes Bianca towards rape with the Duke, first to get rid of her, but then to accrue some of the benefits from the court life for herself and her son. Bianca is to Leantio nothing but an object of â€Å"great value† (I. ii), a â€Å"matchless jewel† (I. ii) that he has stolen. Because â€Å"temptation is a devil will not stick to fasten upon a saint† (I. ii), Leantio’s â€Å"gem† (I. ii) must stay hidden and locked. This is the â€Å"great policy† (I. i) for Leantio in order to never lose a treasure; never â€Å"show thieves our wealth† (I. ii). Bianca is the â€Å"treasure† (I. ii), Leantio is the â€Å"thief† (I. ii), and the â€Å"key† (I. ii) to his happiness holds his mother, thus, it could be said that the chest with the key is symbolic of Leantio and Bianca’s relationship. To conclude, this tragedy proves that women should beware women. Women lead other women to destruction, and are even responsible for another woman’s rape. Corruption and enemies are present everywhere but, as Bianca says in her dying breath, â€Å"Like our own sex, we have no enemy†.