Huffington Post

I will admit that I am rather new to the discussion on bigotry, privilege, and the various -isms. I was speaking with a female friend of mine a few months ago, and I remarked that women, on average, are less able to compartmentalize their emotions than men. She was Oustiflably) irate, and I qualified myself. You see, I had never been explicitly exposed to the socially-propagated idea that women are emotionally unstable. When I found out, I felt rather embarrassed in not only being sexist, but in being so trite and un-profound in doing so.I am simply an bserver of humanity, and although some people might suggest that I have internalized institutional misogyny, herein lies the purpose of my short essay. Imagine you're a mad scientist in a laboratory, and the U. S. government has charged you with the task of creating a perfectly average white man. You split white men down into their fundamental characteristics: hair color, body hair length, belly-button protrusion, etc, and then you tak e measurements and find the average of each of them. Because of the outliers, what will result will probably resemble Frankenstein's onster.This is an analogy I find useful when discussing prejudice. The essence of the previous paragraph was that prejudice arises from two factors: perception of the average as informed by personal experience, and institutionalized power dynamics. These two are inextricably linked, and as one feeds the other, it is very difficult to isolate the effects. However, I will arbitrarily make the choice to begin by discussing perceptions of the average and see where that leads us. My econometrics professor last term proposed that while girls on average tend to do ust as well as boys on standardized math exams, the variance for boys is higher.This is not to say that there are not girls who are incredibly gifted in math, but that there are fewer of them. But naturally, our life experiences are such that we will not be acquainted with the whole of a population, and that is where our prejudices arise. The vast majority of my friends at college are math or computer science majors, so the girls who I do interact with tend to be exceptional at math, and since I have no oint of comparison, I don't regard them as any more exceptional than the boys with comparable acuity because they are girls.However, as in my opening anecdote, sometimes our sampling of the population isn't so flattering. In those cases, we come to believe that the institutionalized power dynamics are an accurate depiction of the entire world, and we consciously draw â€Å"privilege† from them. The most common â€Å"privilege† in public discourse is white privilege, but institutionalized prejudice extends to things like male privilege, cis- privilege, and thin privilege. Sometimes it even leads to active bigotry.In the ideal world, if we all were statisticians, had perfect data, and approached eve rything objectively, we would distill the portion ot stereotypes th at were actually real and omit the portion that are societal caricatures. Unfortunately, that's not the case. Observers of humanity like myself will continue to notice patterns in human behavior across heterogeneous groups, but I will make a conscious effort to not let that sully my daily interactions with my friends.I will approach each individual as a erson, because they are Just that: the politics of their identity are too complex for a feeble mind like my own to accurately discern. But do notice that I assert that parts of the stereotypes are real. You cannot form an asset bubble on zero information, and similarly, building a stereotype out of nothing would require heavy orchestration, nothing short of state-sponsored propaganda. Unfortunately, it doesn't take very much real information to form a cascade, and if we could distill our stereotypes, the actual remaining substance would be, in most cases, statistically insignificant.

Philippines Literature Essay

The diversity and richness of Philippine literature evolved side by side with the country’s history. Long before the Spaniards and other foreigners landed or set foot on Philippine shores, our forefathers already had their own literature stamped in the history of our race. Our ancient literature shows our customs and traditions in everyday life as traced in our folk stories, old plays and short stories. Our ancestors also had their own alphabet which was different from that brought by the Spaniards. –> LITERATURE: the body of oral and written works, text, books, poetry, etc. these are the several things that concern this subject. we have been exposed to literature ever since we were young. reading, writing, that’s what we do. but is this really the essence of literature?  the time i realized that i was going to take up â€Å"Philippine Literature† this semester, i was rather a bit curios about what would be in store for me, for the whole class.  our Literature instructor Ms. Dinah Laguna-Mission is very enthusiastic in teaching us. never came a time that i felt sleepy or bored during our lit. subject. she has a lively voice and pronunciation, lively gestures and the witty use of words were the things i looked forward to every time she came.  at first, i expect that the subject content and the teaching method was just a repetition of what has been taught to us during high school. but i was wrong, the different genre of literature, different devices and ever famous figures of speech were the ones being taught to us. After all the experiences and new knowledge imparted to me, i realized that Literature is not only about just reading the stories, poems, riddles, etc. but either its understanding them deeply. i thank Ms. Mission for imparting this knowledge imparted to me and the whole class for making this journey bearable and truly enjoyable one. it was beyond doubt an accomplishment for us and so, even if i finish the subject Philippines Literature, the things i  learned, the memories and experience will truly mo no matter what. ^_^

Quantitative Business Analysis Essay

The Sky Hospital Consortium has 40 hospitals in various parts of the United States. In these hospitals once a patient is discharged they are given a survey to determine if they are satisfied with the overall service. In this report we will be showing dissatisfied patients and complaints for the total of discharges to try and help the management staff try and improve patients overall experience. 1. The probability of a patient responding â€Å"Dissatisfied† in each of the three different regions. In Sky Hospital Consortium there are three regions which are East, Central and West. In the West Region there are 16 hospitals that had 63,791 patients visit it last year. In that year there were 5,316 dissatisfied claims in the region. The probability of patients responding dissatisfied is 5,316/ 63,791=0.08333. In the Central Region they have 4 hospitals which were visited by 18,810 patients which 1,513 of them said they were dissatisfied by their visit. The probability of this happening is 1,513/18,810=.08044. In the East there are 20 hospitals that have been visited by 96,061 and had 6,955 dissatisfied patients. The probability of dissatisfied patients in the east region is 6,955/96,061= .07240 2. The probability of a patient filing a formal complaint in each of the three different regions. The West had over 942 patients file a complaint in that year. The probability of a patient filing a formal complaint is 942/63,791=.01477 For the Central they had over 199 patients filing a formal complaint. The probability of patients having a formal complaint is 199/18,810= .01058. The East had over 1,200 formal complaints. The probability of patients making formal complaints in the East hospitals would be 1,200/96,061=.01249. 3. The probability of a patient filing a formal complaint given a patient response of â€Å"Dissatisfied† in each  of the three different regions. In the West hospitals the probability of a patient filling a formal complaint given a patient response of dissatisfied is 942/5,316=.17720. In the Central hospitals the probability is 199/1513=.13153. In the East the probability is 1,200/6,955= .17254. 4. The probability of a patient responding â€Å"Dissatisfied† for each hospital. The chart below shows the hospital per region individually where the patients are said to be dissatisfied with the service. The ranks of best to worst out of the 16 hospitals in the West are broken down here as well as the 4 hospitals of the Central hospitals and the 20 of the East hospitals. Total After looking at all three regions we are able to see that the East by far had the most visits to its 20 hospitals it had the most patients by probability would be satisfied more often than the Central and West Region. For patients filing complaints we are able to see that the Central region has a less likely probability then the East and West Regions. Looking closely though by the number of patients overall compared to the East and West Regions, the Central region was probably able to fix the issues sooner before they became filed complaints mostly because they had more time to spend individually. This also shows when you take the patients who were more probable to file a complaint who was dissatisfied in the Central region, which is the lowest, compared to the East and West which were much higher. Overall per hospital we are able to see the Central Region again was the  best for Overall ranking between the three regions combined. This shows evidence that the hospitals were able to spend more time with their patients because of less patients being seen. Reference Anderson, Sweeney, Cam, Cochran, & Williams. (2013). Essentials of Statistics for Business and Econonmics (7e. ed.). Cengage Learning

Relating Of Finance Available For Marc Day And SwapgameCom Essay

Relating Of Finance Available For Marc Day And SwapgameCom - Essay Example SwapGame is famed for being the first company in the UK to offer video game rental online, as well as give customers the prospect, to retain the games they hire for low pre-played price. It is currently also the pioneer company, to offer online trade-in service, offering gamers with a suitable means to trade in their unwanted games for instant credit, to reduce the price they pay for fresh games. Throughout the UK, Swap Game service has evolved in the past six, and still aspires to offer the unlimited best worth gaming, and service to its customers. Conversely, Business Link is an online resource for businesses and is government owned. It holds vital information, support and services for people’s businesses both larger and smaller ones, established and starting ones. It involves useful online paraphernalia such as calculators and best practical case studies and also broad support. There are several sources that Swap Game can use to raise funds for its starting up as well as it s expansion. These sources can be either internal or external. Internal sources surface from retained profits while external sources are obtained from other outside sources. These sources include banks, owner’s savings, hire purchase, leasing and mortgaging when starting, in 2008, and the other forms such trade credits and sale and leaseback as well as grants for expansion, in 2010. Others such as debt collection and sale of assets are also suitable means to raise funds to begin the swap game business.... These sources include banks, owner’s savings, hire purchase, leasing and mortgaging when starting, in 2008, and the other forms such trade credits and sale and leaseback as well as grants for expansion, in 2010. Internal sources of finance The sources identified for 2008, are appropriate and easily achievable, as the funds such as savings come from the owner, and a viable business plan can earn the business loans from the banks, to start up. Others such as debt collection and sale of assets are also suitable means to raise funds to begin the swap game business. For expansion, in 2010 the sources identified are appropriate since they will need an established company so as to consider them for loans and funding. This includes companies such as Spong, game and eurogamer.net, who are partners and funders of SwapGame. Businesses need funds in order to operate. In some cases, the business cannot raise the required funds to satisfy it needs. It is crucial for businesses to have diffe rent sources, for raising income (Newman, 2010, 146). The advantage of using the internal sources of income is that, the business will be debt free, and will save money by avoiding the payment of interest required when external sources are used. Internal sources, however, are not readily available for the users, and in most cases, the funds raised internally are inadequate for the intended purpose. Internal sources also limit the business ion that the funds raised are not large amounts, which can satisfy the adequately cater for the business needs. In the case where internal finances are not sufficient, the business needs to employ external bodies to ensure that they rise the finances required

Napoleonic War Essay Example | Topics and Well Written Essays - 2000 words

Napoleonic War - Essay Example The fierce competition started as a power struggle between the two nations. At that time, the size of Britain’s army was small, and had lost many battles in the European nations. The revolution pushed France into mayhem, the ruins of which, gave rise to the most powerful army led by Napoleon Buonaparte. Napoleon was born in 1769 in a poor family. The feudal government of France received a severe blow in 1789 from almost all other European nations. This lasted for almost two decades of warfare with all the other competing empires trying to impose their view of balanced power. Consequently, many wars were fought over many large areas and were thence referred to as the First World War. This era was divided into the French Revolution, and the Napoleonic Empire. With the advent of Napoleon Bonaparte, the French Revolution and the subsequent republic experienced tumbling of the French monarchy and its replacement by a series of intermittent violent civilian directions. At the peak of this period, known as â€Å"The Terror† the King and Queen were cruelly put to death. This stimulated the other European nations towards France, and vowed that the resulting nation would never enjoy the cooperation of other European leaders. This is when Napoleon Bonaparte seized the control of French government. With his unusual intelligence and charisma, Napoleon started climbing steps of success one after the other. Before moving as the French artillery officer, Napoleon struggled against French domination in Corscia, a place on the border of Europe. Napoleon was made the Lieutenant in 1792 at the age of 23. A year later, his genius personality led him to becoming the Brigadier-General. After two years, he was able to successfully fight the Austrian troops. Though situation was bad for the French, Napoleon was highly confident of his abilities for battle and was given the command of French armies. Napoleon Bonaparte became the first ambassador of French rebellion in

U.S. History Civil War-Present Assignment Example | Topics and Well Written Essays - 250 words - 1

U.S. History Civil War-Present - Assignment Example On the other hand, social conservatism were those who were staunch supporters of social values. The two types of conservatives have worked towards building the political position of America up o where it is as of now. Different leaders supported conservatism in their own ways. For instance, President J. F. Kennedy, illuminated conservatism by advocating that all rights of the people are protected. During the 80’s president Ronald Regan favored the conservative side by reducing taxes, deregulation, increasing the US military budget, just to mention but a few (Berkin, 1865). This era was dubbed as the ‘’Regan era’’. Initially, conservatism was only associated with the Republican Party. However, things started changing in the 50’s where southerners became conservatives due to segregation. This triggered a coalition that helped to foster domestic legislation. The union of the two conservatives came up with ideologies that were not well received by the Soviet Union. In the end, the Soviet Union could no longer trust the United States hence the beginning of a historical rivalry (Berkin, 1865). The Soviet Union was so engrossed in its bid to expand communism that it started creating alliances with different nations against America. In the end, America is seen as a country whose cultural structure influences how politics are run. And this works best for America as a nation. In as much as the Soviet Union was not impressed by this move, the American culture stood the test of time of the soviet’s opposition. The 1980s American history shaped the nature of difference in cultural and social standings in the state. Reagan’s administration applied various responsive measures to balance these differences. A later influx of other cultures such as Latinos and Asians made these efforts more difficult. In the 1980s the United States embarked on a worldwide mission to spread its democratic ideals. It is the systems and institutions set up during this time that

Does football promote freindship or enmity Essay

Does football promote freindship or enmity - Essay Example Apparently, most soccer fans prefer watching matches in social places such as clubs, restaurants or at home as long as they are in the company of people who have interest in soccer. Consequently, a bond is created between these people, who may be strangers, since they will have a common topic for discussion throughout the 90 minutes. In this context, it is true to say that football facilitates and enhances the creation of friendships between strangers however short lived they might be (Foer 39). Similarly, football promotes friendship in terms of suppressing racial mentalities that promote discrimination. The world cup for example sets an international stage for teams from different countries, some of which have been in conflict with each other for a long time due to political or ideological differences. Whenever these teams are playing, the people watching get to forget their differences, especially due to the fact that there are high standards set for officiating matches such that every participant feels comfortable with the results. This is made better by the display of sportsmanship by footballers whereby they shake hands even after one of them has committed a foul against the other. By doing so, they portray a high level of emotional intelligence which becomes a good example for those who are watching.

Sigmund Freud Essay Example | Topics and Well Written Essays - 1000 words

Sigmund Freud - Essay Example Freud believed that the mind was in fact a complex energy source and should be investigated in a psychological way. Always a bright child and at the head of every class he was in, according to Gregory (1987, page 268), he was educated in Vienna. He began to study for a medical degree in 1873 and undertook research into the vertebrate nervous system and published his first scientific paper on this subject in 1878. On obtaining his medical qualification he decided to specialize in clinical neurology. His work on aphasia, that is loss of speech, especially with regard to Dr Breuer’s patient Miss O., attracted lots of scientific attention. Physical reasons for her many symptoms could not be found. Both Breuer and Freud wrote about how her condition, described at the time as hysteria, was the result of some psychological trauma in earlier life. When the patient was able, through hypnosis, to understand where her symptoms originated from , she was able to overcome them one by one. A lthough Freud was not the first person to discuss the idea of the unconcious mind having an effect upon the conscious, it was through his work that the idea became widely known. Freud moved to Paris, which was then the world centre for neurologists and the study of neurology. At that time he believed strongly in the use of hypnosis in clinical practice. He came to realise that neurosis was much more complex than had been previously realized. After a relatively short time he returned to Vienna where he married and set up in practice as a neuropsychologist. He spent several years searching for causes – concluding that in many cases the origin of problems was the suppression of early bad memories, repressed ideas which caused psychological trauma, especially with regard to sexual matters. This is something he added to Breuer’s theories. He developed over an extended period the theory that all human have an unconscious mind in which aggressive and sexual impulses are alway s in conflict with the minds defences against them. His theories seemed to be capable of encompassing and explaining many different types of human behaviour. They seem to provide causal theories for many kinds of human misery. The problem, as described by Thornton ( 2010) is that these causes are not scientifically observable or measurable. Freud is associated with the Oedipus Complex. This was based upon his hysterical female patients in Vienna, many of whom seemed to have repressed memories about seduction by male relatives in their early childhood. Many of these so called recollections, or repressed memories, obtained under hypnotic conditions, proved to be fantasies, according to Freud. This is what is now often termed ‘False Memory Syndrome’ .Others believe, according to Thornton ( 2010), that there was, even in Vienna’s polite middle class society, a much higher level of child sexual abuse than Freud felt able to acknowledge. . In 1906 he produced ‘Th ree Contributions to the Theory of Sex, a work which shocked many, yet nevertheless had an influence upon modern day ideas about the development of human personality. Earlier (1900) he had written ‘The Interpretation of Dreams’ based to a great deal on his analysis of his own dreams. According to Thornton ( 2010) these dreams had their origins in the huge emotional upset Freud suffered

Connection Project Research Paper Example | Topics and Well Written Essays - 750 words

Connection Project - Research Paper Example Most significantly, they identified statistical measures such as the standard deviation, coefficient and correlation (Nelson, 2000). The importance of information gathering and analysis in the 21st Century is a constant requirement for individuals, institutions and governments. Present day society is faced with endless and varied uncertainties concerning the future. The availability of-and access to accurately-synthesized information, therefore, helps in making informed predictions about the future, in planning and provides a basis for assessing performance over a forecasted period. The application of statistics has been embraced globally (most importantly) due its ability to fit into all fields of human interest. This has turned statistics into an inter-disciplinary subject (Pangano, 2008). Discussion The applicability of statistics is derived from the core process of data mining. The process of acquiring raw data is the first step towards making relevant statistical inferences and applications designed to assist in solving real world problems faced by both individuals and organizations. The extent to which applications can be made is only limited by the researcher’s definition of the problem statement and the methodology employed for data mining. This means that the statistical inference is legitimized by the problem being investigated and the set procedures for collecting and analyzing information concerning the problem (McPherson, 2011). Essentially, one can perhaps rightly argue that the choice of policy, strategy or decision undertaken was decided upon by the intrinsic nature of the problem thereby challenging the traditional view of managerial competency as the primary factor in decision making. Statistics becomes exceedingly essential in qualitative thinking. It identifies the type of problem facing individuals or institutions, defines the problem, assesses it and relates it to the final set of alternative courses of actions available in remedy t o the problem (Nelson, 2000). It provides a logical approach to problem solving thereby enriching the ability of individuals and organizations alike to make near accurate forecasts for the future now. Statistics becomes a tool for identifying and successfully effecting change within organizations by minimizing the variations between expected and actual results. With regard to applications by individuals, statistics can be used in enriching financing decisions. An investor wishing to invest his savings will rely heavily on quantitative statistics to identify investment alternatives that provide satisfactory returns to his investment at minimal risk exposures (McPherson, 2011). Quantitative statistics, therefore, assists in creating a benchmark portfolio for investment by identifying the set of securities that the investor will hold. The performance of the securities and the portfolio managers can be accurately assessed at different points in time to make relevant adjustments. Statist ics can be used by graduates in deciding as between employers and versus self employment. The career path of an individual within an organization can be assessed using industry aggregates on salary packages, determining future growth and development opportunities within the firm (promotions and training) and in formulating personal targets. It is a normal practice for firms to be ranked at both industry level and

Advertising and Semiotics Essay Example | Topics and Well Written Essays - 1250 words

Advertising and Semiotics - Essay Example Semiotics, in an overview, is the study of the production of meanings from sign-systems, in both linguistic and non-linguistic manner (Hawkes, 1977). Distinctly, traditions of inquiry (human) form a more general science of signs. The scope of semiotics goes beyond spoken or written language to other kinds of communicative systems. Examples are semiotic uses in cinema (making movies), advertising (print ad and catchy commercials), gesture (hand manners), and cuisine (a finished product that tickles the taste buds before it even touches your mouth and eats it). It is, therefore, a complex process of signifying and suggestive subtleties. The American philosopher C.S. Peirce (1839-1914) founded Semiotics and independently by the Swiss linguist Ferdinand de Saussure (1857-1913) who has prepared the principles and concepts and the distinction between signifier and signified and between langue and parole as described in the Georgetown archives. Forming the basis of structuralism and its thrust toward literature, de Saussure became furthermore influential by this discipline. Peirce however, used a different set of terms to describe sign functions, which for him were a â€Å"conceptual† progression continually â€Å"unfolding and unending† (what he termed â€Å"unlimited semiosis†, the chain of meaning-making by new signs interpreting a prior sign or set of signs). But for social scrutiny, both school of thoughts on semiotics isolated sign functions. This reveals a set-up of relationships through the intricate social use – because cultures are fashioned through language, and language mediates o r is a way of knowing things, interpreting and representing the true value and is made available when signs and sign systems are then collectively used effectively in our daily communication. Prominence in terms of shared conventions and codes like the level of expression for the signifier (â€Å"the untouched impression  Ã‚  of speech sounds or the visual impression of written characters and images†) and the signified (â€Å"the level of content or value, what is associated with the signifier in a language†) is the gist of de Saussure’s doctrine and concepts.

Southwest Airlines Strategic Management Essay Example | Topics and Well Written Essays - 1250 words

Southwest Airlines Strategic Management - Essay Example The mission statement of Southwest Airlines apparently affirms that the airline company is strategically concentrated to serve its international customer base with the highest degree of quality assurance with a sense of warmth, company spirit and friendliness along with individual pride. Moreover, the vision of Southwest Airlines indicates that the company desires to become a famous airline company by providing inexpensive, reliable and comfortable flight transportation facility, both in the national and international contexts (Southwest Airlines Co, 2012). Strengths The strengths of Southwest Airlines can be identified as its capability to serve its worldwide customers with low prices and higher quality services. Moreover, the organizational structure of Southwest Airlines is identified to be flexible which in turn rewards a competitive advantage for the company. Additionally, the airlines company helps its customers to book tickets mostly through online sources. Generally, the most apparent strength of Southwest Airlines is the working environment of the company which is built on an effective relationship among the staffs (Hawkins, Misra & Tang, 2012). Weaknesses Southwest Airlines does not pursue any partnership or membership with unions. Generally, the organizational operations are examined to indicate the nature of a follower rather than a leader in the global marketplace.

Findings Analysis Essay Example for Free

Findings Analysis Essay I have found out my primary information about the idea of slim-line kitchen electrical appliances by doing a quota sampling, which meant dividing the population into various age groups and backgrounds and carrying out questionnaires. In my results in source 14, which is my questionnaire, the first question shows the gender of the amount of people that help fill in the questionnaire. Out of 150 people that I questioned only 36.6% were males and females a greater percentage of 63.6(%). This shows that on average most of the people I questioned were females. Source 2 also supports this idea as it states that the majority of people living in England are females at 51%. Also the details in source 6 show the gender of people that purchase brown and white goods, the larger percentage goes towards the women at 54%. Also an evidence of this statement that there are more women than men in GB is illustrated in source 2, it shows that in 2003 there were more women than men- and that I think has increased during recent years because source 2 shows that women are at 51% of the population in UK, then source 6 shows women are at 54 and source 14 [the questionnaire] shows they are at 63 percent (you can see that in the chart below that shows these results), and I predict this is going to escalate far more in a years or so time; which means if S and S plc was to choose their target group then in my opinion women should be targeted not only for their percentage as a whole but as for the person that makes decisions about where the kitchen appliances go and what should be bought. The second question in the questionnaire asks for the age groups of the person that is filling in the questionnaire; the most widely held answer is the 45-54 age group. On a percentage out of 150 people 48% of the people come in that particular age group. Although my source 2 says that the majority of the people living in Great Britain are either between the age group of 35-44 or above 65, however my source is over 3 years old, which could make big difference as related to new market, but maybe the area that I was doing the questionnaire in; the majority of the people were between 45 and 54. The rest of the questionnaire still supports the idea of what S and S plc is trying to introduce. This means they have now got an idea of what the populations wants and needs are. S and S plc need to confirm the target age group and then plan sale strategies. Question 4 asks the people what newspapers they read. Out of a variety of newspapers most of the people wrote their answer as The Daily Telegraph, 62% out of 150 people. This question is not completely pointless as it is a method of advertising for many companies including electrical stores such as Dixons, Comet and Currys. According to my source 12 quite a big percentage of the expenditure that a business is ready to pay for advertising belongs to the press area /newspapers. Out of 10 different electrical stores 76% of the money they spend on advertising is in the press column. Therefore it would be very beneficial for S and S plc to put their ads into the two top particular newspapers Daily Telegraph being the top. Another quite high percentage of the advertising goes into the radio, which is also another method for S and S plc to attain more awareness. The next question asks the people how many people live in their household, majority of the people answered 4 to the question. Out of 150 people 30% said 4. Source 4 of my secondary data illustrates that 13.2% of the people out of 25,220 people have 4 persons living in their household and the majority of the people answered 2 persons out of the same audience 34.9% to be exact, however we know that my secondary information is about 2 years old which only shows me old data that is not accurate but as we know now the majority of the people have 4 persons in their household, because as times go on people make more decisions. This means that there are more people living in a single household now as opposed to 2 years ago, therefore white goods will be necessary for them in their daily life unlike single people living alone dont need as much white goods because they wont use it a lot. So if S and S plc were to get targets then going for the more colonized houses because they will be a god i dea and these will be their ideal customers. Question six asks the people what circumstances will aid them to consider buying slim white goods to replace them with the old. The choices included from new models introduced, moving house, changing their kitchens and/or when their old goods break down. The majority of the people answered as when they move houses, 62.6% out of 150 people agreed to that. This gives S and S plc the opportunity to sell their products, if they know how many people are moving houses on average they can work out the amount of the kitchen electrical appliances that they need to produce, this will maintain the sale of the slim-line white goods as the results in source 5 show the statistics that, there are increasingly more people that either move or as a result separation move to another home alone. If S and S plc want to boost their sales they have to advertise it to the people that are moving houses [as white goods are very important in a household, it is almost a necessity]. Source 3 also shows that the majority of the people in 1 household are 2 persons. And as more people move into the same house there is an even greater need of white goods, and as some houses are quite cramped slim-line white goods is the best option so that sort of people should be target to the S and S plc. Question seven enquires the people how long ago was the last time that they purchased/changed their white good. The majority of the people answered this question as last 5 years which sums up to be 48% out of the total of 150 people. This shows that the majority of people will not spend frequently on white goods as they are only replaced when they are damaged or too much out of date, this is simply because that the people are already used to the way that that particular white good works. Also another reason for people not to change their white goods purchased in last 5 years is that the white goods technology hasnt changed much in the last 5 years so no reason to change their white goods, but as source 8 of my raw information shows that there is an increasing demand of new technology therefore sale for the slim-line white goods will produce profit to S and S plc as the savvy consumers is the prime driver of the market. The pie chart in the same source reveals that the second highest percentage of consumers spending on electricals belongs to the household appliances this is a 23% of the expenditure. Question eight asks the people where they purchase their kitchen appliances; the applicants were given four choices out of which 3 were specialist retailers and one non-specialist. However you would expect a specialist such as Curry or Dixons to rule this sort of market, but the majority of the peoples answer was other specialist retailer as these two retailers I mentioned are not experts and do not sell all brands that the people might be looking for. Some people have had good experiences with some brands that they wish to keep with. I predicted the majority of the shares should be owned by Dixons; this is also what my sources show namely source 11; it shows that the majority of the shares in the market belonged to these retailers in 2004. Source 9 of my raw information states that non-specialist such as ASDA and Tesco have a more constant product offering which is a step beyond WIGIG [when its gone its gone offer] that specialist retailers use as their sale strategies. These non-specialists sell varieties of brands and at a low cost too, thus increasing their sales. Source 9 also shows the statistics in the electrical retail market that this has caused. It has attracted customers from other markets such as PC and Audio-Visual markets because people would rather buy the same thing cheaper. This means that S and S plc should also increase and expand the variety of electrical goods the sell and do not necessarily have to be a specialist retailer for white/slim-line goods. This will increase their sales and give the m a higher reputation in the electrical retail market. The ninth question in the questionnaire enquires if changes in the circumstances were to occur; [including those mentioned in question six], would they consider buying i.e. replacing them with slim-line versions of the goods. The majority of the people out of 150 answered Yes, this concluded to 86% the rest 14% answered No. People dont find the urge to replace their existing electrical appliances as quick as any other item in the household, this is because these can be shared and it is only going to be a waste if you used it once and then dispose of it especially when it costs a lot. So as seen in question 6, most people will only replace their kitchen electrical goods when they move house. The idea of slim line appliances in kitchen is new so many people will not be too comfortable with using these, therefore sales for these will not increase soon after the promotion. According to the results I for this question it looks like quite a high percentage of people want to try it out and have a vision of what they will be when they buy them, because they know this will save space in their house no matter what the amount of people in the household. There are a number of reasons why people would want to purchase slim-line kitchen electrical goods. One that I think is different than any other is efficiency of the goods. If it saves the customers money, they will defiantly choose this item to last for a long time. Source 7 states The largest amounts of customer spending go on housing/electricity/gas other fuels, so slim-line kitchen electrical goods were to decrease the money spent they would be able to buy more goods as they get more disposable income SAY SOME STUFF ABOUT THE NEWSPAPER ARTICLE !!. What S and S plc needs to do is to advertise their product so that it illustrates that it is efficient and takes less space they need to take this measurement in the plotting of the sale strategy, this could be S and S plcs unique selling point, something that distinguishes S and S plc from other retailers. In source 7 [i.e. fig.11] you can see the statistics as to how much people spend on the mentioned factors. From the graph above you can see that even though the expenditures are increasing slowly if not very swiftly. This you can see in the tale where in the %change column you can see that even though expenditures were increasing as a percentage in midyear intervals for many years, it is slowly levelling out/decreasing. Question 10 asks the people if they were given a choice to own a slim-line kitchen electrical good would the replace it with their existing ones. 59.3% of the people answered yes. As I said, for replacement of kitchen electrical goods slim-line kitchen electrical appliances are best suited as they as well as being efficient this will also be more modern and will take less space, so this offers the customers an opportunity to work more efficiently and in a better/ bigger space. HELP!!! Question eleven is entitled to find out what the motivation is that leads the sales of kitchen electrical appliances in the market. The question was What motivates you to buy a new kitchen electrical appliance? We provided them with four possible answers these included the price, its capacity, brand name or energy efficient. A high percentage of people were motivated by looking at the appliances capacity, which is vital because if it has to be shared it must be sufficiently big. This added up to 21.3% of the people out of 150 that help fill the questionnaire. The higher percentage [48%] of the people said they were motivated by the price, so if it was cheap and had a big capacity more customers would purchase the product. Not much of the credit went to the brand name, although I would have guessed this would be a bigger motivation to the people because when many people have had experience with one brand they stick to it and pass on their reviews, then again it isnt very often that p eople buy kitchen electrical appliances and its models changes from year to year. This means that when S and S plc rules the JnK plc companies in Asia, they wont have much difficulty with introducing new products into the market and sell as much as possible. However more credibility goes to energy efficiency, so some people are interested in saving money per annual rather than once, at the purchase time, this answer was chosen by 12% of the total. This question too links to source 7 as it shows that more people are decreasing the amount of money spent on electricity, gas, water etc. It shows that less people are ready to pay a lot of money for these appliances. The last question finishes off the questionnaire with asking the people if slim-line kitchen electrical appliances were in the market would the people buy them. The majority of the people chose to buy their goods only if their circumstances were to change. This means that even though slim-line kitchen electrical goods are a big success they will only be purchased when they need to replace them because people dont want to change their kitchen appliances too frequently, only when they move or if the old one is broken. 42.3% of people chose this for an answer. This means that people are not desperate to own one but they reckon it is a good idea to own one Well this questionnaire gave S and S plc a good guidance on what the market is like and if slim-line kitchen electrical appliances would sell in that market and to choose their target and unique selling point.

Role of Neutral States on CFSP Development

Role of Neutral States on CFSP Development Introduction The topic of my master essay is The role of the EU neutral states (Austria and Finland) in the development of CFSP, their impact on the elaboration of the European Union. Even today, it is a very actual issue for the Union, because it is connected with the integration process, security and defense problems of this organization. The main object of my research is to identify the impact of the neutral states (in my case, Austria and Finland) to the common security of the European Community, whether its pacifist or â€Å"neutral†. It should be noted that the issue of security and defense of the EU, its ability not only to protect its member states, but also to resolve the conflict situations is very significant. I decided to write about such representatives of the neutral states like Austria and Finland. First of all, these countries have more similarities than differences, which I will try to describe and characterize during the writing of my thesis. The aim of my work is: Describe the foreign policy of Austria and Finland and identify their similarities and differences; Identify the contribution of the neutral states towards a resolution of the international crises; Describe the opportunities of the CFSP to be a full-fledged superpower during the international crises and its effect on the policy of neutrals; The research question of my master thesis is If the European second pillar CFSP has had any effect on the development of the neutral states (Austria and Finland) and whether emerging these neutrals has had an effect on the Common Foreign and Security Policy? Hypothesis: a) The admission of the neutrals in 1995 did not significantly affect the trajectory of the development of the CFSP by making it more pacifist or neutral. b) The CFSP had a significant impact on the development of its neutral Member States (Austria and Finland). What I am proposing is basically in line with Alex George and Andrew Bennets method of a focused structured comparison. So, I will write two country-case study chapters asking the same questions and using the same set of CFSPrelated events or documents to answer them and then sum up your findings in the concluding chapter. So, the master thesis consists of 5 chapters. I. Foreign Policy of Finland The first country which I will touch upon in my research paper is Finland. I will illustrate and represent the foreign policy of this state from 1970, i.e. 2-3 decades before becoming the European Union member and will describe the foreign policy of this state. But first, it is necessary to note that for the long period of time Finland was under the yoke of the Soviet Union, this period covers from 1809 to 1917 and declared its independence only since 1917. If we compare with Austria, Finland due to its geographical position has always had a close relationship with Russia and could remain unoccupied during the Second World War because of this fact. In 1948 Finland had signed the Treaty of Friendship[1], Cooperation and Mutual Assistance with the Soviet Union. On the basis of this agreement both countries had agreed not to participate in any military actions against each other, and Finland, in turn, couldn’t be involved in the allied relations with the opposingsides of the Sovi et Union. Finlands neutrality was not implemented on the basis of the international law. In 1955 the state became a member of the Nordic Council and the United Nations. And after 4 years it was successfully signed an Association Agreement, and also an agreement with EFTA, which could guarantee the economic priorities for Finland (export of forest products). Later in 1971-1972, Finland, as a member of EFTA started the trade negotiations with the European community, but as a result Finland had to delay the ratification process because the Soviet Union showed their doubts and fears about such cooperation. It could be achieved only in year. The Soviet Union actively involved not only in the developing of the foreign policy of Finland, but in the internal as well. The proof of this is the reelection of the Finnish president in 1973, as Urho Kekkonen was a faithful ally of the USSR. I should also add that Finland had signed free trade agreements with the East European States. Finland economy was dependanton theSoviet Union, which was it’s the main oil supplier and then the finished products were exported to the Eastern European countries. From all of this I can conclude that economic development and influence has always been a valuable factor of the development of foreign policy. These all explain the reason of such a close cooperation with the Soviet Union. From the middle of the 1980 Finland began rapprochement process with the European Community, and in 1988 Finland submitted the White Paper to the European Parliament, EFTA must play the role of direct intermediary between Finland and the European Community. The White Paper contained the willingness and readiness of Finland of joining the European Community and also the economy compatibility of the state (four freedoms). Till 1990, Finland was entirely dependent on the Soviet Union, but after the destruction of the Berlin Wall, the situation began to change drastically. The West was used as the benchmark for Finland, the proof of this was the EEA negotiations. The neutral state began the preparation for the new report to the Parliament, in this time it covered not only the economic relations, but also the foreign affairs and considered the international aspects, namely, the issue of safety and concluded that the decision-making process should be based on a national basis, without prejudice to the rights of the state†. Since 1991, Finland started talking about the entering EU, it was first mentioned by Petti Paasio, the Chairman of the Social Democrat Party. This politician declared that the country needed to begin the process of accession to this Union, also noted that the country should not be involved in any military action. The Finnish Center Party was ready to consider Finlands membership if the security issue of the country would be accepted based on the national decisions of neutral country. In November 1991, Finland began the negotiations with the Soviet Union about a signing of new treaty the Treaty of Good Neighborliness and Cooperation, but which was interrupted due to the prevailing circumstances, such as the collapse of the Soviet Union and the formation of an independent communist country. Further Finland continued the negotiations with the newly formed Russian Federation. It recognized the Russian state as a successor to the Soviet Union. In December 22, 1991 Finland and the Soviet Union issued a new agreement The Agreement on the Foundations of Relations, which did not contain the military obligations like in the Treaty of 1948, it certified non-aggression and nor allowing third countries to entry into its territory and use the military force. In March 18, 1992, the Finnish Parliament on the basis of the choice of the majority vote, decided to join the European Community. Similarities and Differences between Austria and Finland During the WWII Finland and Austria were the proponents of Germany, and Austria was under its full control. Major role in their abstention from further participation in military blocs played the USSR, which withdraw Finland from the war, defeating it. Austria was also occupied by the USSR army. These countries paid for their freedom by receiving the neutrality status. Austrias neutrality was prescribed by the international law. These two states do not use a term such as neutrality, they always mentioned about the non-alignment. That is, the non-participation in military alliances and the opportunity to participate in military conflicts. This ambiguous phrasing had ceased to have meaning in 1995, after the three countries joined the European Union. By the laws of all countries of the Union are obliged to help other members of the EU in the event of any military conflicts and operations. These countries outside the EU, but wishing it different from other members were special. They belong to the Alliance, but remain neutral. Finland and Austria are in invariable cooperation with NATO; participate in the joint exercises and programs. However, the states considered the opinion of the population which is crushingly against of joining NATO. Austria and Finland are observers of the WEU. 2. Security Policy and the Military capability of Finland From a military aspect, Finland was out of the superpowers’ interest; the state doesn’t have the rich natural resources, has the harsh climatic conditions, and belongs to the northern Europe. In 1947 Finland signed a Peace Treaty and tried to hold on to the policy of neutrality before the Second World War. Because of its geographical and strategic position Finland had a close relationship with the Soviet Union, which helped to protect the integrity of Finland and escaped from the occupation. The neutral state was able to return Porkkala, the territory which had been in the possession of the Soviet Union for 40 years. According to the Treaty of Friendship, Assistance and Mutual Cooperation, the two countries agreed on mutual assistance in case of danger, so this treaty can be regarded as a Mutual Pact. According to this pact Finland was prohibited from using its territory as a transit pass, in other words it provided the protection for the USSR from invading its territory with the armed force of the warring parties. Therefore Mutual Pact was the guarantee for contribution peace in the northern Europe. Finland had a close relationship with other Northern European countries, Sweden like its neighbor is a neutral country, and Norway and Denmark are relatively political weak countries of the Northern Europe. Finland tried to keep the discharge between the states; thereby it joined the CSCE, in the final act of which is mentioned about the country’s right in choosing a neutral policy. Country with a small population (4.7 million people) could not protect its own territory and keep sovereignty. Finnish Defense Forces have been gradually developing; it was emphases the role of naval air weapons, which because of extreme domestic shortages had to be imported from abroad. Finland since 1956 began to take part in the UN peacekeeping operations and its officers were the military observers in the two organizations of the United Nations. Finland is the only EU Nordic country, which did not become a member of NATO. During the Cold War, the Finnish Government adopted a decision of increasing the countrys defense. These led to the commissioning of several new weapon systems and strengthen the defense of Finland, while establishing new garrisons. And in 1968, the Finnish government has adopted the doctrine of territorial resistance, which covering the large territories in case of extreme military emergency. If we assume approximately 16,000 Finnish soldiers were participating in the various military operations of the United Nations, whose purpose was to maintain peace in regions. I will discuss latter about the valuable Finnish peacekeeping operations. According to statistics, in 2003 the Finnish army consisted of 27,000 soldiers, 435,000 reservists who participated in annual military exercises, weapons were presented by battle tanks (235), a marine fleet force consisted of patrol vessel and coastal battalion, landing craft. 3. Populations opinion As in the case of Austria, the population of Finland endorsed the EU membership. Such positive attitude connected with the difficulties in the Balkan, especially the Yugoslavian crisis, which broke out in 1994, the Finnish population began to think about the security and defense issues and becoming the member of the EU. What were the main benefits for the country’s joining this organization, first, it became a part of the EEA, i.e. obtained the corresponding advantages as a member (the four freedoms), and the second and the most important, became a part of a unified decision-making process. But the main Finnish opponents of the EU membership were the Finnish Central Union of Agricultural Producers, and among the political parties Left-Wing Alliance and Christian Union. In January 1994, due to the presidential elections, the population had changed the viewpoint and increased the number of voting in favor (almost 50%), both leaders of the presidential candidates (Paavo Vayrynen and Martti Ahtisaari), were the pro-European orientation. In the same year, it was designed a  «national package » for the Finnish farmers. And so, according to the referendum, which was celebrated in October 16, 1994 , 56.9 % of the population voted in favor , 43.1% voted against. If we compare with Austria Finnish youth was set up much skeptical about membership. Increasing number of the private sector workers voted in favor, while the public sector workers â€Å"against†. Social Democrats endorsed the pro-European orientation. National Coalition Party strongly sustained the EU membership. Center Party – voted â€Å"in favor† by 40%. Greens voted voted â€Å"in favor† by 20%. South votes in favor, in contrast to the North. Internationalists voted in favor, in contrast to the nationalists. 18 % of people worried about the future of the Finnish language. Among the main issues disturbing the population were the future economic development of Finland, the reduction of unemployment rate, security problem, and resolving all these issues according to the status of â€Å"nor war involvement†. 4. Peace-keeping operations Finland, as well as Austria, in order to conducting the anti crisis struggle became an active member of the UN, participated in the peace settlement in Lebanon, India, Pakistan, Afghanistan, Iraq, Yugoslavia. Latter, I will describe the most significant of them. Lebanon crisis was one of the severe crisis of the 1990-s, during which two neighboring countries, Israel and Lebanon. The conflict described a series of military clashes, when the states weren’t able to share their borders. Since 1978, Finland became interested in this conflict situation. Finland endorsed Lebanon’s position and its purpose was restoring peace and security in the Southern Lebanon, assist the Lebanese government for creation the fair and democratic government. In this context, Finland actively required from Israel to withdrawing its military forces from the occupied territory. [1] 1400

†REFLECTION Monitoring and Ensuring Quality Care

– REFLECTION Monitoring and Ensuring Quality Care Introduction The purpose of this paper is to reflect on a recent personal experience of patient care, which enabled me to achieve a module 9 competency, Actively seeks to extend own knowledge. I will be critically analyzing one nursing practice incident using Boud, et al (1985) model of reflection, (please see appendix 1) which will enable me to monitor and ensure quality patient care in future practice. The nursing incident happened when I was looking after a patient requiring enteral tube feeding (ETF). It is important to note that all confidential information relating to patients, wards, hospitals and professional colleagues has not been included in this paper to ensure ethical practice and adherence to the NMC code of professional conduct, section 5 which affirms that I must guard against breaches of confidentiality (NMC 2008). Reflection is a useful tool for the continuation of professional development among nurses (Somerville and Keeling 2004). The word reflection originates from the verb reflectere which means to bend or turn backwards (Hancock 1998). It is a tool, which unlike text books and videos, does not have a limited shelf-life, it is cost effective, is portable and can be used world wide. Patient Profile The aspect of nursing care I have chosen to reflect on is the care of a patient who required enteral tube feeding (ETF) due to dysphagia a condition in which the action of swallowing is difficult to perform (Unison Health Care 1998). This nursing intervention was essential for a patient in my care, who I shall call John. Please see appendix 2 for Johns past medical history. The Plan of Treatment for John John was admitted to my area of practice six days ago following his CVA. He is receiving ETF via an NG tube as an immediate intervention and is being assessed to see if he is a suitable candidate for a percutaneous endoscopic gastrostomy (PEG) tube which are used as a more permanent form of enteral tube feeding (Holmes 2004). The nasogastric tube is about 22 inches [55.9cm] in length (Holmes 2004) and was inserted into his left nostril down through the pharynx, through the oesophagus and through the cardiac sphincter muscle and into the stomach (Marieb 2001). Food can be administered through the tube directly into the stomach and the swallowing process does not need to take place. The food is administered by a pump that controls the amount of feed given in mls per hour. This description could sound as though ETF is always safe and effective and has no complications. Elia (2001) affirms that ETF is typically safe and easy to administer. However John did experience a number of difficul ties that could have been rectified sooner than they were. On reflection of Johns care it is clear to see (with the benefit of hindsight) that if Johns care was managed differently and if complications were noticed and acted on promptly, his hospital experience could have been very different. 1.) Returning to the experience Problems John faced. John experienced two main complications as a result of ETF. The first was regurgitation of the feed into his throat and mouth and the second was diarrhoea. The rate of the feed had been increased over a period of days to its optimal rate, following the ETF guidelines provided by the NHS trust that I was working in. The infusion was commenced during the night while he was sleeping to allow John greater freedom during the day as he could be disconnected from the pump. The regurgitation happened during the first night that the pump was running at the optimal flow rate. Davis and Shere (1994) report that regurgitation is a common complication of ETF. As a consequence, John had to swallow what had come up into his mouth. The rationale for John to undergo enteral tube feeding was to prevent further weight loss and aspiration which can be caused by dysphagia (DeLegge 1995, Gibbon 2002 and Davies 1999). Aspiration has various meanings, however in this context it refers to the movement of for eign material i.e. fluids or food, into the trachea and further down into the lungs (Unison Health Care 1998). This can occur when the swallowing mechanism is ineffective or impaired. Infection of the lobe of the lung, in which the foreign material has lodged, occurs. This is called aspiration pneumonia (Unison Health Care 1998). Patients suffering from dysphagia are at risk of developing aspiration pneumonia (DeLegge 1995 and Gibbon 2002). ETF was commenced to overcome this risk but now the very intervention that was intended to eliminate the risk has caused an even greater risk of aspiration pneumonia. According to Marieb (2001) there are two stages of deglutition (swallowing). The buccal phase, which is a voluntary action, occurs in the mouth and is the first phase of deglutition. The tongue progressively elevates anteriorly to posteriorly, propelling the bolus through the oral cavity. When the bolus has moved to the base of the tongue, the soft palate is raised, preventing food from being regurgitated via the nasal passage (Davies 1999). The second is the involuntary pharyngeal-oesophageal phase which Davies (1999) describes as a complex sequence of muscular movements. After a CVA the ability to initiate the secondary phase of deglutition can be disrupted resulting in ineffective or complete failure of this phase of deglutition. This short explanation of pathophysiology demonstrates how important it is to know nursing rationales for nursing interventions. Patients suffering from dysphagia can sometimes overcome the problem by eating a pureed diet and drinking thickened fluids, but this depends on the severity of the dysphagia (Stringer 1999). John needs ETF because his dysphagia is too advanced to be overcome by a change in diet. Arrowsmith (1993) recommends that patients who are receiving ETF via a NG tube that are lying in bed, should have their head and shoulders elevated 30-40 degrees during feeding and up to one hour afterwards to minimise gastric pooling and reflux of the feed. This example demonstrates how a simple action can make a substantial impact on the quality of care that they experience. It has the twofold purpose of Impact of the quality of care that they experience. It has twofold purpose of promoting the effectiveness of the intervention and minimises harm to the patient by reducing the risk of aspiration pneumonia. Assessing for signs of aspiration in a patient suffering from dysphagia should always be taken seriously by nursing staff. Stringer (1999) reports that if dysphagia is serious enough it can prevent the victim from swallowing their own saliva. The average person swallows approximately 590 times each day 146 when eating, 394 when awake and not eating and 50 times during sleep (Davies 1999). With the average person swallowing literally hundreds of times each day, patients are at risk of aspirating (on their own saliva) regardless of ETF. Barer (1989) found that over one third of conscious acute stroke patients admitted to hospital had unsafe swallowing. Davies (1999) citing Ellul and Barer (1994) affirms that dysphagia in the first three days after stroke is associated with a five to tenfold increased risk of chest infection during the first week. This is due to varying degrees of aspiration. Aspiration is a potentially fatal complication of ETF. John also experienced three episodes of diarrhoea since starting ETF. John was only provided with a commode which was only dealing with the symptoms rather than treating the cause. No contact was made with the senior house officer or dietician. Furthermore there did not appear to be much concern among the nursing team and there was no discussion or sharing of knowledge between colleagues accept what came from myself. I told my mentor what I had been reading during my reflection time and pointed out some reasons that have been identified as causing diarrhoea for patients receiving ETF. The attitude of my mentor was apathetic, and commented, Hes bound to pick up a bug, give it time, it will pass. This shocked me as Somerville and Keeling (2004) reports that the nursing profession depends on a culture of mutual support, and this was not what I received from my mentor. I wanted to discuss the temperature of the feed, his current medication and the cleanliness in which the feed was prepared and administered. If the feed is too cold when it is administered it can cause diarrhoea (Arrowsmith 2003). Howell (2002) reports that diarrhoea can be the result of ETF but it can also be due to the side effects of medications. Antibiotics can cause the common side affect of diarrhoea (BMA 2001) but John was not receiving any. Diarrhoea in ETF can also be caused through the introduction of bacteria through poor hygiene standards in the preparation and administration of the feed; however the preparation and administration does not need to be performed aspptically. This is only indicated if the patient is immunocompromised (Arrowsmith 1993). My professional knowledge reminded me that I could not dismiss the diarrhoea as a coincidence. If there were nursing interventions that could be used and I didnt use them, I would be failing to provide quality care for my patient. Nurses are responsible not only for their actions but also for their omissions (NMC 2008). I wanted to refer to each others professional knowledge through discussion, and to the ETF guidelines to see if there was a simple cause to the problem that could be rectified before consultation with the doctor or dietician became necessary. I was able to rule out most factors that can cause diarrhoea. This led me to believe that the infusion rate could be too fast. These are the factors that I wanted to discuss with my mentor so I could contact the dietician to seek help from the multidisciplinary team. Gibbon (2002) asserts that stroke care requires the services of a multi-professional te am, working towards an agreed therapeutic plan hence my reason to collaborate with the dietician. 2.) Attending to feelings What did I feel was Positive? During reflection time I was very interested and pleased to find this research to suggest that there could be something that I could do to put an end to the discomfort, distress and potentially disastrous complications of a patient in my care. Many times as a student I have felt that I personally, am not making a great difference to my patients health and wellbeing as I am not working independently, but under my mentor who in general decides on a course of action for our patients. This time I have found the answer from my own research. All that remains is for me to bring this research to my mentors attention and then put the intervention into practice. The patient will benefit, and I will have a great sense of achievement as I will have, in a small way, improved the quality of someones life, accomplishing one of the reasons why I decided to take a career in nursing. Attending to feelings What did I feel was Negative? In response to the apathy that I encountered, I felt disappointed and powerless and undervalued. My original mentor was off on temporary short term sickness due to a small operation and therefore I was allocated another Junior Ward Sister to take her place for the short period of time in her absence. I felt disappointed because my contribution to the care of my patient was not welcomed and that this mentor was not as patient or interested in my learning and on-going development. I also thought it was unfair because I had evidence to base my suggestions on. It was not a vague idea I had conceived but it was grounded in research. I felt powerless because as a junior and inexperienced member of the team I felt I had little influence over the overwhelming hierarchy. Morris (2004) states that student nurses possess little power because they are viewed as inexperienced. I wanted to make my mentor realise that the patient could be suffering (from diarrhoea and regurgitation) because of our negligence and not from inevitable causes. Why was Cognitive Learning Being Achieved? In this situation I was learning a number of things, mainly relating to communication, team work, assertiveness, accountability and responsibility. I learned that my priority is with the care of my patient and not with my popularity among colleagues, just as the NMC (2008) signifies when it states when facing professional dilemmas, your first consideration in all activities must be in the interests and safety of patients. When I met with my original mentor on her return back to work we discussed this incident of practice and she praised my efforts in extending my knowledge to improve patients care. I therefore achieved the competency, actively seeks to extend own knowledge. Do Any Barriers to Learning Exist? The barriers that existed to my learning were the apathy of the nurses and the limits of my own assertiveness. It was very hard on this ward to feel proud of the care that was being given. The ward was poorly staffed, the ward manager was unanimously unpopular, the ward relied heavily on agency staff that was not familiar with the ward and my temporary mentor wanted to leave nursing because of all of the above (and more). As a new and enthusiastic team member I found my self fighting against the low morale and low motivation of the current staff. Job satisfaction can impact on the care that nurses provide. Brown (1995) believes that when nurses enjoy good job satisfaction they provide a higher standard of care to their patients. Rohrlach (1998) and Govier (1999) cited by Kitson (2003) discovered that nurses who were happy with the care they were giving were more likely to stay within the clinical area which would in turn provide some stability and security within the workplace. Accor ding to this research, the inability to give quality care (due to the problems mentioned) was resulting in low morale. The dilemma I faced was as follows. I had already approached my mentor once regarding Johns problems and detected that there was little interest in what I had to offer and in the nurses willingness to correct any problems. If I addressed the issue again, I risked worsening the relationship between my mentor and myself. Morris (2004) identifies that student nurses often feel nervous about speaking out because they feel the need to conform or do not wish to be viewed in a negative way. Student nurses risk upsetting the status quo by speaking out. If I left the issue my patient may be suffering discomfort unnecessarily, but as a student I will never be held accountable in a way that registered nurses midwives or health visitors are (NMC 2008). Would this justify me leaving the issues and conforming to the apathy and bad practice of my mentor? Morris (2004) disagrees. She says that although students are not legally accountable for their actions and omissions, they are morally responsible for ensuring that patients are receiving good standards of care. The student nurse must be responsible. Semple and Cable (2003) affirm that responsibility is concerned with answering for what you do. Registered nurses, midwifes and health visitors are accountable which, Semple and Cable (2003) defines as being answerable for the consequences of what you do. 3.) Re-evaluating the Experience Drawing Conclusions Drawing conclusions is the most vital part of the process of reflection. It will shape future practice and quality of care. Conclusions that are drawn from reflection must agree with the Nursing and Midwifery Council code of professional conduct. It is with the NMC that all matters of conduct, practice and attitude are dictated to nurses. The NMC (2008) motto, protecting the public through professional standards can only be achieved if all those on the NMC register are willing to submit to the conditions and regulations that it upholds. Indeed Somerville and Keeling (2004) affirm that in order for nurses to meet the demands of the NMC, they must focus on their knowledge skills and behaviour which can be achieved through reflection. On reflection of the described incident, it was difficult to know what to do. My mentor was not up to date with the knowledge of this area of practice. I cannot, and do not expect her to know everything, however Glover (1999) points out the nurses should be reliant on others for information. The NMC (2008) states that nurses should work cooperatively within teams and respect the skills, expertise and contributions of colleagues, treating them fairly and without discrimination. Therefore I expected my temporary mentor to take more interest in what I had to offer. Indeed Morris (2004) argues that qualified nurses are obliged to listen to other staff regardless of their qualification status. Announcing that practice should be in accordance with the NMC is too simplistic an answer to such a diverse problem. It is correct to say this but how will this be achieved? The ward is in need of good clinical leadership, first of all from the sister in charge. Nadeem (2002) states that the call for good leadership in the NHS has reintroduced the matron figure and also the new role of nurse consultants. Specialist nurses do have a role in ensuring safe practice and quality care but this should be in addition to effective local leadership i.e. leadership from the ward sister. Leadership is perceived as being good if there is good team working and if managers have good relationships with staff (Lipley 2003) which is one area that needs consideration in this scenario. Meeting the staffs needs improves satisfaction, productivity and efficiency (Nadeem 2002) which in this instance principally means the provision of resources, i.e. human resources. Nurses who are happy with the care they give are more likely to stay within their clinical area (Rohrlach 1998 and Govier 1999 cited by Kitson 2003). This would provide some stability and security in the workplace. Clinical governance has also come to play a prominent role in ensuring quality care. The government has defined clinical governance as a framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding standards of care, by creating an environment in which excellence in clinical care will flourish (Department of Health 1998). It had been noted that unacceptable variations in clinical practice where becoming common in the NHS (Department of Health 2010). While some patients were receiving excellent health care, e.g. in stroke care, other patients in the country were receiving sub-optimal stroke care due to differences in facilities, funding, education and staff. Each clinical area can improve the quality of care by (1) using modern matrons and nu rse consultants as clinical leaders, (2) by having adequate staff to care effectively and to lift morale among existing staff and (3) by implementing clinical governance which will result in the flourishing of good practices across wards, departments and NHS trusts through the sharing of expertise, research and ideas. The wards problems could also be addressed through annual reviews or by encouraging staff to keep an up-to-date portfolio (Somerville and Keeling 2004). This will allow nurses to identify strengths and opportunities for development. Critically analysing using reflection on this incident has been valuable in maintaining the quality of care as set out in the NMC code of professional conduct. Gallacher (2004) says that she questions different peoples practices in order to provide her patients with first class quality care. Clinical practice will not improve if it remains unquestioned. Hindsight gives the practitioner the opportunity to discriminate between good and bad practices. Safe, legal and quality care can only be given if it is in keeping with the NMC code of professional conduct. Reference list Arrowsmith, H. (1993) Nursing Management of Patients Receiving a Nasogastric Feed. In: British Journal of Nursing. 2 (21) 1053-1058 Barer, D. (1989) The Natural History and Functional Consequences of Dysphagia after Hemispheric Stroke. In: Neurol Neurosurg Psychiatry. 52, 236-241 BMA (2008) New Guide to Medicines and Drugs. London: British Medical Association. Brown, R. (1995) Education for Specialist and Advanced Practice. In: British Journal of Nursing. 4 (5) 266-268 Department of Health (1998) First Class Service: Quality in the New NHS. London: The Stationery Office. Davies, S. (1999) Dysphagia in Acute Strokes. In: Nursing Standard. 13 (30) 49-55 Davis, J. Shere, K. (1994) Applied Nutrition and Diet Therapy for Nurses. 2nd Ed. Philadelphia: PA,WB Saunders. DeLegge, M. (1995) Percutaneous Endoscopic Gastrojejunostomy: A Dual Centre Safety and Efficacy Trial. In: Journal of Parenteral and Enteral Nutrition. 19 (3) 239-243 Gallacher, G. (2004) Gaining a Better Understanding of Reflection to Improve Practice. In: Nursing Times. 100 (23) 39 Gibbon, B. (2002) Rehabilitation Following Stroke. In: Nursing Standard. 16 (29) 47-52 Glover, D. (1999) Accountability. In: Nursing Times Clinical Monograph. 27, 1-11 Elia, M. (2001) Trends in Artificial Nutrition Support in the UK during 1996-2000. Maidenhead: BAPEN. Hancock, P. (1998) Reflective Practice using a Learning Journal. In: Nursing Standard. 13 (17) 36-39 Holmes, S. (2004) Enteral Feeding and Percutaneous Endoscopic Gastrostomy. In: Nursing Standard. 18 (20) 41-43 Howell, M. (2002) Do Nurses know enough about Percutaneous Endoscopic Gastrostomy? In: Nursing times. 98 (17) 40-42 Hutton C (2005) After a stroke: 300 tips for making life easier, London.UK Kitson, J. (2003) Education for High Dependency Nursing. In: Paediatric Nursing. 15 (1) 7-10 Lipley, N. (2003) Research Shows Benefits of Nurse Leadership Training. In: Nursing Management. 10 (2) 4-5 Marieb, E.N. (2001) Human Anatomy and Physiology. 5th Ed. United States of America: Benjamin Cummings. Morris, R. (2004) Speak out or Shut up? Accountability and the Student Nurse. In: Paediatric Nursing. 16 (6) 20-22 Nadeem, M. (2002) Evolution of Leadership in Nursing. In: Nursing Management. 9 (7) 20-5 Nursing and Midwifery Code of Professional Conduct. London: Nursing Council (2008) and Midwifery Council. Nursing and Midwifery An NMC Guide for Student of Nursing and Council (2008) Midwifery. London: Nursing and Midwifery Council. Semple, M. Cable, S. (2008) The new Code of Professional Conduct. In: Nursing Standard. 17 (23) 40-48 Somerville, D. Keeling, J. (2004) A Practical Approach to Promote Reflective Practice within Nursing. In: Nursing Times. 100 (12) 42-45 Stephanie K, Daniels, Maggie Lee Huckabee (2008) Dysphagia following stroke (clinical dysphagia) London. Stringer, S. (1999) Managing Dysphagia in Palliative Care. In: Professional Nurse. 14 (7) 489-492 Appendix 1 Three stages to the process of reflection. Boud, Keough and Walker (1985). a) Returning to experience Observations what happened? What was my reaction? Clarify personal perceptions b) Attending to feelings What did I feel at the time? What did I feel was positive? Why is cognitive learning being achieved? What did I feel was negative? Do any barriers to learning exist? Raise awareness and clarify feelings c) Re-evaluating the experience Draw conclusions and insights together with existing knowledge Identify gaps in knowledge Integrate existing and new knowledge

The Prince and the Pauper :: Essays Papers

The Prince and the Pauper The three main ideas of this book are (1) two boys' wishes become true but later they don't enjoy it (2) Be careful what you wish for(3) Always think about what you're doing first. The two major characters were Tom Canty and Edward, the Prince of Wales. The conflict was between John Canty, Tom's father, and the prince. The other conflict was between Tom and the lords, servants, the King, and all the royal people in the castle. John Canty, the lords, the servants, the King, and all the royal people in the castle opposed Tom and Edward. Tom and Edward opposed them also. The characters deal with the situation that they find themselves in by telling the truth. They never stopped telling everyone one who they really were. They insisted saying that there were not who everyone really thought they were. Everyone thought Tom and Edward were both mad. The reason why no one believed them is because they both looked alike and they both had exchanged outfits. They exchanged outfits because Edward wanted to feel how it was to be a pauper and how to live like one and Tom wanted to feel how it was to be a prince, the son of the King, and how to live like one. First Tom was enjoying it because he didn't have to beg anymore, he ate good food, and he slept in a nice, cozy bed in the King's palace, but later he didn't enjoy it because he wanted to go back home to his original family and live the way he used to live. The Prince of Wales, son of the King, Edward was then living like a Pauper. He was treated badly and never ate anything at all. He was beaten by John Canty, Tom's father and was always forced to beg. Tom's mom tried to stop John but John and Tom’s sisters watched in just slapped her horror. Edward didn't even enjoy being a pauper at least once. Everyone just thought that Tom and Edward were both mad. They solved the confusion, though. After the King had died and Tom was about to be crowned King of England Edward ran in and said that he was the true King.

Symbols and Symbolism in The Yellow Wallpaper and A Rose for Emily

Symbolism in The Yellow Wallpaper and A Rose for Emily      Ã‚   William Faulkner's "A Rose for Emily" and Charlotte Perkins Gilman's "The Yellow Wallpaper" hold numerous similarities. Both stories show the influences of society and the slow decay on a particular woman. The title of each piece becomes important to the plot and ultimate outcome. In several ways, each title takes shape to portray symbolism in one sense or another. The references to color identify contradictory messages to those who have not heard of these stories, while the title itself takes physical form and is "living" at some point in the piece.      Ã‚  Ã‚  Ã‚   When first assigned to read "The Yellow Wallpaper," a student may think of a bright, cheerful paper covered room. Little does he realize that, instead of a stereotypical yellow, the wallpaper's "color is...almost revolting; a smouldering unclean yellow" (Gilman15). It reminds the narrator of "all the yellow things [she] ever saw--not beautiful ones... but old foul, bad yellow things" (23). According to Carol Westcamp, "the author designed the wallpaper...to be yellow for a reason" ("Smouldering"). Even though "yellow is often viewed as a cheerful, joyful color...[it] can also cause unpleasant, exciting, and hostile moods due its symbolism" (Westcamp). The wallpaper takes on a distinctive odor that " 'creeps all over the house,' drenching every room in its subtle aroma of decay" (Gilbert 35). The only thing the narrator "can think of that [the smell] is like is the color of the paper! A yellow smell" (Kivo 23). The narrator feels herself being drawn closer to the brin k of insanity by the maddening color and begs her husband to do something about the paper, but he simply laughs at her.      Ã‚  Ã‚  Ã‚   As the... ...apy. New York: University Books, 1961.    Dillon, George L. "Styles of Reading." Polk 47-62.    Gilbert, Sandra M. and Susan Gumar. "The Madwoman in the Attic: The Woman Writer and the Nineteenth Century Literary Imagination." New Haven: Yale UP, 1979. Kivo 44-46.    Kivo, Carol, ed. The Harcourt Brace Casebook Series in Literature: "The Yellow Wallpaper." Fort Worth: Harcourt, 1997.    Polk, Noel, ed. William Faulkner's "A Rose for Emily." The Harcourt Casebook Series in Literature. Fort Worth: Harcourt, 2000.    Scherting, Jack. "Emily Grierson's Oedipus Complex: Motif, Motive, and Meaning in Faulkner's 'A Rose for Emily.'" Polk, 110-119.    Westcamp, Carol. "A Smouldering Unclean Yellow: An Analysis of 'The Yellow Wallpaper.'" Online. Ixquick. 4 Mar. 2002.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   <http://arapaho.nsuok.edu/~english/westcamp.html>

Western and Eastern Architecture

Culture and traditions have been an important component in influencing the development and creation of both Chinese and Roman architecture. It is through these norms that standards and perceptions of beauty are created. Each facet is deeply rooted in its ability to showcase the variety of actions from the structural foundations towards internal arrangements. These ideas then constitute the relevant ideas that have transformed the way construction and design is manifested within the boundaries of each culture. In the end, these differences created similarities and differences in approaches that harnessed each one’s individuality and contribution to the world today. On one aspect, we see the Roman architecture which bases its definition and construction of structures and buildings under a prescribed standard and format. These prevailing concepts have evolved through time under the pioneering Roman thinkers during the time. Under this process, a system for construction was introduced with by using important tenets such as geometry and mathematics that denote synchronization and order of things. Through this, the Romans advocate the relevance of proportion, both in exterior and interior design. It is through this that they are able to create their own distinct mark such as the formation of tablinum, atrium and peristyle courtyards. Comparing this with Chinese architecture, it can be argued that the overall design and architecture is considered to be free flowing. The plan captures the relevance of aesthetics by capturing the elements of nature and blending them accordingly with the both in the interior and exterior of the structure. It is through these actions that the idea of harmonization and being one with the overall surroundings becomes important. In addition, incorporation of natural elements such as trees and plants are also some distinct facets practiced by the Chinese. Moreover, adopting relative natural elements to these structures also necessitates generating freedom and ability to garner wholeness. Seeing these relevant differences, there are also similarities between these distinct approaches in viewing architecture and design. One relevant parallelism that can be seen in this process is that both approaches denote a system and standard of measurement and design. Though the Chinese may not be too strict about this and often tries to cover this up, the two ideas exhibit relevant attention to such facet and helps them apply significant ideas that contribute the creation of magnificent structures. Another significant similarity between these two styles is their ability to dig deep within their cultural backgrounds and affiliations to come up with standards and processes of how to construct and design structures. Take for example, the Chinese model for Buddhism and its relevance with being one with nature (Zen) has been the core concepts that generate such buildings. On the other hand, for the Romans, it is their constant passion for architecture and magnificent design that has enabled them to come up with ideas such as Coliseums, arched domes, and public baths. These similarities in turn foster their individuality as each approach makes their distinct mark in the overall application and design process. It may be true that each one possesses similar building foundations however; each one targets a different path in its application. With their ability to fabricate unique sets of designs, both the Chinese and Romans were able to create a framework that is encompassing and facilitative towards the growth of their relative inventiveness and capture the essence of their cultural heritage and practice.

Oceanview Marine Company Engagement Letter

LILTS BERGER & ASSOCIATES 4-1 Certified Public AccountantsCW 11/23/2012 Ocean City, Florida 33140 October 30, 2012 Mr. Donald Phillips, President Oceanvien Marine Company 36 Clearwater Lake Road Ocean City, Florida 33140 Dear Mr. Phillips: This letter is to confirm our understanding of the terms of our engagement as the auditors of Oceanview Marine Company for the year ended December 31, 2012. We will audit the company’s balance sheet for December 31, 2012, and the related statements of income, retained earnings, and cash flows for the year then ended.The purpose of our audit is to form an opinion as to whether these statements are fairly presented in accordance with accounting principles generally accepted in the United States of America. We will review the company’s federal and state income tax returns for the fiscal year ended December 31, 2012. In addition, we will be available to consult with you concerning the tax effects of any transactions or changes in company policies.Our audit opinion will be based on our examination, made on a test basis, of your records, documents, assets, and equities. We will not examine all transactions, assets, or equities in detail, and the examination should not be relied on to detect all errors, fraud, or illegal acts that may have taken place. Notwithstanding, should we discover material misstatements resulting from error, fraud, or illegal acts during our audit, they will be disclosed to you. Please note that management of the company has the primary 4-2CW 11/23/2012 responsibility for maintaining adequate accounting records, for the safeguarding of assets, and for the preparation of accurate financial statements. If, for any reason, we are unable to complete the audit or are unable to form or have not formed an opinion, we may decline to express an opinion or decline to issue a report as a result of the engagement. The timing of our services is scheduled for performance and completion as follows: Begin field workDecember 15, 2012 Completion of fieldworkMarch 15, 2013Delivery of management letterMarch 22, 2013 Delivery of audit reportMarch 29, 2013 Delivery of tax returnsMarch 29, 2013 It is agreed that your staff will provide assistance with the preparation of data and by providing documents and records as needed. Our fees will be based on our standard hourly rates. Invoices will be submitted periodically as the work progresses and are payable upon presentation. Should we find any conditions that could significantly affect our initial estimated total fees of $21,000, we will notify you immediately.If the above terms are acceptable, and the services outlined are in accordance with the company’s requirements, please sign the copy of this letter in the space provided and return it to us. 4-3 CW 11/23/2012 Yours very truly, Per: Charles Ward Charles Ward, CPA Partner The services set out in the foregoing letter are in accordance with our requirements. The terms set out are acceptable to us and are hereby agreed to. Per: Donald Phillips Donald Phillips, President Oceanview Marine Company November 10, 2012

Afterschool program Essay

The combined efforts of the Washington, DC School system and the Woodson Foundation in the development of an Afterschool program to help increase and improve student outcomes. They have identified amply room for improvement. Three of the primary problems in the Washington, DC School systems are truancy, low student performance, and crime. They have also identified new staff (teachers) are quickly burnet out due to their initial enthusiasm in to want to help the students. This has caused a high turnover rate in new teachers, causing the school system to lose some of the best and brightest teachers to other school system in the area. The first stage in building a coalition is to select a representative from each of the organizations which will be involved in the program. This will give equal representation across the team. It has been identified that an Executive Development team should be established. This team will span across a multifunctional area to establish an operating plan for improving school performance. Participation from the Woodson Foundation and Washington, DC School system is the key element of a successful Executive Development team. However, representation from the National Coalition for Parental Involvement in education (NCPIE) should be considered, because they represent for the parent on the behalf of the PTA. The Coalition is in the forming stage of group development. A representative from each of the organizations will need to be assigned to the group. Then the group will need to figure out the groups purpose, structure, and the leadership of the group. In order for the Woodson Foundation to create this cohesive group, the stages of group development will need to be followed. The next step in the group development is storming. The representatives of the different organizations accept that the Executive Development team is needed, however each organization has their own principles they feel is important to the development. The leader is also established in this stage and there is a clear hierarchy of leadership. The third phase is Norming: In this stage, the Executive Development team has a solid group structure and a set of common expectations. Roles are established within this cohesive group.  The fourth stage is Performing: The structure of the Executive Development team is functional and all members accept it. The team is performing the tasks at hand and successfully completing them. The fifth stage is Adjourning. Even though the team is adjourning, they will collect the detailed analysis and put together a presentation of the Operational plan for improving the student’s performance in the After School program. Their findings will give clear direction of how to get the ASP going. One of the primary problems the Woodson Foundation is facing is what organization will lead the Executive Development team. In order for the leaders to lead this primary team, strong leadership and management is needed for top effectiveness. Today’s leaders should challenge themselves to identify status quo, create visions for the future, and inspire organizational members to want to achieve organizational goals and visions. The representatives from each organization of the Executive Development team, has their own vision as to why their organization should take the lead in building the team. The secondary problem the Woodson Foundation is to identify goals and objectives. The Woodson Foundation primary objective is outsider involvement to get a bigger and clearer picture of the program. NCPIE primary objective is having parent imput. They feel the Woodson Foundation can come in and do all they want, however if the parents do not participate the program will not work. Washington, DC School system primary objective is to let the professionals get the job done. The administrators feel they have the background, education, and expertise to spear head the program. These various backgrounds will enable the Executive Development team members, to have an understanding of the needs of the children participating in the ASP. One solution to the problem is building trust between coalition members and parents. The leadership will need to create an environment of trust that is conducive to all. Trust facilitates information sharing, encourages taking risks. However, trust builds a more effect team and enhances productivity (Robbins, pg 315). My second solution would be to identify and define clear responsibilities within the group. Each individual must be responsible and successfully complete research, presentations, and analysis for their areas of focus. This can clearly be accomplished by soliciting input from other team members (Robbins, pg 316). Each member of the group should have some type of training in managing diversity, conflict resolution, team building, and team cohesiveness. All members should have a clear understanding of their roles within the group and promote a climate of trust. Having a clear understanding of the leadership and its structure would better serve the Executive Development team’s primary function. Work Cited Robbins, Judge, Stephen P., Timothy A. Organizational Behavior. 15th Edition. Pearson Learning Solutions, 2012. VitalBook file. Bookshelf.

Assessment Management Forensic Mental Health Health And Social Care Essay

Since the 1980s force per unit area is increasing on mental wellness professionals to better their ability toA predictA and better manage the degree of hazard associated with forensic mental wellness patients, and offendersA being dealtA with in the justness system ( Holloway, 2004 ) .A This increasedA pressureA has besides increased involvement within a wider scope of research workers and forensic clinicians, working in the justness system to better the truth, and dependability of their analysis of whether recidivism is a strong possibility.A The overallA valueA of rating of research is toA allowA theA improvementA in the appraisal, supervising, planning and direction of wrongdoers, in concurrence with a more dependable base line for follow up ratings ( Beech et al, 2003 ) . However, there continues to be an increasingA interestA andA expectationA on professionals from the populace and the condemnable justness system in respects to the potentialA dangerA posed byA seriousA offendersA being releasedA back into the community and the demand for the wrongdoers to be better managed, in orderA to adequately protectA the populace from unsafe persons ( Doyle et al, 2002 ) . As the appraisal of riskA is madeA at assorted phases in the direction procedure of the violent wrongdoer, it isA extremelyA important that mental wellness professionals have a structured and consistent attack to put on the line appraisal and rating of force. ( Doyle et Al, 2002 ) . This paper will compare and contrast three theoretical accounts of hazard appraisal thatA are usedA to cut down possible danger to others, when incorporating violent wrongdoers back into the community. These three attacks are unstructured clinical opinion, structured clinicalA judgementA and actuarialA appraisal. It is non intended, in this paper, to research the assorted instruments used in the appraisal procedure for theA respectiveA actuarial and structured clinical attacks. Unstructured Clinical Judgement Unstructured clinical opinion is a procedure affecting no specific guidelines, but relies on the single clinician'sA evaluationA holding respect to the clinicians experience and makings ( Douglas et al. , 2002 ) .A Doyle et Al ( 2002 ) , refers toA clinicalA opinion as â€Å" first coevals † ( p. 650 ) , and sees clinical opinion as leting the clinicianA completeA discretion in relation to what information the clinician will or will non take notice of in their concluding finding of hazard degree. The unstructured clinicalA interviewA has been widely criticised because itA is seenA as inconsistent and inherently lacks construction and aA uniformA approachA that does non let forA trial, retest dependability over clip and between clinician ‘s ( Lamont et al. , 2009 ) . ItA has been arguedA that this incompatibility inA assessmentA can take toA incorrectA appraisal of wrongdoers, as either high or low hazard due to the subjective sentiment inherent in the unstructured clinic al assessmentA approachA ( Prentky et al. , 2000 ) . Even with these restrictions discussed above the unstructured clinicalA interviewA is still likely to be the most widely usedA approachA in relation to the wrongdoer ‘s force hazard appraisal ( Kropp, 2008 ) . Kropp ( 2008 ) , postulates that the continued usage of the unstructured clinicalA interviewA allows for â€Å" idiographic analysis of the offendersA behavior † ( Kropp, 2008, p. 205 ) .A Doyle et Al ( 2002 ) posits, that clinical surveies have shown, that clinician ‘s utilizing the hazard analysisA methodA of unstructured interview, is non asA inaccurateA asA generallyA believed.A Possibly this is due, mostly to the degree of experience andA clinicalA makings of those carry oning the appraisal. The unstructured clinicalA assessmentA methodA relies to a great extent on verbal and non verbal cues and this has the potency of act uponing single clinician ‘s appraisal of hazard, and therefore in bend has a high chance of over trust in the appraisal on the exhibited cues ( Lamont et al. , 2009 ) .A A major defect with the unstructured clinical interview is the evident deficiency of structured standardised methodologyA being usedA toA enableA aA testA retest reliability A measureA antecedently mentioned.A However, the deficiency of consistence in the appraisal attack is aA substantialA disadvantage in the usage of the unstructured clinical interview.A The demand for a more structuredA processA leting forA predictableA trial retest dependability wouldA appearA to be aA necessaryA constituent of any hazard appraisal in relation to force. Actuarial Appraisal ActuarialA assessmentA was developedA toA assessA assorted hazard factors that would better on the chance of an wrongdoer ‘s recidivism. The actuarial attack relies to a great extent on standardised instruments to help the clinician in foretelling force, and the bulk of these instrumentsA have been developed, in an effort, A to foretell futureA probabilityA of force amongst wrongdoers who have a history of mental unwellness and or condemnable offending behaviors. ( Grant et Al, 2004 ) . However, Douglas et Al ( 2002 ) warns that usage of actuarial appraisal does non supply appraisal of any degree of forestalling the possibility of future force. The usage of actuarialA assessmentA has increased in recent old ages as more non cliniciansA are taskedA with the duty of direction of violent wrongdoers such as community corrections, correctional officers and probation officers. Actuarial hazard appraisal methods enable staff, that do non hold the experience, A backgroundA or necessaryA clinicalA makings toA conductA a standardized clinicalA assessmentA of wrongdoer hazard. This actuarial assessmentA methodA has been foundA to be extremelyA helpfulA when holding hazard measuring wrongdoers with mental wellness, substance maltreatment and violent wrongdoers. ( Byrne et al, 2006 ) . However, actuarial appraisals have restrictions in the inability of the instruments to supply any information in relation to the direction of the wrongdoer, and schemes to forestall force ( Lamont et al, 2009 ) .A Whilst such instruments may supply transferableA testA retest dependability, there is a demand for cautiousness when the instrumentsA are usedA within differing samples of theA testA populationA used as the validationA sampleA in developing theA testA ( Lamont et al, 2009 ) .A Inexperienced andA untrainedA staffA may non be cognizant that testsA are limitedA by a scope of variables that may restrict the dependability of the trial in usage. The bulk of actuarial toolsA were validatedA in North America ( Maden, 2003 ) . This hasA significantA deductions when actuarial instrumentsA are usedA in the Australian context, particularly when autochthonal cultural complexnesss are non taken into history. Doyle et Al ( 2002 ) postulates that the actuarialA approachA is focusedA on anticipation and that hazard appraisal in mental wellness has a much broaderA functionA † and has to beA linkA closely with direction and bar † ( p. 652 ) . Actuarial instruments rely on steps of inactive hazard factors e.g. history of force, gender, mental illness and recorded societal variables.A Therefore, inactive hazard factorsA are takenA as staying constant.A Hanson et Al ( 2000 ) argues that where the consequences of unstructuredA clinicalA opinionA areA openA to inquiries, the through empirical observation based hazard assessmentA methodA can significantly foretell the hazard of rhenium offending. To relyA totallyA onA staticA factors thatA are measuredA in Actuarial instruments, and non integrate dynamic hazard factors has led to what Doyle et Al ( 2002 ) has referred to as, â€Å" Third Generation † , or as more normally acknowledged as structured professional opinion. Structured Professional Judgement Progression toward a structured professionalA theoretical account, wouldA appearA to hold followed a procedure of development since the 1990s.A ThisA progressionA has developed throughA acceptanceA of the complexness of what hazard appraisal entails, and the force per unit areas of the tribunals andA publicA in developing an outlook of increased prognostic truth ( Borum, 1996 ) .A Harmonizing to Lamont et Al ( 2009 ) , structured professional opinion brings together â€Å" through empirical observation validated hazard factors, professional experience and modern-day cognition of the patient ( p27 ) .A Structured professional opinion attack requires aA broadA assessmentA standards covering both inactive and dynamic factors, and efforts to bridge the spread between the other attacks of unstructured clinical opinion, and actuarialA approachA ( Kropp, 2008 ) .A The incorporation of dynamic hazard factors that are takingA accountA of variable factors such as current emotionalA levelA ( choler, depression, emphasis ) , societal supports or deficiency of and willingness to take part in the intervention rehabilitation process.A The structured professional attack incorporatesA dynamicA factors, whichA have been found, to be besides important in analysingA riskA of force ( Mandeville-Nordon, 2006 ) .A Campbell et Al ( 2009 ) postulates that instruments thatA examineA d ynamic hazard factors are moreA sensitiveA toA recentA alterations that mayA influenceA an addition or lessening in hazard potency. Kropp ( 2008 ) , reports that research has found that Structured Professional Judgement measures alsoA correlateA substantiallyA with actuarial steps. Decision Kroop, ( 2008 ) postulates that either a structured professional opinion attack, or an actuarial attack presents the most feasible options for hazard appraisal of violence.A The unstructuredA clinicalA approachA has been widely criticised by research workers for missing dependability, cogency and answerability ( Douglas et al, 2002 ) . Kroop, ( 2008 ) besides cautions that hazard appraisal requires the assessor to hold an appropriate degree of specialised cognition and experience. This experience should be non merely of wrongdoers but besides with victims.A There wouldA appearA to be a valid statement that unless there is consistence inA trainingA of those carry oning hazard appraisals the cogency and dependability of any step, either actuarial or structured professional opinion, will neglect toA giveA theA levelA of predictability of force thatA is sought.A Risk analysis of force will ever be burdened by theA limitationA which â€Å" lies in the fact thatA exactA analyses are notA possible, andA riskA will ne'er be wholly eradicated † ( Lamont et al, 2009, p 31. ) . Doyle et Al ( 2002 ) postulates that a combination of structured clinical and actuarial approachesA is warrantedA to help in hazard appraisal of force. Further research appears to be warranted to better the rating andA overallA effectivity of hazard direction.