Practice Model free essay sample

The Mayo Clinic Model of Care (MCMC) is the professional practice model of care chosen for this assignment. The Mayo Clinic drives healthcare change by providing holistic and compassionate care to their patients by using education, research, patient-centered care and evidence-based practice. The purpose of this paper is to provide an overview of the MCMC and how this model of care is a positive influence to healthcare. A professional practice model (PPM) is implemented in healthcare organizations to foster professional identity, job satisfaction, high quality nursing care, improved patient and family outcomes and communication (Mullen and Asher, 2007). The Mayo Clinic Model of Care is one PPM with a positive and influential reputation for healthcare. The MCMC sets high standards for their healthcare team and provides patients with optimal outcomes. The MCMC embraces two important core elements, patient and environment, to define their model. They sets themselves apart and influence other organizations by being an institute that provides quality patient care with compassion, trust and respect to every patient. We will write a custom essay sample on Practice Model or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They encompass an environment of patience, research and education, quality not quantity, physician leadership and professional staff with expertise and devotion (Mayo Foundation for Medical Education and Research, 2002). The MCMC takes pride in employing professionals of high quality and providing them with an environment of research, learning and development. As healthcare changes, the MCMC adjusts by encouraging their staff to practice evidence-based practice. They do this through the Mayo Foundation for Medical Education and Research (MCHS PBRN) whose mission is to â€Å"solve the problems of health care practice to improve the health and health equity of patients and communities,† (Mayo Foundation for Medical Education and Research, 2013). Evidence based practice allows hospitals to provide the most up to date and clinically effective care possible. According to Huston, (2010) the ultimate goal of evidence based practice is â€Å"to provide optimal patient care, with the goal of enhancing nursing practice and, in turn, improving patient or system outcomes. † This is what the MCMC strives to accomplish every day with every patient. Influence of MCMC on Change in Health Care Healthcare is an ever-changing world. Facilities are continuously making changes and adjusting to technology, best practice and professional images. The MCMC influences change in healthcare systems by supporting education, research, evidence based practice and patient centered care. Mayo Clinic stays current on medical advances by having consultants travel around the world to teach and learn (Mayo Foundation for Medical Education and Research, 2002). This was also how the MCMC began. The Mayo Clinic is committed to education. They sustain that commitment through education programs: The Mayo Medical School, Mayo Graduate School of Medicine, Mayo Graduate School, Mayo School of Health-Related Sciences and Mayo School of Continuing Medical Education (Mayo Foundation for Medical Education and Research, 2002). The Mayo Clinic is supported by the highly skilled and educated staff that they employ. The positive outcomes and patient satisfaction that come from the Mayo Clinic has influenced other facilities to provide ongoing education for their staff, some requiring nurses with a bachelor’s degree as entry level, and provide their patients with the latest and best care. In 2011, the Mayo Clinic opened a healthcare delivery center that allows clinicians and researchers to evaluate best practices for a variety of healthcare services (Ford, 2011). With this center, they hope to conduct research and provide treatments that are more personal and specific to their patient’s diagnosis. Other facilities are beginning to rely more on research and evidence-based practice to provide their patients with individualized and personalized care. Sackett (as cited in Mason, Leavitt, and Chaffee, 2012) recognizes one of the most often cited definitions of evidence-based practice as â€Å"the conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual patients. † The MCMC’s primary focus is meeting the specific needs of the patient. The patient-centered care focus is also evolving in the health care industry and was actually developed as a model to the response of the national health care reform following the March 2010 passage of the Patient Protection and Affordable Act (Berryman, Palmer, Kohl and Parham, 2013). This idea allows the patient to have more control over their care, be more involved in their care and the diagnostic tests they receive. This results in enhanced satisfaction and greater cost savings. MCMC wants to focus on the big picture and the entire healthcare journey which engages both the physician and the patient on the decision making. Summary The Mayo Clinic Model of Care has served as an influence and inspiration to the healthcare organization for many years. The care and patient satisfaction from the Mayo Clinic has historically been one of the best available. Many healthcare organizations follow the MCMC and reach for the reputation and quality that it poses. The MCMC takes pride in its organization and makes the patient top priority in every aspect. The care they receive is specific to their needs and is delivered by highly skilled, educated professionals.

How to Create an Effective Classroom Library

How to Create an Effective Classroom Library The greatest contribution that you as a teacher can make to the educational success of your students is to help them become proficient readers. You can do this by providing them with a classroom library. A classroom library will give them the easy access they need to read. A well-stocked, organized library will show students that you value books as well as value their education. How Your Library Should Function While your first thought of a classroom library may be a cozy little place in the corner of the room where students go to read quietly, you are only partially correct. While it is all of those things, it is also much more. An effectively designed classroom library should support reading inside and outside of school, help students learn about how to select appropriate reading materials, provide a place for students to read independently, as well as serve as a place to talk and discuss books. Lets dive into these functions a little bit further. It Should Support Reading This space should support learning both inside and outside of the classroom. It should include both fiction and nonfiction books that have different reading levels. It should also accommodate the different interests and abilities of all students. These books are going to be books that students can check out and take home with them. Help Children Learn About Literature The classroom library is a place where your students can learn about books. They can experience a variety of book genres and other reading materials like newspapers, comics, and magazines and more in a controlled, small environment. You can use your classroom library to teach students how to select books as well as how to take care of books. Provide Opportunities for Independent Reading The third purpose a classroom library should have is to provide children with the opportunity to read independently. It should be used as a resource to support daily reading where students can self-select books that meet their interest. Building Your Library The first thing that you will want to do when building your classroom library is to get books, a lot of books. You can do this by going to a garage sale, joining a book club like Scholastic, soliciting donations from Donorschose.org, or asking parents to donate. Once you have your books, follow these steps to building your library. 1. Choose an open corner in your classroom where you can fit bookcases, a carpet and a comfy chair or love seat. Choose leather or vinyl over fabric because its easier to keep clean and it doesnt carry too many germs. 2. Combine your books into categories and color code levels books so that they will be easy for students to decipher. Categories can be animals, fiction, non-fiction, mystery, folktales, etc. 3. Label every book that belongs to you. The easiest way to do this is to get a stamp and stamp the inside cover with your name on it. 4. Create a check-out and return system for when students want to bring a book home. Students should sign a book out by writing down the title, author and which bin they got the book from. Then, they should return it by the end of the following week. 5. When students return books you must show them how to put the book back where they found it. You even assign a student the job as book master. This person would collect the returned books from the bin every Friday and place them back in the correct bin. Make sure that you have strict consequences if books are misplaced or mistreated. For example, if someone forgot to return their book by the due date then they may not choose another book the following week to take home. Looking for more book-related information? Here are 20 book activities to try in your classroom.

Clinical Trials Essay Example | Topics and Well Written Essays - 500 words

Clinical Trials - Essay Example Schedule 1 (Regulation 2[1]) Part 1 of the Regulations specifies the application and interpretation of the conditions and principles of Good Clinical Practice (GCP) and also refers to the Declaration of Helsinki adopted by the World Medical Association (WMA) in June 1964. Part 2 of this schedule in the Regulation states the principles and conditions that apply to all clinical trials and that are based on the principles of ICH GCP, whilst Part 5 specifies the conditions and principles which apply in relation to an incapacitated adult (Statutory Instrument 2004). "A process by which a subject voluntarily confirms his or her willingness to participate in a particular trial, after having been informed of all aspects of the trial that are relevant to the subject's decision to participate. Informed consent is documented by means of a written, signed, and dated informed consent form." As the patients will be unconscious in this trial they will be considered to be physically incapacitated adults under the governing Regulations, and therefore unable to give informed consent. First of all informed consent in this group of subjects can only be considered if the subjects are able to benefit from research that can improve their condition.

Questions on Syntax Coursework Example | Topics and Well Written Essays - 4500 words

Questions on Syntax - Coursework Example Meanwhile, [15Max remains in a critical condition], and [16Tanya has been incarcerated]. [17The audience must have been sitting on the edge of their seats]! (a) Group together instances of each clause type, and identify the grammatical features that characterise each type. (b) Next, consider the verb strings in clauses 8, 13, 16 and 17 and describe their constituent parts both in terms of the category of each verb (lexical, auxiliary, etc.) and its form (finite, non-finite, etc.). This first section of the exercise concerns clause types. The clause, according to Borjars and Burridge (2001: 212) is a unit formed an optional bits the speaker has chosen to include. Almost it is agreed among linguists that a clause is a unit larger than a phrase but smaller than a sentence. In some cases, a clause functions as a sentence provided that it has a subject and a verb and expresses a complete thought. Crystal (1988: 277) identifies four types of clauses. These are declarative, Imperative, explanative and interrogative clauses. The short text above contains declarative, interrogative and explanative clauses. As the exercise requires, we are going to group the clauses that belong to each type together. Next, we are going to identify the grammatical features characterizing each type. First, we are going to start with declarative clauses. The declarative clauses in the text are listed below: In a declarative clause, the speaker or writer is simply making a statement, opinion, fact or an arrangement. Its structure is analogous to the simple English sentence. That is, The noun phrase (henceforth NP) precedes the predicate verb phrase (henceforth VP): Mick ate the sandwich. An interesting trait of declaratives is that a statement, whose key function is to notify the hearer or reader something, can also be used to pose a yes-no question. This could be done via a raising

Case Analysis On IT at Cirque Du soliel Study Example | Topics and Well Written Essays - 3000 words

Analysis On IT at Cirque Du soliel - Case Study Example One of the best examples of technological developments is the reliance on information technology in various business organisations. Many information technologies have been devised in order to assist in the different needs that most companies seem to have in the course of their activities. Some of these technologies enable the consumers that are geographically separated to effectively share messages and databases, which are copied and sent instantly to different recipients. Many companies rely on information technology in order to make awareness for the products and services they make in a manner that is deemed to be fast and cost effective compared to when they would have done the same by moving physically to their customers. In the same way, many consumers have continued to enjoy the ability to interact with these companies, managing to order for their goods at their convenience, making payments easily and following their products on transit until they get them. This paper examines the influence of information and technology at Cirque du Solie, looking at how the company can use this innovation to improve their performance and market share. Cirque du Soleil, which is headquartered in Montreal in Canada, was established in 1984 by people that were actively involved public entertainment (Richard, Pinsonneault & Croteau 2012, 2). They were led by Guy Laliberte and Daniel Gauthier who were motivated by the need to reinvent the idea of circus, which had not yet emerged in the entertainment scene by 1800s. The critics and audiences were hugely won by the first show that was made by Cirque du Soleil. This show was very dramatic and quite different from traditional circus that had been common before that time. In this show, the participants wore nicely decorated costumes, had modern and original music, featured different dramatical and

Dark Romanticism And The Black Cat English Literature Essay

Dark Romanticism And The Black Cat English Literature Essay Dark romanticism refers to a literary subgenre that materialized from the transcendental philosophical movement which was common in nineteenth-century in America. Works within the dark romantic spirit were powered by Transcendentalism, however did not entirely hold the ideas of Transcendentalism. Such workings are notably less positive than transcendental texts concerning mankind, divinity, and nature. Edgar Allan Poe is amongst authors who are considered most envoy of dark romanticism. The Dark part of Poe was recognized as a Dark Romantic due to his style of writing. A Dark Romantic was identified for valuing instinct over logic and reason as well as thought that human events had definite signs and symbols behind them. Edgar Allen Poe used the literary skill of symbolism very well, of which Dark Romantics were identified to use quite regularly (Poe 3, 1981). Dark Romantics were recognized to explore the dark side of an issue, but Poe was particularly known for this for the reason that he had a very mad and unbalanced psyche. Poe made use of conflicts and bad occurrences from his own life to assist add him in his dark and sinister writings. In The Black Cat, the majority of the drama occurs inside the home, and revolves around the narrators rapport with his pets and wife. Like so many stories of terror and depravity, The Black Cat combines the family drama with the horror. This strikes into some of our deepest fears of what can fail at home. Home is a place where we are supposed to be safe and most comfortable, and is as well where we are most susceptible (Poe 8, 1981). However, in the black cat the home for the characters inside this story is anything but safe. The apprehension of The Black Cat extends past the end of the story, given that the ending does not give us the reader many answers. The likelihood that supernatural forces are at work puts in another level of suspense and, perhaps, one more layer of terror (Poe 29, 1981). Poe was writing before the period of the Civil War. The institution of slavery was still permissible in the US, furthermore was a part of southern life. There is a possibility that The Black Cat may be the narrative of hanged slave, as well as being the story of a hanged cat. Poe is called a Dark Romantic due to the literary techniques he used in The Black Cat as his life influenced his writing. The fear of The Cask of Amontillado, as in a lot of of Poes tales, dwells in the lack of facts that accompanies Montresors alleges to Fortunatos insult and thousand injuries. The story features vengeance and secret murder as a means to avoid using legal channels for revenge. Law is nowhere Poes radar screen, and the continuing horror of the story is the verity of punishment without evidence. Montresor uses his prejudiced knowledge of Fortunatos insult to name himself jury, judge, and executioner inside this tale, which as well makes him an unreliable chronicler. Montresor confesses this narrative fifty years after its incidence; such a significant course of time between the events and the recitation of the events makes the story all the more erratic. Montresors untrustworthiness overrides the rational deliberation of evidence, such as exacting occurrences of insult that would automatically precede any guilty verdict in non-Poe humanity. The Cask of Amontillado takes biased interpreta tion the reality that different people deduce the same things in a different way to its terrible endpoint. One more way Poe was able to convey Dark Romanticism was in the course of his use of symbolism. Poes employ of color imagery is central to his inquiring of Montresors motives. His face wrapped in a black silk mask, Montresor signifies not blind justice but relatively its Gothic opposite: prejudiced revenge. In disparity, Fortunato dons the motley-colored outfit of the court fool, who obtains literally and tragically duped by Montresors masked intentions. The color schemes here symbolize the irony of Fortunatos death verdict. Fortunato, Italian which means the fortunate one, faces the understanding that even the carnival period can be murderously grave (Poe 16, 2008). Montresor chooses the scenery of the carnival for its desertion of social order. Whereas the carnival generally indicates joyful social relations, Montresor distorts its merry desert, turning the carnival on top of its head. The frequent allusions to the bones of Montresors relations that line the vaults prefigure the st orys descent into the gangland. The two mens underground movements are a metaphor for their journey to hell. Since the carnival, in the earth of the living, does not take place as Montresor wants it to, he actually takes the carnival underneath ground, to the kingdom of the dead with the satanic. Edgar Allan Poe is able to demonstrate Dark Romanticism in the course of his symbols, representing knowledge and death. Edgar Allan Poe is able to demonstrate Dark Romanticism in the story, Poe often employs prediction. For instance, when Fortunato says that he shall not die of a cough, and Montresor replies, true; he knew that Fortunato will actually die from dehydration and starvation in the tomb. Montresors depiction of his familys coat of arms as well foreshadows future dealings. The shield shows a human foot crushing an obstinate serpent. In this image, the foot symbolizes Montresor and the serpent stands for Fortunato. Even though Fortunato has hurt Montresor with biting abuse, Montresor will eventually crush him. The dialogue about Masons also foreshadows Fortunatos end. Fortunato confronts Montresors claim that he is a associate of the Masonic class and Montresor replies insidiously through a visual pun. When he affirms that he is a mason by revealing his trowel, he denotes that he is a factual stonemason that is, that he builds things out of mortar and stones, that is to say Fortunatos grave( Poe 29, 2008). Individuals of the Dark Romantic genre have no faith in human perfect-ability. They also believe that human exertion will have no substantial effect upon humanity. They suppose that man is now only more lively not happier and not wiser, than he was many years ago. Dark Romanticism: While on this trip, the characters must cope with many pessimistic aspects: a ruined humanity, loss of treasured ones, cursed relationships, as well as conflicts in the mind for instance maniacs. The protagonists aim is achieved at the conclusion however at a price. Poe exemplifies this for instance in the Black Cat the narrative is filled with insecurities it ends with the cat being hanged. In The Cask of Amontillado there is ruined humanity, loss of the loved ones and cursed relationships for instance the relationship between Montresor and Fortunato can be considered cursed. Poe as well ends the story with the death of Fortunato. As a conclusion a lot of consider Edgar Allan Poe to be the influential dark romantic author. Much of his narratives and prose features his characteristic attention in exploring the psychology of man, as well as the perverse and self-destructive personality of the conscious and subliminal mind. His most persistent themes take in hand questions of death, counting its physical signs, the consequence of decomposition, apprehensions of premature funeral, the reanimation of the dead, as well as mourning. The Scarlet Letter is a romantic work of fiction written by Nathaniel Hawthorne in 1850 in a historical setting. It is considered to be his magnum composition. The Scarlet Letter is set in 17th-century Puritan Boston, and it tells the story of Hester Prynne, who had a baby through an adulterous affair and after that struggles to create a new life of contrition and dignity. All through the book, Hawthorne explores themes of sin, legalism, and guilt. Nathaniel Hawthorne thought that the Puritans were impure in The Scarlet Letter. In a world where culture is disorganized, unhappy, and frenzied, it can be extremely hard to provide an honest, furthermore just law system.   Consequently, in Nathaniel Hawthornes The Scarlet Letter, inhabitants use their religion which is Puritan, as judge, jury, as well as executioner.   For various people, it can be extremely troublesome to live an ordinary life when you are bounded by biased and prejudiced men and women.   Inside this narrative, Hester Prynne is a victim of her fellow townsfolk, and her religion. Hawthornes major point in reference to Puritanism was the impurity of the culture. All through the book, Hawthorne writes in relation to the townspeople and how they work and behave towards one other, Hester, and life generally.   The novel begins with Hester walking towards the city scaffold to be seen for public show, because she committed the offense of adultery (Hawthorne 7). The main action of The Scarlet Letter takes place in the Boston of 1640s, a solemn, gray, violently moral society founded as a sort of Puritan utopia. Inside this book the Puritan lifestyle is evidently misrepresented. Hawthornes expressions clearly express his aversion for the Puritan culture and way of life, which he demonstrates through his depiction of the societys hypocrisy, and also through his depiction of the priests and the governors gluttony (Hawthorne 85). Nathaniel Hawthorne is born with a prejudiced against this culture; this is due to his ancestral lineage to one of the most important participants within the Salem Witch Trials. It was as a consequence of this lineage that Hawthorne probably changed his surname. His relations name at his delivery was Nathaniel Hathorne without a W, although after Hawthorne had done some wide-ranging investigation the Salem Witch Trials as well as the Puritan culture, he became after that became disgusted with their whole way of life and afterwards added a W to his paternal name which he used until his death. Despite the fact that this change was not clear in the reading, it clearly affected the general attitude of the book. Clearly signifying the Puritans in a constructive light was not a very outstanding thought in Hawthornes brain when he was lettering The Scarlet Letter. He evidently shows his distaste for it all through the novel. Beyond the novel, he shows this by altering his family name so as to dissociate himself with his relatives who were involved inside the Salem Witch Trials. Within the text Hawthorne as well states many literal facts regarding the Puritans mistaken way of life (Hawthorne 27). Hawthorne was tied to early Puritan culture because of his relatives who were involved inside the Salem Witch Trials. Rejection of the culture is evident when he changed his name. First at the very beginning of the narrative, he clearly portrayed the townswomens as well as the many other town associates hypocrisy which is shown all the way through the book. He as well shows this through the avowals of the priests and governor regarding living a simple lifestyle when within real life these people live exaggerated lives. Evidently Hawthorne has a severe detest for the Puritan culture and it is evidently shown in his writing (Hawthorne 187).

Fraud :: essays research papers

FRAUD MANY OF MY FRIENDS and acquaintances are still reluctant to use their credit-card numbers on the Internet, even to buy from well-known merchants over secure connections, and even when their credit-card issuers offer full protection against fraudulent charges. This side of the Internet fraud problem has received much more attention than the other side: that Internet merchants have no really effective way to protect themselves against credit-card fraud. Standard credit-card processing software will give the merchant an approval if the card account is valid, and has enough open credit to cover the sale. For cards issued by U.S. banks, there is an additional security feature called Address Verification System, or AVS. This compares the billing address associated with the card with the one entered by the merchant. The system works fairly well for goods shipped to billing addresses in the U.S. But there are two major gaps in protection. First, and most seriously, there is no AVS for cards issued by foreign banks. In other words, there is no way for a merchant to use the standard credit-card processing system to guarantee that a foreign credit-card transaction is valid. This forces them to use heuristic, and sometimes arbitrary, measures for fraud screening. My company, for example, won't fulfill orders from Romania, having been burned a few times too many. Customers with hotmail or other free, Web-based e-mail accounts have a point or two against them. Express shipping, ordering many items, and ordering the latest games (instead of reference or educational software) all reduce the likelihood that we'll accept the order. The case is similar for U.S. cards when the goods are shipped to an address other than the card's billing address. If we guess wrong and ship an order that turns out to be fraudulent - we usually find out months later - we get a "chargeback," meaning that the amount we received for the order is taken back from us. If we guess wrong the other way, refusing to ship a legitimate order, we risk alienating potential customers. My company manages to keep its chargbacks very low, but it's frustrating to be in this situation where there is no way to avoid doing the wrong thing from time to time. There are commercial fraud-screening services that filter credit-card transactions automatically, applying these and other checks, but they are not perfect. We have had limited success referring fraudulent transactions to collection agencies.