Three Issues for Graduate Nurse Essay Example | Topics and Well Written Essays - 1750 words

Three Issues for Graduate Nurse - Essay Example In other words it is the relationship that exists pertaining to doctors and nurses, regarding the method, nature and level of communication between them. However, not all nurses possess the appropriate qualities of communication. Interprofessional communication issue is brought about by lack of good communication skills between the nurses and doctors, which eventually results in violence, hostility and/or sexual harassment (Raising the SBAR, 42). The effect that results in these circumstances results in mainly inefficiencies in the provision of healthcare to the public. In the forum, there was emphasis put predominantly on the issue of interprofessional communication. Many nurses face the rage of uncouth supervision, which ends in the detriment of many in the nursing profession, engraving a bad reputation to the nursing industry leading to repulsion of many new entrants into the nursing profession. Other issues arising in this discussion concerning the hurdle of inter-professional co mmunication were the use of abusive language between doctors and nurses, discrimination due to professional standards, sexual harassment and sometimes harshness (Dorschner, 43, 2010). According to Raising the SBAR (41) the president of American Nurses Association of California put forward possible remedies that could aid in reformation of the nursing sector. He urged those in the nursing industry to pick a leaf from their counterparts in other professions and endeavor towards a coherent relationship in the workplace. Some departments in the health profession have been known to encourage a favorable environment for their workers and patients: mental disability departments, analgesic care and hospices. This has been influenced primarily by the rise in awareness campaigns towards teaching graduates on the need for holding proper communication skills. Personally, enhanced interprofessional communication will assist me to easily get used to the new working environment. This will be attri buted to the efficient communication with my colleagues who will be on different professional levels. Task 2: Relevance to a Graduate Nurse The reason for my entry into the healthcare industry is that I hold a personal interest to render a helping hand to the less fortunate, the sick and the elderly. I however have a challenge of expressing myself especially in times of crisis. Currently, many learning institutions are trying to bridge the gap by providing extra education course units to be covered which include linguistic course units. The relationship evident between the doctors and nurses and between the nurses directly attributes to the numbers of patients that show up at the health facilities (Fero, Witsberger, Wesmiller, Zullo &, Hoffman, 142, 2009). For those institutions that do not hold these privileges, it is important that graduates take a step and strive to curb the language barrier, as it will also make it easier for them to fit in the professional registered nurse fiel d. Emphasis was put particularly on the issues that arise regarding inter-professional communication. Due to the rise in the number of graduate nurses in the field, some limelight has been shed on the issue of inter-professional communication and many nurses and doctors have taken up the ideology that many other fields of professions employ. There is a sense of hope that reforms will take

Cushings Disease: Symptoms, Treatment and Causes

Cushings Disease: Symptoms, Treatment and Causes Julie Seel   Introduction Cushings disease is relatively rare and is commonly in adults. Cushings is a hormonal disorder that the bodys tissues care exposed to increased levels of the hormone cortisol. (NIH) The cortisol hormone is released when there is stress and with exercise in some people. The main things that the cortisol does are: throttling or suppressing the immune system, metabolizing fats and carbohydrates, and increases blood sugar. (healthline) The Cushings disease is more commonly observed in women, and about 90% of those cases are due to pituitary microadenoma or corticotroph hyperlplasia. (virtual library) Signs and Symptoms Signs and symptoms vary, but most cases have upper body obesity, round face (moon face), increased fat around the neck and shoulder area (buffalo hump), osteoporosis, high blood pressure, increased blood sugars. Also women can have increased hair on face and chest, abdomen and thighs. Men may get a decrease in fertility and absence of sexual desire and possibly erectile dysfunction. (Nih)(Lab) the ICD-10 code for the Cushings disease is E24.9. In some rare cases people have had inherited the gene for Cushings disease, such as multiple endocrine neoplasia type 1 or Men-1. This can increase risk for tumors developing throughout the endocrine system and sometimes include the pituitary and adrenal glands. People who are obese and have diabetes are at a high risk for this disease (Lab). Diagnostic Testing There are a number of tests the doctor can give for the Cushings disease diagnosis. A 24-hour urine cortisol, dexamethasone suppression test (low dose), salivary cortisol levels are taken in early morning and late at night. These three tests will confirm too much cortisol in the body. Also, the tests can determine the cause of the disease are: blood ACTH level, brain MRI, corticotropin-releasing hormone test, dexamethasone suppression test (high dose), and inferior petrosal sinus sampling (IPSS). Other tests that can be done but isnt necessary are: fast blood glucose and A1c for diabetes, lipid and cholesterol testing, bone mineral density can too check for osteoporosis. (Medline Plus) Treatment Options At the follow-up appointment the doctor will go over all the test results, and the next plan of action will be. The treatment would be surgery to remove the pituitary tumor and the pituitary gland may return to normal and start to work slowly again. During the recovery process, cortisol replacement therapy, so the pituitary needs to be able to have time to make ACTH again. Also, if the doctor could not remove the whole tumor completely radiation might be done to the pituitary gland. If surgery and radiation doesnt work on the tumor, medication may be needed to stop making the coritsol in the body. The last resort if none of these treatments work, the adrenal glands will be removed, and it will stop the increased levels of the cortisol. Also, if the adrenal glands are removed the tumor on the pituitary gland will get much, much bigger. (medline) Prognosis/ Summary If Cushings disease is left untreated, it can lead to severe complications. People can have excessive fatigue, obesity, nausea and vomiting, diabetes, hypertension and can lead to premature death. (Skull) Removal of the tumor can be a full recovery, but lifelong replacement medication to keep your hormones in balance. Two medications that have been approved by the FDA are: mifepristone and pasireotide, for the treatment of Cushings disease. (Medline Plus) Very rare the tumor can grow back, and the patients will need to go back to the doctor and see what can be done the treatment options are. REFERENCES Cuevas-Ramos, D. (n.d.). Update on medical treatment for Cushings Disease. [online] Available at: http://clindiabetesendo.biomedcentral.com/articles/10.1186/s40842-016-0033-9. Ilias I, N. (2012). National institute of diabetes and digestive and kidney diseases. [online] Available at: https://www.niddk.nih.gov/health-information/endocrine-diseases/cushings-syndrome [Accessed 5 Mar. 2017]. Krause, L. (2005). Pituitary-dependent Cushings disease. [online] Available at: http://www.healthline.com/health/cushings-disease [Accessed 28 Jan. 2016]. Labtestonline.org. (2016). Labtestonline.org. [online] Available at: http://www.labtestonline.org/conditions/cushing [Accessed 10 Mar. 2017]. Mayoclinic.org. (2016). Overview Cushing syndrome Mayo Clinic. [online] Available at: http://www.mayoclinic.org/diseases-conditions/cushing-syndrome/home/ovc-20197169 47k [Accessed 10 Mar. 2017]. Medlineplus.gov. (2016). Cushing Syndrome | Hypercortisolism | MedlinePlus. [online] Available at: https://medlineplus.gov/cushingssyndrome.html [Accessed 10 Mar. 2017]. Skullbaseinstitute.com. (n.d.). Cushings Disease: Surgery, Treatment Symptoms | Skull Base Institute. [online] Available at: http://www.skullbaseinstitute.com/pituitary-gland-tumor-surgery/cushings-disease-endoscopic-surgery.htm [Accessed 10 Mar. 2017].

Leadership Traits in Europe, Russia, and Japan Essay -- Cross-cultural

Leadership has meaning only in an organizational context, and only in the sense of managing within a system of inequalities. Superior-subordinate relationships help to define leadership behavior, and the culture in any particular society influences the nature of these relationships. Two leadership roles are common to all societies, however. The first is the Charismatic role, or the capability to provide vision and inspiration. This is emphasized by transformational leadership concepts. The second is the instrumental role, or the capability to design effective organizational processes, control activities, and meet organizational objectives. This describes the functional expectations of someone is a leadership role. However, each society determines the relative importance of each role and therefore what makes a good leader. Cross-cultural research has identified a pattern of characteristics common to effective leaders in these two roles, but these commonalities do not constitute shared traits. They include:  · Conscientiousness Dependability, achievement orientation, and perseverance within the scope of one’s responsibilities  · Extroversion Open, accessible attitude, as opposed to remaining insulated from group activities  · Dominance Appropriate use of authority in a system of inequalities  · Self-confidence Comfort in one’s own skills and abilities for managing Recent research has also suggested that regardless of cultural contingencies, effective leaders tend to display intelligence, energy, emotional stability, and openness to experience. In the international context, this last characteristic encourages cultural sensitivity without ethnocentric imposition. Each society assigns unique meanings for most of these characteristics, and consequently their importance varies in all societies. For example, Mainland Chinese people agree with those in the United States that perseverance is an essential attribute of a conscientious manager, but the two societies do not interpret achievement in the same way; unlike Americans the Chinese ascribe little value to individual success. Other terms, such a dominance, carry value-loaded and controversial meanings, but the root meaning of accepting the mantle of leadership is worldwide. In confronting such shared attitudes, researchers have focused on how leadership roles vary across cultures a... ...ions and a growing number of foreign enterprises do business in Japan. As a consequence, observers, believe that Japan is on the brink of major changes in its management systems. They emphasize that traditions of insular relationships and company solidarity worked extremely well in a rapidly expanding economy, but today’s slower growth requires the country’s businesses to adjust to international management practices to retain their competitive strength. Consequently, industry leaders are beginning to realize the need to abandon practices that depend on homogenous companies and culture-bound commitments to the organization. A growing group of observers expects that Japanese companies will relinquish centralized control of overseas posts, and that firms will scale down large headquarters staff. Some companies have begun to adapt U.S. management techniques that reward individuals on merit; some also accept the idea of employee mobility and hire outside talent. In effec t, some evidence indicates reconciliation of Western management practices, but change is likely to be slow, and it is unlikely to affect enterprises in Japan as much as Japanese firms` activities in foreign countries.

The bauhaus related to 2014 fashion

The Aesthetic Of Bauhaus and Current Trends Following WWW, as much of Germany lay in despair, Bauhaus thrived as a revolutionary, inspired and unique School breaking down the perceived class barriers between craftsmen and fine artists. Founded in 1919 by Architect Walter Groping, Bauhaus modernized the Art Industry and Education, influencing all aspects of design today. As fashion, like art, progresses in cycles, inspiring and influencing each other through the creation of their designs, it would have been an ideal for Bauhaus and its collective education.The communal teaching of design basics to all iris year students meant all disciplines adopted a visionary approach to composition integrating simplicity, functionality and bare boned structure. The Wassail Chair is an iconic example of Bauhaus aesthetic, completely reducing the classic club chair to its fundamental form whilst retaining comfort and style. Inspired by the tubular steel framing of his bicycle, Marcel Brewer created t he Wassail chair to be seamless. Engaged with the transparency of the form†, Brewer created a mere structural outline of what then was considered the standard, contributing immensely to the Bauhaus aesthetic we know today. In Fashion we see the same structural aesthetic in pieces like La File Do's â€Å"One† Bra. The singular steel underline sculpts the body leaving only the bare necessities of the common bra, focusing on its foundation. Using minimal detailing in the cups, opting for a soft mesh, the bra focuses on the structure; the nowhere and straps.Both Brewer and La File DO keep color to the minimum, using black or plain monochromatic schemes to further accentuate the framework of the designs. Rejecting the bourgeois detail plastering Germany at the time, Bauhaus students instead took the opposite direction. By completely striping back all decoration, even reducing color back to primary's and shades, they created a new take on architecture. Using geometric blocks and unconventional materials they constructed simple yet intriguing designs. The same can be said for modern fashion.Structured outfits in block colors are always popular as they provide a sleek and sophisticated look, such as with 3. 1 Phillip Limb's SIS 14 collection. As Bauhaus students used geometric boxes to create interesting shapes for buildings, Limit does the same for women. The square boxed white Jacket although seemingly plain creates an incredibly smooth and angular silhouette, the oversized structure building off her body emulating perfectly the white cubic buildings most associated with the Bauhaus aesthetic.During the first year of Bauhaus education, Color Theory was intensely studied. Josef Teen, teacher of said subject and inventor of the 12-hue color wheel believed â€Å"Color is life; for a world without color appears to us as dead. Colors are primordial ideas, the children of light. † The psychology and audience perception of color developed at Bauhaus is still an extremely relevant source to all designers today, helping designers portray different emotion through color and hue. Whilst at Bauhaus, Teen developed a series of seven methodologies for coordinating color using hue.One methodology in particular, saturation, was adopted into some of the most famous artworks to come out of Bauhaus such as Josef Albert â€Å"Homage to the Square† in which Albert created the exact same square filled with consistently smaller squares and changed the feeling of each art work using only hue and saturation of the color. This saturation is best shown in an exercise from Paul Kale's lour class depicting the different shades of red moving down the scale. In Channel's SIS 14 collection we also see the emotional effect of saturating colors.On the pure white canvas of flowing capes and summer dresses Karl Loggerhead paints graduating swatches, each color swiftly moving from dark to barely there light, while the dress graduates from dark forest gr eens to soft pastels. Paintbrushes and pallets adorn the models hands as they walk and the youth and creativity of the collection shines through instantly. Bauhaus considered typography to be another kind of building, literally studying the Truckee of letters and characters, the flexibility each character held and the visual effect they had on the audience.The Bauhaus font otherwise known as the â€Å"Universal† font was a meticulously sculpted style that was simple, clean and modern. The rise of typography heralded the rise of graphic advertising, a strategy that would quickly be picked up by most if not all design disciplines, none so ferociously as fashion. Designer brands like Louis Button and Channel are not only instantly recognizable but intrinsically valuable for bearing their particular typeface as part of their branding. In fashion, Typography is used as a hook for customer engagement, often aimed at teenage girls.Typography is the quickest way to get your demograph ic to relate to your brand. Although not considered a typically high-class trait in fashion, brands like Mission, DENY and Jeremy Scott have taken up the typography trend successfully with their graphic fonts plastered over Jumpers, dresses and anything you can print on. Although nearly one century old, Bauhaus continues to influence many aspects of design. The flesh and bone structure, simplicity of design and geometric blocked out hopes are all still extremely relevant in the fashion and art of today.

Business Research Method Essay

After studying and extracting information from all the relevant work done previously, how does there searcher know which references, articles, and information should be given prominence in the literature survey? For this question, the answer is the researchers should start looking for the literature survey that straight as the information from the unstructured and structured interviews that is being gathered. Also for the reviewing, the literature on the subject part of this time assistances the researcher to focus more on the interviews more importantly on certain aspects found to be important in this study. â€Å"Because literature survey is a time-consuming exercise, a good, in-depth interview should suï ¬Æ'ce to develop a theoretical framework.† Discuss this statement. The literature survey its important and becoming easy to follow the progression of the research from the first step of managers knowing the broad problem part. And to initial data assembly (literature survey), to improve the theoretical framework based on the literature review and that showed by experience and instinct, to framework of hypothesis for testing the questions of the survey. 6. Why is it important to consider basic research design issues before conducting the study and even as early as at the time of formulating the research question? The research design is important because of the time and cost; the researchers should be constraining the less of what would be the  ideal researcher design. The researcher strength have to conduct a cross-sectional instead of a longitudinal study, it’s better to do a field study than a larger sample size, and improving the research design decision and resolving for a lower level of technical care because of resource constraining. 9. How has the advancement of technology helped data gathering? Discuss the beneï ¬ ts and drawbacks. The technological advancement it allows us to collect and processing and more data because it need more data to be collected more than human can collect technology its important to help the researchers to have the right information 10. What are the main reasons for choosing observational methods over other methods? It because observation concerns the planed watching, recording, analysis and interpretation of behavior, actions or events. In addition, other data collection methods present rudiments of insincerity into the research environment, observation defines events. Researchers can also use observational methods when independent are unwilling to express themselves. 12. Discuss how ethnography and participant observation are related. Ethnography is the research methodology that has origins in anthropology. And a research procedure in which the anthropologist carefully detects, records, and involves in the everyday life of another culture and. Participant observation is more related to ethnography. However, there is different people that have different thoughts about the particular relationship between the both. Ethnography and participant observation are from time to time used interchangeably in the works. Ethnography includes the involvement in the specific culture, of the social group a people of Samoa. In addition, observing behavior finished a extended the engagement in the field where ethnography takings place – is stared as one of some methods for ethnographic research. Other methods, such as interviews and questionnaires, might also be to collect the data in the ethnographic research. 16. How are multiple methods of data collection and from multiple sources related to reliability and validity of the measures? Data is collected to  measure the correlation of some items with the idea to be saved. Procurement data from multiple sources and complete multiple methods is optional, when data obtained the goodness of data is measured complete test of validity and reliability. Validity is to express how well a technique, tool or process measures a specific concept, and reliability specifies how constancy and consistently the tool taps the variables. The data have to be obtained in a way that lends itself to easy classification and coding. The source of data is extremely dependent on the situations and design of the test and the reliability differs with interval reliability of the source, the validity is related to the design of the test. 17. Explain in your own words MAX, MIN, CON (maximize, minimize, control) Maximize is the research hypothesis and max the differences between the dependent variables. Minimize is the error or random of the measurement instruments and that might have high errors of measurement Control is when the assume cause and impact the relationships between X and Y variables, also let say that A it might be effect on the dependent variable Y. Chapter 12 21. Describe the diï ¬â‚¬erence between attitude rating scales and ranking scales and indicate when the two are used. The basic difference is that the attitude scale contain of or a grouping of rating scales designed to measure all or some features of human attitude. A rating scale controls the quality of something. A ranking scale determines the quality comparative to others, using the average as a standard. In a question, a rating scale asks you to rate some items individually on a numerical scale, and a ranking scale would have you place the items in order. 22. â€Å"A valid instrument is always reliable, but a reliable instrument is not always valid †. Comment on this statement. BONUS QUESTION A valid instrument can have both consistency and stability but might not be measuring what it is envisioned to measure the low validity. If an instrument does, measure the concept that it theoretical to measure, it will be reliable, a valid instrument will be reliable, but a reliable instrument does not have to be valid. Chapter 16 28. How can you assess the reliability and validity of qualitative research? It is important for qualitative research studies is criticized for lacking the reliability and validity. The criticized is made on data collected as the individuals may not response correctly or the observations made by the researchers are not good enough. Reliability and validity is very important in the research work. Many critics question the validity of qualitative data is questioned by many critics.