Nursing Infomatics-Tele-Nursing - 2236 Words

Introduction Tele-nursing is the use of telecommunications technology such as videos, computers and tele-monitoring technologies to provide nursing care and advice at a distance. This growing technology offers many advantages in the delivery of healthcare information, disease monitoring, health promotion and disease prevention services, as well as nursing diagnosis, treatment and education to patient at home from a centralized location. Tele-nursing can be instrumental in helping patients and families to be active participants in their care, particularly in the self-management of chronic illness such as congestive heart failure. It is a service that is currently offered by a growing number of hospitals and health maintenance†¦show more content†¦There was 50% readmission rate within 6months of being discharged. The main reason for readmission was failure of the patient to identify warning signs of heart failure exacerbation such as shortness of breath and weight gain. The researchers used a 24hrs health information line called Vitaline to the patients to reinforce education received in the hospital on discharge. Through Vitaline 854 CHF admission between 2002 to 2005 dropped to 200 at the completion of the program. The cost of care was also analyzed and it resulted in a 57% reduction in cost due to a decrease in the length of stay. In closing the program has shown excellent outcomes using the limited, though expert, resources. The research is relevant to tele-nursing as it shows that patients care can continue outside the walls of a hospital or nursing home and that there can be a reduction in the readmission of chronically ill patient. Resource 3 Hutcherson, C. (2001). Legal Considerations for Nurses Practicing in a Telehealth Setting. Online Journal of Issues in Nursing. 6,(3), 3. Retrieved August 3, 2008 from www: nursingworld.org/ojin The author Carolyn Hutcherson , RN, MS, specializes in health care regulatory issues with special emphasis on licensure and credentialing, telehealth and e-health. She examines the complexity of the legal and regulatory bodies to understand and

Fracking Fracking And Fracking - 879 Words

Fracking is the process of drilling and injecting fluids or even gas into the ground at a high pressure in order to fracture rocks to release gas inside. Some types of fracking are Hydraulic Fracking and Pneumatic Fracking. Hydraulic fracking happens when a liquid fluid such as water, oil and acid just to name a few is used to fracture rocks to release gas. The water brought in is mixed with sand and chemicals to create fracking fluid. Approximately 40,000 gallons of chemicals are used per fracturing (9). Pneumatic fracking has the same concept as hydraulic fracking except instead of using liquid base fluids it uses gas or even air. But pneumatic fracking is usually used in shallow formations. There can be a lot of health and environmental risk that come with fracking in Texas, such contaminating water and destroying land caused by digging into the ground or even what could be a big argument depending on your view point of fracking is whether it causes earthquakes or not. The first frac job was carried out in July 1947. (Charlez 239). But that the current fracking technique was not used on a commercial scale until the 1990s, in the Barnett Shale in Texas according to an article â€Å"Why not fracking† by Bill McKibben. Fracking can be a big topic to talk about in Texas. One of the big topics is how much natural gas it produces, according to Bill Powers â€Å"Texas is the third largest producer of natural gas in the world and as of March 2012Show MoreRelatedFracking : Fracking And Fracking1524 Words   |  7 Pages Hydraulic Fracturing Research Paper Hydraulic Fracturing (also commonly known as fracking) is a process used to extract natural gasses deep within the earth. This is done by drilling vertically into the ground until the desired depth; then drilling horizontally; and pumping millions of gallons of water, sand, and other chemicals into the drill at a high pressure to create fissures through which the gas can escape. Currently, hydraulic fracturing is extensively used in the United States in orderRead MoreFracking : Fracking, Or Fracking?2187 Words   |  9 PagesHydraulic fracturing, or fracking, has been a hot topic in recent times due to its controversial ways. Many people argue that it is a way for the United States to become less dependent on foreign oil, while others argue that the environmental cons outweigh the pros of fracking. Fracking is the process of extracting natural gas from underground by drilling into the earth. This is done by injecting water, sand, and chemicals into a bedrock formation by a well (â €Å"Hydraulic Fracking†). By doing this, theRead MoreFracking : Fracking And Fracking851 Words   |  4 PagesWhat is Fracking? When you look at the title of this paper you ask yourself, what is fracking, and you probably try to learn the definition so that you’ll actually understand what I am writing about. However, I am going to tell you what fracking is. What is fracking? Fracking is the injection of fluid into the ground in order to get natural fossil fuels to come to the surface, in order to use them for gas and other things (Fracking). How does fracking work? Water and sand are pushed into the groundRead MoreFracking, The And Of Fracking2199 Words   |  9 Pagesthe subject of hydraulic fracturing, better known as fracking has been a constant subject of interest in the news media. The pros and cons of fracking are passionately debated. However, the public should become educated on the subject of fracking prior to choosing a side of the argument. In the scholarly article, â€Å"Super Fracking,† published in 2014, by Donald L. Trucotte, Eldridge M. Moores, and John B. Rundle, a detailed des cription of fracking is provided, followed by their analysis of current issuesRead MoreFracking And The Environment : Fracking983 Words   |  4 PagesTayler Hedgecock Dr. Allen Composition 2 MWF 11 AM Fracking and the Environment Hydraulic fracturing, also known as fracking, is not an environmentally sound method of acquiring cleaner, cheaper energy. Fracking is a practice that is being used in order to collect natural gas from deep within the earth’s layers of shale rock. Fracking is the process in which water, sand, and chemicals are forced with immense pressure, approximately ten to fifteen thousand pounds per square inch, into the shale rockRead Morefracking1150 Words   |  5 Pages Mathew Lee5/27/14 Chemistry Fracking Essay Fracking is a very controversial topic of conversation that’s has been around for years, but has just recently reached the forefront of the environmental scene because of increase in its activity and added opposition against this controversial topic of retrieving natural gas. Fracking is defined as the process of drilling down into the earth before a high-pressureRead MoreFracking : Fracking And Its Effects On The Environment1286 Words   |  6 Pagesfracturing, commonly referred to as fracking, is a widespread practice in the United States. Fracking is a method used to extract oil and natural gas. Scientists and citizens report detrimental side effects of hydraulic drilling. New York and Vermont have banned fracking statewide. Maryland has set a two year moratorium on fracking, so that more research can be done to show the impacts of fracking on the environment. Nationwide, many other cities and counties have banned fracking as well. All states shouldRead MoreFracking4183 Words   |  17 PagesFracking and its major implications it has on the earth In today’s day and age, societies are a lot more aware of the environment and furthermore, concerned for the Earths sustainability. Although this is the case for most, Multinational Enterprises (MNEs) often target developing countries that are rich in resources and therefore take them for all they’ve got. One such example is fracking the earth, in order to extract natural gases that could potentially benefit corporations and contribute toRead MoreCritical Analysis On Fracking And Fracking1907 Words   |  8 PagesCritical Analysis for Fracking Recently, America was introduced to a new invention called fracking, which makes it conveniently possible to access oil and gas. The fracking process consists of using a technical machine that digs through the surface of the earth and inserts large amounts of water with mixed chemicals to rapidly attain large amounts of oil and gas. However, it has been difficult for people to reach a median between its risks and benefits. Those who refuse fracking are concerned thatRead MoreCritical Analysis On Fracking And Fracking Essay1790 Words   |  8 Pages Critical Analysis for Fracking Throughout the last six or five years, America was introduced to a new invention called Fracking, which is to help access oil and gas through a technical machine. Due to some concerns, it has been difficult to have a median between its risks and benefits. Those who oppose it are concerned with what will happen to the environment and if their fresh water can be at risk for contamination. Those who are for fracking probably are not too concerned for the environment

Internal Communication on Employee Engagement

Question: Discuss aout the Internal Communication on Employee Engagement. Answer: Introduction: The importance of effective communication at workplace cannot be understated. It should be remembered that it is effective communication that helps to increase employee productivity, boost employee morale, resolve workplace conflicts and ultimately ensures organizational success. The article Explaining employee job performance: The role of online and offline workplace communication networks claims that is the reason why organizations have also started incorporating communication training at workplaces. Unlike earlier times, presently communication at workplace involves not only verbal communication, but also non-verbal communication and electronic modes of communication as well (Zhnag and Venkatesh 2013). The first and foremost advantage of workplace communication, according to the article is that it helps the employees belonging to the upper management level successfully communicate the business strategies to the workers of the grass root level. The employers and the managers communicating the immediate goals of the company to its subordinates help them to develop a sense of clarity of thought as to what their job role needs them to do. Similarly, it is communication in such situations alone that helps the management authority align the organizational goals with the benefits of the employees (Keyton et al. 2013). For example, an organization that intends to set a new sales target for a given period of time or its employees must summon the employees and explain the employee benefits such as bonuses, or incentives the employees accomplishing the target are entitled to. The importance of effective communication, the author argues, also lies in the fact that it ensures smooth flow of operations and improves the overall productivity of the organization. Organizations like restaurants operating in the service sector have to continually communicate with the staff members for the smooth operation of the duties, via verbal as well as non-verbal modes of communication. The organizations operating in the tourist or hotel industry employ the use of different hand gestures, as well as vocal cues to transmitting the message to the respective staffs and the outcome is a timely, efficient and satisfying consumer service. Besides, the author adds that with the advent of technology, the electronic modes of communication have also assumed much significance in recent times (Wood, 2015). The multinational, large-scale organizations are scattered across the globe, and hence it is very difficult to keep in touch with the goals and strategies of the business managers of each region, and hence it is with the help of the web-conference based communication do the managers of each region is able to keep in touch with the marketing strategies or plans of the others. Thus, communication within the organization also helps the large scale organizations keep in touch with the respective branches and adopt a systematically organized and mutually consented decision in future. In this way, the author does refer to a variety of communication styles employed by organizations at present, and this helps in keeping the reader engaged. Again, the article claims it is equally important to note that communication also helps an employee feel empowered, and it can be the sole motivational factor he might be working for hours. Before implementing a strategy, an organization that lets its managers communicate the plans and strategies with the employees and ask for their feedback, helps in making the employees feel valued (Jackson 2016). This form of exemplification of each concept shared, largely helps in enriching the ideas expressed by the writer in the article. This form of upward communication helps an employee understand that he is also a part of the organization, and his decisions and opinions also matter. Again, on the other hand, it has often been observed that the employers also are largely benefitted when the employees recommend any new change or advice a slight change in the strategy that in the long run proves to be beneficial (Eertwegh et al. 2013). The strength of the article lies in the fact that it does refer to a variety of advantages that effective communication has at workplace. The article in a simple, lucid style explains why good communication should be practiced by any organization, and why it is indispensible. The article keeps on referring to a variety of literary articles and past researches that also boost the credibility of the content. On the other hand, the major weakness of the article is that it does not offer any feasible solution to an organization that lacks effective communication. The article is being written in a plain style, easily comprehensible to the reader, and each articles perspective is being clearly stated by the author. Conclusion: To conclude, it the article explains that communication at workplace plays a great role. It motivates an employee, helps him deliver greater service to the clients, results I higher retention rates and higher rate of productivity, and all these taken together facilitate a company achieve organizational success in no time. Though many previous articles had also explained the importance of communication at workplace, and this article had nothing new to offer, its lucid presentation, and demonstrative style makes the article stand ahead of other articles. Reference List: Goetsch, D.L. and Davis, S.B., 2014.Quality management for organizational excellence. Upper Saddle River, NJ: pearson. Jackson, D., 2016. Modelling graduate skill transfer from university to the workplace.Journal of Education and Work,29(2), pp.199-231. Keyton, J., Caputo, J.M., Ford, E.A., Fu, R., Leibowitz, S.A., Liu, T., Polasik, S.S., Ghosh, P. and Wu, C., 2013. Investigating verbal workplace communication behaviors.The Journal of Business Communication (1973),50(2), pp.152-169. van den Eertwegh, V., van Dulmen, S., van Dalen, J., Scherpbier, A.J. and van der Vleuten, C.P., 2013. Learning in context: Identifying gaps in research on the transfer of medical communication skills to the clinical workplace.Patient education and counseling,90(2), pp.184-192. Wood, J.T., 2015.Interpersonal communication: Everyday encounters. Nelson Education. Karanges, E., Johnston, K., Beatson, A. and Lings, I., 2015. The influence of internal communication on employee engagement: A pilot study.Public Relations Review,41(1), pp.129-131. Kim, J. and de Dear, R., 2013. Workspace satisfaction: The privacy-communication trade-off in open-plan offices.Journal of Environmental Psychology,36, pp.18-26. Zhang, X. and Venkatesh, V., 2013. Explaining employee job performance: The role of online and offline workplace communication networks.Mis Quarterly,37(3), pp.695-722.

The Last Tycoon Essays - Films, The Last Tycoon,

The Last Tycoon Infatuating Idealism in F. Scott Fitzgerald's The Last Tycoon Idealism Is undoubtably present in F. Scott Fitzgerald's The Last Tycoon. Infatuation may be a better word, for that was exactly what possessed the main character, Monroe Stahr. He was totally engorged with one Kathleen Moore. He idealized Miss Moore as the second coming of his deceased wife Minna Davis. Stahr was a true man of men that had little to do with women since the tragic passing of his wife. He would rather put his feet up with a cigar and shoot the breeze with the boys. Yet once he laid eyes on Kathleen for the first time, all of that changed. It was love at first sight. Kathleen and Stahr meet after an earthquake rocked Los Angles. Stahr was surveying the damage done to the studio, when a prop came floating by with two "dames" clinging to it for their lives. A stage hand rescued and presented them to Stahr for judgement. That was the moment that would change everything. The following excerpt is a narration of what was going through Stahr's mind when he was struck blind by Cupid's golden arrow. "Smiling faintly at him from not four feet away was the face of his dead wife, identical even to the expression. Across the four feet of moonlight, the eyes he knew looked back at him, a curl blew a little on a familiar forehead; the smile lingered, changed a little according to pattern; the lips parted--the same." (Chp II, p.26) She was Minna, but she wasn't. All her features were Minna's, except her voice. "--and then he heard another voice speak that was not Minna's voice." (Chp II, p.26) She was obviously British and not glamorous American, as Minna's had been. Nevertheless, she was a replica of his life long love. Stahr determined right then that she would be the next. Before he could get himself together, Kathleen was whisked away by the police for trespassing. Stahr spent the next few days trying to track her down. By this time he had fully succumbed to her rapture. On their third meeting, they happened to stumble upon each other at a posh Hollywood party. Her beauty brought back all the sensations that had trapped him initially. The scene was as follows: "...the white table lengthened and became an altar where the priestess sat alone. Vitality welled up in him, and he could have stood a long time across the table from her, looking and smiling...(while dancing) she was momentarily unreal. Usually a girl's skull made her real, but not this time--Stahr continued to be dazzled as they danced out along the floor...." (Chp. V, p.73) Stahr wanted desperately to have her as is own, but she was not to be had. Unbeknownst to him she was engaged to be married. She tried to tell him, but could not. She too was in love. The romance that followed was of a whirl wind pace that ended with a "Dear John" letter. She could not bring herself to tell him in person. Kathleen had fallen in love with Stahr although she resisted it by the fact she was already involved with another man. His ideal was not to be realized. His ideal goddess was the beginning of Stahr's downfall. The simple fact that Stahr was unable to win Kathleen away from her fianc? causes him to become extremely miserable. In F. Scott Fitzgerald's own words: "Stahr is miserable and embittered toward the end." (Author's Notes, p.149) He continued to love her to the end, as he lost his life, he lost it lovelessly. All this fuss over a woman might seem a bit trivial, but in true love, nothing is trivial. Monroe Stahr idealized Kathleen Moore as the true cure to all his ills and loveless nights. To him, she was Minna Davis. In being, but not spirit, she was a replica. This theme of idealism is similar to what Richard Slotkin reflects as "the American dream of perpetual self-improvement and transcendence." (22) Stahr idealized Kathleen as his way of perpetual self-improvement. He believed that Kathleen was the ticket he was waiting for, the ticket to happiness and closure. His life was a non stop slug

It Is A Life Not A Coice essays

It Is A Life Not A Coice essays Abortion has been one of the United States most controversial subjects.Abortion is the intentional killing of a human being before birth. About 1.6 million pregnancies end in abortion each year in the United States. Although abortion is regarded as a womans right, it should be banned without exceptions because it is murder, has psychological side effects, and there is an alternative. One of the controversial arguments is whether abortion is murder. Is an unborn child in the fetus a living being? The answer is yes. Life begins at conception. When the sperm enters the egg, the egg is fertilized and known as zygote. The zygote contains a full set of forty-six chromosomes, which is required to create a human life. Humans develop in stages. The first stage is conception. The level of development of the fetus does not determine life. Humans are not considered alive only if they are fully developed. If they were then only adults are alive. One is not fully developed until adulthood. There is not a magical transformation that occurs when the child is born. The unborn child feels the same pain, responds to noise, has feelings, and fears the same as an adult. It is an eating, breathing, and moving human being. Abortion is murder. Murder is not a choice or right. The only choice or right belongs to the unborn child. Every day these aborted children lose there choice and right to life. The child has a heart and brain therefore it also has the right to life that is equal to the mothers right to murder. Murder is killing another human being, no matter how old or in what stage of life. And yes to all those wandering the baby in the womb is a living human being (Shaw 1). If a mother killed her son or daughter at the age of one day it would be considered murder in the first degree. How can killing the child before it leaves the womb be anything but the ...

Should the Chinese be allowed to continue to fix the Yuan Essay

Should the Chinese be allowed to continue to fix the Yuan - Essay Example The exhibitions held at Guangzhou, Beijing every now and then, attract a lot of participants from the world to buy and sell their products. This has become a platform for Industries to show-case their products. This has taken away the hosting rights from Germany and France, where Industrial Expo used to be held in the past. (ChinaDaily 2009) According to the leading businessmen in China, it is reported that the appreciation of their currency has surpassed the growth of their business beyond their dreams. Due to the higher valuation of Yuan, the exporters who have been making money on Dollar denomination found to be declining in their profits. At the same time the exhibitors are afraid that the process may slow down their export due to the valuation. However the associations and the chamber of commerce in China say that this is only a passing phase and in due course of time it will become normal, as the economy worldwide is improving. (ChinaDaily 2009) The Chinese government, in order to reduce the gap with the major buyer like United States of America, revalued its currency against U.S dollar, to avoid the fixation of the rate of Yuan against U.S dollar. The stronger Yuan will result in the Chinese products being priced higher. By that the sales in US will increase sales in the market and thus bring in a greater amount of dollars. There is a fear in the US market that the Chinese products will cost more due to the fixed rate of Yuan. (Isidore, 2005) The US Senators rather welcome the change of Chinese financial decision though it is not appreciated by the congress. The financial analysts say that the change though small in stature, it is very significant since they have revalued the currency that will pave way for further future valuations. The Global Economists feel that it may not cause an immediate impact on the economics of the trade but will open the doors to strengthen the Chinese currency. But, the incident resulted in the US stocks soaring immediately, only to become normal after some time. (Isidore, 2005) It has been established that the fixed rate of the currency with US $ has widened the trade gap between the two and kept the Chinese made goods cheap buy at US. The Central Bank of China assured that the exchange rate band would be adjusted when necessary according to market development as well as economic and financial situations. In a survey conducted in US it is reported that there will not be much impact on the trade due to the revaluation of the Chinese currency but, there could be market stabilization favoring China in the long run. The US is trying to impose trade sanctions on Chinese imports if market based valuation of Yuan is not allowed. (Isidore, 2005) The major move by the Chinese Government in the currency conversion is backed by the exporters, manufacturers and the suppliers and also the trade bodies /associations in the country. This is a great step forward by them to strengthen the financial and economic stability of the country. The President of China Hu Jintao told US President at a meeting, that in the scene of outbreak of International financial crisis, China has maintained stable Yuan exchange rate despite the difficult economic conditions. When there were Asian financial crisis during 1990's, China earned plaudits for

International Law Assignment Essay Example | Topics and Well Written Essays - 2500 words

International Law Assignment - Essay Example The region had always been witness to ethnic battles, and the twentieth century saw the most bloody episodes in the unfolding saga of the Balkans. Countries such as the U. S., U. K. and a majority of the European Union are in favour of the declaration and have formally recognized Kosovo as a state. To these countries, Kosovo is officially known as the Republic of Kosovo. The topic of this essay is to determine the legality or otherwise of Kosovo’s declaration of independence. The essay will also deal with the issue of recognition of Kosovo as a state according to the relevant theories. Lastly, it will also examine whether the declaration of Kosovo as a state is proper according to the Montevideo Convention. Kosovo was a part of the nation of Serbia, which succeeded Yugoslavia after its dissolution. It is a Balkan region given to ethnic strife since antiquity. To the Serbs, it is an integral part of Serbia, as the area covers the Kosovo Polje (Blackbird Field). This place is ‘sacred territory for the Serbs as the place where Serbs were ‘defeated and subjugated by the Turks’.1 is where The Kosovo problem is one step in the still to be completed Balkan saga. The area now comprising Kosovo was first defined as an area of a state in 1945 as the autonomous Kosovo-Metohian Area.As a part of Yugoslavia, Kosovo gained limited internal autonomy ihn the later part of the sixties. In the 1974 Constitution of Yugoslavia, Socialist Autonomous Province of Kosovo was given more powers. A President and prime Minister were formally recognised for the Area. It was also represented in the Federal Presidency. It was thus that Kosovo became a republic in the Federation. The Parliament of the un-recognized Republic of Kosovo approved a resolution supporting the "Independence and Sovereignty of Kosovo" in September 1991.   Put to a clandestinely organized and held referendum in Bosnia the resolution was approved overwhelmingly.2 The Dayton Peace Agreement had