Future of Nursing Essay

The career of nursing (Registered Nurse, Licensed Vocational Nurse, and advanced practice nurse) has more than three million working affiliates. Nurses are the predominant portion of the healthcare personnel. There are multiple barriers that stand in the way of nurses’ being able to react quickly to the ever-evolving health care field and changing health care organizations. In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM (Institute of Medicine) started a group process that took two years to look at these needs, looking to evaluate and modify the nursing occupation. The findings show that 1 ) nurses- need to perform to the all-inclusive expanse of their schooling and achievements. 2) nurses- need to commit to reach the most prestigious levels of education and training through a refined educational network that advocates consistent advancement through academia. 3 ) nurses- need to endeavor to be fully engaged with physicians and other health care experts, in moder nizing/rejuvenating the health care organization in the United States. 4) Efficient labor pool planning and strategy making needs better collection of data and framework of information. Nursing students should have on their school curriculum that teaches them the capabilities that are compulsory for uninterrupted furtherance of the characteristics and safety of the systems that make up a health care organization, patient-oriented care, partnership and coordination with other agencies (Berwick, Cronenwett, Tanner 2011). The student nurses’ need expert skill to grasp and knowledge and understanding of human anatomy and physiology, psychology, and a working comprehension in clinical, social, and behavioral sciences (Berwick 2011). They need working  skills and methods in order to be competent in leadership and management roles. (Berwick 2011). Student nurses will need capabilities in the new patient care conveyance framework that is on the horizon. Need a working knowledge in community health/illness and community based patient care. (Tanner 2011). They will need to know how to distribute patient care with other patient care modalities for appropriate patient care (Tilden 2011). The future nurse will need to have skills based on unchanging science prerequisite courses (Dracup, Tanner 2011). Health care policy knowledge, skills, and beliefs will need to be taught (Tilden 2011). Abilities related to unfolding health care needs will need to be fostered. For example: the elderly population (Tanne r 2011). They will need to accept technology-immersed education, multifaceted approach to patient care. Universities and colleges will need to come up with a plan that will make sure that the number and the equal allocation of new Registered Nurses who have graduated from their institutions with a baccalaureate degree or higher in nursing should be greatly increased (Aiken, Cronenwett 2011). Society should embrace community colleges/ universities that have affiliations, they may increase AND graduates that would complete a BSN degree if given encouragement, and could get it completed within a certain timeframe. (Dracup, Tanner 2011). The post-graduate residency programs will need to develop and test clinical education models that would include post-graduate intern and residency programs in appropriate facilities. (Tanner 2011). What the faculty members of the future need to be on the look-out 1) look for a person that has the bedrock for a nomination and appointment to faculty and promotion, including recognition of practice-based accomplishments, including working toward bettering healthcare (Berwick, Dracup, Cronenwett 2011). This person, who can, during their working life, move easily between practice (patient care), and academia (Gilliss 2011). The person, who within a short time span, has obtained a BSN, then a Doctoral degree (Aiken, Dracup 2011). The person must maintain professional certification and/or clinical proficiency (Gilliss 2011). This person builds working relationships with teachers and staff in other occupations. (medicine, engineering, business, public health, and  law). (Gilliss 2011). The person must take time to advance his/her education using two or more professions and foster cooperative practice furnishing patient-centered care (Dracup, Tilden 2011). Society needs to make sure that the universities produce a commensurate number of nurse practitioners (NP’s) for primary care roles at a time when access to health care will most likely increase the general public’s need for primary care providers (Cronenwett, Gilliss 2011). Universities will need to change their course of study in nursing education that has come about secondary to the advances made in nursing science and practice. These changes are guided by breakthroughs made in science (Tanner 2011). Universities will need to continue to state specialist preparation is needed for Master’s program level, and advance Post-Masters DNP education. At this time, requirements for Nurse Scientists interested in translational research needs to be clarified- will a DNP and a PhD both be needed in order to be able to follow through and become a researcher? The older population age averages, those who have chronic illnesses, added to the fast-moving science and technology fields, plus the blurred lines between medicine and nursing, creates a level of unpredictability to the health care scene. It is reasonable to expect a more educated health care team to care for these patients. Research has shown that hospitals that have a larger proportion of BSN bedside nurses, have a lower patient mortality/death (JAMA 1999). There is some research evidence that has shown BSN nurses are more cost-effective. Evidence is encour aging in showing that a more highly balanced BSN labor pool might allow for a smaller staff without negatively affecting patient end results. In the ambulatory out-patient care clinic setting, there is strong research-based evidence that shows that nurses with advanced degrees, usually a masters, can provide patient care with patient conclusions that are comparable to that of a Medical Doctors in some areas, like that of pain control and patient satisfaction. The cost for care is lower, also. Griffiths 2010)(Horrocks 2002). The evidence shows that the increased number of advanced degree  nurses practicing has improved admittance to general patient care. (Aiken 2009). Advanced nurses staff ambulatory care clinics and see approximately three million patients a year. Nurse Practitioners also staff Community Health Centers. The Role of Nursing Organizations to Nurse Leaders: The American Organization of Nurse Executives (AONE), states that the BSN is the minimal degree for nurses in leadership roles. Nurse leaders in a supervisory leadership role should seek education at a doctoral level. The IOM recommends lifelong learning for nurses. Nurse leaders need to help and assist as needed bed-side, clinic, and home-health care nurses in exploring and promoting new, more unprecedented, patient and family-centered care models. Nurses at all levels of the health care continuum, should be planning for leadership roles. The more experienced nurses must mentor the nurse with less proficiency, show them the way. Nurse leaders should also sit on boards of health care organizations and sit on policy-making committees. As for me, I am not sure what the future holds for me. I think maybe I would stay a bedside nurse in an acute care hospital. That is what I have done for over twenty years and that is what I love doing. I see nursing becoming more involved in the evidence-based prevention policies. Finding new ways to assist patients in reducing disease and/or promoting health, once they go home. The bedside nurse would do more of the inter-agency care coordination, for example discharge planning. Nurses must be able to function and collaborate with multiple agencies in order to get the supplies and care a patient might need once they go home. References AmericaInstitute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington, DC: Cronenwett, Linda R. (09/01/2012). â€Å"Molding the future of advanced practice nursing 1.†. Nursing outlook (0029-6554), 60 (_5), 241. WNA working to advance the recommendations in the RWJF/IOM report: â€Å"the future of nursing: leading change, advancing health?†. Stat: Bulletin Of The Wisconsin Nurses Association [serial online]. June 2011;80(6)Available from: CINAHL Complete, Ipswich, MA. Accessed October 11, 2014. Retrieved from ISNA Bulletin Aug/Sep/Oct 2011 pg10 Independent Study Visioning the Future of Nursing: Analysis of the IOM/RWJ Foundation Report Nurse Leader Vol9 Issue6 Dec2011 pg30-32

Government Intervention and Internet Regulation Essay

Government Intervention and Internet Regulation Internet is a global network that connects millions of computers together and allows people to communicate and share information with each other in an effective and easy way. It has become the most widely used means of communications of recent times. â€Å"The number of U. S. homes with one or more personal computers increased by 16% (in 1995) to about 38 million households, up from 33 million in 1994 and 25 million in 1993† (Fox 9). Along with that staggering stat, the National Commission on Libraries and Information Science has reported that 95% of the public has access to the Internet† (â€Å"Free Essay†). Internet is filled with a lot of information on almost every topic in the world and anyone can access that information anytime he or she wants and most often that information is available for free. The very fact that everything is so easily available over the internet has become a cause of great concern because people can access information that they are not supposed to view. This has given the rise to a great debate over the use internet regulation versus the concept of net neutrality. â€Å"Internet regulation is basically restricting or controlling access to certain aspects or information† (â€Å"Internet Regulation†). The proponents of regulation argue that some form of government intervention is necessary to keep a check on the information people access over the internet because that information might be a source of harm for the society in general. Whereas on the other hand, the proponents of concept of net neutrality state that if a person pays for his internet access, then there should be no restrictions on the content that he can view. Because internet is filled with all sorts of information and anyone can access unsuitable information at anytime, some sort of government intervention is necessary in the form of internet regulation to uphold the morals of the society. There are several ways through which internet can be regulated. Government can make use of the â€Å"state control approach† to â€Å"intervene directly and place technical controls on the content that can be accessed by their citizens† (Darlington). â€Å"A classic case is Saudi Arabia where all of the country’s Internet service providers have to go through a central node where the Saudi authorities block access to sites hosting pornography, those believed to cause religious offence, and web sites containing information on bomb-making† (Darlington). Another form of regulation, â€Å"the self regulation approach† is based on â€Å"voluntary initiatives by the Internet Service Providers (ISP) industry† (Darlington). As per this approach, the ISPs try to control the type of content available to the customers and they keep a check on information being accessed over the internet. â€Å"Classically this is the approach in Britain where there is no written constitution and government has shown no wish to legislate† (Darlington). And perhaps the most commonly used and widely accepted form of regulation is the use of filtering techniques through which access to some parts of the information can be controlled for some particular users. For example, parents can use filters to restrict their children from viewing inappropriate explicit content. One of the arguments for having regulation is that internet can be accessed by anyone. Initially, it was supposed to cater to the needs of the American military establishments. Then its uses spread over to the academic communities and today it can be accessed by any individuals from any country and belonging to any age group. For example, a child can easily view inappropriate content from his bedroom at any time he wants. This should not happen because that material can corrupt the mind of that child and can have some serious negative effects. â€Å"As the speed of the Internet increased dramatically with the development of broadband access in the late 1990s and early 2000s, not only has more of this type of information become more available, but also users have been able to access this information in greater quantity† (â€Å"Internet Legal Definition†). So in such circumstances, â€Å"we must have some procedures for tackling illegal content on the Internet and some mechanisms for allowing end user control of what is accessed on the Internet† (Darlington). â€Å"It is argued that the genesis of the Internet was such that it embraced and fostered a new spirit of freedom, openness and experimentation and that these values must remain an integral feature of the Internet† and if any form of regulation is introduced then the whole essence of the internet will be lost and people would not be able to access the vast resources of information that it has to offer (Darlington). The opponents of regulation also argue that any form of internet regulation is against the individual’s rights to freedom of expression and the concept of net neutrality because in such a scenario a person may not be able to choose the content he wants to view. However, it should be clearly understood that society is greater than a single person and if such rights of freedom cause harm to the values of the society as a whole, then it is perhaps the responsibility of the government to intervene and restrict the rights given to every individual in order to maintain those values. There is offensive content on the internet†, so this justifies the use of internet restrictions (Darlington). Internet is filled with explicit content. There are thousands of websites that contain pornographic materials which is considered inappropriate for minors and mostly this content is available for free, so there is no additional cost of viewing it besides the charges paid to the ISP. â€Å" Also there are some sites which propagate extremist views, often of a racist nature† (Darlington). Though such explicit material is legal to be viewed by an individual of a certain age which in most countries is set at 18, there is no one particular way of making sure that it is not viewed by anyone under this age because individuals can mislead the system and hide correct personal information. So in such a scenario, the most effective way for individuals who have responsibility of the children, like parents and teachers, is to limit the access to such material through the use of filters. These filters allow censorship of inappropriate material using the ratings provided by the websites. However, it should be kept in mind that this censorship technique â€Å"enable adults to control their own access to material so they do not stumble across things (advertising, violence, erotica/pornography, religious or political material etc. ), which offend them† (â€Å"Internet Regulation†). So in a way it is a matter of personal choice and responsibility which gives an individual the power to choose what he views because one can easily change filter settings to control the type of content available to him. Despite all the great uses provided by the internet, it is used by some people for illegal purposes; therefore, the use of regulation is justified because â€Å"a stringent internet regulation can help to curb the innumerable illegal activities over the net† (Manohar). Examples of such criminal activities include â€Å"copyright theft, credit card fraud, financial scams, money laundering, hacking, industrial espionage, cyber terrorism, actual terrorism, bomb making instructions, prostitution, certain forms of gambling, drug use, drug smuggling, suicide assistance, defamatory allegations, cyber stalking† (Darlington). In recent times, people have started to complain about the ever increasing number of spam emails that are sent over the internet. â€Å"The number of spam messages sent increased nearly 300 percent from 2001 to 2002 — from 14,078,511 to 55,683,103, according to e-mail filtering company Brightmail† ( Kornblum). â€Å"Spam refers to submitting the same message to a large group of individuals in an effort to force the message onto people who would otherwise choose not to receive this message† (â€Å"Spam†). In order to ensure that people do not indulge in such criminal activities and the society remains unharmed, the government must intervene to stop any of these activities from taking place by imposing restrictions. Some people argue that the internet is an enormous network which is growing rapidly as time progresses, so it is not possible to regulate the internet. The argument provided here is flawed because the fact that the internet is so large makes regulating it more difficult, but because it is difficult it does not mean that it should not be regulated. Some also argue that because â€Å"internet is different in operation from other communication networks†, so it should not be regulated (Darlington). â€Å"Whereas radio and television is pumped into millions of homes simultaneously (push technology), the Internet is an interactive medium and requires a particular user actively to seek a particular site or application (pull technology)† (Darlington). The very nature of the way in which the end user consumes the internet makes a good argument for having some sort of formal restrictions. In the case of radio and television, there are certain restrictions on the amount of violence and sex that goes through. So even if an individual wants to see something â€Å"special†, there is absolutely no way in which he can do that if nothing such is broadcast at that time, but the case of internet is quite different. A person can view anything, anytime and anywhere he wants. Therefore, regulation acts as a great measure to ensure that a check is maintained over the usage of the internet. Some people even argue that it is not the responsibility of the government to protect the children against the inappropriate content that is available over the internet because it has got other tasks to take care of and instead â€Å"those responsible for them at the time – parents, teachers, guardians, supervisors – should control what they access on the Internet† (Darlington). â€Å"While children and teenagers need a certain amount of privacy, they also need parental involvement and supervision in their daily lives† (â€Å"Free Essay†). One way suggested by these people requires the parents to spend time with their children when they are online so that they can keep a check on what their children are accessing. But this kind of total control can not be exercised by those responsible for children because they can not be present at all times. Furthermore, internet can now easily be accessed on mobile devices so it can be easily misused and in the case of a school where a teacher has to look after a lot of students, it is practically impossible for her to monitor the activities of each student at the same time. So â€Å"while parents and teachers must exercise responsibility, they should be assisted by other approaches including the taking down of sites with criminal content and the filtering of sites with offensive or inappropriate content† (Darlington). The debate over the topic of internet regulation versus the concept of net neutrality has become a great issue these days because of the ever growing increase in the usage of the internet and its implications on the society in general.

A Study in Changing Policy and Education

This paper is traveling to discourse the early old ages policy within instruction today. It acknowledges the new authorities that has come in topographic point believe the Foundation Stage model is no longer the statutory demand to be used in schools today ( DfE, 2010 ) . However, some of the cardinal arguments in the policy and the quandary practicians have faced. The principle for to analyze the early old ages policy relates to the purpose of the policy. Throughout the old ages at that place have been many alterations within the early old ages policy although there are still some facets which remain the same. Boyle and Bragg ( 2006 ) argue that many facets of old policies such as a ‘target driven curricular theoretical account ‘ remain present today although some of them are ‘grotesquely inappropriate ‘ today ( Moss, 2003 ) . Palaiologou ( 2010 ) research suggested the demand for raising farther policy and course of study development within early old ages. H owever, alterations in early old ages proviso began as a manner to cut down poorness and to assist kids to hold better chances in life. The conservative authorities aimed to supply a better start in life for disadvantaged kids, utilizing instruction as a tool. The authorities gave instruction as a manner of assisting kids break the ‘cycle of want ‘ ( Baldock et al. , 2009 ) . However, Cohen et Al. ( 2004 ) found there was a split duty between public assistance and instruction in early old ages services. Therefore, it can be criticised that there would a large different between the quality of proviso. As a consequence, this split effected support, the construction of proviso and different degrees of work force ( Cohen et al. 2004 ) . Then Labours ( 1997 ) motto of ‘Education, Education, Education ‘ brought upon the foundation phase model. There will be treatments on past early old ages policies every bit good as the principle for following the foundation phase model and it affects on instruction. Subsequently there will be a critical integrating of the policy, which may conflict with other policies. Play-based acquisition is an issue this paper wishes to analyze. A cardinal constitution of the foundation phase refers to the importance of play-based acquisition. There contrasting positions related to this portion of the policy who believe drama based acquisition to be ‘ absurd ‘ ( Hofkins, 2008 ) . There will besides be a critical treatment related to some cardinal contractions the policy nowadayss. There are inquiries raised based on some of the cardinal subjects and rules. For illustration, a cardinal purpose of the foundation phase is puting the criterions for all kids can be criticised as an issue related to the criterions docket ( Alexander, 2010 ) . The purposes to do certain all kids are doing advancement so improve attainment. There is farther treatment of other equivocal facets of the policy. There will besides be treatments related to international positi ons of early old ages policy compared to the foundation phase. For illustration, the Reggio Emilia attack take a socio cultural position on instruction ( Bennet, 2001 ) , which take a more child-centred attack to acquisition ( Soler and Miller, 2003 ) . Therefore, this paper aims to detect the true value and effects of the foundation phase has on all kids. However, the undermentioned subdivision will first analyze the principle for the policy.Changing times: Early old agesThe authorities was determined to implement alterations. The socio-constructive attack to acquisition has helped authorities draws attending to understand how pupils engage within the course of study puting. Solar and Miller province: ‘this gave addition concerns with how kids interact within the scene and how kids speak and interact with other students, artifacts, and the instructor ‘ ( 2003:59 ) . The foundations for early old ages should be on understanding the rational, emotional, societal, and phys ical demands of kids ( Woodhead, 2000 ) . Research has shown the positive effects of ‘high quality proviso ‘ on kids ‘s development in all countries mention above ( Sammons et al. , 2002, Sylva et al. , 2004 ) and besides make fix them for formal schooling. However, local governments believed they could non use these in pattern. Hargreaves and Hopper ( 2006 ) support this claim and believe it gave a ‘low position ‘ perceptual experience of early old ages instructors ( p.1 ) . However, kids bring their experiences into their scene and the early acquisition ends account for this assortment. This implies that steps of student larning through proving will non expose the quality of experiences kids have in the early old ages. However, it can be criticised that the authorities have made premises about where the degrees begin and end for all kids. It is concurred by Miller et Al ( 2003 ) that argue the authorities assume it is clear what exact accomplishments and cognition can be learnt in the scene. Those people who do non work with kids ‘s experiences alongside the procedure of instructor have framed the counsel for early old ages. These policy shapers are more concerned about what instruction is for instead than what the experience of instruction might affect ( Miller et al. , 2003 ) . The shapers of the foundation phase have attempted to look at the holistic kids through Every Child Matters ( ECM ) ( Palaiologou, 2010 ) . However, they lack the apprehension of the importance of kids ‘s experiences due to their ain deficiency of experience in the schoolroom ( Maybin and Woodhead, 2003 ) . This suggests practicians every bit good as instruction philosophers should make the preparation of the instruction policy. Alternatively, practicians with high quality experience would be better organizing policies because they are able to understand that acquisition should be based on student experiences, background, and demands ( Solar , 2003 ) . Harmonizing to these policy shapers attainment and accomplishing good academic results seems to be the cardinal importance of instruction. In the foundation phase, the early acquisition ends help kids to achieve a clear set of results ( DfES, 2008 ) . It is argued that the ends provide a shelters base for good accomplishment. Staggs ( 2000 ) believes these ends give kids an first-class start to future acquisition and fix the kids with the ideal ‘knowledge, accomplishments, and apprehensions ‘ ( Solar and Miller, 2003, p. 5 ) which will be needed for better employment as they grow into maturity. However, in contrast, opposing trusters view this perceptual experience as an sole environment because the early acquisition ends aim to concentrate on the importance of economic well-being instead than kids ‘s larning experience ( Kelly, 1994 ) . Anning and Edwards ( 1999 ) besides strongly knock this attack to be about the well-being of the economic system and fight. Theref ore, it can be argued that it is non an inclusive course of study because it fails to admit that non all kids will be capable of employment. For illustration, some kids with terrible particular educational demand ( SEN ) will non be capable of employment ; hence, the policy fails to provide for the demands of all kids ( Staggs, 2000 ) . It maintains the impression to force the kids who are able to be successful and reach attainment marks instead than concentrate on the importance of kids as persons ( Potter, 2007 ) . To reason, this subdivision of the paper has acknowledged the cardinal purpose for the policy is to drive economic well-being. Despite the impression of the holistic kid, the purpose for the authorities is to drive these kids to accomplish the best possible results. It suggests the policy tends to belie itself because it fails to admit kids with SEN. Therefore, it is questionable to inquire is at that place a important difference in the foundation phase compared to old policies. Therefore, the undermentioned subdivision of this paper will analyze the quality of proviso to old old ages. In add-on, examine the different reading of a high quality proviso within the policy.High quality provisoThe foundation phase underscore the importance of high quality proviso, which can better cognitive, linguistic communication and societal development ( DfES, 2008 ) . Labour ( 1997 ) felt the foundation phase would assist disfavor kids through high quality proviso. It would let giving these kids a good start in instruction and perchance extinguishing the ‘cycle of want ‘ ( Baldock et al. , 2009 ) . However, before analyzing the effects of high quality proviso the word ‘quality ‘ demands to crucially incorporate. High quality proviso related to many facets. The importance of practician ‘s degree of making and pedagogical accomplishments is the cardinal portion of high quality proviso. Sylva and Pugh ( 2005 ) strongly agree that instru ctors and staff that are good qualified can do the proviso more valuable for kids. Practitioners are able to understand the importance of a schoolroom puting that will provide for all kids ‘s demands, through print rich environment ( DfES, 2008 ) . However, it is questionable how Ofsted would believe high quality proviso to be outstanding. Practitioners have to follow the reading of high quality proviso harmonizing to Ofsted which is authorities based, despite holding contrasting position. Merely a few developments of intercession have shown betterments in cognitive development. Research has revealed that kids societal accomplishments ( National Audit Office, 2004 ) . It suggest that kids and improved in the quality of larning and less outlooks of kids traveling through intercession programmes. Again, it is debateable that the importance of high quality proviso to take kids from neglecting in schools and better their development for better readying for the grownup universe of economic well-being ( Sammons et al. , 2002 ) . Although research has pointed out that high quality of proviso has increased success in employment ( National Audit Office, 2004 ) . Phillips et Al. ( 2001 ) found that higher quality proviso led to kids higher degree of equal drama and higher degrees of self-awareness and competency. There is grounds to propose that there are benefits of high quality pre-school educational proviso to a scope of different results ( Sylva et al. , 2003a, 2003b ) . Melhuish ( 2004 ) states that high quality child care can bring forth benefits for cognitive, linguistic communication and societal development. Again, this paper has discovered the concluding behind high quality of proviso is once more related back to the importance of good attainment and advancement for the benefit of economic well-being. It is get downing to go clear that the purpose of the foundation phase is non concentrating on the importance of kids but to fix them for the hereafter of wining. The undermentioned subdivision will critically incorporate some mojor cardinal facets within the policy.Play-based acquisitionThis paper will research drama based acquisition and its importance in immature kids ‘s acquisition. Play performs an of import map in immature kids ‘s lives and enables them to experiment in a safe environment ( Broadhead, 2004 ) . It allows kids to research and develop their cognition, apprehension, and accomplishments. Learning through child-initiated activities is cardinal to any early old ages puting. Structured and unstructured drama Sessionss develop societal and physical accomplishments and careful mediated intercession, kids ‘s nature wonder can be enhanced and their apprehension of their universe challenged ( DfE 2008 ; Harrison and Howard, 2009 ; Siraj-Blatchford et al. , 2004 ) . Play has held a major function in early childhood development. The benefit of drama based acquisition has stimulate and involvement kids into ac quisition ( Russell, 2010 ) . Symbolic actions and representations are believed to be the ways in which kids learn to do sense of their milieus and their ideas. Vygotsky states that ‘children work out practical undertakings with the aid of their address every bit good as their eyes and custodies ‘ . Claxton ( 2008 ) goes on to state that, play-based acquisition instils a desire to larn and leads to greater accomplishment throughout life. He supports this with grounds from European experiences leting for play-based larning up to age seven, beyond the age that most UK schools encourage it. However, there have been many critics of the impression of play-based acquisition as House ( 2008 ) states that ‘to Teach kids through drama ‘ compactly sums up all that ‘s incorrect with it ‘ . This suggests that instruction is about developing kids ‘s larning through didactic attacks. Critics believe that the thought of play-based acquisition allows kids to inquire aimlessly as practicians look after them. House ( 2010 ) goes on to state that this thought of play-based acquisition is ‘absurd ‘ . It is believed to represents an inappropriate thought of a school political orientation for kids ( Hofkins 2008 ) . The BERA-SIG reappraisal ( 2003 ) besides raised a figure of troubles with drama as a manner of larning. It may propose that the foundation phase will non be taken earnestly as a portion of instruction kids but instead looking after kids until they are ready for formal acquisition. Sutton-Smith ( 1997 ) argues that drama is progressive and can assist develop kids ‘s. However besides he besides believes that it is non the lone manner of acquisition of larning. This paper acknowledges contrasting positions of drama based larning but believes that elusive undertakings and activities can assist to supply kids with rich larning experience prior to that they have been embedded decently by practicians ( Bennett et al. , 1997 ) . The undermentioned sub-section will look at some of the cardinal contradiction in the policy.A alone kid?The foundation phase is intended to play a cardinal function in assisting kids achieve the five results enshrined within the overarching ECM model ( DfES, 2004 ) . However, it is argued to knock with the national course of study ( Cambridge reexamine 2009 ) . As reference earlier, the foundation phase aims to look at the holistic kids. In contrast, the state course of study is based on more topics based acquisition. Therefore, the contrasting policies make it hard for practicians. Polic y shapers need to take into consideration the difference in policy. Critics can oppugn the ground for contrasting policies. It can be suggested that there should be one policy for all kids in primary. This paper believes there should be one policy that practicians should follow because the foundation phase does non see those kids who may be exceeded and besides the national course of study does non grok those kids who are accomplishing believe the national outlooks. This can be hard for practician who have non received efficient sum of preparation in within that policy. The National Union of Teachers ( NUT ) remarks on the deficiency of sufficient kid development within the EYFS papers: The papers should take to widen and enrich practicians ‘ cognition and apprehension of this, through explicit and elaborate counsel within the papers itself and besides by signposting practicians to where more information could be found, to supply the evidence-base and the underpinning rules for the EYFS ‘s design. ( NUT, 2006, p. 7 ) . Others have expressed concern at the continuance of an overly normative attack to what is to be offered to immature kids. The deficiency of elaborate counsel in the foundation phase makes it hard for practicians to understand what they need to make Locke et Al. ( 2002 ) particularly in linguistic communication and communicating. As most deprived kids enter the foundation phase with low degrees of linguistic communication. Therefore, the foundation phase is non able to assist practician to get the better of these barriers even thought the purpose of the policy is to assist take kids from deprived and disadvantaged backgrounds. It does non state the practician how to accomplish this. This paper believes there are some contradictions within the policy as it let the practician the purpose but fails to assist to accomplish the purpose sufficiently. It can besides be argued to be a sole course of study despite trying to be inclusive to those kids. The undermentioned subjugation will lookin g at the recommendation brand by Alexander ( 2010 ) in relation the foundation phase.Alexander ReviewAlexander ( 2010 ) argues the foundation phase period needs to re-considered. Presently the foundation phase is till the age of 5 old ages. However, Alexander argues that kids should remain within the foundation phase till the age of 6. An illustration of this type of policy is in Reggio Emilia schools where kids start formal schooling at the age of 6 old ages ( Miller et al. 2005 ) . Research has shown that the longer age in play-based scene has had a better impact on kids ‘s development Carr and May, 2000 ) . As the kids are able to travel off from the type of larning to formalised learning when they enter formal lessons they are able to hold on the construct much easier and better. Widening it to age six so it will give kids the best possible foundation for oracy, literacy, numeracy ( Cambridge Review, 2010 ) . Therefore, this recommendation is of import to see because there is research back uping the thought. Passage is a challenge in all schools ( Sylva and Pugh, 2005 ) . Therefore, if this recommendation is taken to consideration so it could assist to ease the force per unit area of passages and let kids to ease their manner into formal acquisition. This suggest that it will assist the kids to accomplish better once they are in that formal scene as they will be older and aware of what is expected from them. Tickell ( 2010 ) will describe the thought of widening the foundation phase for deprived biennial olds. Again, this suggests that it is all about undertaking those deprived kids in society. This manner those kids can accomplish better results for themselves and forestall them from underachievement because they are non able to acquire the support needed. However, issues with policy and the media have besides effected the perceptual experience of widening the foundation phase. As the media are able to pull strings study to provide for their demands and so impact the ideas of spectator ‘s perceptual experience of instruction. For illustration, the Cambridge reappraisal ( 2009 ) mentions the proposal of widening the foundation phase down to age two and up to age six. However, the media have portrayed this as the authorities of desiring to maintain kids off from instruction until age six. Therefore, is it questionable that the media are seeking to demo the foundation phase as a manner of kids being looked after instead than a manner of kids larning before formal acquisition. It is problematic that the media have a negative deceptive perceptual experience of the foundation phase and proposing portraying to households that the authorities are taking kids from instruction. However, they fail to understand the contrasting position that the foundation phase will assist those deprived kids from a immature age and aid to fix all kids from the passage to formal acquisition. This paper believes that the extension the foundation phase should be considered as seen in ascertained pattern, kids have found it hard to travel from a free low manner of larning to an hr of literacy and mathematics. Therefore, an extension will let the practician aid kids to see longer formal acquisition in that extension period. The concluding subdivision of this paper will discourse some international perceptive on early old ages instruction and compare it to the foundation phase in England.International positionsCarr ( 2000 ) argues that the early childhood course of study can be conceived of as a cultural site affecting the building of societal world, which leads to the building of communicative interactions between instructors and pupils ( Smith, 1999, p. 6 ) . This model have been based on socio-constructivist theories. The Reggio Emilia attack does non utilize a policy framewotk. Alternatively it uses a kids centred attack to larning. This context enables the Reggio Emilia attack expression at the sociocultural positions of kids instead than the importance of effectual pegeagody and force per unit areas from a stiff course of study. The kids are seen to ease their ain acquisition and who are able to larn efficaciously they manner they wish to. However, there is tenseness towards this attack as there is excessively much accent given to the socio-constructivist model of larning. As opposing theoreticians argue that kids learn in set ways and grownups need to supply kids with enabling environments instead than puting kids to larn what they feel. However, the impression of the ‘spider web ‘ in the Te Whariki course of study is the key to understanding the linking of a child-centred acquisition which underpins this course of study ( Carr and May, 2000 ) . Early old ages pedagogues should accept the thought that larning is related to kids ‘s experience. As reference earlier kids use their experiences to develop further and retrieve what they have learnt antecedently. This implies that kids larning through proving are non able to derive and accomplish positive experience that will assist them in their acquisition. Therefore, the importance for high quality proviso and exciting and manus on environments allows kids to derive more memorable experience that they are able to take away with them to utilize in the hereafter. However, Bertram and Pascal ( 2002 ) believe there are issues in early old ages proviso in Hong Kong. They argue that there is an addition between the addition development western manner of acquisition and the traditional manner of larning. It is believed that instructors are ‘transmitters ‘ so that kids focus on a more didactiv manner of larning instead than concentrating on the child-centred attack ( P ascal, 2002 ) . In contrast, there are some schools which are get downing to take the socio constructive manner of larning to consideration in their schools. Kwon ( 2003 ) critics the early old ages proviso in Hang Kong to pattern in England. He argues that the importance of independency in early acquisition reflects the English values kids to single rights and freedom to make what they feel is appropriate to them. However, the political manner in Hang Kong differs to the political relations in England ; hence, there is bound to be tenseness between the contrasting ways of acquisition. However, despite the contrasting positions within these states, they all suggest a holistic position of acquisition.DecisionThe EPPE undertaking ( 2003 ) suggested that effectual pattern needed non merely pedagogical apprehension of early old ages larning but besides an appropriate environment of proviso. Bowman et Al ( 2000 ) argues the contractions of the policy and debating the state that the purpo se of the policy towards economic factors, drama based acquisition or adult-child relationships fails to admit the importance of the function of the practician. Through the practicians, involved kids are able to derive high quality experiences. In add-on, although there are critics against the policy, it is of import to retrieve that it attempts to lend to the holistic attack of kids and non merely the topic based acquisition. Policy, societal and economic positions are the cardinal factors that can impact the outlooks of early old ages instruction. AS this paper has realized many facets of the policy is to take to add to future economic affairs and economic loads. Most significantly the purpose of the foundation phase is to fix kids for formal school and prevent hereafter attainment failure ( Heckman & A ; Masterov, 2004 ; National Audit Office, 2004 ) . Therefore, this paper has discovered the purpose of the foundation phase is to take kids from that ‘cycle of want ‘ and assist disadvantaged kids ( Ball and Vincent, 2005, Sylva, 2000 ) . The statement is that the intent of foundation phase is to fix kids for another phase of instruction ( Moss and Petrie, 2002 ; Bertram and Pascal, 2002 ) . Therefore, this paper feels it still fails to provide for all kids as non all kids will travel off from the foundation phase. As there is such a strong perceptual experience that the foundation phase is to fix, it fails to admit kids with SEN that have nil to fix for. Children with SEN, may non be able to achievement the academic success as most kids. Therefore, it is arguable the foundation phase is sole to kids with terrible SEN and is providing for a norm society to better the economic system. It seems that the whole intent of the policy is to profit the economic system and train kids and bring forth ideal people who will suit into a society to be successful. However, with the current recession in society even the most academic and deeply successful grownups are at hazard from losing their occupations. It is hard to understand that the foundation phase will forestall economic devastation taking topographic point.

Psychological Affects of End-of-Life Care

As people approach the end of their lives, they with their families and their caregivers, face many tasks and decisions. They may be psychological, spiritual, or medical in nature, but all end-of-life choices and medical decisions have complex psychological components, ramifications, and consequences that have a significant impact on the suffering patients and their caregivers. Hospice is a special healthcare option for patients and families faced with a terminal illness. At Hospice there’s a multidisciplinary team of physicians, nurses social workers, bereavement counselors and volunteers that work together to address the physical, social, emotional and spiritual needs of each patient and family members (â€Å"Hospice†). The main focus of Hospice is to address the issues that are most important to the patients’ needs or wants at the end of his/her life. The term â€Å"Hospice† comes from medieval times when it referred to a place of shelter and rest for w eary or ill travelers on a long journey (Hospice).The name was first applied to specialized care for dying patients by Physician Dame Cicely Saunders, who began her work with the terminally ill in 1948 and eventually went on to create the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London (National). Her lecture, given to medical students, nurses, social workers, and chaplains about the concept of holistic hospice care, included photos of terminally ill cancer patients and their families, showing the dramatic differences before and after the symptom control care. This later resulted in the development of hospice care as you know it today (National).Caregiving is associated with physical, psychological, and financial burdens. Hospice nurses perform many traditional nursing duties such as observing, assessing, and recording symptoms. They still work closely with physicians, administering medications and providing emotional support, al though psychologists do not have much of a presence in the hospice movement. Medications that hospice nurses administer and the symptoms they record are not intended to aid a patient in his or her recovery, but rather to make his or her remaining days as comfortable as possible (â€Å"Hospice†). Being a nurse of any kind is very difficult, but dealing every day with a dying patient requires an  extraordinary temperament, one that symbolizes great caring and patience (â€Å"Career†).It can be especially trying on nurses to attend patients who are as young as or younger than the nurse themselves are. Palliative care highlights the total well-being of the patient as well as that of loved ones and caregivers. The caregiver is there to listen, support, encourage, comfort and help the patient. Their goal is to prevent, treat, or eliminate discomfort whenever and, however it appears, never about giving up hope (â€Å"Career†). Every caregiver may be required to provi de a variety of care tasks including physical, emotional, and practical.Research shows that families find personal care to be the most physically and emotionally challenging aspect of caregiving. Emotional care involves listening, talking, reading, or playing music (Collins). Providing the kind and loving companionship that patient may need during the end-of-life process. Handling insurance and other legal matters, taking care of financial concerns such as paying bills, coordinating visits with loved ones, friends and hospice staff is all a part of practical care (Collins). Along with discussing and ensuring that all of the patients’ wishes are carried out if also the healthcare power of attorney (â€Å"What†). In 2009; 66 million Americans (3 in 10 U.S. Households) reported at least one person providing unpaid care as a family caregiver (Collins). Under Medicare, hospice is primarily a program of care delivered in a person’s home by a Medicare – approved hospice.Reasonable and necessary medical and support services for the management of a terminal illness are furnished under a plan-of-care established by the beneficiary’s attending physician and the hospice team (Berry13). Hospice care is available under Medicare only if: the patient is approved for Medicare Part A, the patient’s doctor and the hospice medical director certify that the patient is terminally ill with six months or less to live if the disease runs its expected course, the patient signs a statement choosing hospice care instead of standard Medicare benefits for the terminal illness, or the patient receives care from a Medicare-approved hospice program (â€Å"Hospice†).Hospice care can be provided by an agency or organization that is primarily engaged in furnishing services to terminally ill individuals and their families. To receive Medicare payment, the agency or organization must be approved by Medicare to provide hospice services (Berry15). App roval for hospice is required even if the agency or  organization is already approved by Medicare to provide other kinds of health services. Medicare pays the hospice directly at specified rates depending on the type of care given each day. The hospice can charge five percent of the reasonable cost, up to a maximum of five dollars, for each prescription for outpatient drugs or biological for pain relief and symptom management related to the terminal illness (Collins).When Medicare beneficiaries choose hospice care, they give up the right to standard Medicare benefits only for treatment of the terminal illness. If the patient, who must have Part A in order to use the Medicare hospice benefit, also has Medicare Part B, he or she can use all appropriate Medicare Part A and Part B benefits for the treatment of health problems unrelated to the terminal illness. When standard benefits are used, the patient is responsible for Medicare’s deductible and coinsurance amounts (Berry 14 ). All services required for treatment of the terminal illness must be provided by or through the hospice.If not through the hospice then Medicare will not pay for treatment for the terminal illness which is not for symptom management and pain control. If you receive care given by another healthcare provider that was not arranged by the patients’ hospice or if the patient is receiving duplicate care Medicare will no longer fund in the patients’ healthcare (Berry14). When a patient is expected to live six months or less is when hospice is referred. Although many hospice patients have cancer as their primary diagnosis, hospice provides care to patients of all ages who are dealing with any potentially life-limiting illness, including Alzheimer’s, congestive heart failure, chronic obstructive pulmonary disease (COPD), dementia, and emphysema.Once the patient has been diagnosed and chooses hospice care, this can generally take place at home or as in-patient care. Hos pice neither prolongs life nor hastens death, but controls pain and discomfort allowing a person to live as fully and comfortably as possible during life’s final journey (â€Å"Career†). Pain control is one of the central goals of hospice care. Every person facing a serious illness hopes for as little pain as possible. Fortunately, with advances in modern medicine, physical suffering can now be almost entirely manages, and in some cases eliminated. From the legal standpoint, the federal guidelines regulating hospice require the hospice to make every reasonable effort to assure that the patient's pain is controlled (Berry3).Most state laws governing hospice  also make pain control a primary and required component of hospice care. The hospice Interdisciplinary Team and the hospice Registered Nurse case manager are focused on making sure the patient is comfortable. The Attending Physician who orders all medications should be focused on the same goal, and in many cases d oes see to it that the patient is kept comfortable. Unfortunately, for varying reasons, some physicians may not order the needed medications to adequately control the patient's pain (Berry4). In these cases, the hospice staff must intervene to protect the patient and make sure the patient gets what is needed to control pain.The hospice Medical Director, being a physician, has the authority to give medical orders and can intervene to provide the patient with the needed medications. In fact, the hospice Medical Director is required by law to make sure the patient's medical needs are met; these needs include medication for pain (Berry4). When dealing with patients and families in hospice care, the psychological and social needs of both patients and family members must be met in order to improve the quality of life throughout the dying process.Many caregivers and loved ones feel overwhelmed by the fact that end-of-life may be near for someone they love; you have to have realization that the patient is not going to get any better despite your best care. It may bring feelings of frustration, anger, sadness, grief and loss to the family of the patient (â€Å"What†). Ignoring feelings of depression, anxiety, confusion or delirium can be harmful†¦ Expressing can be freeing. 48 children and spousal caregivers of hospice patients and 36 controls were evaluated shortly before deaths of their loved ones and again at 2, 7, and 13 months after their deaths. All subjects were administered the Hamilton Raitina Scale for depression, symptom innovatory and the Texas Revised instrument of Grief (Dutton 30).Caring for a loved one who is nearing death can be important time of growth for caregivers. Experience can bring a deep sense of joy and satisfaction in having helped to make a loved one’s last days happier, and more peaceful. Studies indicate that the majority of patients would like their spiritual issues addressed. Spirituality has to do with respecting the inherent value and dignity of all patients. It is very important for the patients’ beliefs to be known to healthcare workers so the patient is not disrespected in any way by the healthcare worker (Karnes2). Patients tend to become more spiritually connected during end-of-life care because they are  nearing the end of their journey.Families are impacted emotionally and spiritually and will be grieving the loss of their lived one whereas their journey is beginning (Karnes6). When a loved one dies, mourning is an essential step in the healing process for those suffering the pain and confusion of loss (Karnes8). Counselors work with clients to validate the experience of grief, find the strength and coping skills, and eventually regain a sense of hope (Karnes7). While grief is very personal, there are many common experiences that accompany the death of a loved one.Talking with a counselor helps clients learn more about the natural process of grief and identify areas of strength and support, as well as areas of potential growth (Collins). Grief support group sessions provide the opportunity for people to meet others who are experiencing similar losses. Grief that accompanies the death of a loved one often comes in waves-and sometimes those waves arrive in the days and weeks that follow. At other times, it may be months-or even years- before the reality of the loss sinks in (Karnes11).Family members may also be grieving over the fact that financial issues may accompany them after their loved one passes. There is always help for any patient or family member in need. After learning more about Hospice and the care that they provide it’s more of a â€Å"safe haven† and a place of comfort for you or your loved ones that are passing. Many others would personally choose hospice as their end-of-life care.

Fashion and style Essay Example | Topics and Well Written Essays - 1000 words

Fashion and style - Essay Example The essay "Fashion and style" talks about fashion and different styles. Women began to use dresses to express their identity. â€Å"Fashion and style may be regarded as expressive or oppressive, but nobody could argue that fashion reflects expression of woman’s identity, creativity and sensuality, and is connected to a sense of personality on the levels of class and gender†. (The Fashion Plate and the Rise of Consumer Culture) This fashion had features of modern urban culture, which percolated into the contemporary fashion magazines. They focused on brightness, sophistication, metropolitan culture and commerce. There were some famous UK magazines that represented a French world of haute couture - The London and Paris Ladies’ Magazine of Fashion, Le Follet and The World of Fashion. The women’s clothing in the early nineteenth century is the reflection of their persistent watch over their own public identities, and that of other women. Because clothing and a dornment has always been a means of identifying tribe, status and awareness, it is not surprising to discover fashion emerged as a dominant force within the city. â€Å"A whole range of exciting yarns, new fashion fabrics, protective materials and engineered fabrics became widely available after 1960. New materials and fabric finishing techniques are at first exclusive and expensive. Initially, they are offered to the world of haute couture. A couple of years later they filter to the mass market†. In addition, women had more need to present themselves.... se the areas in which women can take up public residence, but, while this led to increased interaction and increased pressure for women's rights, this does not necessarily mean women were quick to accept each other or other classes.With the addition of more women to the workforce who had some degree of control over the money they earned, retailers began to recognize a tremendous new market. During the last part of the nineteenth century women were targeted for successful development of consumerism. Accordingly, pictures in fashion magazines either for advertising purposes or images were as the prototype of a show window. The models on these pictures never looked into the eyes of the reader, representing a feeling of superiority, and expressed sexuality, modesty and self-consciousness at the same time. (Brewer) Development of department stores in the 70s and 80s provided women an escape from their dull living of housewives, and in the 90s the process of shopping was "sexualized". All this was complemented throughout with various genres of advertising. These tendencies in marketing and advertising flourished in the modern world. Myra Macdonald notes in her book "Representing Women: Myths of Femininity in the Popular Media": "As evidence grew in the early decades of the twentieth century that the developing arts of retailing and advertising were attracting a predominantly female clientele, marketers and advertisers became significant definers of twentieth century women's desires and aspirations. " (p. 180) Women as potential consumers are studied now with the help of numerous market researches and surveys. The power of consumer decision-making is changing, and advertising now describes a woman as the person who decides how to spend her money on herself and her family.

The Ruritanian Project Coursework Example | Topics and Well Written Essays - 2000 words

The Ruritanian Project - Coursework Example The country is currently politically stable. Governments have been democratically elected for the last twenty years. There are two major political parties in Ruritania. The country is about to go for polling in next couple of months. Recent opinion polls suggest that the present Government currently enjoys a 7% lead over the other major party and this view has remained reasonably stable. So if the incumbent government stays in power, it will continue the reform works. The other major party is also committed to democratic principles and a market based economy. They intend to increase both corporate and personal taxation to provide additional funding for their proposed social expenditure (Case Study). The currency of the country was deregulated nearly twelve years ago. Though there was initially a sharp depreciation of the currency, the currency has gained stability against major international currencies during the past three or four years. There has been a speculation that the government will peg the currency with a major currency as a first step for joining the euro. Ruritania is currently negotiating for membership of the European Union and hopes to join in about 2014 (Case Study). In this case, our company wishes to set up a manufacturing in the country in order to utilize the low cost labor and access the local market. We are going to discuss various long term and short term financial issues and underlying theories that are likely to influence the investment decision (Case Study). Foreign Direct Investment as a Strategic Decision of the Firm FDI refers to the reassignment of the capital, managerial and technical assets of a firm from the dwelling country to the host country. It is a type of international finance which consists of lending and portfolio investments. It is unlike lending because it demands ownership. Also it is different from portfolio investment since it entails control of financed actions over administration. There is no united theory associated to FDI. Basically, three levels of analysis have been differentiated by theories based on conventional trade and location theories, theories based largely on industrial organization economics, and theo ries are based on the theory of the firm and center on the competitive advantage of the firm. Customary international trade theories have been enlarged to FDI with regard to the international movement of factors of production. Examples incorporate such extensions of the international trade theory, as factor endowment theory that includes factor mobility (Helpman, 1984, pp. 451-471) and specific factor models (Markusen & Venables, 1998, pp. 183-204), which both are delegates of the new trade theory. They are valid in the context of FDI, as they let imperfect competition and product differentiation. Also traditional location theory stresses on the least-cost location of production as the best location of the firm. Macro-economic investment theories include Dunning's developmental model of international investment. The theory relates the determinants of outward and inward investments to the developmental stage of the state. According to the model, outward investment beats the inward in vestment as the country grows. The ongoing shift from negative to positive on net investment depends on a country's factor endowments, politico-economic system and its interdependencies with the world economy (Dunning 1993). Vernon pioneered the product life cycle theory in the mid-1960s, but expanded it later to a clearly oligopolistic understanding. The theory elucidates the geographical course of locating the manufacturing units in the four broad stages of development. In the first phase, new products are launched by a firm griping technological headship in

Sales and Marketing Assignment Example | Topics and Well Written Essays - 750 words

Sales and Marketing - Assignment Example It operates in a rapidly growing industry which requires personalized services to meet client requirements. Event management is a huge business since it cuts across all sectors of the economy including: corporate, organizations, individual and family functions. The clients need a service provider that can offer the best publicity to an event and that which ensures time is effectively managed to avoid operational hiccups. I am expecting to cut into this already existing market by offering differentiated solutions for instance, comprehensive budgeting, to my clients which will ensure the events are a success. The business operates in a liberalized market which increases competition because of little monopolistic tendencies. The following guidelines should be followed when developing strategies for marketing an event. Make a plan of action: This will help by providing direction to the event management process in achieving set objectives. A written and timed action plan with defined targ ets ensures efficiency in handling event management.Study the target audience: Having comprehensive knowledge of your targeted audience gives the marketer ideas on their tastes and preferences and this helps the company tailor its products according to market demand. Highlight the product: this is done by ensuring the product stands out from the rest. PlanIt has a catch phrase (â€Å"conceive the event and we will PlanIt Extreme†) which says all about company capabilities.Highlight the product: this is done by ensuring the product stands out from the rest.