Background The Employee Selection Process

An analysis of the appropriate measures employers must take in order to minimize the risk of hiring unsuitable employees. This paper analyzes methods employers must take to protect themselves from hiring bad personnel especially these days, when violence, sexual arrestment and corporate fraud are increasing in the workplace. The author suggests several steps human resources personnel should take in order to minimize the risk of hiring unsuitable employees. All work environments, big or small, have potential for trouble. Human relationships are complicated in all situations. Thus when workers spend such a large percentage of their days in the workplace problems are bound to happen. If employers stay aware of developing problems and deal with issues as they occur, the risk in the workplace will be minimal. Background checks and references are crucial for control of the problems arising in the work place. Defamation suits and discrimination can be avoided through carefully drafted written policies. Being wary of providing references is not the solution. The employers must work with the employees to draft policies that will be secure, efficient and control workplace problems. Privacy issues can be avoided if the employees know the underlying reasons. Education is the key and hence, human resource managers must work to provide the necessary security for both the employee and employerthrough background and reference checks.

Asian Culture On Music Essay Example | Topics and Well Written Essays - 2250 words

Asian Culture On Music - Essay Example Asian music is also accompanied by percussion instruments such as kettledrums, frame drums and tambourines. Another common musical instrument common in Asia, especially among the Inner Asian pastoralist communities is the Choor, which is a reed or wooden end-blown flute of different lengths but of four to five holes. This instrument has different names in different cultures with Mongolians calling it Tsuur while Kazakhstanis call it Sybyzghy. The other instruments with which the Inner Asian pastoralist music is associated are Dayra (a frame drum with jingles found in Central Asia and played by both men and women and Dombra, which is a class of two-stringed, long-necked lutes, regarded Kazakhstan's national instrument. Unfortunately for Asian music culture, there has been a lot of erosion of Asian music due to globalisation, more so the westernization of Asian music, which has led to increased calls and efforts to preserve the Asian musical heritage. An example of the efforts or initiatives that seek to preserve the Asian music culture is the Aga Khan Trust established in 2000 to especially assist in preserving the musical heritage of Central Asia. This initiative referred to as the Aga Khan Music Initiative in Central Asia (AKMICA) works with other tradition and cultural heritage stakeholders throughout Asian to ensure that the region’s musical traditions are carried from one generation of artists and audiences to the next. Additionally, the initiative seeks to popularize Central Asia musical culture to other regions by sponsoring music tours and festivals besides documenting and disseminating Asia’s musical culture. This paper explores the characteristic, cultural specificity, and t he local and global significance of Asian music and its interaction with other music cultures. In addition, the effect of globalisation on Asian music is discussed with respect to Asian pop cultures such as Korean pop. The Significance of Music in the Asian Society That Asian culture is quite beautiful and luring is an undeniable fact. Of greater and unparalleled beauty and significance are the recorded and cherished Asian cultures, which are handed down from one generation to the other. These cultural aspects of Asia are not only rich with evidences of past and current cultural struggles but also show the triumphs of Asian cultures over natural forces that would otherwise erode these cultures at the slightest opportunities (Philip & Wong, 1997). Like in other regions, Asians store and chronicle their stories of struggle and triumph in music, which is in turn carried from one generation to the next. This music document and preserve the events, cultures and the feelings of the people of Asia. Thus, Asian music is more that the strumming of strings and the beating of drums that one hears when music is played. There is more to every musical culture as what one hears in Tokyo

Economic Essay Example | Topics and Well Written Essays - 1000 words - 5

Economic - Essay Example Some basic examples of underdeveloped regions are Asia, Africa and Latin America. Bangladesh, Bhutan, Nepal, Myanmar, Somalia and Cambodia are some countries that fall into this category. (Gerard Chaliand, n.d) Different countries generally face different problems depending upon the level of development and progress made by the country. Naturally, the ones that are developed will face a lesser number of problems and also of a different kind. Underdeveloped countries are bound to face a mountain of difficulties and of a severe kind. The characteristics of an underdeveloped country are actually what its problems are. The basic challenges faced by people in underdeveloped countries are the unavailability of shelter, clothing, food, health services and even water for every person living. This is due to large populations and little resources. Educational standards are very low – lack of qualification means unemployment. Plus, there is a lack of funds with the government that can be spent on health services and other welfare of the people. Technologically speaking, these countries are almost close to nil. (Poverty in Underdeveloped Countries—The Poorest of the Poor - The Poor In Africa, n.d) Firstly, we have the problem of the lack of resources. Not only is there a lack but there is only a specific type of resource available. Most underdeveloped countries are agricultural economies; that is, they earn by selling primary goods such as tea, wheat, cotton etc. These goods, no doubt, have a huge market but they are not as helpful in progression a country as are industrial and manufacturing goods. Developed countries mainly depend on the export and import of manufacturing goods, also known as, capital goods – these are machineries that enhance the efficiency and production of consumer goods. The usage of these machines in a country helps augment living standards. It is clearly

Just Culture Model and its Impact on Patient Safety as Part of the Research Paper

Just Culture Model and its Impact on Patient Safety as Part of the Roles of Clinic Nurse Specialist - Research Paper Example For nurses, they may also expand their knowledge by studying further and advance their career into clinical nurse specialists which may give them the chance to work at the management level in the clinical setting. They would have the knowledge on the healthcare systems and find ways on how to improve the efficiency of the healthcare organization through policies and culture that caters the growth and learning of the staff nurses. To improve the competencies of the clinical nurse specialists, just culture model may be used as framework. It gives importance to patient safety and increase in accountability among members of the healthcare organization. Just Culture Model and its Impact on Patient Safety as part of the Roles of Clinical Nurse Specialist Introduction The healthcare sector has been growing as the demands for health assistance is increasing. It is the sector that will never die out as people need the basic services or even the sophisticated care in that area for survival and to prolong life. People need health assistance when they are sick, injured or weakened. The need for healthcare has also been growing due to its primary importance to human survival. Whenever people get sick, they visit the hospital to get solutions for their health problems. Care is also provided in the hospital for patients with aggravated situations and helps them to recover. When people are sick, they are very fragile as their bodies are weakened. They need the support to totally bring back their healthy bodies. In the search for health assistance, various health staffs are prepared to assist the patients with their specific needs. From food intake to drug administration, the healthcare staffs are there to assist them. The professionals that assist the patients usually require long and intense training and license before they can perform their tasks to care for the patients. One of those health professionals is the nurse. Nurses have been important as they assist the doctors in the medical field to provide health assistance to patients in hospitals, at home or in the community. They are entrusted to help in the health restoration of the patients from their current weak condition to a healthy one. Nurses then may work on their own as they specialize on various roles or take part in a group in planning and evaluating the health care performance. They also attend trainings to further enhance their knowledge and skills to better support the health needs of the patients (Smith, 2004, p. 3). They are also updated with the current breakthroughs in their field of career through scholarly journals. Nurses may opt to specialize further through studies and further trainings to become clinical nurse specialists. As clinical nurse specialists (CNS), they must have more than the undergraduate degree in nursing and the education must be provided by accredited CNS institutions (Callara, 2008, p. 57). They are highly specialized to cater the specific needs of the patients that may depend upon the kind of diseases or illnesses the patients have. The CNS may also work on hospitals, houses, communities or specific units of the hospital such as emergency room and operating room. They also assist in surgeries or clinical procedures (Dreher et al., 2011, p. 78). In general, there are five duties each CNS may do like hospital work, management, education and instruction, research and

Study On The Definition Of Evidence Based Practice

Study On The Definition Of Evidence Based Practice I have studied Nursing for 4 years in the Philippines and I have not encounter the term Evidence Based Practice. It took me by surprise that such subject exist. On my first day of class at Thames Valley University I have learned that EBP is about exploring a medical intervention through research of published research articles based on clinical trial conducted by various researchers and clinicians. The process starts by proposing a research question, and I chose to focus on Pain Management but I have notice that pharmacological management is too common. For such reason, I have decided to aim the attention of my research to Non-pharmacological Management such as Diversional Therapy. This kind of therapy is seldom used in the clinical setting because a lot of medicines are being discovered and used as often. As the process continues, I have learned how to properly critically appraise an article and notice its importance no matter how old it was and enhance my problem solving skills. Fur thermore, adjusting and somehow changing the learning method is a big alteration I have encounter as I need to spend a lot of time reading and making the paper. After all the amplitude I put into making this Folder of Evidence, I consider the entire course a success. I have learned so much of new things that somehow I ignored before. Mapping Grid: Module Learning Outcomes Evidence 1 Evidence 2 Evidence 3 Evidence 4 Identify and critically examine priorities for improving practice. Page 12 Para 1 [P] Asses the ability to identify evidence and critically appraise its value. Page 15 Para 2 [P] Critically analyze the change description and understanding about the nature of evidence in health care practice. Page 12 Para 1 [C] Page 18- 21 Para 2, 3, 4, 5, 6 [P] Evaluate the possibility and effectiveness of evidence for change in practice. Page 24- 25 Para 2, 5 [P] Learning Log: Study Day 1: 11th October 2010 Topic Understanding the Nature of Evidence Key Concepts/Issues Evidence Based Practice History Development Teaching/Learning Lecture Group Discussion Information Skills Development Classroom Activity AM Exploration of the Concept of Evidence Based Practice. PM Sources of Evidence Developing Search Skills Library Session (1) Brief Notes Evidence based practice is providing the best evidence of treatment to facilitate effective treatment/intervention. A discussion of what to be expected from folder of evidence as it highlights how the folder will be collated and how to set aims and objectives for FOE. Study Day 2: 25th October 2010 Topic Questioning Practice/Research Questions: Finding Evidence Key Concepts/Issues The relationship between questions and types of evidence; Questioning own practice explore types of research questions. Developing simple and structure search strategies Teaching/Learning Lecture Group Discussion Group Presentation Information Skills Development Classroom Activity AM Group Presentation: Evidence Based Practice Group Poster Presentation Concepts Definitions and Understandings Session Relationship Between Questions and Types of Evidence Descriptive and Relational Questions PM Writing Searchable Questions for Evidence Based Practice PICO Identifying Preliminary Search Terms Developing Search Skills Library Session (2) Brief Notes We discussed how to proposed a searchable question and how important it is. I formulated a topic based on my own interest and experience beforehand. Revision of question also was supervised and breakdown using PICO framework. Study Day 3: 8th November 2010 Topic Differentiating Between Research Paradigms. Key Concepts/Issues Evidence Based Practice Experimental Research Naturalistic Research Teaching/Learning Lecture Group Discussion Quiz Information Skills Development Classroom Activity AM Quiz Review Research Designs Discussion of Types of Questions (researchable and unsearchable questions). Group Work to Refine Final Practice Issue and Search Question Refine PICO Framework for Search PM Inclusion and Exclusion Criteria Appraisal Tools, CASP, SIGN, AGREE Group Work Assessment and Discussion of Two Papers Retrieved Last Week. (Question, Design, Methods and Results). Brief Notes I have learn the different types of research designs that supports my research scheme for the 5 primary articles together with supporting documents that will be used in making EBP. This session also emphasizes the importance of PICO as this will help how to refine searches. Different appraisal tool was also discussed and its importance as this provide effective filter for the reliability and validity of published literature. Study Day 4: 29th November 2010 Topic Systematic Reviews/Meta-analysis: An Introduction Appraising Evidence Part 1. Key Concepts/Issues Systematic Reviews Developing Critical Appraisal Skills Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group Presentation Features of Systematic Review Group Discussion How Does an SR Differ From a Traditional Review? Appraising a Systematic Review Individual Exercise and Group Discussion. PM Using Appraisal Tools Appraising of an RCT and a Qualitative Study Using CASP or an Alternative Appraisal Tool. Group Discussion Analysing the Appraisal Process and Effectiveness of the Appraisal Tool. Brief Notes A systematic review is a study that identifies, appraise, select ans synthesize a collection of research articles with relevance to each piece of work. Critically appraising a systematic review article excludes lesser quality studies to minimize error and bias in the findings. It Assess the validity of research by means of determining whether the methods used during the study can be trusted to provide a genuine, accurate account of the treatment being studied. Study Day 5: 6th December 2010 Topic Establishing the Quality of Evidence Key Concepts/Issues Making Judgements About the Quality of Evidence Synthesising Evidence Teaching/Learning Lecture Group Discussion workshop Individual Exercise Classroom Activity AM GRADE How to Move from Evidence to Recommendations. Workshop- Grading Evidence PM Tutorials Independent Work or Further Electronic Searches. Brief Notes As I appraise each primary articles collected, a summary of critical appraisal of the 5 primary articles was made. This strategy helped me to make an apprehension toward the affirmation of each articles towards making the summative 3. Study Day 6 13th December 2010 Topic Implementing EBP Key Concepts/Issues Translating Evidence Into Practice Implementing EBP Guiding Principles for Implementing EBP Barriers to Implementing EBP Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity AM Group discussion Identify Barriers to Implementing Evidence Base in Practice Identify Strategies to Implementation that Avoid/Overcome these Barriers. PM Students to work in pairs to devise a search strategy for use in one electronic database to identify an article that describes and evaluates the introduction of evidence based change in practice. Brief Notes Implementation has its various barriers to consider such as time, support, lack of knowledge, lack of motivation of the workers and too much research evidence. As a group activity we critique an implementation article as to determine the process of implementation of the studied intervention. Study Day 7 10th January 2011 Topic Evaluating EBP Key Concepts/Issues Evaluating Changes in Practice Application of a Framework for Evaluating Change. Final Module Evaluation Teaching/Learning Lecture Group Discussion Group Presentation Individual Exercise Classroom Activity Measurement for Improvement/Change Sustainability of Change Examine Effectiveness of Evaluation Strategies. Module Evaluation and Individual Tutorials Brief Notes It discussed about the evaluation process of a study and the use of guidelines in each step. Evaluation meant by achieving a research aims and objectives and most importantly if the study conducted able to answer the hypothesis, as this entails whether the study is effective or not. SUMMATIVE WORK Summative 1: Concept of Evidence-based Practice The challenge for best quality of care, combined with the need for recommended usage of resources has heightened the pressure on health care professionals to ensure that clinical procedures is based on sound evidence. Frequent change and advancement in treatments, an increasingly numbers of research information, and the increase of expectations from clients to provide the best care possible, place high demands on healthcare providers to maintain a service that is based on current best evidence. (Bennett and Bennett, 2000). Evidence-based practice (EBP) is a clear path to healthcare wherein health professionals use the best evidence possible, such as the most suitable information available, clinical decisions for individual patients. EBP values, enhances, and builds on clinical expertise, knowledge of disease process, and patho-physiology (McKibbon,1997). Evidence-based practice presume knowledge of and skills in literature searching, research methodologies apprehension , appraisal an d apprehension of research. It also requires healthcare professionals to have access, critique and coordinate literature study with clinical experience and clients aspect. In order to gain a greater interpretation about the nature of evidence in the context of health care, consideration needs to be given to the history of the evidence-based health care movement while the concept was originated in medicine, it has influenced a wide range of health professions (Trinder Reynolds, 2000). In addition, it is an approach to decision-making that has permeated all aspects of healthcare. Its characterize can be seen in many of the leading health systems and government health policies across the world. EBP model highlights the value of research as a source of information which is potentially less biased than other sources for informing practice, it also clearly acknowledges the importance of integrating this research with clinical expertise and clients perspectives (Sackett et al., 2000). Moreover, it involves complex and reliable decision-making based not on available evidence alone but also on patient characteristics, situations, and preferences. Changing practice is not easy to do therefore careful selection of the topic is very significant. For the benefit of the patient is of first importance when selecting a topic, however it can not be the main basis as to literary evidence is inadequate to figure what are the benefits. Researchers must also consider the time, level of consumption and other resources for the study. Research evidence is most frequently found in peer-reviewed journals as this is where results are first published and where enough detail on methodology exists to make informed judgements on the validity and clinical relevance of the findings (Bury Jerosch-Herold, 1998). Research using the strongest and most appropriate study design for the question being studied, will provide the best evidence. Summarizing the evidence is a vast intellectual endeavor according to Fitzpatrick (2007). Healthcare workers must be capable combining ideas and recommendations from an extent of references to make appropriate advices. Implementing a plan is consider challenging because standards and regulation of an organization can either help or ruin an EBP approach to care. Evaluation process involves short term and long term coverage to provide essential data. Word count= 503 Reference List: Bennett S Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p171-180. McKibbon K (1997) Evidence-based practice. Bulletin of Medical Library Association. 86(3)p396-401 Trinder, L., Reynolds, S. (Eds). (2000). Evidence-Based Practice A critical appraisal. Oxford: Blackwell Science. Sackett D, Richardson W, Rosenberg W, Haynes R (2000).Evidence based medicine: How to practice and teach EBM (2nd edn). Edinburgh: Churchill Livingstone. Bury T Jerosch-Herold C. (1998). Reading and critical appraisal of the literature. Evidencebased healthcare. A practical guide for therapists Oxford: Butterworth Heinemann. p136-161 Fitzpatrick J (2007. Finding the research for evidence-based practice,part one: The development of EBP 103 (17) p.32-33 Summative 2: Critical discussion on formulating question using PICO There are many times that new information is required when contemplating clients in order to analyze clinical problems and make treatment resolutions, and these questions pertains to a specific client or groups of people. Questions usually arise concerning the effectiveness and choices of an intervention, how treatments are best implemented and whether there are any associated difficulties included (Bennett and Bennett, 2000).The question for this study is about the effectiveness of Diversional Activities as a form of pain management to paediatric clients. Pain management is the alleviation of agony and suffering of a patient with the use of Pharmacological and Non-pharmacological treatment or nursing intervention. Diversional therapy is a non-pharmacological approach and a client centered practice that recognizes the leisure and recreational experiences of an individual (Diversional Therapy Association of Australia,2008).Through the act of psychological and behavioral factors regard ing pain, complimentary medicine are significant in altering pain experiences. These interventions bears to minimize fear, worry, pain and heighten a clients bodily process. According to Bennett and Bennett (2000), when there is uncertainty, the need for information can be interchange into a clinical question. Clearly framing a question not only clarifies what to aim, but it can also facilitate the search for answers. Sackett et al. (1997) point out that the identification of congruent data for answering a particular clinical question may be facilitated by diving the question into components including: A client or a dilemma being considered, an intervention or indicator being considered, outcomes of interest you would like to measure or achieve and a comparison. PICO represents an acronym for Patient, Intervention, Comparison and Outcome. These four components are the essential elements of the research question in EBP and of the construction of the question for the search of evidence (Santos et al. 2007). The PICO strategy can be used to compose several kinds of research analysis, originated from clinical practice, human and material resource management, the search of evidence assessment instruments, among others. The research question allows for the correct definition of which evidence is needed to solve the clinical research question, focuses on the research scope and avoids unnecessary searching (Fleming, 1999). Based on the clinical question formulated and utilization of PICO, a literature search strategy can then be formulated that includes search terms reflecting each component of the question. The next step in the evidence-based practice process is to search the literature for evidence that may assist in acknowledging the question posed. The literature search will be focused by the clinical question that has been identified with use of PICO, as well as other relevant information (Bennett and Bennett, 2000). While evidence for informing clinical decisions may come from various sources including clinical experience, education, textbooks, discussion amongst colleagues and from clients, evidence from well-performed research may be less prone to bias or to the tendency to believe what we want to believe ( Tickle-Degnen, 1999).The internet and the portals of open-access journals allow for accessibility to knowledge, keywords such as non-pharmacological, complimentary medicine and diversional therapy were used to search for the 5 primary articles to be used for this study. An article must be good and interesting, should be well written, and old articles are also considered. Moreo ver, comprises a body of knowledge in academic and scientific based from an original research. Word count= 548 Reference List: Bennett S and Bennett J (2000) The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal. 47 p.171-180 Diversional Therapy Association of Australia(2008) what is diversional therapy?[online]. Available at:http://www.diversionaltherapy.org.au/Home/tabid/38/Default.aspx Flemming K.(1999) Critical appraisal 2: Searchable questions.NT Learn Curve 3(2) p. 6-7. Sackett DL, Straus S, Richardson S, Rosenberg W, Haynes RB (2000) Evidence-based medicine: how to practice and teach EBM. Churchill Livingstone. 2nd edition. Santos C, Pimenta C, Nobre M.(2007) The PICO strategy for the research question construction and evidencesearch. Rev Latino-am Enfermagem maio-junho. 15(3) p.508-11. Tickle-Degnen,L. (1999). Organizing, evaluating and using evidence in occupational therapy practice. American Journal of Occupational Therapy; 53 p.537 539. Summative 3: Synthesis of research findings. This part of work is the review of the 5 primary articles chosen for the topic effectiveness of diversional activities for pain management to pediatric clients. The articles will be analyzed by using CASP tool, examining each relevant findings and by compare and contrasting ideas of each authors, thus, resulting to further evaluation of such intervention in hospital and non-hospital setting for its efficacy. This research desires to have a thorough understanding of non-pharmacological intervention in managing pain to children that soon will complement pharmacological management by provide stronger evidence. Pain is a dreadful feeling and emotional experience related to injury or damage to children s body, it is usually caused by trauma, disease, medical procedure or surgery. Pain may affect children s appetite, sleeping patterns and lessen energy level hence disabling child to do things. Pediatric pain is complex and often difficult to assess, that is why effective pain management in children is a challenge to medical practitioners because there are many special considerations when providing treatment. On the other hand, non-pharmacological therapies or diversional activities are treatment that do not use medicines to decrease or control child s pain. They may convey comfort to the patient during a long standing condition or illness. Certain activities may help improve the child s state by making him/her more comfortable and relaxed. It involves methods such as teaching and leading your child through thinking exercises and other techniques. It can also be used before and after a child undergoes painful experience, such as medical procedure or surgery. Vessey et al. (1994) stated that, Distraction is the single most commonly used diversional activity among children. Fernandez (1986) stated that distraction refers to the direction of attention to a non-noxious event or stimulus in the immediate environment. When a patient worries too much about his/her pain causes more pain than what is really there. Vessey et al (1994) surveyed 100 children, aged 3 years to 12 years, majority are males (62%) to examine the effectiveness of Distraction method during venipuncture or needle prick, the child s memory may lead to stressful psychological responses, such as crying, and physical responses such as venous constriction during the procedures. It is important that in conducting a study the respondent s age, developmental level and prior hospital experience must be considered during the selection, Broome (1985). Furthermore, Researchers uses the Wong-Baker FACES pain rating scale in evaluating children s perception of pain. Wong-baker pains scal e is know to be a reliable and valid device for children 3- 18 years of age in evaluating their pain,Wong and Baker (1988). In using distraction, the patients may paint, play with friends, watch TV and play with board games or video games and other novelty toys to help them relax and deflect their attention during the procedure since it provokes curiosity and require children to use their auditory, visual, tactile and /or kinesthetic senses. These activities may keep them from thinking about the pain. Weekes et al (1988) Distress is known to cancer patients for years during and after the completion of anti cancer treatments. According to National Institute of Clinical Excellence (NICE), (2005) the role of imagination can play in a childs ability to cope with painful operations. The NICE concluded that there was a strong evidence for the use of hypnosis in alleviating chronic pain associated with cancer. Richardson et al (2006) mentioned that hypnosis is a method where the subject is guided by another to respond to suggestions for changes in subjective experience such as perception, sensation, emotion, thought or behavior. It can be utilized in a variety of ways to cut down stress, acquire coping strategies and halt the experience of pain. Self-hypnosis tends to ease self management of symptoms, hence providing a sense of self-efficacy and control over pain and distress, however, it creates less therapeutic benefit compared to therapist- directed hypnosis. It is evident that patien ts who underwent hypnosis reported less anxiousness and pain while using direct and indirect forms of hypnosis, demonstrating leveled effectiveness. Though, there is some evidence that under hypnosis, girls exhibited more distress behavior compared to boys, Katz et al (1987). Richardson et al (2006) concluded that hypnosis has potential as a clinically valued intervention that could impart to the establishment of procedure- related pain and distress in pediatric cancer patients. Oshikoya et al ( 2008) reported that complementary and alternative medicine has been advantageous for children by some parents, such benefits includes prevention of illness, maintenance of good health, relief of musculoskeletal pain, control of asthma symptoms, treatment of mild respiratory problems, relief of sickle cell anemia and enhancement of the immune system in cancer. 80% of the parents used alternative medicine to cure their children during the study, however, 7% discontinue the use of such practice because the symptoms of the illness come about in their children with exacerbation after their regular medications had been discontinued. Moreover, Kemper et al (2010) expressed that pediatric patients benefit from stress reduction by means of using complimentary medicines and techniques such as biofeedback which teaches the child to control and calm body s reactions when there is pain, it is one of the treatments researched most extensively for migraine, Allen (2004). Guided ima gery is used by letting the patient imagine that he/she is his/her favorite place, the patient will feel safe and relaxed and pain may be decrease. Relaxation and self-hypnosis methods that re mostly used for migraines and headache by asking the child to breathe slowly and deeply and let the patient imagine that his/her muscles are relaxing.. Holroyd and Drew (2006) stated that cognitive behavioral therapy has been utilized successfully to help manage headaches, depression, and anxiety, Lawler and Cameron (2006). This practice has proven effective in reducing migraine headaches, improves mood and cognitive function through an experiment. Also, Acupuncture and Massage can help both adults and pediatric patients who have chronic headache and can be provided by family members, which allows for more regular, inexpensive and favorable treatments. Salantera et al (1999) investigates 265 nurses about the knowledge and abilities of nurses towards pain management of pediatric clients. Health care practitioners such as nurses, are well placed to provide such supportive interventions in both pharmacological and non-pharmacological treatments. According to Ross et al (1991) Healthcare providers lack of knowledge and negative attitudes may lead to under medication and under treatment of pain. Nurses are close to the children the whole day and have more chance to use non-pharmacological pain management methods in their work. Clarke et al (1996) that education about pain was most inadequate in areas of non-pharmacological interventions to relieve pain, the difference between acute and chronic pain, and the anatomy and physiology of pain. Nurses knowledge differed according to their age, education, and place of work, and uses a fairly wide range of non-pharmacological pain alleviation methods, most of the time the nurse was in the activ e role and the child was passive, restricting the child to take an active part in their own pain comfort. Studies shows that children like to have some responsibility for their own care. Furthermore, Pederson and Harbaugh (1995) explicit that there are obstacles in terms of using non-pharmacological pain management in hospital setting and found to be that excess workload, lack of proper materials, lack of knowledge and skills, and not knowing the child were the most common problems nurses confronts. Some of them felt that they receive very brief education on non-pharmacological pain management, and 90% had no documented evidence of the use of any non-pharmacological modalities to relieve pain that will serve as nurse s guidelines. The nurses who thought they had good knowledge about non-pharmacological management got a lower score from the survey, nurses consider themselves knowledgeable in stress reduction but not in play therapy and hypnosis method. Effective pain management in ch ildren requires cognition of both pharmacological and non-pharmacological methods. There are evidence found that nurse s characteristics, such as age, knowledge, experience, intuition, attitudes and beliefs, as well as nurses personal experience with pain, determines their implementation of pain interventions and knowledge about it. Nurses should be encouraged to actively seek new information and extend their training. More comparative, dismantling, constructive, and process oriented research strategy is required in the area of non-pharmacological pain management and different practice of pain alleviation should be generalized. Non- pharmacological approach has been found to be an effective adjunct method for the control of pain. A wide range of complementary and alternative medicine therapies are being used by children, including herbs and dietary supplements. Given the influence of psychological and behavioral factors on pain, non-pharmacological interventions are important in altering pain perception/behaviors. Diversional activities are intervention used for managing pain in both children and adult to reduce fear and, minimize distress and pain and increase a childs sense of control. For these techniques to be effective, it must be appropriate to patient s age and developmental abilities and must also be appealing to the recipient. There is still continues need to educate the medical community regarding the long term outcomes of pain control. Word count = 1514 Reference List: Allen KD (2004) Using biofeedback to make childhood headaches less of a pain. Pediatric Annual. 33: 241-245 Broome M (1985). The child in pain: A model for assessment and intervention. Critical care quarterly, 8: 47-55 Fernandez E (1986). A classification system of cognitive coping strategies for pain. Pain. 26: 141- 151. Holroyd KA, Drew JB (2006) Behavioral approaches to the treatment of migraine. Seminar Neurology. 26: 199- 207 Katz E, Kellerman J, Ellenberg L (1987) Hypnosis in the reduction of acute pain and distress in children with cancer. Journal of Pediatric Psychology; 12: 379- 394 Kemper K, Breuner C, (2010) Complimentary, Holistic, and Integrative Medicine; Headaches. American academy of pediatrics, 31(2) p.17- 23 Lawler SP, Cameron LD (2006) A randomized, controlled trial of massage therapy as a treatment for migraine. Annual Behavioral Medicine. 32: p50-59 National Center for complimentary and alternative medicine, NIH (2007) Non-pharmacological pain management therapies for children. Available at http://nccma.nih.gov National Institute for clinical excellence (NICE) (2005) Service guidelines for improving outcomes in children and young people with cancer-second consultation. Available at http://www.nice.org.uk/pdf/cacancer_2ndcons_manual.pdf Oshikoya K, Senbanjo I, Njokanma O, Soipe A ( 2008) Use of complimentary and alternative medicines for children with chronic health conditions in Lagos, Nigeria. BMC complimentary and alternative medicine 8 (66), p.1- 8 Pederson C, Harbaugh B. (1995) Nurses use of Non-pharmacological techniques with hospitalized children. Issues comprehensive pediatric Nursing; 18: 91- 109 Richardson J, Smith J, Pilkington K (2006) Hypnosis for procedure-related pain and distress in pediatric cancer patients: A systematic review and methodology related to hypnosis interventions. Journal of Pain and symptom Management, 31 (1) p.70- 83 Ross RS, Bush JP, Crummette BD (1991) Factors affecting nurses decisions to administer PRN analgesic medication to children after surgery: an analog investigation. Journal of pediatric Psychology, 16: 151-167 Salantera S, Lauri S, Salmi T, Helenius H (1999) Nurses knowledge about pharmacological and non-pharmacological pain management in children. Journal of Pain and symptom Management, 18 (4) p. 289- 299 Vessey J, Carlson K, McGill J (1994) Use of Distraction with Children during an acute pain experience. Nursing Research, 43(6) p. 369-372 Weeeks DP, Savedra MC (1988) Adolescent cancer: coping with treatment- related pain. Journal of Pediatric Nursing; 3: 318- 328. Wong D, Baker C (1988) Pain in children s comparison of assessment scales. Pediatric Nursing, 14: 19- 17.

Comparing Winterbourne and Prufrock :: Daisy Miller, Love Song of J. Alfred Prufrock

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  When creating his famous poem, "The Love Song of J. Alfred Prufrock", T.S. Eliot was inspired by a character depicted in the novella known as Daisy Miller, written by Henry James. This character, Winterbourne, was intertwined and considered when creating the timid character of Prufrock. It is evident that both men share similar personalities and characteristics that link them together, both being prime examples of emptiness and despair told through theses writings.   Ã‚  Ã‚  Ã‚  Ã‚  The central concern in Daisy Miller is of the "analogies and differences" between people. In this story, a young American man, Winterbourne, is confused and intrigued by the behavior of a young American woman, Daisy Miller. Winterbourne had wondered about all of the cold shoulders that had been turned towards her, and sometimes it annoyed him to suspect that she did not feel at all. He said to himself that she was too light and childish, too uncultivated and unreasoning. Then at other moments he believed that she carried about in her an elegant and perfectly observant consciousness from the impression she produced. He asked himself whether Daisy's defiance came from the consciousness of innocence or from her being, essentially, a young person of the "common" class. After getting to know Daisy, he was confused about getting to know his and her emotions. It is far evident that Winterbourne does not come to conclusions about people easily. He was very much influenced by the biases of his upbringing in culture, and he questioned them occasionally.   Ã‚  Ã‚  Ã‚  Ã‚  "The Love Song of J. Alfred Prufrock" is about a timid and downcast man in search of meaning, of love, and in search of something to break from the dullness and superficiality which he feels his life to be. Eliot lets us into Prufrock's world for an evening, and traces his progression of emotion from timidity, and, ultimately, to despair of life. He searches for meaning and acceptance by the love of a woman, but falls miserably because of his lack of self-assurance. Prufrock is a man for whom, it seems, everything goes wrong, and for whom there are no happy allowances. The emptiness and shallowness of Prufrock's "universe" and of Prufrock himself are evident from the very beginning of the poem. He cannot find it in himself to tell the woman what he really feels, and when he tries to tell her, it comes out in a mess. At the end of the poem, he realizes that he has no big role in life.

Current Event Analysis Essay

JCPenny has just launched its new marketing strategy on Feb 1, 2012, which include improving its brands, refreshing its new stores, and the most important part—the new pricing model. The new pricing model is so called â€Å"Fair and Square† pricing strategy. This new pricing strategy includes three parts. The first one is â€Å"everyday† regular pricing, which is about 40% off 2011’s retail price without discount or promotion. The second one is the â€Å"month-long value† pricing, which offers even better price on specific merchandise. The final one is the â€Å"best price† pricing, which are clearance deals on the first and third Fridays of each month. In my point of view, I think JCPenny’s new marketing strategy is necessary for their further development in such tough competitive environment. According to Martis-Olivo, a retail analyst for Thomson Reuters, JCPennt’s sale performance is poor compared to Macy’s in 2011. Although Macy’s offers less discount and promotion, it posted a much stronger same-store sales average. Consumers now think department stores usually offering items at high prices, then offering discounts or coupons, so use such discount or coupon promotion to attract sales is not as much efficient as before. Furthermore, internet sales are jump up significantly in recent years due to the lower price and more convenience. So JCPenny’s new marketing strategy is launched in time to tackle these challenges. The â€Å"everyday† pricing is about 40% off 2011’s retail price without discount or promotion, which will give the consumers better value products to increase the chances that consumers will visit more and purchase more because of the lower prices. The â€Å"month-long values† on specific items, which will also keep the customer mentality from waiting for additional price drops, and this will also attract consumers come to the store more frequently, instead of only come into the stores when promotion. Finally, the â€Å"best price† pricing on the first and third Fridays of each month will help the stores to clean up their piled up inventories to avoid additional carrying cost. JCPenny’s new marketing strategy actually coincides with the marketing mix, which we usually called 4 Ps: Price, Promotion, Product and Place. As we discussed above, the important role of the JCPenny new marketing strategy is the new pricing model, which give the lower everyday price and month-long values to the consumers. So their new pricing position is focusing on better price-value relationship. Also, they hold promotion on the first and third Fridays of each month, which is the new name for clearance, or the lowest price you’ll ever see for a particular item. Secondly, brands are actually the products to department stores like JCPenny. The improvement of brands is refer to improve their products, as Wahlstrom described, J. C.  Penney has put its focus on fewer, â€Å"more relevant† brands, and less on private brands that are â€Å"less efficient,† such as Arizona and Worthington. These will provide consumer with quality instead of quantity. The final P is referring place, as we mention at the beginning, JCPenny is refreshing its new stores, which may give consumers more convenient accessibility. Furthermore, the new marketing strategy is also coincides with what we just learned from the class– Acquiring & Retaining customers. The lower price is to change consumers’ perceived cost and then will change the perceived value. The lower price acquiring new customers and retain customers to come to the store more frequently. Also, new brand marketing is to improve their products and service, which change the perceived benefits and again will change the perceived value, and change the customers’ preference. These combinations of quality, service and price are called â€Å"customer value triad, as value increases with quality and service and decreases with price. These aim to coagulate JCPenney’s relationship with its loyal customers and attract new ones.