How to Fix the Nursing Shortage Essay Example | Topics and Well Written Essays - 1250 words

How to Fix the Nursing Shortage - Essay Example In the United States, the shortage of RNs, coupled with an aging workforce, has become very alarming to the medical industry as the demand for the service has been increasing. This shortage has become a phenomenon, which is observed on a periodic basis, starting in the late 1950s, early 1970s, and late 1980s and has reemerged in this decade (Berliner & Ginzberg, 2002). According to the report of American Hospital Association in 2007 (Nursing School Degrees, 2009), hospitals need approximately 116,000 RNs to fill vacancies across states which is equivalent to 8.1 percent job vacancies. From an economic perspective, the demand for this service is unmet by the number of nursing professionals required which is also projected to worsen in the next decade as more nurses retire (Nevidjon & Erickson, 2006). If the issue is not resolved, nursing services demand will exceed supply by 30 percent in 2020. Based on Berliner & Ginzberg (2002), the growing concern in the nursing shortage can be att ributed to three general factors namely, (1) a decline in the number of new nurses entering the workforce; (2) the challenge of attracting new professional nurses to stay in the hospital; and (3) early retirement. Moreover, there are other vital factors to be considered that also affect the the declining nursing workforce such as (1) an aging population vis-a-vis nursing workforce; (2) a mismatch on diversity; (3) more options for women; (4) the generation gap; (5) work environment; (6) consumer activism; and (7) a ballooning health care system (Kimball & O'Neil, 2002). The impact of these factors could be greatly felt after the year 2010, the phase when the baby boomers are already enjoying their retirements. There are three causes affecting the level of nursing workforce. First is the need for a college degree limiting the number of potential applicants. Secondly, the various career options for women. And last but not the least, the nurses’ job dissatisfaction. Based on res earch, nurses who are satisfied are more likely to be productive, perform better, and stay at the hospital for longer periods (Raingruber & Ritter, 2003). Many strategies have been put in place to address this concern. According to Goodin (2003), 75 percent of the nurses surveyed in 2001 stated that in terms of the working environment, there was a decrease in quality of nursing care over the past two years because of increased patient load and pressure and limited time for direct patient care, which led to a decrease in job satisfaction. In terms of the issue in retirement of nurses in their mid and later 50s, nurses view this as disadvantagious to young RNs as they need more training and valuable skills from experienced workers. In an ER setting, part of the reasons why RNs would like to retire at this age are the physical constraints they experience as they function in everyday strenuous physical activities, high volume of ER admissions in a fast-paced urban setting without any he lp or assistance (Raingruber & Ritter, 2003). Moreover, the financial concerns seem to not affect the shortage of nurses. Increases in wages and benefit packages that vary across states apparently do not create an impact in the retention of nurses and the administrators should be made aware of this (Berliner & Ginzberg, 2002). Nurses, in some states, have been rewarded for their service

African-American music Research Paper Example | Topics and Well Written Essays - 1250 words

African-American music - Research Paper Example Based on Burton Peretti’s Lift Every Voice, African-American music is indeed â€Å"one of the treasures of the United States† whether it be in the form of â€Å"spirituals, ragtime, the blues, jazz, rhythm and blues, gospel, soul and hip hop† African-American music, with its rich African roots, is a showcase of the connection of Africans with the natural and soothing power of music even during the era of slavery (Perreti 7-8). In fact, in as early as 1796, the British physician Mungo Park noticed that among the walking groups of African slaves and free men, there are actually jillikeas, or singing men, known for their â€Å"musical talents [that] were frequently exerted either to divert [the walkers’] fatigue or obtain [them] a welcome from strangers† (8). The presence of the jillikeas actually indicates one thing – music has long been used by Africans to freely transcend their physical suffering. It is true that they were slaves and that as slaves, they worked very hard indeed. Nevertheless, music was always there to help them cope with the hardships of slavery and for them to have the mental and emotional freedom to feel what they wanted to feel, and to think about what they wanted to think about, regardless of the physical constraints they were experiencing at that time. Moreover, due to archeological findings and pictorial evidence, one would know that African music was already a rich aspect of the African culture in West Africa. Aside from the fact that prehistoric Africans integrated the sounds of animals and nature into their musical compendium, they also integrated music into their daily life, especially in their most significant rituals (8). The richness of the African culture and their tendency to embed the musical aspect of their culture with their spiritual life somehow gave African music a certain mystical quality that characterizes the depth of contemporary African-American music. Moreover, considering tha t the first groups of Africans were hunter-gatherers, African music freely evolved from its deep roots and eventually flourished as a result of migration and trading (10). This means that African music was actually more elaborate and richer in nature for it was a combination of the many cultures that the once hunter gatherer Africans absorbed. This richness was also somehow instrumental in showing the whole world how free African-American music is, for whatever was accepted by many parts of the world must certainly have a freedom of flow and movement. Other details of traditional African music also speak of the freedom of the common people. There is, for example, freedom of access to history. The drum-like pots unearthed in Nigeria and dating from the 1100s and the 1200s are still used by the Yoruba peoples at present (10). Also, there is freedom from age, gender and class barriers. For example, tribal African music, from which African-American music was derived, was demonstrative o f communal freedom for they are employed in numerous â€Å"elaborate singing and playing rituals†¦that invited all village residents to participate,† and â€Å"which gave all the singers a more equal stature in performances† (10). Such performances indeed somehow teach the western world what equality truly means. African-American music is also about the liberation of the sexualized body. As proclaimed during the Renaissance and during the Modern Era, the term â€Å"African,† which was used by Nietzsche in his description of Bizet’s Carmen, or of civilization itself as well as of the nature of the Viennese psychiatrist Sigmund Freud, is actually a synonym of â€Å"

Case Essay Example | Topics and Well Written Essays - 250 words - 8

Case - Essay Example Employee benefit center and physician. Both groups should correspond with each other in order to achieve the utmost goal. For the optimization of good customer service both groups should communicate and set their budgets to accommodate the patients in best manner. Staff of Dr. Martin’s office must modify their way of communicating with their customers and deal them in more friendly way. They should reshape their service structure in order to increase productivity. The first ethical issue is that Doctor (Martin) knew which medical service is best for his patients and if he is busy he must refer his patients to other doctor but instead of referring professor to health care service betty (nurse of Dr. Martin) told him that doctor would not refer him to any other doctor but emergency room. The nurse without the checkup of professor prescribed him a medicine to get from pharmacy, which doesn’t help him much. The health condition of professor may worsen if he had not visited Healthcare

Explain how Marketing Communications can be used to change customers Essay

Explain how Marketing Communications can be used to change customers attitudes and influence customers behaviour.(Marketing communications) - Essay Example The different models and the ways are discussed below that may change the attitudes and perceptions of the consumers. The marketing models discussed below for the marketing communications allows the marketing managers to know about the attitudes of the customer and then influence different strategies to influence their buying behavior. Attractive marketing campaigns and promotions need to be done so that a huge level of customer base can be attracted towards the organisation. This model allows us to focus on the attitude level of the consumer and how they interpret and learn about the new information that is being communicated to them through the advertising messages and other marketing mediums. It is important to influence the strength and usability of a product or service to the consumers in the marketing messages so that they can show their interest towards the product or service (Fitzgerald and Arnott 2000). The McGuire’s information processing model basically focuses on five elements. They are as follows: Exposure, attention level from the customers, Comprehension, Acceptance level ability of the consumers, and the Retention level rate of the consumers (Dahlen et al 2009). The information processing model developed by McGuire allows the researcher to learn about the attitudes and changes in behavior of the consumers for the communication aspects that take place while communicating the marketing information to the consumers about any product or service. According McGuire, the changes in behavior will occur if the communication takes place in a persuasive manner. The communication can be delivered in a persuasive manner by following the steps that follows ahead (Fill 2008). Firstly, the message that is to be communicated to the consumers must be presented in a clear and unambiguous manner. Then, the message must be clearly attended by the one who has delivered it. All

ASSESSMENT OF PARENTAL SATISFACTION WITH DENTAL TREATMENT UNDER Essay

ASSESSMENT OF PARENTAL SATISFACTION WITH DENTAL TREATMENT UNDER GENERAL ANAESTHESIA IN PAEDIATRIC DENTISTRY - Essay Example These programs have been implemented for all age groups, but children remain one of the most focused targets of these interventions. Among these programs are included the Children in Need of Treatment Program or CINOT, Ontario Works, which provides basic dental coverage upto 18 years of age, the Ontario Disability Support Program and the Dental Indices Survey or DIS and preventive services. There is also the emergence of clinics for low income residents, since many of the people who cannot afford dental treatment belong to low socioeconomic status. The University of Toronto and University of Western Ontario are two of the main providers of such dental services. Even these programs however, have not been able to cater to the needs of the Canadian public in general. Statistics show that one thirds of the residents of Ontario do not see a dentist on regular basis. The most common reason is the lack of insurance and inability of these people to afford dental care (The Whole Tooth and Nothing But the Truth, nd). Other issues include fear and anxiety towards dental treatment. This does not mean that the issue settles here. Even if patients do manage to get dental insurance, it is no guarantee that it will be sufficient for the particular treatment needs (The Whole Tooth and Nothing But the Truth, nd). Studies show that although 52% of the Candians and 60% of the Ontarians have some form of dental insurance, but these insurance programs have not been created equally, which again leads to cost becoming a barrier to dental care (The Whole Tooth and Nothing But the Truth, nd). There are many challenges that need to be overcome for children living in Ontario or for that part many areas of Canada. Accessing dental care in Ontario may not be possible unless a person has insurance. Dental care can be very expensive and therefore, prohibitive

SWAT & PEST Essay Example | Topics and Well Written Essays - 500 words

SWAT & PEST - Essay Example The main strength faced by Sampson’s family relating to Hugh’s option is the expertise that Hugh is expected to have. The study indicates that Hugh has previously worked with different winemakers and undertaken different levels of trainings. The other strength faced by this option is the price superiority; the premium cider sells at a price higher than the regular cider. The case studied also indicates that the set-up process for the new process, Hugh’s option, would not be costly, in fact, it is just an enhancement of current production techniques. This indicates that the company would not need to engage in substantial capital expenditure. The last strength that would be faced by Hugh’s option would be the ease of integration of the new process into already existing processes. As already mentioned, the old process would need a few changes to accommodate the new process, which would also improve the efficiency of the whole process. Because of the improveme nt, the company will get the wine breaking into the market at a lower price than it did before. Despite the strengths mentioned above, the main weakness faced by the company in the consideration of Hugh’s option is the current workers.

LeGAL ASPECTS of contract administration Assignment

LeGAL ASPECTS of contract administration - Assignment Example Regardless, exclusion clauses are not always enforceable because they do not meet the three-rule test. Exclusion terms are part of virtually every contractual agreement (Culp, 2010). The clauses and related implied terms function by excluding or restricting the entitlements of a party to the contract in the event of a breach (Frey, & Frey, 2000). For instance, if a party to a contract intends to restrict his or her liability, the party is expected to incorporate an exemption clause restricting the amount of reparations that they will be willing to part with in relation to a clearly defined total amount of damages (Round & Shanahan, 2012). In a number of cases, a party may incorporate a written term seeking to exonerate them from any kind of liability for a particular issue that could affect the contract, for example, brittle goods being broken whilst in shipment (Latimer, 2012). This way, exclusion terms function to the advantage of one party to a contract. Generally, an exemption clause in contract law can only be effective if the party relying on it has been reasonable enough in his or her notification of the other party regarding the same (Culp, 2010). The party consenting to the exemption clause must also be cognizant of its inclusion into the contract. Latimer (2012) notes that to secure its enforceability, the following conditions should be met: firstly, the proposing party can serve notice of the exclusion clause on the other party via actual or constructive means. Actual notice takes place when the offerer actually notifies the other party or when it is apparent in the contract and can be seen by a reasonable person (Scott, 2013). Secondly, constructive notice takes place when the offerer had acted reasonably to notify the other party of the existence of such clauses. Lastly, courts may be persuaded to resolve any disputes