Thursday, October 31, 2019

Data collection, reliability, and validity discussion Assignment

Data collection, reliability, and validity discussion - Assignment Example Therefore, the study relied on secondary data collected and recorded in these online databases. The method selected for data collection was appropriate to meet the objective of the study. The objective of the study required a large pool of information, which the online databases provided. They provided access to cross-historical and international data from various research studies focusing on a wide range of variables. Secondary data presents the advantage of pre-established validity and reliability particularly secondary data from reliable databases. The reviewed studies are valid indicators of the effects of larval therapy on the bacterial load in chronic wounds. In my opinion, the online databases provided the information needed to answer the research question. They also provided a large sample, thus, increasing the validity and reliability of the information. The research findings were also consistent. Reliability and validity and are functions of the data collection method and the source, which in my opinion the online databases provided for this

Tuesday, October 29, 2019

Report about Cedar Breaks Park Term Paper Example | Topics and Well Written Essays - 2250 words

Report about Cedar Breaks Park - Term Paper Example It feels as which you are touching the sky as this park is 10,000 feet above a cliff edge with a spectacular view of forests, meadows, deserts and rocky spires. This breath-taking scenery was completely a treat for me as I had never seen such an amazing, well-kept park which was an amazing source of recreation for all of us. Cedar Breaks Park got the name ‘Cedar’ because of abundance of cedar in the forests surrounding this mesmerizing piece of land. This park is open all year and we visited during the same peak timings in between 6am-10pm. basically, this park is operated by the very efficient US Army Corps and they are remarkably performing their duties and maintaining the park well. History: This heaven on earth-Cedar Breaks Park could not have been constructed if this beautiful place could have been declared as National Monument by President Franklin D. Roosevelt on August 12th, 1992. People have been actually visiting this place 9000 years before and these were call ed as the first visitors of Cedar Break who came to this place for many things and activities (Laine and Laine 521). After the creation of Cedar Break Lodges, Cedar Break Park Company lodges were also constructed. Park tour buses used to stop for dinners at these lodges seating around 120 people at one time. In this way, people started to visit this place and got to know about this amazing place. As now, Cedar Break was in sight of many people, many groups of people started to utilizing this beautiful scenic beauty into some useful project. After Franklin’s Deceleration, this place was now ready to be considered as national monument. Once this was done, the idea of constructing Cedar Break Park clouded in the minds of many people and with time, these thoughts became reality which now we can clearly see in front of us. Cedar Break’s Climate, animals and plants-making it an unforgettable place! Cedar Break Park is one of those places which do not offer a great time to re lax in the lush green meadows, recreation due to numerous fun activities but also the animal and bird lovers can have a great time as this park can also be seen as a mini zoo. When I visited this place, i was so amazed to see the wide range of animals and birds being exhibited in this well-maintained park. Animals including different birds, insects, spiders, millipedes, mammals etc. are found in this park. Various varieties of birds like grouse, juncos, kinglets, finches, thrushes, warblers and many others were caged, providing a great source to amuse children and many adults who adore birds. The rhythmic chirping of the birds produced a beautiful background music which relaxed every bone of my body. I was not able to stop looking at these beautiful, small, colorful birds who sat behind the wires of the cages. When it comes to talking about insects and creepy crawlies found in the park, one will always encounter spruce bark beetle in this park. This is a beetle which lay its eggs in Spruce trees which acts like a renewal in the old forests. As I walked along the park, I saw great numbers of dead spruce trees. After enquiring from one of the staff members of the park, I got to know that the same beetle is actually responsible for the death of these trees as it cuts off the flow of water and nutrients to the tops of the trees. Moreover, our recreation continued when we visited the cages of the extensive

Sunday, October 27, 2019

Collaborative working within the area of adult nursing

Collaborative working within the area of adult nursing For the focus of this essay I will be discussing the concept of collaborative working within the professional area of adult nursing. This essay will examine the definition and rationale of collaborative working, a small introduction to nursing and how collaboration is applied in this area of care. It will conclude by examining the influencing factors and outcomes of collaborative working in nursing practice. McCray,( 2007) defined collaboration as a respect for other professionals, service users and their skills and from this starting point, an agreed sharing of authority, responsibility and resources for specific outcomes or actions gained through cooperation and consensus (Hornby, Atkins, 2000). Collaboration may similarly be seen as a procedure by which associates of different disciplines distribute their skills and expertise to provide a better quality service to patients, clients and the service user. (Hughes, Hemingway Smith, 2005). As stated in the Nursing and Midwifery Council nurses must allow the people in your care must be able to trust you with their health and wellbeing NMC (2008). The role of a nurse is ever evolving, extensive and highly complex. To implement the position of a nurse in a hospital environment you must also retain a dynamic contact between your working environments and accompanying healthcare professionals. A nurse is not merely an onlooker but an activist who believes their active participation is required to generate an improved delivery of healthcare to each patient, whilst functioning as part of a team (Baillie et al, 1989). The Nurse-patient relationship has been referred to as the centre of all healthcare, as well a critical link between patients and other healthcare professionals (Berger Brinkman-Williams, 1999) A nurse plays an significant part in patient care, and is often the primary care giver and accountable for the admission, care planning and assessment of the patient. Their role is vital, and their communication is often a fundamental link amongst other members of the multidisciplinary team. Working collaboratively in nursing involves interaction of various group or organisations to achieve a common goal, which normally in the health care setting is the well being of the patient. As a consequence of problem solving, open, flexible approach to the roles and tasks of individual team members provide a more patient focused healthcare. Mutual respect and trust is crucial in relationship building (Kenny, 2002). In nursing it is essential to remember that the delivery of holistic care often involves the collaboration of other health care professionals, therefore this concept should be encouraged in order to facilitate the delivery of positive patient care. The Government recognises this and In 2001 The Department of Health (GB DOH) published a strategic framework for lifelong learning for the NHS, Working together, Learning Together Learning and development are key to delivering the Governments vision of patient centred care in the NHS. The plan of Lifelong learning is ensuring that the workforce, and organisations they relay to, and work in, can attain more knowledge and skills, equally to appreciate their potential and to assist changing things for the better. Lifelong learning is ultimately related to supporting the NHS workforce for the future and collaboration could play a major part in making this framework successful. DOH ( 2001) Collaborative working in health care is often referred to as interprofessional working (IPW). Rationale identified for collaborative working is the ability to cope with the problems that often exceed the capacity of any one profession (Hughes, Hemingway Smith, 2005). Barr (2000) suggests the success of interprofessional working rests upon each professional developing their individual identity and skills, then auctioning them. Positive collaborative practice, sharing valuable experience and expertise could improve levels of job satisfaction (Kenny 2002) It is not probable for each person to be successful at everything, however if professionals can distribute their knowledge, experience and expertise in the subject that they are most excellent in, this will in turn convey a multiple of skills combined together whilst assisting in confidence building and problem solving. Ultimately the consequence should allow the patient to contribute in producing a comprehensive and extensive care plan that will meet their every need. Laidler (1991) addressed this issue by recognising a professional will need to feel confident in their own specific role in order to share their knowledge and expertise amongst a multiprofessional team. Standards have been set by the NMC to safeguard the welfare of both the patient and the nurse. These standards recognise that the nurse must work with others to protect and promote the health and wellbeing of those in your care, their families and carers, and the wider community (NMC 2008). It has been said that to fully explore the place of the nurse in the multi professional team you must first understand the role of the nurse (McCray 2009). As the health care system expands and changes rapidly, the role of the nurse also changes, however the well being of the patient must at all times remain the main focus. A dedicated nurse will strive to develop good relationships with other professionals, especially when the care of a patient is the core focus. Collaborating effectively is often vital in the achieving a holistic healing process, this involves nurturing the patients biological psychological and social needs. Patient centred care (PCC) is a widely used model in the modern health care system; it places the patient at the centre of all care. PCC improves continuity of care and integration of health care professionals collaborating on behalf of their patient. (Pence, 1997) To be able to give a patient the best possible care it is imperative to work alongside other health care professionals, always respect skills, expertise and contributes of your colleagues. (NMC 2008) To employ this it is believed that nurses should have a mutual respect for all team members and that their significance is deemed equal, when contributing in team practice. Professional relationships can be classified as special created on trust and interdependency (Atwal, 1999) However, this may at times prove difficult as research has suggested that one of the barriers in collaborative working is differences in status, hierarchy a common term used. Surgeons and doctors have been described in certain circumstances as being unapproachable which frequently inhibits other professions expressing their opinions (Atwal, 1999). An example of effective collaborative working may be a patient who is to be discharged following an admission to hospital having suffered a severe stroke. The stroke affected his right side, leaving him with severe expressive and perceptive dysphasia. The Nurse in charge of the care and wellbeing of the patient would collaborate with other health care professionals, such as doctors, occupational therapists, physiotherapists and speech therapists In order to fully assess the level of care he may require on discharge, and provide a gradual return home. This would prove beneficial, since the patient has mobility and communication problems, so prior to discharge the patient will require physiotherapy, speech therapy and possible adaptations to the family home. Maintaining good professional relationships is imperative amongst not only other health care professionals, but also the patient and family members. (Molyneux 2001) In this example effective collaborating ultimately had a positive impact on the successful outcome, offering a good service to the patient involved. However, the ideal concept of effective collaboration is not always recognised. There is a vast array of literature which suggests that collaboration may not always have positive effects, and often Interpersonal conflict can sometimes occur, for a number of various reasons, some being old team members replaced by new team members, power issues, time management, funding and poor communication skills. Effective communication is a crucial ingredient in working collaboratively, and evidence suggests that poor patient care is often the result of lack of communication, and often results in the failure of high-quality services offered to patients (Stickley freshwater, 2006). To be able to demonstrate collaborative working, it is at times essential to be open minded and co-operate with changes in policies. So often the process of change is viewed as something which is negative and fearful. In practice, some changes are very welcomed, some are unavoidable, some must be endured and still othe rs are used to propel the individual towards something better. (Newson 2007) A difference of opinion might occur for example: in the case of lung cancer patient, doctors may perhaps wish to treat a lung cancer patient, regardless of the treatment being a success, and the course of action producing debilitating side effects whilst, nurses on the other hand may perhaps, consider the results of treatment to be so unbearable they far outweigh any benefit; this may perhaps result in situations becoming complicated. West and Slater (1996) expressed that a difference in priorities, between healthcare professionals could occasionally cause barriers in effective collaboration. It is believed that a nurse adopts a holistic approach to patient care, whereas a doctors approach towards a patient may be predominately medically (West and Slater, 1996). Over the year many strategies devised to overcome the problems presented in collaborative working have been suggested, yet they still have not obtained a solution to the continuing difficulties identified by the members experiencing them (Molyneux, 2001). In some cases the simple lack of clarifying responsibility, role expectations, accountability and poor communication can have a detrimental effect on patient care (Taylor, 1996). In order to construct a successful collaborative relationship it will require excellent communications skills. This allows the development of trust which in turn may benefit the patient in the holistic care they receive. As previously discussed there will always be factors which influence the outcome of working collaboratively in nursing, whether they are positive or adverse as long as the patients health remains the focus then in nursing we will progress. If however, communication is blurred then collaborative working may not be performed and this may reflect on the care the patient may receive. (Goodman Clemow, 2008). In conclusion despite the increased focus and determination of professional organisations and Governments the persistent difficulties in collaborative working is still extremely apparent and continuing DOH (2003). It is suggested that power inequalities, ideological differences and the recognition of the value of each team member are identified obstacles; the qualities required are apparent and widely discussed yet over the years collaboration still remains extremely problematic throughout the healthcare sector (Kenny 2005). The claim that collaboration is crucial to success is one that is echoed in the proverb that `two heads are better than one conversely it is also said that three is a crowd, however, in the instance of collaborative working, many professionals working collectively can generate new abilities, extensive knowledge and understanding. (Hughes, Hemmingway Smith, 2005). While collaboration is a popular method, and is being increasingly used in professional education, it seemingly uncontroversial concept it often is difficult to implement. Â  How does one successfully collaborate with individuals in other departments within the same organisation? Why it may be examined after all these years are the professionals not getting it right, it has been recognised by Department of Health that collaboration plays a critical part for individuals working within an organisation and government policies are increasingly aiming at improving current practices to the advantage of the patient (DOH, 2003). Alone we can do so little; together we can do so much. (Helen Keller in Jason Harvey 2010)

Friday, October 25, 2019

Frankenstein Essay -- English Literature Essays

Frankenstein The novel begins in a frame narrative: Robert Walton, the captain of a ship, recounts his adventures through a series of letters to his sister back in England. Walton encounters Victor Frankenstein in the seas near the North Pole and is told his story, and the major part of the novel consists of Frankenstein's narration of his strange adventures. Victor tells Walton of his early life in Geneva and his close relationships with his cousin, Elizabeth Lavenza, who had come to live with his family when her mother died, and his friend Henry Clerval. Victor eventually goes to the university at Ingolstadt and begins to study natural philosophy and chemistry. During this time, he becomes consumed by the desire to discover the secret of life and finally succeeds. He fashions a creature out of old body parts and animates it one night. However, the creature appears so horrible that he runs away, allowing the creature to escape. Shortly afterwards, Victor is preparing to return to Geneva when he receives a letter from his father telling him that his youngest brother, William, has been murdered. Victor hurries home and, on the way, sees the monster in the woods and becomes convinced that the creature murdered William. He arrives home to find that Justine Moritz, a girl who had lived for some time in the Frankenstein household, has been accused of the murder. She is tried, condemned, and executed, despite her assertions of innocence, and Victor becomes despondent a...

Thursday, October 24, 2019

Sentimentality in Art

Sentimentality to one person may not be sentimentality to another. As we talked about in class, sentimentality is â€Å"said to be a mood or feelings, not a feeling in and of itself†. For something to be sentimental to us, it is usually something that makes us feel better about ourselves, or something that produces a type of feeling. Pablo Picasso’s painting titled â€Å"Les Demoiselles d’ Avignor† is a piece of art that I feel to be sentimental.Everyone is entitled to his or her own opinions for example; Ira Newman may feel that this piece depicts emotions of sentimentalism, while someone like Savile would see this piece of art as having no form of sentimentalism what so ever. I chose to talk about Picasso’s â€Å"Les Demoiselles d’Avignor† or â€Å"The Young Ladies of Avignon†. This painting was finished in 1907 in Paris, and depicts five nude female prostitutes. Each figure is painted in a perplexing and provoking manner, whe re none of them are socially accepted as being feminine.The women appear slightly intimidating with their angular and disjointed body shapes. Two of the women are shown with African mask-like faces, and the others have the style of Picasso's native Spain, giving them undomesticated characteristics. The work is widely considered to be influential in the early development of both cubism and modern art. This painting is very iconic because it was the first movement away from classical paintings towards cubism. I ask the question, do people see sentimentality in modern art such as this? This picture alone could show many forms of sentimentality throughout its borders.Sentimentality can be viewed in the sense that it depicts the female body and how natural it is. Picasso’s view of women can be seen in this painting. It could have been sentimental to him in the way that he saw all women with beautiful bodies, yet they all had different faces to go with those bodies. Newman would sa y that this painting could bring sentimentality to one when viewing it because it could bring unnatural emotions such as love and tenderness. It may also show that we as human beings do not have to look deep to have such a wonderful body.Another form of viewing this may show how we should feel in our skin, and that everyone is beautiful in their own way. To one that may view this as being sentimental, I wonder what types of feelings this would make them feel? Maybe it was a replica that their parents had hung in the house when they were a child, and it brings back their childhood memories of growing up. Maybe it makes them feel good and takes them back to those moments where their whole family would sit around the dining table and this portrait was hung in the dining room where they ate.On the opposite end of the spectrum, one may argue that this is exactly as it portrays, and that it is just a painting of a few naked women. This is how Savile would look at this portrait. He would s ay this is just an ordinary photo painted by Picasso that shows no sentimentality. One could argue that this picture shows no sentimentality because the subject shows naked women and nothing more. They could say that Picasso was just painting a picture of the five whores he had spent time with during his lifetime. To have no sentimental feeling, this picture should not bring a sense of emotion when viewing it.To someone viewing this portrait, they may feel that this is just absurd that someone would even paint this. This is how a majority of society felt when Picasso painted this and revealed it for the first time. But it just may also show how we should feel in our skin and that everyone is beautiful in their own way. To someone who doesn’t see sentimentalism in this photo, they may think that this photo is a painting of how we are all beautiful in our own way and that it doesn’t matter what we look like. This painting may have not even been sentimental to Picasso.Qui te possibly this was just something that came into his mind and he decided to paint it. Although, some people think that this painting was an inspiration of what Picasso saw while he visited Africa and witnessed some African tribal masks’. To me this painting brings emotions of happiness. Therefore, I would take the side of Newman, and state that this portrait and all art can show some form of sentimentality to its viewers. Picasso’s portrait shows me that we are all beautiful, and that it doesn’t matter what you look like.It shows that we are all beautiful on the inside and the outside doesn’t matter. I like this photo because these women all have different faces, yet they have the same body styles. The red and blue background colors bring a sense of tenderness and seem to a calm, warm setting. This puts the body at ease when viewing this portrait, which to me brings up those sentimental feelings of happiness and youthfulness. It’s also saying to me be promiscuous; let loose and have a little fun in life. I know not everybody gets those same feelings but that is the whole point of sentimentality.It brings up different emotions for each individual person. It is like the old saying goes, â€Å"to each his own. † That is what this portrait also brings to my mind. It is as though it is saying do what makes you happy in life: as the women in the portrait are doing. They may prefer to be nude and it may be the lifestyle they choose to live. Along with happiness when I look at this picture, I also feel a little anger because the fact that we as humans do not feel this same way about our bodies. We base judgment on other people by the way they look.We do not give them time to truly get to know them. We jump to conclusions, and if they look ugly we assume they are an ugly person on the inside too. This most definitely is not always the case. Sentimentality in Picasso’s painting â€Å"Les Demoiselles d’ Avignorâ €  is shown by the way he portrays the women and having natural yet beautiful bodies. Some may disagree and say that all forms of art show no range of sentimentality but I believe otherwise. I believe that any form of art can show sentimentalism as I have proved in this writing.

Wednesday, October 23, 2019

Dickens’ finest novel Essay

â€Å"Great Expectations† is considered Dickens’ finest novel. To what extent does it deserve this reputation? â€Å"Great expectations† was written by Charles Dickens in 1860. It is centred on Pip, an orphan living with his austere sister and her mild-mannered husband Joe Gargery the blacksmith. It follows his journey from being a simple boy with few expectations, to his moving to London and becoming a ‘gentleman’, at the expense of a mysterious benefactor. I am going to write an appreciation of it, analysing its main components: The story, the structure, the characters, the narration, the setting, the language and literary devices, the themes and the social/historical context, and evaluating their success to answer the question. â€Å"Great Expectations† combines many different genres, including romance, mystery, history, action and comedy. This means it has universal appeal, and people with a wide range of interests and preferences will find something to like about it. It also means that any individual reading it can respond it on a number of different levels. Great Expectations does not have one single ‘bad guy’ – many people fill this role. Magwitch, as the convict would have been the antagonist in a traditional story of good and evil, however Dickens does not portray him as such, and even when we see him terrorising young Pip, it is portrayed in a humorous light, and we do not hate him. Pip is the hero of the story; however, at times he is the ‘bad’ character. Mrs Joe is a character that could have been portrayed as an evil hag. However she is described with restraint as ‘not a good-looking woman’, and because Dickens does not go into much detail in the descriptions of her role as Pip’s childhood tormentor make her far more realistic. In a way, when she is attacked, we feel a sense of poetic justice because she made Pip’s life a misery. This is because she is a grimly realistic character and we don’t miss her as we would a classic funnier villain (like the Murdstones in David Copperfield). This deviation from the predictable structure of good and evil, present in some of Dickens other novels, makes the novel more interesting. It is also very well plotted. Subplots eventually relate to each other or to the main plot and sometimes they even fuse with the main plot (e. g. the convict that attacked Pip on the marshes fuses with Pip’s expectations). Miscellaneous minor characters who initially appear to have only a decorative role, become components of the main plot (e. g. Jaggers’s housekeeper turns out to be Estella’s mother). Unexpected relationships between characters, either in the subplots or in various aspects of the main plot, are also present (e.  g. Estella and the convict). â€Å"Great Expectations† was not written like a conventional novel and therefore has slightly unconventional structure. It was published in weekly instalments, each comprising of one or two chapters. This means that rather than guiding the story to a general climax at the end, Dickens had to incorporate mini-resolutions of the plot. Each episode also needed a cliff-hanger style ending to ensure the audience bought the next episode. This is apparent in the ending of the first instalment, which ends: â€Å"Then I put the fastenings as I had found them, opened the door at which I had entered when I ran home last night, shut it and ran for the misty marshes. † (Chapter 2; p 13) This resolves the first major incident in the story, in that we know Pip is doing exactly as the convict has instructed and the use of the phrase ‘ran for the misty marshes’ is used to create suspense on many levels. Obviously literally it means that Pip is returning to the marshes, to see the convict. The mood and tone created by the word ‘misty’ is one of uncertainty and mystery, which mirrors Pip’s feelings regarding the incident. The phrase is also highlights the symbolism of the moment. The marshes represent the strange events that occur later in the story, namely Pip being turned into a gentleman by a mysterious benefactor and Pip is unseeingly running into them by going to the marshes. The alliteration works to emphasise this phrase and make the reader pay more attention to it, thus making them more aware of its different levels of interpretation. This continually fluctuating structure is potentially a weakness of the novel, because it could become repetitive. However Dickens uses other structural devices to break up the structure and prevent it becoming predictable. For example, he uses the mini-breaks to shift completely the focus of the story. For example, chapters 25-26 were one instalment and chapters 27-28 another. However the transition between them is not coherent and their subject matters are not related. Chapters 25 and 26 follow quite a leisurely pace, and detail relatively mundane events such as Pip attending dinners at Wemmick’s and Jaggers’s homes, and Pip engaging in a quarrel over a loan Drummle ungratefully borrowed from Sartop. The letter at the beginning of chapter 27 breaks up the story in several ways. The change in format breaks up the text and allows a change in narration – we go from hearing from Pip’s narrative voice to hearing Biddy’s. This means that the story doesn’t get monotonous, and keeps the reader engaged. The structure of this section of the story also influences the reader’s opinion of Pip. We read the letter then hear his reaction to it â€Å"Let me confess exactly with what feelings I looked forward to Joe’s coming† p179 Because Joe has been portrayed well up to this point, the reader’s initial reaction to the letter is one of happiness that Pip will be reunited with him. However when we hear that Pip regards Joe’s visit with â€Å"considerable disturbance, some mortification and a keen sense of incongruity† we form a negative opinion of him. I think this is an effective use of structure, because it allows Dickens manipulate the response of the reader, and force him/her to form emotional bonds with the characters. For example we feel sympathy towards Joe and contempt towards Pip. This would make the reader more inclined to read on (and buy more of the episodes). Characterisation is important in Great Expectations. The names of many of the characters reflect their personalities. For example, Pip and Joe are short simple names to reflect their simple upbringings. Joe keeps his name throughout, but when Pip moves to London, he adopts the name of Handel – a famous composer. This shows that he has become more cultured and sophisticated. Dickens’s well-educated audience would most certainly have studied Latin, and would have thus been aware that Estella derives from the Latin word for star. This highlights her radiance and beauty, but shows how unattainable she is to Pip. Pip, who can only just read English, let alone Latin, is unaware of this but still comments that â€Å"her light came along the dark passage like a star†. (p49) ‘Jaggers’ sounds like jagged. This reflects the fact that he is a hard-nosed man, with a sharp mind. ‘Pumblechook’ is a long name that suits his pompous, foolish attitude. These ‘characternyms’ allow the reader to create a picture of the characters, without having to read lengthy descriptions. Therefore they can get to know the characters better. Pip is the protagonist of Great Expectations. His journey of self-discovery is the cornerstone of the novel. The reader’s response to the different stages of his character is integral to their response to the whole novel. Therefore Dickens begins to build up a relationship between Pip and the reader from the very beginning line: â€Å"My father’s name being Pirrip â€Å"my infant tongue could make of both names nothing longer or more explicit than Pip† (p3) This humorous anecdote serves two purposes. Firstly the humour makes the young Pip appear charming and loveable. Dickens then reveals that Pip is in fact an orphan. This is done slowly, first by mentioning a ‘tombstone’ then in the next couple of lines saying that Pip â€Å"never saw (his) father or mother†. Because we hear of Pip’s family and then hear they are dead, we share in Pip’s loss to a certain extent. This increases the audience’s sympathy for Pip, and later in the story, we are quicker to forgive him when he behaves badly. Its second purpose is to sow how simple Pip was before his expectations.