Monday, October 7, 2019
Leadership Trait for Successful Women Entrepreneurs Literature review
Leadership Trait for Successful Women Entrepreneurs - Literature review Example However, the opportunities which women have to start business enterprises as entrepreneurs would enable them to apply their unique attributes in a leadership style which would allow them to achieve success. The issue of leadership trait has been studied extensively which leaves us with a question of whether there is an appropriate leadership style that women should employ in order for them to be considered as successful and influential leaders. This paper presents a literature review on women entrepreneurs as leaders with a view of answering a question as to whether they require a specific leadership style or attributes for effectiveness and success as entrepreneurial leaders. Research has been conducted on leadership traits which are associated with gendered attributes. It has been argued therefore that the male gender has attributes that makes men more qualified for leadership positions (Burke and Collins, 2001, p. 244). This illustrates that women have been stereotyped within orga nizations and institutions. It is also argued that the diversity in the work place and the economic crises which are being experienced by the contemporary organizations are attributed to the limitations of leadership opportunities for women (Enhai, 2011, p. 111). The observation that the number of women who lead large organizations is smaller than that of men demonstrates the stereotyping of women leadership. Studies of typical leadership styles illustrate that women demonstrate some leadership qualities that are superior to that of men (Mukherji and Jain, 2009, p. 63). With the increased number of women who are venturing into entrepreneurship, it is necessary to determine the most appropriate leadership trait that would match with the natural attributes of women which would enable them to be effective leaders. The traditional gender stereotyping against women has reduced significantly over time (Lopez-Zafra, Garcia-Retamero and Berrios Martos, 2012, p. 97). Traditionally, financier s had wrong impressions of women who require capital for starting businesses. This has made them to have a hard time explaining to lenders and bankers why they need financing. This situation persisted regardless of the fact that women presented better business cases as compared to men (Greenberg and Sweeney, 2005, p. 32). These arguments demonstrate that there is a gap in knowledge on how and why this situation has changed over time. The changes that have been experienced in the modern business world include decreasing scores of men in managerial tests. Despite the emphasis that has been put on importance of teamwork, it is argued that men have scored lower than women who have contributory and collaborative leadership behaviour and support for teamwork (Psychogios, 2007, p. 169). Women entrepreneurs have been considered to have a higher emotional intelligence in leadership as compared to men (DeCaro, DeCaro and Bowen-Thompson, 2010, p. 75). Emotional intelligence is associated with ability of a leader to act as a role model and create confidence among followers. These are typical attributes of a transformational leadership trait (Smith-Hunter and Leone, 2010, p. 21). Women are said to have a strong need to connect to their subordinates, a situation which often leads to building of trusting relationship between the management and employees. The
Sunday, October 6, 2019
Theories in Sociology Essay Example | Topics and Well Written Essays - 500 words
Theories in Sociology - Essay Example According to Herbert Spencer, in this world only those can continue to exist, who are the finest and frail creatures have no right for existence. He believes in the theory of survival of the fittest. Spenser has presented a social evolution theory that can be stated as society undergoes transformation and this transformation is for the betterment of society. This transformation will go on until the society creates a hindrance before it. Emile Durkheim presented the theory of collective conscience that states that the society exists in a collective form because of the collective thoughts, principles and objectives of its contributors. According to Durkheim, society is interdependent on its various components for its working similar to a machine, which has inter-reliant parts for successful running. According to Max Weber, a society is composed of diverse people who have varied objectives in their lives and it is only because of these varied objectives that society has many different aspects. The performances of people depend on their varied objectives. Weber identifies rational and irrational attitudes of people. Rational attitude is reasonable and sensible for the society while irrational attitude has no objective at its root and is insensible and unreasonable. According to Karl Marx, society is composed of two kinds of classes, which are working class and aristocratic class. Working class depends on aristocrats and lacks all kinds of possessions while aristocratic class possesses enough resources. It is only because of the difference of possession between these classes that creates social discrimination. Marx gives magnitude to authority and resourcefulness that form the aristocratic class. Sociology emerged as a discipline in the 18th century because of the works of Auguste Comte, Max Weber, Karl Marx and Herbert Spenser as they are believed to be the initiators of
Friday, October 4, 2019
The disaster recovery plan Assignment Example | Topics and Well Written Essays - 500 words
The disaster recovery plan - Assignment Example The one-story building is constructed of cement block, with no windows, and meets all hurricane-related building codes. The clinic does accept animals for boarding when a hurricane threatens, as public shelters for local residents do not allow animals. When developing a sound disaster recovery plan, there are systematic measures an organization must take to accomplish this task. One of the first such method is developing preventative measures that function to aid the organization ahead of time. In terms of the veterinary clinic adequate preventative measures include ensuring that the building is current with hurricane protection standards and that it is properly insured. While an organization cannot prevent a hurricane from occurring that can prevent further structural damage from occurring by making sure that these building codes are up to contemporary standards, and are insured in case of a potential failure. Special consideration must be given to the nature of the business as hous ing animals. Proper preventative measures will ensure that the structure is either strong enough to withstand a hurricane, and if it is deemed not, that there will be adequate measures developed for animal transportation. In these regards, the disaster care plan will ensure that the animals can be temporarily moved to a veterinary clinic outside the immediate county through the aid of a UHAUL truck.
Thursday, October 3, 2019
Literary Device Compare and Contrast Essay Essay Example for Free
Literary Device Compare and Contrast Essay Essay Short stories are often the best way to learn about literary terms and their uses. Theyââ¬â¢re short, as their name depicts, but contain everything that longer stories would have such as the elements of plot, foreshadowing, themes, tone, and other literary devices. The two short stories, The Parsley Garden by William Saroyan and Sweat by Zora Neale Hudson were both amazing to read and offered a lot of insight to American history. The Parsley Garden told the story of an adolescent, named Al, during the depression, who wanted a hammer he saw in a store. Not having a single penny on him, he decided to steal it, getting caught in the action. Lectured and humiliated by the store manager, Mr. Clemmer, he was let go resulting in him plotting his revenge and a way to get his pride back. Sweat was the story of an African-American wash-woman, Delia. She was constantly abused and was trapped under her tyrannical husband, Sykes who openly cheated on her with another woman. Despite all her hardships with her husband, she worked long and hard using her own sweat and blood to clean clothes. As their relationship got even worse, Sykes decided to pull an ugly prank on Delia that would later backfire on him. Both stories had their similarities and differences, but some stood out more than others. The climaxes of the two stories were similar in that they were both turning points in the story, but also different in the way the story was resolved. In Sweat, the resolution is bitter sweet. ââ¬Å"She saw him on his hands and knees as soon as she reached the doorâ⬠¦she knew the cold river was creeping up and up to extinguish that eye which must know by now that she knew. â⬠Delia was emancipated from the abuse of her husband, but she still pitied him and was upset over the death of her Sykes. The Parsley Garden ends in the more typical, happy fashion. Al finally obtains his hammer while regaining his pride. ââ¬Å"His mother went inside and went to bed, but Al Condraj sat on the bench he had made and smelled the parsley garden and didnââ¬â¢t feel humiliated anymore. But nothing could stop him from hating the two men, even though he knew they hadnââ¬â¢t done anything they shouldnââ¬â¢t haveâ⬠. The differences in the resolution of the two stories are common as resolutions are much more complicated than the fairytale ending these days. Each has itsà own unique touch but both resolved the story with the readers in peace. Themes are the morals of the story. Both stories had many themes; some similar, some completely different. In Sweat, some of the themes included oppression, honesty, and determination just to name a few. The Parsley Garden had a few more common ones such as coming of age, honesty, pride, and integrity. The theme that occurred most in Sweat was oppression as it was seen throughout the essay. It was the main theme unlike The Parsley Garden which didnââ¬â¢t have one main theme but many smaller themes spread out evenly. ââ¬Å"She brought love to the union and he had brought a longing after the flesh. Two months after the wedding, he had given her the first brutal beatingâ⬠. Quotes about Delia getting beat, reoccurred throughout the whole story, compared to The Parsley Garden, where the themes did not reoccur. One aspect of stories in general always intrigues me. The conflicts between the characters or between themselves is what makes up the story, so conflicts are one of the most important literary terms in a story. Both stories contain man vs.à man conflict such as when Delia and Sykes fight ââ¬Å"That night he did not return at all, and the next day being Sunday, Delia was glad she did not have to quarrel before she hitched up her pony and drove the four miles to Woodbridgeâ⬠, and when Al was grabbed by the young man in the store ââ¬Å"but as he did so a man took him firmly by the arm without a word and pushed him to the back of the store into a small officeâ⬠. Man vs. man is often the most common type of conflict as there is usually a protagonist and an antagonist. The stories differed in that Sweat also had man vs.à society, where it went against society, for Sykes to beat Delia as aforementioned with the theme, oppression. Sweat and The Parsley Garden were similar in many ways, but they also had more differences than similarities. This just shows the variety of stories there are out there in the world. Comparing two different stories would yield completely different ways of writing. There are just too many ways of writing, but one can bet one thing for sure. There will always be literary devices in a good story and it will always follow a plot.
Exploring Legal Professional And Ethical Issues In Bathing Nursing Essay
Exploring Legal Professional And Ethical Issues In Bathing Nursing Essay Introduction In this assignment I will be exploring the legal, professional and ethical issues involved in bed bathing a patient/client in a hospital setting. I will be reflecting on a personal experience, experience during a seven week placement on a diabetic ward. I have decided to use a reflective cycle which is an adaptation from Gibbs (1988) model.This reflection has provided a systematic approach to my learning and to my nursing practice. Within this essay I intend to discuss approaches to assessing, planning, implementing and evaluating care. Heron (1977) refers to the process of reflecting as a conscious use of the self. Once one becomes consciously aware of their actions, it is easer to recognise the reason for doing them in the first instance. The first stage of this process is to acknowledge our actions by reflecting we reveal to our selves how we act, such actions are spontaneous and without forethought attention. To maintain my clients autonomy I am unable to disclose any client information, accordingly I have given my client the name Mrs Jones this is to protect and respect my clients confidentiality as stated by the NMC Code of Professional Conduct. Gibbs model of reflection (1988)DescriptionDuring any clients admission stage an assessment on the clients skin care regime is made, this takes into account the clients personal preferences, the level of function the client may have to provide self-care and the amount of assistance required to promote optimal hygiene procedures in the form of bed baths, in respect of encouraging independence. The reason why we bed bath clients is to promote personal hygiene and to give them a sense of well-being it also maintain intact skin i.e. prevention of pressure sours. Bed bathing allows the caregivers to monitor changes in the clients skin condition. (Staff Nurse, during placement)It was approximately 07:45 Friday morning of mid June, three weeks into my placement. After handover I was given the task of bed bathing a female client. Mrs Jones, what I learned about Mrs Jones in handover was very brief. She was admitted to hospital as she was suffering shortness of breath, she had been suffering from Parkinsons disease for ten years, she also had a catheter instituted, she had very little control of the lower half of her body, her right shoulder was dislocated and she was MRSA+. Mrs Jones took part in a trial drug many years ago this was to help her control her Parkinsons disease coming off the drug became impossible and as a result Mr Jones is reliant on this drug, this drug was referred to as apple morphine on the ward. The basic bed bathing equipment I required was one bath towel, one hand towel, several disposable swipes, clean bed linen, (2 x sheets) laundry bags, (in this case red bags as the client is MRSA+) a slide sheet, small yellow bag for clinical waste, pad and incontinence sheet, bowl of warm water and a set of pyjamas and or gown all provided by the hospital. The client had acquired her own personal toiletries before admission this consisted of a bar of soap, shower gel, talcum powder, perfume, two flannels, (one for the upper part of the torso and the other for the lower half) moisturiser, a comb, dentures pot, tooth brush and tooth past. In addition to this the client required saline solution, disposable wipes, new dressing cut to size and tape and a yellow clinical waste bag for the disposal of old dressings. Myself and Claire the Auxiliary Nurse who I was paired with to work alongside put on our protective disposable gloves and red aprons on after collection the supplies from the linen room. I greeted Mrs Jones and introduced myself and Claire. Morning Mrs Jones, how are you this morning? She replied Oh, hello, I could be better I continued my name is Sharon (as this was easier for people to pronounce, after consulting Sister) Im a student nurse and Im going to be looking after you today, and Im Claire, and Im also going to be looking after you today too. I continued can we help you to get ready for breakfast? Yes please, Replied Mrs Jones. Before we began we asked if Mrs Jones if she had any objections to either me or Claire giving her a bed bath, as she looked apprehensive, she replied that this would be fine. We also asked if she had any pain and how her night was, she stated that she was in pain quite a bit but that it was normal for her at this time in the morning. She also stated t hat her night was awful, as patients in the next bay kept her awake most of the night. Myself and Claire consulted the staff nurse about Mrs Jones pain, the staff nurse spoke to Mrs Jones about her medication and said that it was not due until 8:30 and so we were asked to continue as long as the Mrs Jones was happy for us to do so. Mrs Jones replied if that was the case there was nothing she could do other than for me and Claire to continue. We explained the procedure to Mrs Jones and gain her consent she allowed us to obtain any necessary toiletries from her draws whilst I did this Claire prepared a bowl of warm water. I removed Mrs Joness personal belongings from the table and placed them in the draws for safe keeping. I wipe over the table with an alcohol wipe to sanitize the surface and place on there the necessary items we would need to give Mrs Jones a bed bath. We draw the curtains closed to maintain Mrs Joness privacy and dignity at all times. Before we began I asked Mrs Jones if she would like to use a bed pan before we continued any further. She informed us that it was probably too late and she felt she had already made a mess. We reassured her that everything was alright and we would help to get her cleaned up as quickly as possible. Mrs Jones apologised a number of time and started to get upset. We again tried to reassure her again and clam her down, we in forced the reason that we were there and that was to help her in any way to see that she is alright. She agreed with us and asked us to continue. We raised the bed to the appropriate height to avoid putting undue strain on our backs, whilst I did this Claire emptied Mr Jones Catheter and placed the bag on the bed. We decided to place a sliding sheet under the client to assist us in rolling the client. I took the liberty of explaining the procedure to Mr Jones as we carried out the task. I asked if it was possible for her to roll on her right side as I was aware the Mrs Jones right shoulder was dislocated, she insisted that this was fine as it had been seen by the doctors and nothing could be done about it and insisted that she had rolled on it sever times before. We assisted Mrs Jones in removing her night gown, we freed her left arm first then her over her head and then gently freeing her right arm avoiding injuring her arm any further, to maintain Mrs Jones dignity we placed a large bath towel over her covering her private areas. I helped Mrs Jones to bend her left leg and asked her to hold on to the cot side with her left h and. I placed my right hand on the left side of Mrs Joness waist and my arm across her left leg to provide added support. I placed my left hand on her left upper back. Claire had prepared the slide sheet, clean linen sheet and an incontinence sheet to go under her. On the instruction ready steady (then the manoeuvre intended, in this case it was) roll, we all assisted in rolling. Claire placed one of her hands on Mrs Joness back to provide added support and prevent her from rolling back. Claire folded the old linen in to its self, to as far as it would go until it reached Mrs Jones. Claire placed the clean slide sheet, linen sheet and incontinence sheet already folded in preparation under the old linen sheet. On Claire say so we rolled Mrs Jones on to her back, Claire were rolling you over a slight bump now, ready steady roll. To roll Mrs Jones on to her other side me and Claire switched roles and this time Mrs Jones was holding on to right side of the cot side but with her left han d. I removed the old linen and placed it inside the red linen bags. I took the liberty of cleaning Mrs Jones with her permission. I used a damp disposable wipe which Clair handed over to me and wiped away from the genital area, I placed the soiled wipe on the soiled incontinence sheet I continued doing this until the are was clean, once this was clean I washed the area with soap and water. I folded the soiled incontinence sheet into its self and disposed of it in the yellow clinical waste bag. I took this opportunity to wash Mr Joness back, neck and the backs of her legs with soap and water, I then wash off the soap and dried. I straightened out the clean slide sheet, linen sheet and the incontinence sheet and then Mrs Jones lied on her back. After a few minute, I placed the hand towel over the clients chest and with her permission began to wash her face at the clients request I used water only on the face. I used separate wipes for each eye to prevent any cross contamination and a separate wipe for the rest of the face and then dried. Whilst I was doing this Claire began to wash Mrs Joness hands with soup and water after gaining permission to do so, Claire continued down the arms and rinsed off, whilst I dried the hands and arms Claire continued to wash the clients chest. Claire removed the dressing from around the tube of the catheter and disposed of it and her gloves in the clinical waste bag, she then went to wash her hands. When Claire retuned she had a fresh pair of gloves on she began to cleanse the skin from the tube outwards and then dried the area, she decided not to reapply another dressing as she felt it was not required but did tape down the tube to Mrs Joness stomach to prevent it from dislodging. Claire car ried on washing and rinsing Mrs Jones (Underarms, stomach, waste, genital area, (working outward to prevent infection) legs and feet) and I dried following Claire as she washed. The water that we used was kept clean at all times, as the used deposable wipes were not re-entered into the bowl. Whilst carrying out the bed bath myself and Claire assessed the Mrs Joness skin condition for any sours or broken skin. We applied talc to those areas Mrs Jones requested and then helped her to dress. We put the right arm in the nightgown first as this was her bad arm then subsequently her neck and left arm, there was no need to lower the nightgown much as this was a hospital nightgown with an open lower half, we then placed a linen sheet and blanket over her to keep her warm at Mrs Joness request. We raised the head of the bed to a seated position so that Mrs Jones was sitting upright. As I attended to Mrs Joness oral hygiene Claire combed Mr Jones hear to her particular style. I then started t o tidy and clean the area and Claire began to document and update the care plan. Once I had cleaned and sanitised the table I replace Mrs Joness belonging on the table and placed the table close to her so everything she may need was of reach. FeelingsIn reflection to the incident at the time I felt as though everything went fine, but as I have had the opportunity to reflect on my experience in much more depth and detail I in writing this essay I felt as though I took the lead but only because I was given the opportunity to do so. Claire was fairly new to working as an Auxiliary Nurse and was somewhat inexperienced as this was the only ward she had worked on she had more knowledge of the ward setting and the type of conditions people are admitted with on the ward. I was quite confident in assisting in a bed bath of a client as I have worked in providing personal care to all type of client for a good few years now and believe that my experience as a Health Care Assistance helped me immensely. My uncertainty was of the clients abilities and reactions to what we were actually doing it, thats when I decided to talk to the client and guild her through what we were doing. The thoughts in my head at the time were that the client may not have experience the type of bed bath that we were performing and may have not been something she was used to. I felt calm but a little apprehensive due to this but could find the words at the time to ask her if this was the way her carers would normally perform a bed bath. It is important to remain professional at all times and make sure the client didnt feel too uncomfortable. I remember feeling somewhat responsible for the client as I was looking after her. I believe I acted in the best interest of my client and have acted in such a manner set out by the NMC Code of Professional Conduct. I felt that it would have been better for the staff nurse on duty to explain to the client in much more depth, why it was not possible to administer the drugs at the time of the clients request rather than just to say its not the right time and the drug round starts at 8:30. Although my client had told me the truth about her dislocated shoulder had been seen by the doctors and that it was safe to manoeuvre on as long as it was comfortable it was my responsibility to seek professional advice because of my uncertainty at the time. If for any reason had this not have been the truth there may have been serious repercussions. I dont think I would have known what to do if her condition had worsened due to the manoeuvre. The steps forward build on the steps backwards or sideways. They are also the steps necessary for self-reflecting from this statement emphasised by Tschudin (1999) I able to understand that confidence in the self is quite an important quality to be have in order to acknowledge setbacks and mistakes, your should be able to learn from them and even see them as part of the overall picture. EvaluationI have grater knowledge of such issues that can arise if set guideline, policies and procedures are not followed. There are very few bad points that had taken place during this reflective experience. I believe it is important to involve the client in decision making which I failed to illustrate wherever possible this was when we redressed the client after bed bathing without involving the client and allowing the client to choose. We all have a professional responsibility to provide care to all patients/clients to the highest possible standards of care that will not be compromised by infections standard set out by the NMC Code of Professional Conduct. I acknowledged limitations set out by the NMC Code of Professional Conduct, in that my knowledge and experience of the drugs on the ward was very limited and therefore I acquired help from a qualified member of staff. You must behave in a way that upholds the reputation of the professions outlined by the NMC Code of Professional Conduct this was maintain throughout the whole experience as I never spoke over the client nor did I ignore the client I showed the client up most respect. I was able to build a level of trust with theMy experience of working as a Health Care Assistance for and agency has enabled me to perform better in such conditions. By planning and discussing with the care team during handover and then with the patient about what our intentions are, what we are going to do and why, I was able to identify and minimise risks to the client. Seeing the way in which others behave or make mistakes allowed me to reflect on the point of view of others and to learn form them help me build on my knowledge. AnalysisI chose this experience as it is a procedure that I am quite confident with performing. Thiroux (1995) created his own set of principles of ethics, which can be applied to any situation. 1) The value of life, 2) Goodness or rightness, 3) Justice or fairness, 4) truth telling or honesty and 5) individual freedom. Ethical acts are executed in every day life even if we acknowledge it or not, the way we greet colleagues and clients even in the way in which we say good morning. Tschudin (1999) p175. As a training professional we are accountable for our actions and therefore must be able to backup any decision making with evidence I could see from my clients facial expressions that she was uncomfortable and was experiencing some sort of upset, during which in actual fact she was in a fair amount of pain. ConclusionI felt that the approach I took was in the right way and with the right intentions set out by the NMC Code of Professional Conduct. My reflective experience was very basic I felt and did not allow for much discussion, although a lot of the experience was preparation, planning and assessing which prevented the experience to go bad in anyway. I feel that as I am a first year nursing student I am very limited in what I can do and because of this little opportunity is given to me to experience other than what I have preformed as a Health Care Assistant. I felt that myself and the Auxiliary Nurse worked well together and were able to share the responsibility equally. Overall I found reflection on my experience interesting as it allowed me to look at legal, ethical and professional issues surrounding nursing practice. Action PlanIf a situation like this was to arise again I think I would like to try to take out more time to talk to the client about how they are feeling, at time I felt like I was prying too much as I felt like I was doing most of the talking. I also feel that it is important for me to work along side more experienced members of staff or qualified member of staff to be able to learn more whilst on my placements. Although I experienced in providing personal care to client I am not too familiar with ward setting. I do not think I have learnt an awful lot on the practical side of my experience but by reflecting on my experience in this assignment has allowed me to understand professional, legal and ethical issues of providing care and the dilemmas surrounding health care professionals. In the future I would not always go on the clients say so and seek professional advice and not just take the patient word. BibliographyBartter. K, (2001) Ethical Issues in Advanced Nursing Practice. London: Reed Elsevier Plc GroupBurnard. P, Chapman. C, (2004) Professional and Ethical Issues in Nursing. 3rd Edition. London: Elsevier LimitedGlasper. A, Grandis. S, Jackson. P, and Long. G, (2003) Foundation Studies for Nurses: using Enquiry Based Learning. New York: Palgrave MacmillamThe NMC Code of Professional Conduct Standards for Conduct, Performance and Ethics. Standards 07-04. London: Nursing Midwifery CouncilTschudin. V, (1999) Nurses Matter: Reclaiming Our Professional Identity. London:Macmillan
Wednesday, October 2, 2019
Responding to Student Writing Essay -- Education, Teaching
Responding to student writing is rife with potential ââ¬â potential to help students improve their writing, potential to encourage a writer to continue, and potential to make the student feel like a failure. The written text used to responding to student writing, the end notes, the marginalia, is hugely influential to student writing, but largely ignored. John Swales might identify this kind of text as an ââ¬Å"occludedâ⬠genresââ¬âtexts that are produced on a very regular basis in a composition class (including syllabus, assignment prompts, etc), but are largely ignored or viewed as inconsequential. The result of this kind of ignored text is that responses to student writing vary greatly and, when scrutinized, generally demonstrate very little substance and very little direction for the writer. In addition to ostensibly useful feedback such as guidance, praise, and correctionsââ¬âcomments that effectively lead students to improve their writing, the marginal comment s also include negative and seemingly useless remarks ranging from non sequiturs to failure, meanness, and cruelty. In part, the wide range of useless comments occurs because most teachers of writing are never taught how to effectively respond to student papers. Sure, many composition classes are taught by Literature scholars (or others), but writing classes are also taught by Composition scholars who, while versed in theory, oftentimes never learn the practical task of marking up student papers. If teachers of writing have been trained in effective ways to respond to student writing, it may from their experiences as a tutor in the Writing Center. To be fair, the field of Composition has explored many ways to effectively respond to student writing. The problem is that it is that te... ...of Responding to Student Writing; or, Looking for Shortcuts via the Road of Excess.â⬠Across the Disciplines 3 (2006): 21 Jan. 2010 . Horner, Bruce. Terms of Work for Composition: A Materialist Critique. Albany: State University of New York UP, 2000. Johnson-Shull, Lisa. ââ¬Å"Teaching Writing in the Rabbit Hole: The Curious Use of the Non Sequitur as a Staple in Teacher Comments.â⬠Unpublished Manuscript. Rose, Mike. ââ¬Å"Narrowing the Mind and Page: Remedial Writers and Cognitive Reductionism.â⬠College Composition and Communication 39 (1988): 267-302. Sommers, Nancy. ââ¬Å"Across the Drafts.â⬠College Composition and Communication 58.2 (2006): 248-257. Swales, John M. ââ¬Å"Occluded Genres in the Academy: The Case of the Submission Letter.â⬠Academic Writing: Intercultural and Textual Issues. Amsterdam: Benjamins, 1996. 44-58.
Emergency Room Overutilization Essay -- Emergency Room Misuse
Emergency room over utilization is one of the leading causes of todayââ¬â¢s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ââ¬ËYesââ¬â¢ and ââ¬ËNoââ¬â¢. Throughout the early 1980ââ¬â¢s and 1990ââ¬â¢s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the over utilization of hospital emergency rooms. This is a direct result of not having a primary care physician and/or family doctor who is the main source of healthcare delivery for an individual and/or entire family The traditional Medicaid program does not offer, or require, recipients to choose a primary care physician like, its counterpart, Medicare. Medicare still operates under the traditional fee-for-service methodology and does not require beneficiaries to identify and primary provider as well as having direct access to specialty services. This allows a cost sharing approach which results in higher out-of-pocket expenses and does not cover drug or prescription benefits. In an effort to offer better healthcare services and access as well as reduce costs the federal government allowed the States to turn to managed care and proposed a mandatory statewide implementation for the Medicaid population. In order to make major changes like these, states have to request waivers of Medicaid regulatio... ...sive.(Practice Trends)." Clinical Psychiatry News 33.2 (Feb 2005): 88(1). Academic OneFile. Thomson Gale. University of Phoenix. Retrieved February 25, 2013 from: . 5. Roohan, Patrick J., Anarella, Joseph P., & Gesten, Foster C. (July-August 2004) Quality oversight and improvement in Medicaid managed care.(Quality Assurance Reporting Requirements ). In Journal of Public Health Management and Practice, 10, p321(9). 6. Wang, Cheng, Villar, Maria Elena, Mulligan, Deborah A., & Hansen, Toran. (Nov 2005) Cost and utilization analysis of a Pediatric Emergency Department Diversion Project. In Pediatrics, 116, p1075(5). Retrieved July 11, 2013, from InfoTrac OneFile via Thomson Gale:
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