Has the arrival of the knowledge economy destroyed Braverman's Essay

Has the arrival of the knowledge economy destroyed Braverman's Deskilling Thesis - Essay Example Particular emphasis is given on the interaction of this theory with the knowledge economy; reference is made especially to the fact whether the arrival of the knowledge economy has destroyed the Deskilling Thesis of Braverman or not. The main elements of the two concepts are critically examined. The literature published in the specific field is used in order to check the power of each of the above concepts and their potential perspectives to survive under the terms that current social conditions have been significantly changed compared to the period when the Marxist theories were introduced. At this point it would be necessary to refer to the general framework of the Deskilling Thesis of Braverman, as one of the theories reflecting the Marxist view on the relationship between humans and capital. In accordance with Smith (2000) the Deskilling Thesis of Braverman is based on the proposition that ‘the development of capitalism as an economic system has led to the deskilling of wor kers’ (Smith 2000, p.327). In the context of the above theory, the deskilling of workers is developed through the gradual replacement of highly skilled workers with others, less trained (Smith 2000, p.327). The latter are expected to take lower compensation, a fact that leads to the limitation of ‘bargaining power of workers’ (Smith 2000, p.327), a fact, which can be characterized as one of the priorities of capitalism. The view of Braverman on the deskilling of workers has been mainly based on the Marxist views on capitalism. However, influences seem also to exist from the work of other theorists, who also supported the expansion of deskilling as a social phenomenon in the context of capitalism: an indicative example is the view of Helmut Schelsky (1954) on ‘the role of automation in the increase of stress at work’ (Schelsky 1954, in Stehr 2002, p.143); Merton (1947) has been another theorist supporting deskilling, which was characterized as ‘ enforced obsolescence of skills’ (Merton 1947 in Stehr 2002, p.143). The terms on which the theory of Braverman on deskilling has been based have been extensively criticized; in accordance with Bradley (2000) the particular theory of Braverman promotes ‘a romantic view of skill, ignoring its political and social construction’ (Bradley 2000, p.118). Moreover, Bandelj (2009) notes that the Deskilling Thesis of Braverman is based on capitalism as a trend focusing on the ‘mechanization of labour, the social context of which is heavily ignored’ (Bandelj 2009, p.190). A similar criticism is included in the study of Watson-Boone (1998); the above researcher emphasizes on the following element of Braverman’s theory: in the context of the Braverman theory, the worker is considered to be ‘totally controlled by the capital’ (Watson-Boone, 1998, p.6), a view which could be possibly applied in the past, but in the context of the modern society such perspective cannot be considered as absolute. On the other hand, Kridel (2010) characterizes the view of Braverman on deskilling as partially justified; it is explained that the perceptions of Braverman ‘on the isolation of worker from the production process, as a result of the expansion of capitalism’ (Kridel 2010, p.284) reflected the social and economic conditions of a particular era. Moreover, it is noted that the Deskilling Thesis of Braverman has been used in practice for supporting the need of teachers for being protected towards the mechanization of their role –

Education and Genuine Passion Essay Example for Free

Education and Genuine Passion Essay Describe the skills or attributes you believe are necessary to be an outstanding teacher. From my own personal experience in order to be an outstanding teacher, an individual must possess the following qualities: a genuine passion for teaching, knowledgeable not only in their content area of teaching, but also in various types of learning styles, including knowledge of social and emotional barriers to learning, and they must be creative in their teaching style. If one doesn’t have a genuine passion for teaching, they become a disservice to the youth since they won’t put forth the effort and dedication that is needed to teach up to 6 different class periods a day. A teacher must be able to identify and have positive corrective measures when working with youth with social and emotional behaviors. Professional development in this area is critical to a student’s success in the classroom. Lastly, the proliferation of social media and technology should change the way educators teach, since the average student today is constantly using technology. How would you address a wide range of skills in your classroom? One of the classes that I used to teach was Spanish, there were a wide range of skills when it came to comprehension. For the most part, I had to design a curriculum, which had to include modifications for students with educational, social, and behavioral disorders. For example, some students were allowed extra time on their exams or assignments, grading was modified based on the work the student turned in, and classroom seating was designed to address the variations of skills. Often times, I noticed the class would be more engaged in group settings after I designated a leader and assigned tasks to each student according to their skill level. Extra credit would be assigned in the beginning of each semester for students who read a number of books that I assigned. From my own personal experience in order to be an outstanding administrator, an individual must possess the following qualities: a genuine passion for teaching, knowledgeable not only in their content area of teaching, but also in various types of learning styles, including knowledge  of social and emotional barriers to learning, they must be able to motivate their team and promote professional development, and the must be able to make sound decisions. If one doesnt have a genuine passion for teaching, they become a disservice to the youth since they won’t put forth the effort and dedication that is needed to lead. An excellent administrator must be able to identify and have positive corrective measures when working with youth with social and emotional behaviors. Professional development in this area is critical to a student’s success in the classroom. The proliferation of social media and technology should change the way educators teach, since the average student today is constantly using technology. Technology is very important in education, teachers can use technology to maximize student learning. Using computers, videos, and other kinds of technology makes lessons more interesting and more fun. For example, I used to teach a class called Scholar Learning Community, one of my assignments included a demonstration speech that had to be presented in from of the class. Students were encouraged to video tape their presentations, a large number of them posted their videos on YouTube. This encouraged the other students to do the same as their friends were able to view their videos. It also makes it ? easier to teach students with varying needs. A co 1. Describe the skills or attributes you believe are necessary to be outstanding when working in student support services. One of my duties as a Student ; Family Advisor involved recruitment for the program, at times this duty was a bit of a challenge considering other responsibilities that the position entailed. These responsibilities were shared between myself and another co-worker. Part of our program requirement was that we were at 80% enrollment each month. Our enrollment figures were based on the number of enrolled and pending referrals that were received each month. A large number of these referrals derived from recruitment efforts. Apparently, my co-worker wasnt pulling their weight in this area, I gently convinced them to attend a presentation that I was giving to a DCFS agency so that she can learn from my style of organizing and presenting the program to agencies. I found out during our outing, that she seemed to lack the organization in her presentation and just needed a few pointers and assurance in her recruitment efforts. Our enrollment number increased as a result. Works with student in planning and implementing an Individualized Optional Education Plan (IOEP) . Plans instructional program for student based on historical transcript, assessment data and current IOEP. Maintains current and accurate records of attendance and academic progress of students. Meets regularly with students and consults with instructors and parents in order to assess progress toward academic providing direction and assistance as necessary. Works with Student Development Coordinator in regards to student activities related to academic goals as well as provides guidance in response to request from Student Development Coordinator in areas of student behavior and personal growth. Conducts seminars and workshops for students in any/all of the following areas: college matriculation, career readiness and personal growth. Performs related duties as assigned by the Principal. I have 9 years of what I would call,front line experience. This term is usually referred to from soldiers fighting in a war zone. I guess I can say that I was in the front lines along with other professionals that fight hard to take back the lives Chicagos youth through education. I served as a Student ; Family Advisor with the City Colleges of Chicago. I was assigned to operate a program that was funded by DCFS to recruit and retain the youth in the high school program (YS3). My number one goal was to ensure their graduation. I provided intense academic advisement to 20 students, along with other duties as assigned.

Environmentally Friendly Hospital Menu

Environmentally Friendly Hospital Menu MANASA PENTA As a Registered Dietitian at the Sandringham Public hospital the below briefing paper on a proposal to revise existing hospital menu and plan a greener menu by including 100% foods used from local food producers around Melbourne. This is submitted to the Broad of Directors of the hospital for their approval. Context: According to the IPCC (2007), the global climate and other life-supporting environmental systems are seriously perturbed and depleted. Climate change-related drought prone and long-term drying conditions emerging in some sub-tropical regions around the world, higher temperatures, raising sea levels, increasing frequency of flooding, and acidification of oceans are now contributing to reduced quantity, quality and affordability of food in many countries. Australia is also facing environmental challenges, with an expected increase in average surface temperature of 0.6-1.5c by 2030. (Fd systems En sustain Pg1) Consequently, public concern over climate change, information and opportunities for people to lower their â€Å"carbon foot print†, a measure of the total consumer responsibility for greenhouse emissions, have become increasingly available. It is imperative that human health is placed within the context of the health of the planet. (food miles pg 3058). In general much of the research around climate change has concluded that food, home energy, and transportation together form a large share of most consumers’ personal impact (food miles pg 3058). Food has a huge impact on the environment. Food production contributes up to 29% of the world’s greenhouse gas emissions (http://www.foodalliance.org.au/article/healthy-sustainable-diets/). Every step of the food supply chain, from production, to transport, processing, packaging and distribution has potential environmental consequences. There is a bi-directional relationship between environmental degradation and food systems. This requires us to consider the impact of climate change on food production and the impact of food production on the ecology of the biosphere, both of which have significant implications on public health. Food production over the past fifty years in particular has had severe environmental impacts in Australia and around the world. To a significant extent, this is due to unsustainable methods being used all the way along the supply chain from agricultural practices through to distribution methods and consumer habits. Due to the increasing acknowledgment o f environmental degradation through the unsustainable nature of many agricultural methods used around the world, the concept of sustainable diets has become popular. (http://www.foodalliance.org.au/article/healthy-sustainable-diets/). According to FAO 2010, Sustainable Diets are those diets with low environmental impacts which contribute to food and nutrition security and to healthy life for present and future generations. Why us? While there isn’t a ‘silver-bullet’ that will solve all the environmental issues of our food system at once, there are a number of actions our community can take to drive change in specific areas. The tremendous purchasing power and public visibility of hospitals could be a key lever for building infrastructure and demand for local food. Hospital efforts may also bring attention to public health impacts of the food system, including air and water pollution, residues from pesticides and other toxins, and health inequities in agricultural communities. A stronger focus on food helps hospitals play a role in promoting environmental sustainability and in raising awareness of its links to human health. Plan of Action On analysis the following food sustainable issues within the organisation need to be addressed to contribute to the overall Food is transported great distances Purchasing food that’s grown out of season Resources (especially water, fertiliser, Energy ) are used unsustainably Food Wastage Packaged Food Biodiversity impacts of agriculture Impacts of livestock production on environment Land being swallowed by urban sprawl Above issues can be address by following below practices to achieve food sustainability that not only benefit the organisation but also have an impact on local, national and global food sustainability issues. In Australia, food in the average shopping basket has travelled over 70,000 kms—that’s nearly two times the distance around the Earth. In fact, four imported items alone can account for nearly 50,000 kms. Even if a product is labelled as Australian-made it can still have ingredients from all over the world, adding to its transport footprint. Transporting food long distances, either across Australia or from overseas, generally uses up more non-renewable resources than producing and eating food locally. Energy, fuel, gas and water are consumed during transportation and storage adding to foods’ environmental impact. Transportation from farm, to processing plant, to consumer, can account for up to 11 per cent of food’s total greenhouse gas emissions. We can reduce emissions by buying food produced locally. Perhaps the most significant element of any sustainable food strategy is the menu. Appetising food is more likely to be eaten, so it is important to develop a menu that on the one hand is appealing to patients and staff, while on the other hand being high in both nutritional and sustainable value. Menu planning drives the choice of ingredients required, so it is important to design a menu that reduces the use of ingredients that have high environmental and health impacts. (6) Currently our hospital menu offered to patients and cafeteria offers a wide range of food choices without much emphasis on food sustainability. The aim of this project is to revise the hospital menu that is served in the cafeteria and for in-patients and in a years’, plan a â€Å"Greener Menu† that incorporates environmentally sustainable foods which are procured within 100 kilometres of radius around Melbourne. This initiative helps patients, staff and visitors to make healthy food choices and in turn helps in reducing our hospital’s eco-footprint on climate and environmental changes. Short term goals: In 3 months’ time, a minimum of 5% of foods used in the hospital kitchen to come from locally produced foods. In 6 months to aim for a minimum of 25% foods used in the hospital kitchen to come from locally produced foods. In 9 months to aim from a minimum of 50% In a years’ time to achieve the actual goal of 100% foods used to be procured from locally produced foods Above aim can be achieved by following below objectives: (5) By aligning the hospital menu with seasonal production and harvesting cycles Sourcing food locally Adding vegetarian and dairy-free option to the menu Choosing sustainably farmed meat and dairy Including meat dishes that have low environmental impact such as chicken, pork and eggs What needs to be done and how? Overview of evidence: There are various studies conducted in the past that have proven that adapting a healthier and sustainable food choices into the organisation’s menu in turn increased intake of these foods A definition of healthy food procurement that has been used in a review of policies is â€Å"a process which encompasses not just how public bodies procure food, but also how they determine what food they want to buy and from whom; receive and store food; prepare and serve food; dispose of waste food; and monitor their costs† [26]. In Ireland, the impact of a structured catering initiative on food choices was evaluated in a hospital setting [60]. A cross-sectional comparison was made using a 24-hour dietary recall and questionnaire of participants aged 18–64 years in two hospitals; one implemented a catering initiative that promoted nutritious food and reduced sugar, fat, and salt, and the other was used as a control (Table 3) [60]. Overall, this study found that improving the dietary quality of menu items provided in hospitals can reduce the amount of unhealthy nutrients such as fat, sugar, and sodium in foods served to patients in a hospital setting by up to 30% [60] 480 homebound, low-income seniors receiving Meals on Wheels over 4 months in Seattle, WA (USA) Increased access to fresh fruit and vegetables via home delivery. Seniors receiving baskets consumed 1.04 more servings than those in the control group. The number of seniors consuming >five servings per day increased by 17% from baseline. (62) Comprehensive initiative for food public institutions such as schools, hospitals, and prisons in the United Kingdom developed and disseminated a report to encourage consumption of locally grown foods and availability of healthy foods and build momentum for progress. Awareness of the program increased by 24% in 2 years; 72% of local authorities and 69% of schools supported initiative; 54% of users find the guidelines very useful or extremely useful; constraints were identified.(64) How this goal can be achieved? Firstly the current menu needs to evaluated and analysed to see where improvements can be made in regards sustainable change can be adapted. A short survey in the form of questionnaire can be used to determine staff and patients view on moving towards a sustainable menu Educating the food service staff, chefs and hospital management staff about the importance of moving towards a sustainable menu with in the hospitals. This session will also highlight the benefits of sustainable menus for the organisation’s food consumers and to the community. Create a seasonal fruit and vegetable calendar depending on what’s available around Melbourne. This information can be obtained from websites, for example www.vicfarmersmarkets.org.au/content/whats-season www.woolworths.com.au Need to source the local farmers for different foods, for example fruit, vegetables, meat, poultry and also any suppliers for locally produced food items such as jams, relishes, ice creams etc. While choosing the contractors, food sustainability specifications such as including organic, seasonal produce, choosing sustainability farmed meat and dairy. Some of the organisations that can find sustainable food producers around Melbourne. www.sustainabletable.org.au, www.localharvest.org.au, www.foodalliance.org.au, www.vicfarmersmarkets.org.au www.aco..net.au (Australian Certified Organic) Once this information is gathered, depending on what’s in season and what foods are available locally, different seasonal menus have to planned and consolidated by liaising with the hospital chefs and the food service team. When creating the menus by adding the region in the dish name or in the description, patients and staff can know where their food came from which in turn acts as role model to purchase local and seasonal produce. Once these menus are consolidated a short survey in the form of questionnaire among the staff can be conducted to get any feedback and suggestions that can be used to make any alterations. Finally, a review of the menus need to conducted to access if the original aim of including 100 percent locally and sustainably produced foods are incorporated in the menu initiative has been achieved. Also analysing the staff and patients food choices before and after the implementation of the Greener menu helps to evaluate if there a change in the way they chose the food items. Who is likely to support and challenge this proposal? The Key supports of this proposal at the community could be from The Local council – considering the proposals is addressing few food sustainability issues which in turn would benefit the community at both local and indirectly at a national scale. Government organisations and NGOs Local farmers as this proposal would the demand for their produce and contribute to their sales. The hospital patients, staff and people who access the hospital’s cafeteria as by purchasing this food they indirectly contributing towards a sustainable environment Challenges Challenges related to instructional buy-in Beyond the foodservice department, hospital leadership is crucial to building institutional capacity and commitment to buy local food. If senior administrators in charge of budget, human resources, procurement, community benefits, and overall institutional strategic direction do not support local food efforts, they can be can be severely crippled. By educating the foodservice department and the hospital leadership about the benefits of the proposal can build help building trust and also gives an opportunity to address their concerns towards the proposal. Challenges related to supply: It is important to note that farm-to-hospital initiatives may be substantially challenged by supply-side issues. Local production of food does not mean that producers would prefer to sell locally, or to sell to institutions. Many farmers are part of existing markets and do not produce enough additional food to supply high-volume institutional buyers. Large farmers may be uninterested in the additional marketing and customer relations that might be required to sell their products locally. So some research needs to be done to understand local producers and their supply ability. Local food may not always mean it’s from sustainable sources It is important to note that ‘local food’ doesn’t always mean it’s produced in environmental friendly conditions. So before accepting any contracts, it’s important to note what sustainable agricultural procedures are used. Visiting the farm yards or the food production units is a good idea to ensure sustainable farming or food productions methods are used. Summary: Recent studies suggest that there is a growing attention towards climate change and opportunities for people to lower their â€Å"carbon foot print† towards the growing Greenhouse gas emissions. It is now imperative that human health is placed within the context of the health of the planet. Every step of the food supply chain, from production, to transport, processing, packaging and distribution has potential environmental consequences. Hospital efforts may also bring attention to public health impacts of the food system, including air and water pollution, residues from pesticides and other toxins, and health inequities in agricultural communities. A stronger focus on food helps hospitals play a role in promoting environmental sustainability and in raising awareness of its links to human health This proposal aims at creating a greener menu in place of the current hospital menu where by addressing few food-sustainability issues that can be modified within the organization. The aim is to procure locally produced food items thereby decreasing food miles, buying local and seasonal foods, choosing sustainably produced food and animal products. This also helps to provide better sustainable and healthy choices to the patients and staff within the hospital. References 5. We Need to Talk About Food – How We Can All Build A Better Food System, https://www.melbourne.vic.gov.au/Sustainability/WhatCanIDo/Pages/SustainableFood.asx 6. Sustainable Food: A Guide for Hospitals 7. Food-Miles and the Relative Climate Impacts of Food Choices in the United States 8. Identifying Sustainable Foods: The Relationship between Environmental Impact, Nutritional Quality, and Prices of Foods Representative of the French Diet Journal of the Academy of Nutrition and DieteticsVolume 114, Issue 6, June 2014, Pages 862–869 26 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986994/ [L’Abbà © M., Sunohara D., Wan J. Environmental Scan of Public Food proCurement Policies Related to Sodium. Public Health Agency of Canada; Ottawa, ON, Canada: 2011. pp. 1–93.] 28. 26 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986994/ 60 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986994/ The impact of a workplace catering initiative on dietary intakes of salt and other nutrients: a pilot study.Geaney F, Harrington J, Fitzgerald A, Perry IPublic Health Nutr. 2011 Aug; 14(8):1345-9. [PubMed] [Ref list] In Australia, food in the average shopping basket has travelled over 70,000 kms—that’s nearly two times the distance around the Earth. In fact, four imported items alone can account for nearly 50,000 kms. Even if a product is labelled as Australian-made it can still have ingredients from all over the world, adding to its transport footprint. Transporting food long distances, either across Australia or from overseas, generally uses up more non-renewable resources than producing and eating food locally. Energy, fuel, gas and water are consumed during transportation and storage adding to foods’ environmental impact. Transportation from farm, to processing plant, to consumer, can account for up to 11 per cent of food’s total greenhouse gas emissions. We can reduce emissions by buying food produced locally. Buying local produce also addresses some of the other food sustainability issues such as encouraging Promotes sustainable agriculture Gives fair and equal opportunities for local farmers Promotes healthy eating by choosing seasonal produces, Reducing the usage on fuel in terms of land / water and air travel for transporting food across the globe. Considering the multifactorial benefits that local food procurement has on the organisation’s food sustainability issues, it is identified as a key initiative that needs to be addressed in the organisation as a main priority. While there is no single solution to solve all the environmental issues of our food system at once, there are a number of actions our community can take to drive change in specific areas. Hospitals in the community act as role models 1

Recruiting Nurses in Rural Communities

Recruiting Nurses in Rural Communities B. Trimble Perceptions of nurse practitioner students on clinical rotations in rural health care areas, and the likelihood of practicing in a rural area. With the current primary care provider shortages in rural areas, could the key be the use of nurse practitioners, to ultimately, fill the gap in medical services? How satisfied are patients with a nurse practitioner’s services? How do communities recruit and keep nurse practitioners? What role do rural clinical rotations play in the recruitment of nurse practitioner graduates for practice in rural areas? Rural communities have difficulty recruiting and retaining primary care providers. With the number of aging providers looking at retirement and the lack of medical school graduates interested in primary care, the need will be further increased. The national shortage of primary care providers has many communities searching for help. Meeting the current needs is difficult and the need for services is expected to increase as the rural population ages and the enactment of the patient protection and affordable care act. Advanced practice registered nurses, whom studies show can provide care that is safe and as effective as a physician, are a powerful solution to the problem of the shortage in primary care providers and rising health care costs. There are currently 189,000 nurse practitioners, 35,000 nurse anesthetist, and 18,500 certified nurse-midwives in the United States according to the American Association of Nurse Practitioners (American Association of Nurse Practitioners, 2014). Nurse practitioners play a pivotal role in providing necessary medical care to the underserved of rural communities. A need for studies that examine the experiences of rural health care providers, to assess the barriers and the facilitators for nurse practitioner practice are needed. Offering mentorships, in the rural areas, may be another way to increase interest of the nurse practitioners in rural areas. As the new health care laws become effective, the need will increase. The purpose of this study is to examine how incorporating rural health rotations, in training of nurse practitioner students, may improve on the recruitment of nurse practitioner graduates into the rural healthcare sector. In rural health centers, nurse practitioners fill key leadership positions. In a study on rural health clinic efficiency and the impacts made by nurse practitioners and physician assistants, indicated that rural health centers that used nurse practitioners had a high rate for expertise in quality care and cost effectiveness (Ortiz, Wan, Meemon, Paeth, Agiro, 2010). The purpose of the study was to investigate the impact of nurse practitioners to rural health clinics yield, determine the association of proficiency indicators, and understand specific and organizational factors that affect productivity. The questions posed were as follows: Does rural health clinic’s performance vary contingent on nurse practitioner staffing? To what extent do nurse practitioners influence productivity? What are characteristics of highly productive rural health clinics? (Ortiz, Wan, Meemon, Paeth, Agiro, 2010). . The study suggests that, employments of higher portions of nurse practitioners has a definite stance on productivity, and are able to handle a larger number of patients without adding professional staff. Process efficiency in clinics with a large percent of licensed staff tends to use larger numbers of nurse practitioners. Clinic size is definitely associated with industrial efficiency. The larger the clinic’s professional percentage, the higher the efficiency or production observed. The clinics able to maximize the value of nurse practitioners are the most cost effective in providing health care amenities. The conclusion of the study was that the use of nurse practitioners and physician assistants increased productivity and cost effectiveness in clinics that maximized the use of these medical professionals. There is a need for further studies to determine the contribution of nurse practitioners. Future research would involve risk adjustment factors to assess the effects of patient demographics and socioeconomic aspects. In addition, the evaluation of observational information would provide a better understanding of the nurse practitioner involvments. (Ortiz, Wan, Meemon, Paeth, Agiro, 2010). In a study conducted by Ryan and Rahman in urgent care centers, to determine what factors influence the satisfaction of care provided by nurse practitioners, it was determined that the care provided was scored positive. The scores were higher for those noted to be uninsured as compared to those with insurance. A descriptive study including four urgent care centers using two to four nurse practitioners was used for the study. Two of the four urgent care centers were excluded from the study, due to weather conditions. Patients were asked to complete a post visit review and sealed in an envelope after completion. Participant inclusion was they had to be 18 years of age, be able to read, write and comprehend English. The survey contained five questions on demographics and thirteen items where ten assessed the clarity of the nurse practitioner role. Approval was granted from Shenandoah University IRB and the four participating urgent care centers. No enhancements were offered to participants for participation in the study. Examining factors that affect patient satisfaction, with nurse practitioners in rural urgent care centers studies showed that there was a high rate of patient satisfaction regardless of age, insurance, race, or gender. The clarity of the nurse practitioner role was significantly different between participants that were uninsured as compared to those with insurance. The uninsured rated the experience higher than those with insurance. The overall scores for satisfaction with care were positive. Several of the patients were unaware they were being treated by nurse practitioners until the after treatment survey. This implies that the care was comparable to what had been provided by physicians in the past. The American healthcare system has not been able to meet the demands for accessible, low-cost medical care. Rural areas face a shortage of healthcare providers as family physicians retire and current graduate physicians decide to enter into specialties rather than general practice. Nurs e practitioners can fill the gap in medical providers. The role of the nurse practitioner is on the increase in rural areas that are underserved and are well accepted by colleagues and patients. Nurse practitioners provide competent care; this and previous studies have confirmed that patients are highly satisfied with primary care provided by nurse practitioners (Ryan, 2012). In a qualitative study by Boynton Sharp, to explore the factors related to the recruitment and retaining of nurse practitioners in rural areas, it was determined that nurse practitioners are more likely to accept a position in rural healthcare after having completed at least one clinical practicum in a rural setting (Boynton Sharp, 2010). In this study, the sample size was 29 nurse practitioners from across the United States. The data collection method was semi-structured interviews. Analysis of categories and themes determined that three of the concepts of rural nursing theory were applicable. It was anticipated that the knowledge gained would contribute to understanding nurse practitioner choices to practice in rural areas, to determine the developing rural nurse practitioner educational programs and existing federal agencies involved in recruiting and retainment nurse practitioners, in rural areas. A qualitative study using a focused ethnographic approach was used to explore the cultural construction of rural nurse practitioner roles. A conceptual model analysis from the theory of cultural marginality was developed. The marginality framework was developed to provide a basis for data collection and analysis. Data set used interviews conducted using audio/video tapes of electronic media interviews through web conferencing, except two interviews were conducted by telephone. Data analysis was through transcription of interviews; at the end of the analysis three concepts from the rural nursing theory were identified. Lack of anonymity was subdivided into respect and annoyance. Outsider versus insider status was defined, not as being an insider in the community, but as an outsider in the medical community. Permission to conduct the study was granted by the University of Texas at El Paso’s IRB. Names of participants did not appear anywhere in the report or research. This study identified the three concepts of the rural nursing theory. In the study, the nurse practitioners did not find the lack of anonymity to be an annoyance, but viewed it as a part of being an effective medical care provider. The study indicated that nurse practitioners are well accepted by the community members. However, nurse practitioners are not always accepted by the existing medical community. Self-reliance was indicated by the nurse practitioner’s ability to function alone and make independent decisions related to their clinical practice. Due to differences between urban and rural care needs, it is important that nurse practitioner students be given an appreciation for the uniqueness and benefits of rural practice including a) limited access to healthcare, b) limited resources, and c) distance to specialists. This can be accomplished through changes in didactic and clinical components of nurse practitioner educational programs. Nurse practitioners who accept positions in rural areas most often have a background in rural areas, have participated in a rural training program, or have a desire to serve in a rural community. Completion of a rural program is associated with accepting a position in a rural practice. In this study, 72% of the nurse practitioners completed at least one rural clinical practicum. This supports the importance of rural training as an effective strategy in recruitment of nurse practitioners for rural areas (Boynton Sharp, 2010). In another study published by Purdue University (Richards, 2011) stated that as practitioner students are subjected to underserved populations, they are able to better understand the complicated clinical situation, which also confronts nurse practitioners to provide valuable and professional, high quality safe and cost efficient patient care. The practitioner students rotated through the clinics; this was found to improve the staff role in clinical knowledge, strengthen the evidence of clinically relevant research, and enhance the classroom instructions and assignments. The rotations made class instruction and assignments more meaningful when the students observed the instruction being used in a clinical setting. The experience integrated previous subject matter and allowed practitioner students to develop skills in a supportive and strengthened environment. Allowing students to perform alongside nurse practitioners, help to develop mentoring and educational relationships, regard for others capability, and improves comprehension of the nurse practitioner role. The staff roles shifted from the expert to a mutually supportive learning association (Richards, 2011). The advanced practice nurse can serve to fill the gap in primary health care. Nurse practitioners can provide quality, cost effective care to these communities, offsetting the limited access and rising health care costs. Access to primary health care is essential in maintaining and improving health. Those who have regular primary health care receive more preventative services, are more likely to comply with prescribed treatments, and have lower rates of illness and preventive deaths. To ensure recruitment and retainment of nurse practitioners in these areas, it is important to increase the nurse practitioner student experience with clinical rotations in rural or underserved areas. References American Association of Nurse Practitioners. (2014). NP Fact Sheet. Retrieved from AANP.org: http://www.aanp.org/all-about-nps/np-fact-sheet Boynton Sharp, D. M. (2010). Factors related to the recruitment and retention of nurse practitioners in rural areas. (3409167), 110. Ann Arbor, Mi, United States: ProQuest, LLC. Retrieved March 29, 2014, from http://search.proquest.com.southuniversity.libproxy.edmc.edu/docview/613695577?accountid=87314 Ortiz, J., Wan, T., Meemon, N., Paeth, S., Agiro, A. (2010, July/August). Contextual Correlates of Rural Health Clinics Efficiency: Analysis of Nurse Practitioners Contributions. Journal for Health Care Leaders, 28(4), 237-44. Retrieved March 20, 2014, from http://www.medscape.com/viewarticle/729490_1 Richards, E. (2011). The role of nursing students at two rural nurse managed health clinics. School of Nursing Faculty Publications (paper 4). Purdue University. Doi:10.1080/07370016.2011.539086 Ryan, K. D.-C. (2012, February 1). Examining Factors Influencing Patient Satisfaction With Nurse Practitioners in Rural Urgent Care Centers. Journal of American Academy of Nurse Practitioners, 24(2), 77-81. Doi:10.1111/j.1745.7599.2011.00688.x

A Little Bit About Einstein Essay -- essays research papers fc

Albert Einstein is known as one of the greatest scientists of all time. He has propose many great theories like the Special Theory of Relativity, the Theory of General Relativity, and E=mc2. (Einstein is famous for these theories along with his help in developing the laser.) He also influences many other scientists in the study of quantum theory and the cosmos. Know one really will ever understand what went on in this man’s mind but he was defiantly one of the greatest men of all times. The following is a description of this great scientist. Albert Einstein was born in Ulm, Germany on March 14, 1879. He was born to Herman and Pauline Einstein, middle class German Jews. Einstein was a very bright child; a magnetic compass sparked his interest in the natural world, at the young age of four. Einstein began his formal education at a school in Ulm. Contrary to what you would think Albert hated formal schooling. He often did poorly in subjects such as Geography, Language, and History, but excelled in Mathematics and Science. He generally did his real studies at home where he concentrated on physics, mathematics, and philosophy. One year one of Einstein’s teachers suggested that he leave school, so at mid-term the 15 year old boy quit school. Einstein then moved to Italy to help his father in business. In 1895, he failed the entrance exam for the Swiss Federal Institute of Technology. They suggested that he studied at a Swiss school in Aarau. There he studied theories of electromagnetism, by James Clark Maxwell. At the age of 16, he wrote an essay on why he would like to study theoretical math or physics. He stated, "All above it is my individual disposition for abstract and mathematical thought, my lack of imagination in practical talent. My inclination s have also led me to resolve that is quite natural; one always likes to do things which one has talent. And there is a certain independence in the scientific profession which greatly pleases me." He graduated from the Swiss school, in 1896 at 17 years old. Then he was then accepted to the Institute of Technology in Zurich. This is where he met his first wife, Melvia Merich; she was the only girl in his physics class. They had a daughter, Lieserl, together who was given up for adoption and never see or heard of again. Th... ...es were confiscated by the Nazi government, The Nazi’s put Einstein at the top of the list of people stripped of their German citizenship. Einstein moved to the United States to escape the Nazi Germany, and also settled in Princeton New Jersey with Elsa. After World War II began Einstein urged President Roosevelt, after a series of letters, to push the study of nuclear war power and its effects. He was informed that Nazi Germany had the intelligence to create nuclear weapons of mass destruction. Einstein then became a United States citizen, he also remained a Swiss Citizen. He remained in the United States until his death in 1955. Einstein died of heart failure on April 16th in Princeton New Jersey. Einstein the was one the greatest scientists of all time, he discovered theories no one else ever even thought of, and created a completely different way to look at the natural world. Bibliography http//:www.alp.org/history/einsteinearly1.htm http://www.groups.dcs.st-and.ac.uk/~history/mathematicians/Einstein.html http://library.advanced.org/11924/einstieninfo.html Encyclopedia Britannica On Line World Book Multimedia Encyclopedia CD-ROM A Little Bit About Einstein Essay -- essays research papers fc Albert Einstein is known as one of the greatest scientists of all time. He has propose many great theories like the Special Theory of Relativity, the Theory of General Relativity, and E=mc2. (Einstein is famous for these theories along with his help in developing the laser.) He also influences many other scientists in the study of quantum theory and the cosmos. Know one really will ever understand what went on in this man’s mind but he was defiantly one of the greatest men of all times. The following is a description of this great scientist. Albert Einstein was born in Ulm, Germany on March 14, 1879. He was born to Herman and Pauline Einstein, middle class German Jews. Einstein was a very bright child; a magnetic compass sparked his interest in the natural world, at the young age of four. Einstein began his formal education at a school in Ulm. Contrary to what you would think Albert hated formal schooling. He often did poorly in subjects such as Geography, Language, and History, but excelled in Mathematics and Science. He generally did his real studies at home where he concentrated on physics, mathematics, and philosophy. One year one of Einstein’s teachers suggested that he leave school, so at mid-term the 15 year old boy quit school. Einstein then moved to Italy to help his father in business. In 1895, he failed the entrance exam for the Swiss Federal Institute of Technology. They suggested that he studied at a Swiss school in Aarau. There he studied theories of electromagnetism, by James Clark Maxwell. At the age of 16, he wrote an essay on why he would like to study theoretical math or physics. He stated, "All above it is my individual disposition for abstract and mathematical thought, my lack of imagination in practical talent. My inclination s have also led me to resolve that is quite natural; one always likes to do things which one has talent. And there is a certain independence in the scientific profession which greatly pleases me." He graduated from the Swiss school, in 1896 at 17 years old. Then he was then accepted to the Institute of Technology in Zurich. This is where he met his first wife, Melvia Merich; she was the only girl in his physics class. They had a daughter, Lieserl, together who was given up for adoption and never see or heard of again. Th... ...es were confiscated by the Nazi government, The Nazi’s put Einstein at the top of the list of people stripped of their German citizenship. Einstein moved to the United States to escape the Nazi Germany, and also settled in Princeton New Jersey with Elsa. After World War II began Einstein urged President Roosevelt, after a series of letters, to push the study of nuclear war power and its effects. He was informed that Nazi Germany had the intelligence to create nuclear weapons of mass destruction. Einstein then became a United States citizen, he also remained a Swiss Citizen. He remained in the United States until his death in 1955. Einstein died of heart failure on April 16th in Princeton New Jersey. Einstein the was one the greatest scientists of all time, he discovered theories no one else ever even thought of, and created a completely different way to look at the natural world. Bibliography http//:www.alp.org/history/einsteinearly1.htm http://www.groups.dcs.st-and.ac.uk/~history/mathematicians/Einstein.html http://library.advanced.org/11924/einstieninfo.html Encyclopedia Britannica On Line World Book Multimedia Encyclopedia CD-ROM

Nature vs Nurture Essay -- Biology Science Essays

Nature vs Nurture The issues pitting nature against nurture are exceptionally significant for the gamut of discoveries that attribute an increasing proportion of traits and behaviours to one's genetic makeup. The resulting variety of physical shortcomings and limitations in each person has, for centuries, been countered by endeavours to improve or interfere where necessary, and every individual is consequently the product of a delicate middle path of balance between the two. The importance of nurturing is nearly boundless, and there is no better evidence than the oft-cited case of identical twins who, despite identical nuclear genomes and mitochondrial DNA, will duly differ in physique and behaviour if raised (i.e., nurtured) in dissimilar environments. On the other hand, the role of nurturing in the development of abilities and aptitudes as basic as walking and reading is no less estimable. Hence nature, as represented by the genome, "codes for potential", as concluded by the National Centre for Genome Resources (NCGR) in its on-line publication Genetic Odyssey. While ... Nature vs Nurture Essay -- Biology Science Essays Nature vs Nurture The issues pitting nature against nurture are exceptionally significant for the gamut of discoveries that attribute an increasing proportion of traits and behaviours to one's genetic makeup. The resulting variety of physical shortcomings and limitations in each person has, for centuries, been countered by endeavours to improve or interfere where necessary, and every individual is consequently the product of a delicate middle path of balance between the two. The importance of nurturing is nearly boundless, and there is no better evidence than the oft-cited case of identical twins who, despite identical nuclear genomes and mitochondrial DNA, will duly differ in physique and behaviour if raised (i.e., nurtured) in dissimilar environments. On the other hand, the role of nurturing in the development of abilities and aptitudes as basic as walking and reading is no less estimable. Hence nature, as represented by the genome, "codes for potential", as concluded by the National Centre for Genome Resources (NCGR) in its on-line publication Genetic Odyssey. While ...

Hughes Promotes the African Civilization Essay

Still recognized as one of the literary giants of America. Langston Hughes played an of import function as a author and mind of the Harlem Renaissance. This was an artistic motion of African Americans that arose during the 1920s to observe the lives and civilization of Africans in the United States ( â€Å"Langston Hughes† ) . Because most of the African Americans had been brought to the New World as slaves of white Masterss. it was poets and authors like Hughes. an African American adult male. that helped to alter the perceptual experience of African Americans in the heads of the Whites one time bondage had been abolished. Hughes’ verse forms. â€Å"The Negro Speaks of Rivers† published in 1926. and â€Å"Negro† published in 1958. hence depict African Americans as ordinary human existences like everybody else. and yet richer in civilization and civilisation than many others. seeing that they have participated in the building of the great â€Å"pyramids. † mentioned in both verse forms ( Hughes. 2007 ; Hughes ) . Hughes was direct and unfastened about the fact that his Hagiographas were meant to elate the conditions facing Africans in the United States ( Hughes. 1923 ) . They had been slaves. so therefore the Whites did non esteem them plenty even after the abolition of bondage. â€Å"The Negro Speaks of Rivers† was published five old ages after the Tulsa Riot and during the Harlem Renaissance ( â€Å"Race Riot. Lynchings. and other Forms of Racism in the 1920s† ) . â€Å"Negro. † on the other manus. was published at a clip when racism was considered a bigger job than earlier. In fact. during the 1950s racism was at the head of American idea ( Lewis. 2002 ) . Many conflicts were fought to put inkinesss equal to Whites in the heads of all Americans. Hughes’ part of the fiftiess. his verse form â€Å"Negro. † was merely different to the extent that it was an artist’s part. Countless other Africans were contending on the streets of America to put things right one time and for all. Both verse forms. â€Å"The Negro Speaks of Rivers† and â€Å"Negro. † are looks of African American individuality. The first verse form begins therefore: â€Å"I’ve known rivers†¦Ã¢â‚¬  ( Hughes ) . In the 2nd as in the first. although the poet has made clear that the storyteller is a negro – the verse form. â€Å"Negro† begins with the words. â€Å"I am a Negro† ( Hughes. 2007 ) . Because the Whites had been Masterss over African slaves. they were inclined to look down upon Africans. Since the Whites were proprietors of belongings in America and surely richer. the inkinesss longed to be like the Whites. But. Hughes would wish the Africans to experience at place in their ain teguments. With images of rivers every bit expansive as of the Euphrates. the Nile and the Mississippi – the verse form. â€Å"The Negro Speaks of Rivers. † reminds the African of his or her historical roots or the history of the great African peoples who have traveled across all of these rivers adding value to the historical watercourse of civilizations. The verse form has irregular. long lines without beat because it is doing a basic point: the African psyche is every bit deep as any human psyche could be. The African single indulges in deep thought as he travels across antediluvian rivers. What he must brood on is his ain individuality on foreign dirt. Remembering the history of his civilisation. he must maintain in head that life carries on. What’s more. the poet reminds his fellow African that the black race has survived despite all odds ( Hughes ) . Because â€Å"The Negro Speaks of Rivers† was published during the extremum of Harlem Renaissance. it refers to depth of the African psyche. given that art is frequently understood as the voice of the psyche and the Harlem Renaissance was all about advancing African art and civilization in the United States. Using soft images such as the Mississippi’s bosom â€Å"turning aureate in the sundown. † the poet uses his accent on rivers to stand as a symbol for the deepness of the African psyche ( Hughes ) . â€Å"Negro. † published during the 1950’s besides references â€Å"depths† ( Hughes. 2007 ) . As in â€Å"The Negro Speaks of Rivers. † the deepnesss mentioned by Hughes in both verse forms most likely refer to the deepness of African knowledge excessively. After all. both verse forms refer to the history of Africans. â€Å"Negro. † with its sentence agreements depicting either what had happened to Africans or what they have done in the history of the African civilisation – besides makes reference of the experiences and/or accomplishments that set Africans apart. for illustration. bondage and vocalizing ( Hughes. 2007 ) . The poet represents all Africans in both his verse form. â€Å"The Negro Speaks of Rivers† and â€Å"Negro. † What is more. both poems reference the fact that the Africans were portion of the labour force that built the ancient pyramids. In â€Å"The Negro Speaks of Rivers. † it was the African who â€Å"looked upon the Nile and raised the pyramids above it† ( Hughes ) . In â€Å"Negro. † the pyramid is said to hold arisen under the African manus. implying that the African was greatly skilled even at the clip of ancient pyramid building ( Hughes. 2007 ) . The chief difference between the two verse forms. â€Å"The Negro Speaks of Rivers† and â€Å"Negro† is. doubtless. the spirit of hope felt through the first verse form versus the sense of desperation assorted with hope in the 2nd verse form. Hughes must hold composed â€Å"The Negro Speaks of Rivers† in a different frame of head wholly. The verse form clearly promotes the African American civilization and art as originating in the deep history of humanity ( Hughes ) . Although â€Å"Negro† makes reference of universe history excessively. it does non needfully advance African American art. apart from its mention to vocalizing. The African American may be considered as more of a labourer or low paid worker than an creative person in â€Å"Negro† ( Hughes. 2007 ) . Possibly the verse form was non written to advance African American art at all. As mentioned antecedently. the 1950s saw the Whites and inkinesss of America contending over the inquiry of equal rights of Africans in about all major countries of province operation. including instruction. There were terrible jobs related to racism during this period of American history. Clearly. inkinesss were being looked down upon. It was in the temper of that hr that Hughes composed â€Å"Negro. † The verse form speaks of the mundaneness of the African person while depicting the good utilizations that Africans have been made of. for illustration. in the building of the â€Å"Woolworth Building† ( Hughes. 2007 ) . â€Å"The Negro Speaks of Rivers† is surely non blue or dejecting like â€Å"Negro. † chiefly because it does non do reference of bondage and victimization as the 2nd. After all. Hughes is contending against unfairness toward African Americans in the 1950s. In the 1920s. his cause was wholly different. If â€Å"The Negro Speaks of Rivers† had made frequent reference of darkness as does â€Å"Negro. † the Harlem Renaissance could non hold been considered a forerunner of hope ( Hughes. 2007 ) . References Hughes. L. ( 2007. Dec 2 ) . Negro. Retrieved Mar 15. 2009. from hypertext transfer protocol: //amandafa. blogspot. com/2007/12/negro-by-langston-hughes. hypertext markup language. ————– . ( 1926. Jun 23 ) . The Negro Artist and the Racial Mountain. The State. Retrieved Mar 15. 2009. from hypertext transfer protocol: //www. hartford-hwp. com/archives/45a/360. hypertext markup language. ————– . The Negro Speaks of Rivers. Retrieved Mar 15. 2009. from hypertext transfer protocol: //www. wmrfh. org/dcrews/index_files/Hughes_The % 20Negro % 20Speaks % 20of % 20Rivers. physician. Langston Hughes. America’s Story from America’s Library. Retrieved Mar 15. 2009. from hypertext transfer protocol: //www. americaslibrary. gov/cgi-bin/page. cgi/aa/hughes. Lewis. C. H. ( 2002 ) . The Rise of the Civil Rights Movement in the fiftiess. Retrieved Mar 15. 2009. from hypertext transfer protocol: //www. Colorado. edu/AmStudies/lewis/2010/civil. htm. Race Riot. Lynchings. and other Forms of Racism in the 1920s. Retrieved Mar 15. 2009. from hypertext transfer protocol: //www. premise. edu/ahc/raceriots/default. hypertext markup language.