Friday, February 21, 2020

RN Staffing Time and Outcomes of LongStay Nursing Home Residents Must Essay

RN Staffing Time and Outcomes of LongStay Nursing Home Residents Must be a Nursing Research Critique - Essay Example Moreover, this research highlights the inadequacy of the Omnibus Reconciliation Act of 1987 whereby only 8 hours of RN care is covered, necessitating more political lobbying to expand the sphere Medicaid. Although this article provided impressive background information of the authors, not much of their previous works and field of interest were cited to back the general aim for the convergence of each into the overall principle of this research article. It would have been useful to know what other studies they have conducted in order to establish, if there are any, a pattern that explains why this particular research was engaged and therefore realize the connection of each of the authors aim. We are however left to assume that in consideration with their expertise, they are of the same conjecture as regards the necessity improve quality of care. The title in itself is already clear, in which there is no need to elaborate what the research wants to establish. The presentation on the other hand is a comprehensive discussion of how the authors derived the very core and tenor of this research, and they further elaborated the objective, methods of data collection, interpretation as well as the simple analysis of the data collected. Each method of data collection is defined in such a way that comprehension is established in the analysis and relevance. The conclusion was congruently presented with the intentions set to be derived at in the title. Problem/Purpose/Hypothesis The issues presented in this article define the adverse effects brought about by the lack of capable care provider in the aged facility, regardless of the presence of other staffs (i.e., LPN and CNA). The issue stresses that there is a considerable difference in the quality of care provided by the Registered Nurse (RN) as compared to those rendered by the License Practical Nurse (LPN) or Certified Nurse Assistant (CNA), in which their study endorses the advantage of the presence of RNs in the nursing home. The article further presented the incidence and prevalence of pressure ulcers, UTI, malnutrition and regression in the performance of ADLs, consequential to the less amount of actual care provided to the geriatric patients. The problem identified by the authors were concrete and actual even in the medical field, with a hypothesis that can strongly argue relevance on its own, being that pressure ulcers in itself can be anticipated and prevented by proper nursing care. Although the purpose of their presentation was non interventional in nature, they author nevertheless extended their discussion on the etiology and prognosis of the health risks presented, being highly manageable and preventable. Review of Literature Extensive and informative resources were utilized to back the claims and contentions in this research, which only goes to prove the relevance and prevalence of the issues mentioned. A vast collection of other researches were referred to by the authors as well as complete and authentic statistical data from verified and reliable sources. It must be noted however that the legitimacy of this research is strongly supported and funded by both Abbot

Wednesday, February 5, 2020

INTERNSHIP PORTFOLIO Thesis Example | Topics and Well Written Essays - 2500 words

INTERNSHIP PORTFOLIO - Thesis Example There is a high level of turnover for subordinate positions that is caused by the frustrations that come from a non-horizontal structure with more job autonomy. Academic learning provided insight into the psychological mechanisms that drive employee behaviour and needs related to the work environment. This formal learning helped me to understand why some people in the workplace are more motivated and why others tend to be less productive. Gambrel & Cianci (2003) identify that employees have a need for affiliation and recognition from peers and from supervisors. Once these have been satisfied and there is a more team-based environment, employees can build on their self-confidence, and feel as though they are having a useful impact on their job environment as an element of power and control (Gambrel & Cianci). Personal notations taken throughout the course of the internship at ATF Bank indicated that there was not a unified and harmonious culture of belonging at this organisation with no structured (formal) or informal policies about group working and creating a culture of quality and interpersonal communication development. ... Many of the managers at the organisation were expatriate leaders send from France, the United States, and also Egypt because of their specialized knowledge in human resources and overall global finance. Many people from Kazakhstan had difficulty working with these cultures due to their social and management principles. For example, academic learning provided knowledge on Hofstede’s Cultural Dimensions framework that gives a very basic breakdown of different cultural values across the world. Blodgett, Bakir & Rose (2008) offers that collectivists have a strong value for group welfare and expect group loyalty as part of a larger family unit. In opposite accord, individualists value self-expression and want to work independently from others (Blodgett, et al.). Because of these differences between the foreign managers and those in the host country, coupled with no organisational structure that allowed for innovation and recognition, developing team-based systems and gaining peer s upport was next to impossible. A self-assessment profile, the Myer-Briggs inventory, gave me a strong inclination toward extroversion above all other principles on the scoring instrument. Churchill & Bayne (1998) describe extroversion as the ability to work well with others and able to focus with comfort on the external social world; a more interactive person. This fits well with my self-report on personality as I have always been a person that takes a visible leadership position when in social and work groups. This is why the need to negotiate conflict and understand cultural principles for foreign workers was so critical, since these skills are necessary for success in business and in a leadership role and