Thursday, August 13, 2020
Pressure is a privilege
7 / Pressure is a privilege TO SET THE MOOD: Aranjuez by Jorge Muñiz José Luis Duval I. With the fall semester complete, I could finally focus all my energy and attention on training for the US Championships, taking place the third week of IAP. As the stress of final projects and exams piled up during the last few weeks of the semester, I had prioritized school first, pushing training to the side. I didnt even plan on skating this season. Last season was intended to be my last. But a last-minute injury in the lead up to the 2018 US Champs crippled my preparation, mentally and physically. I had intended to withdraw, but skated through it anyways. That wasnt how I wanted to end my career. I took a long break away from the ice, and as I left for Switzerland, I used that time away from it all to let my body rest and heal. I did bring my skates with me, just in case. II. A month and a half into the semester, Spring 2018, I reached out to a Swiss skater, who I met at an international competition a few years back, to help arrange ice time for me with her coaching team. I wanted to try it out back on the ice, but on my own terms. I only skated once a week, sometimes twice or not at all. It took around an hour each way to take the train and then the bus to get to the rink from my dorm, but it was always something I looked forward to, something that felt familiar in a place where everything was new and different. Skating was a part of home, a part of me, of my life for the past 14 years. Each time I was out there on the ice, I skated with a purpose, for the joy and freedom, skating fast, jumping high, spinning faster. On my own, I played around with working on new programs too. No training regimens, workouts, or diets to follow; no competitions looming to stress over. I even had a lesson with Swiss skater Denise Biellmann, former World Champion and Olympian, and had a blast working on jumps and spins alongside one of her students. III. When I left Europe and headed to Seattle for my summer internship, I still wasnt exactly sure I would compete again. But I signed up for the 2018 Collegiate Championships that would take place in August on a whim, making a trip out of it with Shannen W. 21, who also competed for MIT. I had two months to prepare for it, but working full-time, I had to squeeze in training in the mornings, and do so on my own, without my coaches in Boston. Worse yet, the skating resources in the area were abysmal. I didnt have a car, public transportation wasnt an option in the suburbs, and the closest rinks were at least 30 minutes away. The closest full-sized one was over an hour away during the morning commute. If I wanted to skate, I needed to do it early before work, ubering to the closest rink which was roughly 60% the size of a standard NHL rink. The sessions were crowded, and I couldnt properly train or run-thru my programs. It was frustrating. I focused more on my off-ice physical fitness, and I spend more time in the gym, building back up my strength and conditioning and working with a trainer. IV. At the Collegiate Champs, I tried my best, but my inadequate on-ice preparation showed. If I wanted to qualify for the US Championships in January, I needed to fully commit. I needed to get back in shape. With the desire to end my career on a better note, I decided to give skating one final go, and registered for the US qualifying season. The rules had changed over the summer, adapting to a new Olympic cycle. The free skate would be 30 seconds shorter, with one fewer jump. Quads (that I dont have) would be restricted and a new range of points were introduced. Quality, over quantity, would be rewarded. I wouldnt have the months of the off-season training to rely on, but the new rule changes, I thought, could work to my advantage. I had one last year in Boston and a chance to train in likely the best training environment in the world, right here, with my coaches and their skating school. V. Once my internship ended, I immediately flew back to campus and settled in to a new pace of life. New classes, new apartment, new but familiar city. Luckily, I received a bye to Eastern Sectionals, the qualifier for the US Championship. I had less than 10 weeks to train new programs and get back in shape. With a late start [ For context, last season, I started preparing new programs as early as March and trained all throughout summer. ], I needed to train smart and efficiently. I dropped most of my extracurriculars, disafiliated from my fraternity, and didnt pick back up my UROP. No distractions. I would need to give it all I got. No regrets. I tried my best to prioritize skating, but it was still tough to adjust back to the MIT firehose and try to juggle it all. I still had my last few hard classes to finish up to graduate in time. Some weeks I would only have time to skate one hour, some not at all. I did a tune-up at an Intercollegiate competition as a practice run, and as Easterns approached, I tried my best to push off school a little and head to the rink 3 or 4 times a week. I tried to put in some extra hours on the weekends training at the MIT rink, squeezing in as much training as possible. I wasnt perfect, but I ended up qualifying for my 3rd consecutive senior nationals and 6th US Championships. After that, it was full steam ahead until my last final. School was back up my priority list. I tried my best to maintain the stamina I built up leading into Easterns, but then I started feeling pain in my right foot. Using that time as an excuse to rest and refocus, I took time off the ice, throwing myself instead into my psets, projects, and finals. VI. I returned back in Boston after spending a restful few days at home after the end of fall semester. For the next 4 weeks, I made certain to prioritize skating above, and cleared my schedule. Unlike the past three IAPs, I would not be taking on too much, doing an externship, or teaching for GTL. I was on the ice for 2 50-minute sessions a day, 5 days a week, with a cool-down workout in the afternoon. In the evenings, I could rest, cook, and catch up on anything else I left on the backburner the past semester. I made sure to nurture my body with sleep and healthy, hearty meals. I had the next 4 weeks to cram train, mentally and physically, and to stay injury-free. The last time I had the time to train 5 days a week without any other responsibilities or extracurriculars was the summer before I arrived at MIT. If this was to be my last season, I wanted to do it right, to fully commit, to eliminate all distractions. To focus on skating, and only skating. VII. I started adding in a third session to my training regimen, attempting more and more triple axels, more and more reputations of my programs and sections of them. Then, I started feeling discomfort in my right hip, the same hip that caused me trouble the same time the year before in the lead up to the US Champs. It was déjà vu. Horrified, I thought taking the weekend to rest would make it better. It was just as bad when I returned to the ice Monday morning. I started toning down my practices. Fewer jumps, no more triple axel attempts, fewer repetitions. I went to get acupuncture, soft tissue work, and physical therapy. I was diagnosed with rectus femoris tendonitis, most certainly an overuse injury from ramping up training too quickly. I had tried to be careful not to make the same mistake as the year before, but yet again, I put my body too much too quickly. From 2 days a week of training if I was lucky, to 5, my body was crumbling â" a complete nightmare. I had a week to go, and my only option was to push through the pain. I had sacrificed too much already. Withdrawing was not an option. I did the prescribed exercises to stretch and strengthen it, and tried my best to nurse it as much as I could. There wasnt much else I could do at this point. In disbelief, I was stressed, anxious, and frustrated. I was quickly losing the confidence I had built up during the past few weeks of solid, hard training. I didnt want it to end my career knowing that I wasnt at my peak. I was fighting against time. VIII. When I arrived in Detroit, I wasnt sure what to expect. I had left Boston with some good practices, but I wasnt sure how my hip would hold up. My legs were already starting to wear out. But my first practice in the competition arena felt good. Maybe it was adrenaline or the excitement and energy of it all, but I was hopeful I could get through 2 more days. Just 2 more days. I was to skate 4th in the 2nd warmup in the short program Saturday morning. Im not used to competing early in the morning, but I took a much-needed, regenerative 10-minute power nap before I left for the arena. As I stepped onto the ice for the 6-minute warmup, I was a bundle of nerves, body clenched tight, more nervous than usual. This was it. The judging panel on the left, the audience seated on all sides of the rink floor-to-ceiling, a big Jumbotron up top, bright lights all around, bass-driven speakers. I tried to breathe, and remind myself to appreciate the space, embrace the moment, and treat it like a practice session. Ive put in the work and done the short program so many times before. I just needed to go out there and have fun, smile, and enjoy it. As my name was called, I took two deep breaths and smiled as I took my starting position on the ice. With my hip still a big question mark, I wasnt attempting the triple axel, but I was determined to rotate all my other jumps. Double axel, triple Lutz-triple toe, camel spin, triple flip, flying sit spin, step sequence, and the final combination spin. As I took my bows, I knew I was a bit tight, a bit cautious throughout my performance. I felt relieved, though, to have gotten through the first segment of the competition. I could rest a bit easier that night going into the free skate. After the mens event, I watched the ladies and pairs free skates and was inspired by their fight and grit. I knew the free skate wasnt going to be easy tomorrow, but I would have to somehow find that fire in my belly, the will to fight to the very end. IX. The next morning, my body was starting to give out, legs exhausted, physically and mentally drained from the long week. I hoped to carry the momentum from the short program the day before. I just had one more program to go, one that I would just go for it and give my all. This would be it, my final hurrah. Last to skate in my warmup â" my least favorite skating order â" I was nervous, a little less than yesterday, but nonetheless, still a bundle of nerves. I told myself to take one element at a time. I could rest all I wanted, only after it was over. Whatever happened, I wanted to end without any regrets. Once the music began, I just let my body go for it, element after element. By the middle, my legs started to wear out. Internally, I was screaming to myself to get it together, to focus, to block out all those negative voices telling me to give up, to will myself to push, push, push, to find that extra ounce of anything left in my body. I put my hand down on my fifth jump, and as I skated into my sixth one, my mind went numb. I popped it, missing the element completely. Angry, I used that to power myself through the rest of the program with the meager strength I had left. As the final note faded into the background, I was too weak to even take a full bow. That was all I had, and then some. I was angry about the miss. Right before I stepped off the ice and entered the kiss-and-cry, I turned around and tried to take it all in: the arena, the audience, the ice, the opportunity, the sacrifices, the journey. If this was to be my last competition, my swan song, I wanted to make sure I cherished that moment. As the final marks flashed on the Jumbotron, they were merely numbers to me. I shook my head. Instead, the memories of the last few weeks, the past season, my last four years fighting to pursue both skating and school â" all of it flashed by in an instant. I was nearly in tears backstage, after embracing my coaches, grateful for their trust and support the past 4 years and, most of all, their belief in me. X. I flew back to Boston that evening, took a nice hot shower, and fell to bed. I was so mentally and physically drained I didnt have enough left to process the last few days, the last few weeks. I was merely glad to get away from it all. If this was to be the end of one path, one long journey of my life, would I be content? Whats next? Ive achieved my highest of highs, and lowest of lows, in this sport. Its opened up the world, taking me across the nation and world, and yet forced me to face the darkest of nightmares. I wasnt even sure Id continue skating when I stepped foot for orientation the first week of school. If it happened, if I still loved it, if I still had time for it, I would go for it. Not for the fame, the titles, or the glory. But for myself. And yet Ive been fortunate to push myself to study and compete full-time each year since. But its nearly driven me insane. Older and with less time and energy to focus on taking care of my body, Ive had more injuries the past 3.5 years than my last 10.5 years combined. Mentally, Ive never felt more discouraged in my life than struggling through the wee hours of the night to study for impossible exams or complete impossible psets. Beyond all that, its been a huge burden to finance both skating and school, two quite pricey endeavors. Its relentless sacrifice, day in, day out. Sometimes Im not even sure if it was worth it. I had a strong season my final year of high school, and could have happily moved on from there. I couldve pursued more research, tacked on more classes, saved a lot of money, participated in more opportunities on campus, and spared myself from the physical and mental stress and burden of it all. But then, knowing myself, I didnt want to think back on my career and ask, what if? XI. Watching my competitors and buddies that I grew up skating and competing with since I was 6 head off to the World Championships, Grand Prix circuit, or the Olympics, its difficult to think how might my skating career would have turned out had I chosen a different school and prioritized skating only? When you dont have enough time or energy for both, its hard to accept that you wont be the best at both. I constantly remind myself that thats okay, because I still have the opportunity to try. To try to push myself mentally and physically. To challenge myself. To come out the next 4 years at MIT stronger, tougher, and more resilient than when I arrived. I neednt be the most accomplished athlete in the arena, or the smartest engineer in the classroom. In fact, Id rather surround myself with better athletes, stronger engineers, and feed off their energy and optimism and brilliance, and learn from them. But was it worth all the sacrifices that Ive put myself through, the self-imposed pressure to perform, to deliver, to achieve? The biggest of spotlights, the most rigorous of semesters? To try to do it all? XII. So many thoughts and what-ifs continue to clutter â" even haunt â" my mind. Its difficult to silence them. With time to reflect and step away from both the MIT bubble and skating world before the spring semester starts, I think back to the times when I was young, as I obsessed over skating, when my parents would constantly remind me that theres more to life than the sport, than wining titles or going to the Olympics. An athletic career is so short-lived, they argued, that I needed to have other dreams too. School could be one of those dreams. If this marks the end of my skating career, I think I can be okay with that. It wasnt perfect, it wasnt all that I dreamed of, I havent achieved everything Id set off to as that wide-eyed and ambitious 6 year old, but I gave it my best shot. Whats next? As I approach the end of my undergraduate career, I try to remind myself theres more to life than both skating and school. Whatever that may be, its always hard for me to grapple with uncertainty. I want to make the most of it while I still can, to take it moment by moment â" and dare to dream even bigger. Check out my feature on MIT News written by Kailey Tse-Harlow and a video produced by Stephanie Tran for the Division of Student Life!
Saturday, May 23, 2020
The Importance of Enterprise Resource Planning Systems Free Essay Example, 17000 words
It's pointed out that ERP systems are implemented by organizations in the hopes of acquiring and consolidating pertinent data relating to the operations of the organization. In this sense, the implementation of ERP systems is deemed of paramount importance to ensure the proper management of the organization. Aside from this, there are other benefits associated with the implementation of ERP systems in Organisations. ERP systems are implemented by organizations in the hopes of acquiring and consolidating pertinent data relating to the operations of the organization. In this sense, the implementation of ERP systems is deemed of paramount importance to ensure the proper management of the organization. Aside from this, there are other benefits associated with the implementation of ERP systems in Organisations. One of the benefits associated with the implementation of ERP systems is the fact that it ensures the enhancement of the institution s technology (Leon, 2007; Shanks, Seddon Wi llcocks, 2003). According to various researches conducted in relation to the advantages of the ERP systems mentioned that enhanced technology for institutions is important because the current system implemented fail to meet the needs of the organization (Leon, 2007; Rothlin, 2010). We will write a custom essay sample on The Importance of Enterprise Resource Planning Systems or any topic specifically for you Only $17.96 $11.86/page Bradford and Florin (2003), in their study entitled Examining the role of innovation diffusion factors on the implementation success of ERP systems mentioned that organizations implement ERP systems because the latter can be used as a strategic concept. Through the use of survey questionnaires administered to one hundred respondents, Bradford and Florin (2003) discovered that ERP systems, as a strategic concept helps the organization attain their objectives and lessen pressure arising from the competition (Bradford Florin, 2003). In this sense, ERP systems contribute to effective firm performance.
Tuesday, May 12, 2020
Essay on Divinity in It is a Beauteous Evening, Calm and Free
Divinity in It is a Beauteous Evening, Calm and Free During the late 17th and early 18th centuries the style of poetry changed drastically. Poets shifted their focus away from the audience and concentrated on the internal self. This created the expressive, lyric poetry we now recognize as typical of Romanticism. William Wordsworth is one of the most famous of the Romantics, as well as author of It Is a Beauteous Evening, Calm and Free. Written in 1807 after a trip to France to visit his daughter, It Is a Beauteous Evening, Calm and Free focuses on Wordsworths view of nature and childhood as essentially divine. Written as a Petrarchan sonnet, It Is a Beauteous Evening, Calm and Free can be divided into two parts, an octetâ⬠¦show more contentâ⬠¦Further along in the poem, the Being makes a sound like thunder (8), another symbol of strength and power. One of the most important features of a divine being is eternal existence. Wordsworth describes nature as being in eternal motion (7); it is constantly changing and evolving. A third quality essential to divinity is absolute perfection. One scene in the poem depicts the sun sinking from the heavens down into the sea. Wordsworth creates an image of such harmony and perfection; it is hard to question the divine essence of nature. In the sestet, Wordsworth switches the focus from the divinity of nature to the divinity of childhood. Although Wordsworth is addressing his daughter specifically, his view of her as divine can be applied to all children. While childhood is regarded as a time of ignorance, where serious thoughts are seldom entertained, the Romantics also view childhood as a time of innocence. Wordsworth addresses both these views in It Is a Beauteous Evening, Calm and Free. By declaring that, eventhough his daughter is untouched by solemn thought, [she] is not therefore less divine(10-11), Wordsworth is saying that a childs ignorance is his or her innocence. As the poem continues, the child is portrayed as [lying] in Abrahams bosom all the year (12), suggesting that her soul is blessed by God. Wordsworths use of the image of the Temples inner shrine is perfect inShow MoreRelatedFar On The Sands : A Shakespearean Sonnets1536 Words à |à 7 Pagesand poets focused on nature and its influence. T wo of those poets, Charlotte Smith and William Wordsworth, wrote many pieces on the beauty of nature and their personal experiences with the beaches of England. In ââ¬Å"Far on the sandsâ⬠and ââ¬Å"It is a beauteous evening,â⬠Smith and Wordsworth describe their respective experiences on the shore at sunset. Both authors use structure, theme, allusions, and imagery to effectively convey their perceptions of nature. While the sonnets share a setting and the topicsRead MoreWilliam Wordsworth and Matthew Arnold1759 Words à |à 8 PagesRomantic writing in his poem, It is a beauteous evening, calm and free, a poem written for his daughter with whom he had recently been reunited (Wordsworth Complete Poetical Works). Unlike his ode, this poem is shorter and is a sonnet. Nonetheless, Wordsworth references the beauty of nature in the broad sun/Tis sinking down in its tranquility, again referencing his favorite item in nature, the sun. In this poem, Wordsworth expresses his belief in divinity and religion. When writing, thou liestRead MoreWilliam Wordsworth And Matthew Arnold Essay1795 Words à |à 8 PagesRomantic writing in his poem, It is a beauteous evening, calm and free, a poem written for his daughter with whom he had recently been reunited (Wordsworth Complete Poetical Works). Unlike his ode, this poem is shorter and is a sonnet. Nonetheless, Wordsworth references the beauty of nature in the broad sun/Tis sinking down in its tranquility, again referencing his favorite item in nature, the sun. In this poem, Wordsworth expresses his belief in divinity and religion. When writing, thou liestRead MoreWilliam Wordsworth: A study of his poetry and its reflection of Romanticism Who is William Wordsworth? Why is he called a Romantic poet? How does his poetry reflect Romanticism?5604 Words à |à 23 PagesWordsworths poetic life began in earnest. He revisited France where he came into brief contact with a Frenchwoman, Annette Vallon, by whom he had a child. His reunion with his daughter is beautifully depicted in his sonnet, It is a beauteous evening, calm and free.On this visit to France, Wordsworth became engrossed in the literary work and philosophies of Jean-Jacques Rousseau. Because of this influence, he developed strong republican sympathies and became absorbed in the revolution out of genuine
Wednesday, May 6, 2020
Coffee growers Free Essays
Coffee growers in poor rural areas are paid very little for their crop. What strategies are proposed in this clip for changing that situation? The strategies that are proposed in this clip for changing this situation are for coffee growers to adapt to the fair-trade market. Under the fair-trade market coffee growers will have the chance to a decent market price that will help increase their production. We will write a custom essay sample on Coffee growers or any similar topic only for you Order Now 2. Now that you know something about the ââ¬Å"sociology of coffeeâ⬠and globalization, will your own consumption habits change at all? Explain why you would change or not your consumption habits. I prefer not to drink coffee as a result my consumption will not change. 3. In what ways is the ââ¬Å"coffee-go-roundâ⬠an example of what Mills called ââ¬Å"public issuesâ⬠and ââ¬Å"private troubles?â⬠The public issues are coffee growers in poor rural area are not paid reasonably for their crops. The private troubles are coffee growers are trapped to sell only coca because of the competitive markets and expensive expenses. 1. C. Wright Mills said that the sociological imagination comes from our ability to see the connection between ââ¬Å"public issuesâ⬠and ââ¬Å"private troubles.â⬠How does the narrator of this film make such a connection in his life? What are the ââ¬Å"public issuesâ⬠and the ââ¬Å"private troubles?â⬠The narrator of this film makes such a connection in his life by connecting his relationship with his brother through his childhood experiences and a tragic accident which created and caused a decision for his brother to go to West Point University and become a Black Hawk pilot for the army that as a result change the narratorââ¬â¢s connection between him and his brother through his childhood. Now having to send American troops to Iraq is a public problem and worrying to have to hear from a love one or relative going to war and not returning back to his family and tragically changing his familyââ¬â¢s life is a private trouble. Article Questions Article 14 1. How do the authors define ââ¬Å"early adulthoodâ⬠? How do they explain the incidence of prolonged early adulthood in the United States? Early adulthood is a time of struggle to gain the skills and credentials required for a job that can support the family they wish to start and a struggle to feel in control of their lives or is when people figure out when they want to do and how best to realize their goals. The primary reason for a prolonged early adulthood is that it now takes much longer to secure a full-time job that pays enough to support a family. 2. Examine figure 2. How are the lives of young people in 2000 different from those in 1960? What do you think accounts for these differences? The lives of young people in 2000 are less successful completing the transition to adulthood than the lives from those in 1960. Young adults not finding a full-time job that pays enough to support a family. 3. Discuss positive and negative effects of postponing adulthood on parenting. How do you suspect this changes childrearing practices? How does having children change the careers of middle-aged workers? The positive effects of waiting to become a parent while in your adulthood are more likely to leave home, be financially independent, and completed schooling. The negative effects of postponing adulthood on parenting are not likely to be financially independent and completing schooling. Parents who postpone adulthood on parenting are likely to show care and loving towards their children than parents who are trying to complete their adulthood. Having children change the careers of middle aged Article 59 1. What is the Gautreaux program in Chicago and how is it departure from previous policy? The Gautreaux program in Chicago is an experiment in public housing. Such policies assume that to depopulate the ghetto, gentrify it, or blow it up is effective solution to the problems concentrated in it instead Gautreaux program try to improve the lifestyles and environment around the less unfortunate. 2. What is the relationship between the ââ¬Å"quality of lifeâ⬠in neighborhoods and their crime rates (as suggested by the work of Clifford Shaw and Henryà McKay)? The relationship between the ââ¬Å"quality of lifeâ⬠in neighborhoods and their crime rates are lacked to control the behavior of local youth as a result traditions of delinquency are passed on by neighborhood youth. 3. Logan refers to studies that used census data to understand variations in crime rates between neighborhoods and the demographic characteristics of their residents. Why is census data a valuable resource in this case? Can you think of ways in which the use of census data in social research might lead to questionable findings? Census data is a valuable resource in this case because it shows the average rates of juvenile delinquency in Chicago tracts that makes some neighborhoods unsafe. We can find out basic information about the size of the population, and its composition by age, gender, race and ethnicity. The use of census data in social research might lead to questionable findings as to understand what are the causes and problems that each individual face. 4. To explain the conditions in a neighborhood, Logan suggest we must answer two questions. What are these questions, and how do they differ from the approach of most studies of neighborhood inequalities? First, what happened to these places to create their conditions? Second, how and why do certain kinds of people come to live in places with such problems? The two questions are different from most studies of neighborhood inequalities because most studies of neighborhood inequalities strongly focused on race and education. How to cite Coffee growers, Papers
Sunday, May 3, 2020
Missed Nursing Care free essay sample
Introduction Patient safety is a concern in the hospital setting. Missed nursing care due to high nurse patient ratios, or staffing issues leads to patient falls. Patient falls tend to be a big issue and expensive matter for hospitals nationwide. This paper will focus on a qualitative research article regarding missed nursing care, staffing, and patient falls. Included will be a summary of the research, methods and research used in the study, significance of the research findings, ethical considerations, and a conclusion. Summary of Research Problem Falls pose problems for many patients, such as death, fractures, functional need, and afraid of reoccurrence. Although, hospitals have set forth evidence based guideline strategies for de creasing the number of falls. Consistency and implementation of the strategies are limited. Data was gathered from 188 medical surgical units in 48 separate hospitals nationwide. Data revealed there was not consistent use of interventions to address specific risks. The findings go hand in hand with nursing care being regularly missed. We will write a custom essay sample on Missed Nursing Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nursing care often gets missed due to staffing issues. Missing any nursing care or not fully completing tasks leads to patient falls (Kalisch, Tschannen Lee, 2012). Methods and Research Used in the Study A qualitative approach was used in the design of this research. The research project was conducted in smaller scale hospitals of 60 beds to larger scaled hospitals with 913 beds. The total number of units was 124, this was broken down to as little as 2 units in the smaller hospitals to as many as 22 units n the bigger hospitals. Unit inclusion criteria were, an average patient length of stay of 2 days or more and, a patient population greater than 18 years. Exclusion criteria were short stay units and pediatric, womens health, perioperative, and psychiatric units. All patient care units in the hospitals that met the inclusion criteria agreed to participate in the study (Kalisch, Tschannen Lee, 2012). 3432 nurses were included in this study. In addition to nurses 980 nursing assistants were participants of this study. The surveys return rate was 57. 3%, some units was as high as 99. % and as low as 34. 4%. (Kalisch, Tschannen Lee, 2012). Missed nursing care data was collected from the MISSCARE survey. This survey focuses on identifying the rate of missed care. (Kalisch, Tschannen Lee, 2012). The article states that the National Database of Nursing Quality Indicator standards was used as a guideline to describe Hour Per Patient Day (HPPD). The number of working hours by all nursing staff was to calculate these HPPD values (Kalisch, Tschannen Lee, 2012). Any witnessed or unwitnessed event that leads to a patient found on a floor is used as a definition for patient falls. A ratio of falls per 1000 patient days was used as the calculation of fall rates for this research. (Kalisch, Tschannen Lee, 2012). Significance of Research Findings Statistical analysis showed that there is a high correlation between patient falls and the factors of nurse staffing that were addressed in this study. This shows that nurse staffing is significant in preventing patient falls and safety concerns in the hospital. The findings in data collected reinforce previous findings that greater staffing leads to fewer patient falls in the hospital. There were several correlations between the data collected and patient falls. The correlation and data collected also support that the types of missed care can be predicted at different staffing levels(Kalisch, Tschannen Lee, 2012). Ethical Considerations After institutional review board approval from each of the contributing hospitals, study data was collected from November 2008 to August 2009. During the research process patient privacy remained protected. No ethical issues were listed to being an issue. Conclusion The findings from this research study emphasizes the significance of guaranteeing that required care is accomplished daily, to decrease the number of patient falls. Although, staffing may affect the rates of patient falls, the level of influence is lowered when care is finished entirely. Additional work must be done to help nurses in completing essential tasks such as ambulating patients, assisting patients with toileting, patient assessments, and answering call lights, which may mean more staff members. Techniques for helping staff members complete all portions of nursing care include lists, reminders, and engagement of the patient. Until it is completely understood that the process of nursing care and its relationships to patient outcomes are related, we will not be able to develop positive strategies to stop unfavorable proceedings such as falls. Staffing and nurse to patient ratios should be considered to help aid in nursing care completion.
Thursday, March 26, 2020
Friday, March 6, 2020
Hiral Patel Essays (235 words) - Money, Banking, Economy, Lock Box
Hiral Patel Essays (235 words) - Money, Banking, Economy, Lock Box Hiral Patel Key Value Paragraph My name is Hiral Patel and I am a Finance student at Fox School of Management graduating in 2018. As a lockbox specialist at MetaSource, I demonstrate my multitasking ability by managing and completing various tasks on a daily basis. For example, I receive, sort, prepare, and process remittances and checks to deposit in clients' bank accounts. I have to successfully deposit remittances and checks by the designated deadline so I manage my time wisely. As soon as I receive checks in the morning, I begin to sort and prepare them. I then look up account numbers and process checks in the proper bank accounts. I also enter pertinent data from checks such as customer names, addresses, deposit amounts, and account numbers into an automated lockbox system. I follow established corporate and department policies and procedures to avoid errors and customer dissatisfaction. Once I complete those set of tasks, I move on to different projects apart from lockbox to better obtain knowledge and exp erience. Due to my ability to multitask, I am able to successfully deposit checks and remittances in clients' bank accounts. Not only do I have the ability to multitask, but I also have the ability to try a project out of my comfort zone. I can use my experience to handle multiple tasks and initiatives with precision and accuracy to successfully operate in a high-pressure environment.
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