Monday, January 27, 2020

Effect of Inter-professional Team on Collaborative Working

Effect of Inter-professional Team on Collaborative Working How Communication within an Inter-professional Team Can Affect Collaborative Working Strategies Introduction Schwartz, Lowe Sinclair (2010) have stated that effective communication is very important for a health care professional and service user to interaction with each other successful and also between the health care professionals. according to Weiss Tappen (2014),P98 Communication is considered to be a core competency in promoting inter-professional collaborative practice. This assignment will identify and discuss the differences within the inter-professional and collaborative working strategies, which can help health care professionals overcome any boundaries within different professions. The assignment will also looked at the knowledge and skills which are vital in order to show autonomy in practice this help nurses to improved their level of interaction with different professionals within the an inter-professional team. Anderson(2013), have stated that communication is vital in nursing profession this is due to the nursing practice on a daily basis is build on collaborating or working with different professionals. (Garwood, Lingard et al, 2005) reported that when medical errors take place, the reasons for the error are often traced back to breakdowns in communication between members of the healthcare team. It has been stated by Goodman and clemow(2010) nursing profession is not a solitary profession. Nurses should therefore be able communicate effectively with different professionals in order to work as a part of the team and interact successfully. If nurses can maintain this positive attitude of working in inter-professional collaborative working strategies and communicate effective, this will not only benefit the patient centre care but it will also reduce the conflict within different professions. Anderson (1990) stated that active listening is a process that requires energy and concentration to avoid one missing major points which would in turn compromise delivering quality care to the service users. This has been evidenced in both Victoria Climbie baby P cases and Mid Staffordshire(Francis report 2013) where there was a lack of communication and collaboration among the inter-professional group which led to fatal incidents in both cases. According to (Hall and Weaver,2001) in order to improved the quality of the service user there has to be a good communication, collaboration and congruence among the health care provides. To be an effective collaborative worker. The Nursing Midwifery Council (NMC,2008) have state in the code of conduct that nurses must able to work effectively as a part of a team and this can only be achieved through if nurses are willing to sharing their knowledge, skills and experience with their colleagues. making consultations, taking advice when appropriate, and making referrals to other practitioners. cooperate with others in the team; maintain your professional knowledge and competence; be trustworthy and to act to identify and minimise risk to service users This strategy naturally entails communication with other professionals. Communication in this case can be verbal or non-verbal.when communicating with different professional it is vital that the language which is used during the communication is understood by all those whom are involved in the care of the service user. (Kourkouta Papathanasiou, 2014).What that means is that during inter-professional communication the language which is use should be formal and consistent. This is another way which help to improve inter-professional communication and enhance collaborative practice. Schwartz et al.(2010) have identify that one related problem which prevent effective development of inter-professional communication, which is development of a language that is different for every profession. Having a language which is only unique to one profession or discipline can seriously cause communication barrier within personnel from different professions or discipline(Schwartz et al.2010). Miscommunication could be due that health care professionals are unable to understand the information which been given , now this could be due to lack of shared understanding of commonly used acronyms , terms and concepts.( Schwartz et al.2010).This can have great impact of the quality of collaboration within professionals this could be due that they are unable to understand each other on easy way. In order to deal with this problem it is important to avoided use of medical jargon, especially when inter-professional team involved non-healthcare personnel. This issue of using medical jargon when communicating with non-healthcare personnel has been a hot topic during the lecture of Cares of Hertfordshire, they have stated that they wish that healthcare professional will communicate with them with the language that they understood not so many medical jargon that they do not understand and has not been explained to them in way that they could understand it. which is why it vital to recognize our own use of jargon and asked colleagues clarified unclear terminology and use jargon free language whenever is possible. Campbell(2006) Have reported that poor communication has frequently been cited as one of the biggest criticisms in health care settings. Another importance of collaboration is that it ensure the transfer of accurate information necessary to deliver appropriate care . Nurses have also been advice to adopt a structured format of verbal and non-verbal communication skill which is acceptable to all members of the inter-professional team. One structured which is common within the hospital known as SBAR,(Situation, Background, Assessment and Recommendation) this method make inter-professional communication more effective and easy to understand and reduced any confusion . Narayan(2013,p504). According to Kourkouta Papathanasiou, (2014,p65) have stated that communication can happened even without words been said, which is it is important to recognise that non-verbal communication is quail important as verbal communication. Non-verbal communication is through body language and facial expression (Kourkouta Papathanasiou,2014 ) . This is why it is vital that nurses learn within early stage of their practice learn how read and understand other professionals non-verbal communication, which usually should use with spoken words, in order to fully understand the information communicate and eventually improve collaborative practice. It is important to have a clear and structured form of communication in order to prevent stereotyping and judgmental attitudes and unprofessional behaviours towards other members of staff. with this knowledge in hand it is important to make sure ones future professional judgement or decision are based on accurate information sharing, making sure that non-judgemental avoided misunderstanding and misconception when making decision. This is one of the reason why The NMC (2008,p5) states that nurses should be able to work cooperatively within teams and respect the skills, expertise and contribution of the others. another strategy of collaborative working is that always make sure that patients or service users are involved at any decision making regarding their acre. According to Beauchamp Childress (2001) the autonomy of services users should be respected and their decision-making capacity of independent person which enabling them as an individuals to make reasoned informed choices about their treatment. It is clear that nursing profession is like any other profession which requires a certain of independence from other professions even if the practice of nursing required ones to work collaborating with other professions. Dave (2009) have state that the role and responsibilities needs to be defined, challenged and task to be shared within health care profession this will enable both nurses and different other health care professions whom are also involved in service user care. Independent practice points to the concept of autonomy. Dewar (2010) states to be able to practice professional autonomy means that one is already in the advance practice of ones profession. Nurses should be able make clinical decision directly relating to their patients care in order to practice autonomy. It is important to know yourself and your capabilities, to understand what makes us do the things we do and why we do them. also to be self-aware. Self-awareness is a vital aspect of professional development. People are born into different backgrounds and are different in their ways, motivations, thoughts and beliefs; however as a professional, it is important to recognise how these affect others to be able to establish and maintain therapeutic relationships with patients. (Swapna ,2007) Knowing our own thoughts and feelings, strengths and weaknesses gives us the ability to guide us in our decision making, and also helps us to become more self-confident in our approaches The main priority of service improvement is to improve access for patients by engaging clinical teams to reduce waits and delays at all stages across a patient pathway. Service Improvement is achieved by looking for opportunities to redesign as well as ensuring that effective waiting list management practice is implemented. Conclusion Inter-professional communication gravely affects collaborative working strategies which use within an inter-professional team. It is core effect which is inefficient collaborative practice which enable to make sure high quality of care is deliver to the patients at all time. poor inter-professional communication can hinder collaboration within professionals and which in turned can have a greater impact on the quality of care which delivered to the patient. It is important to have good inter-professional communication and collaborative working practice in place to prevent any miscommunication happening within the health care. SBAR is one good example of using a formal structured language. It is also very important as a health care profession to remind ourselves to avoided using medical jargon . References Anderson, L. (2013). Why communication in the nursing profession is important? Retrieved May 10, 2015, fromhttp://www.nursetogether.com/why-communication-in-the-nursing-profession-is-important Anderson, C. (1990) Patient Teaching Communication in an Information Age. New York. Delmar Publishers Inc. Beauchamp T Childress J (2001) Principles of Biomedical Ethics. Oxford. Oxford University Press Dewar, K. (2010). Advanced practitioners and advanced practice. In: M. Standing (Ed.).Clinical judgement and decision-making in nursing and inter-professional.(pp. 28-53). Maidenhead: Open University Press. David Hutton (2009)Professional Advisor Revalidation, Nursing and Midwifery Council Preceptorship Framework for Newly Registered Nurses, Midwives and Allied Health Professionals Department of Health (2009) Goodman, B. and Clemow, R. (2010).Nursing and collaborative practice: A guide to interprofessional learning.London: SAGE. Francis (2013) Report on Mid Staffordshire Hospital. Retrieved from https://www.gov.uk/government. Hall, P., Weaver, L. (2001). Interdisciplinary education and teamwork: A long and winding road. Medical Education, 35, 867 – 875. Joshi Swapna Ranade Sujata (2007)Model Answers in Obstetrics Nursing Published byJaypee Brothers Medical Publishers (P) Ltd. The Nursing Midwifery Council (2008) Code of professional conduct: Standards for Conduct, Performance and Ethics. London. NMC Kourkouta, L. Papathanasiou, I. (2014). Communication in nursing practice.Mater Sociomed,26(1), 65-67. Narayan, M. (2013). Using SBAR communications in efforts to prevent patient rehospitalizations.Home Healthcare Nurse,31(9), 504-515. Rita Debnath Professional Skills in Nursing: A Guide for the Common Foundation Programme (Campbell 2006) Chapter 3 Communication Skills Schwartz, F., Lowe, M. Sinclair, L. (2010).Communication in health care: Considerations and strategies for successful consumer and team dialogue.Retrieved December 20, 2014, fromhttp://www.hypothesisjournal.com/?p=885 Thurgood, G. (2011). Teamwork: Working with other people. In: R. Burton G. Ormrod (Eds.).Nursing: Transition to professional practice.(pp.118-157). Oxford: Oxford University Press. Verhovsek, E., Byington, R. Deshkulkarni, S. (2013). Perceptions of interprofessional communication: Impact on patient care, occupational stress and job satisfaction.The Internet Journal of Radiology.12(2) Retrieved December 20, 2014,https://ispub.com/IJRA/12/2/4895 Weiss, S. Tappen, R. (2014).Essentials of nursing leadership and management.Philadelphia: F.A. Davis Company. 09203474 Jarra jabang1

Sunday, January 19, 2020

To what extent do you regard The Shield Of Achilles as characteristic E

To what extent do you regard The Shield Of Achilles as characteristic of Auden’s work as whole? At first glance Auden’s poem the ‘Shield of Achilles’ appears to be focused on the classical world. The poem’s classical nature is first indicated by the title- Achilles was of course a famous Greek hero, and throughout the poem there are further classical references, many of which Auden has taken from Book XVIII of Homer’s Iliad- ‘Marble well-governed cities’ (l.3), ‘†¦athletes at their games’ (l.46), ‘Hephaestos, hobbled away’ (l.61). However, the poem also combines these classical details with the modern world- ‘Proved by statistics’ (l.17), ‘Barbed wire enclosed an arbitrary spot’ (l.31). Although there is this unusual combination of classical and modern, the poem can be seen as timeless: Column by column in a cloud of dust =================================== They marched away enduring a belief Whose logic brought them, somewhere else, to grief. (‘The Shield of Achilles’ ll.21-23) Here the army who are ‘enduring a belief’ (l.21) that they are doing good can be as easily applicable to the modern day (i.e. the situation in Iraq) as to classical times. The timeless nature of the poem can be said to be a characteristic feature as it appears in other poems such as ‘Gare du Midi’: ====================================================================== †¦clutching a little case He walks out briskly to infect a city Whose terrible future may have just arrived. (‘Gare Du Midi’, ll.6-8) Here we are led to believe that a man is about to unleash a terrible weapon on a city and although the poem was written in December 1938, its proleptic nature allows the poem to be much more in tune with the w... ...atures, it is perhaps impossible to outline a characteristic Auden poem. ‘The Shield of Achilles’ lacks many features that would make it characteristic. For example, poems such as ‘Moon Landing’ and a ‘Walk After Dark’ are rife with colloquial (‘Mneh’- ‘Moon Landing’, ll.22) and recherchà © (‘Lacrimae rerum’- ‘A Walk After Dark’, l.30) language, whereas ‘ The Shield of Achilles has none, instead the language in the poem obeys the poem’s principle of contrast- it alternates between classical and modern language. Therefore it’s reasonable to say that there are many re-occurring themes throughout Auden’s poems, but not that there are entire poems which are ‘characteristic’. --------------------------------------------------------------------- [1] It is notable that ‘Ist September 1939’ appeared on many websites after the September 11th attacks in 2001.

Saturday, January 11, 2020

Business process management Case Study Essay

1.How would you define â€Å"business process management†based on this video and text reading? How would you compare it to business process re-engineering, continuous improvement, and total quality management approaches? Answer: -Business Process Management is most often associated with the life cycle of a business process. The process life cycle spans identifying and improving processes that deliver business capability to deploying and managing the process when it is operational. 2.What are the major objectives of BPM? Answer: After a business process is deployed, it   must be managed, and, to manage the business process, you must have visibility into process performance. When a process is no longer meeting its performance goals, it is time to jump back in the life cycle to assess the root cause of the performance problem and to look for additional improvement opportunities. –  3. what is the significant of a â€Å"service oriented architecture?† What differences does this make for implementation,cost, and flexibility of the BPM tools? Answer: -solution to enable reuse of services across systems to eliminate data inaccuracy problems, enhance existing applications and deploy new ones 4.Why is it important that the BPM software products a Business Process Exucution Language (BPEL) Model for the IT department? Answer: using business process modeling and the IBM WebSphere Business Modeler tool to describe flows and interactions within different areas,† says Nay. â€Å"WebSphere Business Modeler can then export into Business Process Execution Language (BPEL); BPEL can be pulled into the WebSphere integration tools, becoming part of the creation of integrated processes. This helps us focus on process issues across silos, instead of having to look at issues within siloed areas.† Nay believes that by reusing services, logic previously usable in only one place can now be exploited wherever needed.  Ã¢â‚¬Å"For example, we can create a service that performs a grade lookup for the Distance Education project,† he says. â€Å"We can reuse that service repeatedly across different systems to solve different problems, saving time and money. By adopting the SOA approach using WebSphere Business Modeler, IBM Process Server and IBM WebSphere Integration Developer, 5.what is the utility of â€Å"key performance indicators â€Å"(KPI)? Answer: Business activity monitoring provides visibility over operational performance. IBM WebSphere Business Monitor is a comprehensive business activity monitoring software product that provides users with a real-time, end-to-end view of busi- ness processes and operations. WebSphere Business Monitor provides customizable business dashboards that calculate and display key performance indicators (KPIs) and metrics derived from business processes, business activity data and business events from a wide range of information sources. 6.why is it important for managers to be able to â€Å"drill down† into the data and system? Answer: In order to identify the patterns that may lead to catalog errors—and quickly and appropriately act upon the detection of these patterns—IBM needed to capture, evaluate and correlate multiple events from the various systems and organizations that are involved across the enterprise. The type of processing needed for this problem is called business event processing (BEP). Business Process Management (BPM) software and services from IBM help organizations optimize business performance by discovering, documenting, automating, and continuously improving business processes to increase efficiency and reduce costs. And to easily manage their business with out worrieng about any problems – 1.What are some features of Antivia Desktop that remind you og web 2.0 technologies Answer: Antivia subscribe to the view that ideas and concepts realized through the advent of web 2.0 are Transforming the way in w/c the world expects to access and use information. 2.What is the importance of communities in the antivia Desktop? Answer: They have invested significant amounts of time,effort and money to achieve  this. Antivia desktop incorporates some web 2.0 techniques and technology to Avhieve a richer collaboration environment. 3.Why is it important that discussions are closely linked to resources (documents)? Would you find this feature a distraction, or useful? Why ? Answer: in business , in all aspect of business you should have a resources like document to manipulate you transaction even you far away to your busiiness 5.For what types of business is Antivia Desktop well suited? Answer: Any business that have a link o or connection to other, like networking company, 6.What are some drawbacks or weaknesses of the antivia system? 1.What is the ‘8 second rule’ of the internet and why is it important to m-commerce technology? Answer: The 8 second rule: it is the average maximum length of time an Internet user will wait for downloading a webpage, before he or she shuts the Internet page and goes to another website. 2.why might it be useful to m-commerce providers to have records of theirs’ purchase histories? Answer: If m-commerce is to spread, the network used has to be successful enough, otherwise consumers won’t use their smartphones as a mode of payment. 3.what is the biggest concern most cell phone users have about using m-commerce service? What are some other concerns? Answer: With records of their users’ purchase histories, m-commerce providers â€Å"get(†¦) the visibility into consumer habits that enable them to develop new products and services that are more tailored to what consumers really desire† 4.How would the widespread use of m-commerce technologies affect you life? Answer: 1.Using Porter’s competitive forces model,analyze the NBA’s market situation.How does te use of akamai help the NBA compete in this market? 2.Using Porters generic strategies model,what do you think is the NBA’s overall stategy or strategies? 3.Why is it important that all fans in the world have the same experience? 4.why is it important that individual franchising owners can build,manage, and distribute on the NBA platform their own content? 5.The word â€Å"partnership†appears several times in the video.Who are the NBA’s partners?How does the concept of strategic apply to the NBA’s partnership strategie? 1.What kinds of limitations do you see for users of telepresence?Is it really a substitute for face-to-face meeting?make a list of features of face-to-face meetings. Then consider a range of business situations as anemployee,from initial hire,to working with a team,to understanding what your boss wants,and even a termination meeting.How would telepresence work for you in these situations? 2.What are the business benefits of telepresence described in these videos? What is the benefits of a hologram? 3.In the past,work was organized into central buildings located in central locations (like cities) in order to facilitate face-to-face interactions.What impacts might telepresence have on the organization of work? How could you use tools to organize work on global scale with actually building physical facilities in remote locations? 4. Why is it important that the remote locations using telepresence have the same lighting,seating,and style? 5.What applications of telepresence would be useful for marketing to customers?

Friday, January 3, 2020

Friendship - 1090 Words

What is friendship? People have been asking this question for centuries, and we can never know the exact answer that will fit everybody’s definition of friendship. Friendship is the relationship between two people who really care about each other. Your friendship will keep you happy, but it is not easy. Friendship demands time and effort, and sometimes you have to step over your pride and put yourself on the place of your friend, and see what she feels even if you think you are correct. But in exchange, a friend can provide a lot of support and comfort in good times and bad. Many things are needed to make friendship a real one, including trustworthiness, support, honesty, and loyalty. Friendship is supposed to make both people happy, and†¦show more content†¦Real friend be always with his/her friend in well and in owes. In order to maintain friendship, it must be valued and handled delicately because treatment towards friendship determines a friend is real friend or fair weathered. All people seems friendly are not friend. Many pretend to be friend and terminate friendship as soon as their interests are fulfilled. We may have thousands of fair-weathered friends in prosperity but real friends are those who stand by us in our trouble. It’s very painful when friends proved traitor so in choice of friends we must be cautious. A true friend inspires other to improve himself. He does not indulge in flattery. He always warns his friend if the latter goes on the wrong track. He always protects his interest. He does not hate him for his weaknesses but tries to improve him. He may annoy him temporarily, but he does that for a good cause. One should always try to avoid bad company. A group of bad friends may indulge in smoking, drinking, taking drugs, eve-teasing, fighting, quarrelling etc. One should not hate bad company. One should try to reform them. In this way, one can be of help to the society as a whole. Friendship has no boundaries of age, time, place or relations. Practically, friendship is made between persons of similar age group. But even a brother, a sister, a husband, a father or a mother can become good friend. Benefits and necessity of friendship is innumerable. Human beingShow MoreRelatedFriendships : Friendships And Friendships896 Words   |  4 PagesFriendships Marlene Dietrich once said, â€Å"It is the friends that you can call at four a.m. that matter.† There are many different types of friendships. Casual friendships, opposite-sex friendships, and long term friendships are all examples of the different and common types of friendships used today. Casual friends are those you can text and hangout with every once in a while, without any sort of attachment. Friends of the opposite sex are those who help you with your relationships when you are havingRead MoreFriendship Between Friendship And Friendship1405 Words   |  6 PagesFriendship is a form of virtue and is indispensable for human life since man is a social being. 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Friends are a refuge in times of poverty and misfortune; they help to guard the young from error; they help the old in their weakness, and help those in the prime of life to perform noble actions.† –Aristotle According to dictionary.com, the word friendship is defined as a person known wellRead MoreFriendships1385 Words   |  6 PagesBigelow and La Gaipa (1975) observed children’s friendships by asking a number of children to write an essay about their best friend using the approach called â€Å"content analysis†. William Corsaro however dictates that in order to study children you must study them in the context of their own peer culture, he used the â€Å"ethnographic approach†. In this essay I shall attempt to compare and contrast the approach used by Bigelow and La Gaipa (1975) and that taken by William Corsaro (2006). In the earlyRead MoreFriendship1166 Words   |  5 Pagesï » ¿Friends are the pearls of our life.. Friends are a necessity in every child’s life. They are there to comfort, to laugh with, and to create wonderful memories My Friendships have played an extremely important role in my life. I do not know where I would be without my friendships.   Friends to me are the people you know and enjoy being around and talking to. There are the best friends that are usually closer than the others and you are always with. What I find most important is being ableRead MoreFriendship1293 Words   |  6 Pagesscene and give me fake reasons as to why I should not be friends with so and so. That’s when I realized that she was manipulative and a compulsive liar. She would lie her guts off about anything and everything. After a while, I was done with that friendship. I wanted out, and fast too. Only there was one problem with this situation, she would guilt me. She would guilt me into sticking around! The worst part is that her own mother would be in on it too. 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