Sunday, August 23, 2020

Clinical Leadership Characteristics Qualities

Question: Examine about the Clinical Leadership Characteristics Qualities. Answer: Presentation Administration have likenesses in practically all businesses in spite of the fact that medicinal services is set apart by the complexities and wide scope of direction. Wellbeing pioneers are in the endeavors to get enhancements the personal satisfaction indictor and clinical practices. Nature of human services administration directly affects the nature of care and this accomplished through a solid workforce of social insurance experts. Pioneers can effectively control the fulfillment levelsof care laborers, their trust in the heathcare setting the board, lead to expanded inspiration and responsibility, eventally offering ascend to a group with reasonable adequacy (Kaynak, 2016). Authority is a crucial worry in matured consideration workforce as this gathering of expert face various difficulties thinking about the matured patients with assorted and ever-evolving needs. Matured consideration workforce experiences issues like staff execution, work fulfillment, care quality, profitabilit y and staff duty. Against this scenery administration may end up being the best vital instrument for tenderizing upgrades in the situation (Careau et al., 2014). The current paper would identify with the advancement of authority ability to help and lead the matured consideration workforce in development and change. The paper presents the method of reasoning for the advancement of authority ability to help and lead the matured consideration workforce in development and change being a vital workforce issues. The following area of the paper features the goals that are valuable for settling the workforce issue of the improvement of initiative limit with regards to supporting and driving the matured consideration workforce. Proof based procedures tending to the issue of improvement of authority limit is introduced from that point. The last area of the paper illuminates the thought of the change the executives gives that are to be tended to so as to actualize every one of the proof based systems. Justification for the improvement of initiative ability to help and lead the matured consideration workforce in advancement and change being a key workforce issues Jeon et al., (2015) have featured social insurance administration to be a mentality that advises the conduct regarding experts with regards to human services conveyance rather than only an expertise or an assignment. Initiative in medicinal services is the activity of driving the gathering of social insurance experts an alluring way for accomplishing a lot of objectives. Most of the issues identified with matured consideration segment spin around the shortage of satisfactory initiative showed by the experts. The supporting effect is the powerlessness to line up with the vision and crucial the targets of the association. Brownie and Nancarrow (2013) bring up the initiative is frequently discovered ailing in the proper method of training of many consideration experts in the matured consideration office and the reasons might be individualistic just as authoritative. Feelings of anxiety, absence of information, constrained understanding and absence of individual venture are the significa nt issues that go about as boundaries to the advancement fo initiative. On a hierarchical level, remaining burdens, inappropriate work environment culture, the expense of instruction and preparing, and restricted sources are the difficulties looked by experts. Grohar-Murray et al. (2016) illuminate the way that most more seasoned people effectively add to the wellbeing texture of the general public. Be that as it may, expanding age is joined by expanding medical problems, all the more absolutely multi-horribleness and incessant illnesses. Therefore there lies an expanding need of matured consideration benefits in human services settings. The desires for the gauges of administrations in the matured consideration part are ascending as time passes, and there is a persistent interest for having arrangement of remedial consideration to be conveyed by medicinal services experts. All things considered, the capacity of the matured consideration administrations to convey high caliber of care is generally tested because of various workforce issues. With the progression of time, the issues have made a broad change in the workforce profile of matured consideration. Strategy producers in differed medicinal services associations have been putting a sign ificant accentuation on the nature of authoritative administration and individual initiative abilities in care settings. Initiative, alongside social and passionate knowledge would help in acquiring development the manner in which administrations are conveyed n the matured consideration offices. Likewise, it would be simpler for the partners to achieve significant changes in the workforce. It is expected that administration can fathom the significant issues looked by the vital workforce in matured consideration segment (Barr Dowding, 2015). Objectives or destinations for comprehending the workforce issue of the improvement of initiative ability to help and lead the matured consideration workforce in development and change One may call attention to that authority executed in sufficient degree in matured consideration office can realize uncommon changes in the manner medicinal services is conveyed. The objective for understanding the workforce issue of the improvement of administration limit with regards to supporting and driving the matured consideration workforce in change and advancement is guarantee that all experts include a mutual vision inside the setting of the association and can oversee effectively the progressions achieved so as to have fruitful exhibitions and meet the vital needs of the office. The goal of the improvement of initiative is have a specific administration style that meets with the four spaces of relationship the executives and correspondence, social obligation, appropriate human services condition and business (Jackson et al., 2013). The objective is keep up a consistency in the current workforce elements while acquiring enhancements the efficiency and quality. The initiative style chose for usage would be according to the particular venture. The requirements of the group and people would be thought about. Matured consideration laborers would need to complete their assignments in an autonomous way without help and intensity of the higher specialists. It is likewise alluring that they have a solid coordinated effort among themselves in order to improve co-activity. Creating trust connections would be valuable, be that as it may, these are to be founded on moral standards. With solid authority abilities drove section of land laborers would be better ready to appoint assignments and obligations and better handle the difficulties confronted while thinking about more established patients with fluctuated needs. Fearlessness, in adjunction with unassuming nature, would help in building up a positive remedial relationshi p with the medicinal services purchasers. The capacity of the laborers to work across various units and capacities would likewise be a piece of the general point of creating initiative (Whitehead et al., 2015). Proof based procedures that would address the issue of advancement of authority ability to help and lead the matured consideration workforce in development and change being investigated A rich pool of writing has given experiences into the techniques by which administration can be created in the human services offices. Social insurance experts can move into the places of human services pioneers by utilization of various reasonable techniques. The administration insufficiency that is generally been made in the matured consideration office because of certain negative conditions can be topped off through adapting up to the difficulties in imaginative manners. A lot of core values are to be followed so as to accomplish maximal authority potential and result in better consideration results (Stanley, 2014). As opined by Jeon et al., (2015) initiative aptitudes could be supported and sufficiently sharpened in various manners, and every one of these methodologies is to be remembered for the improvement plan though the couldn't care less laborers of whom expanded the degree of administration is normal. The adopted strategies are to be followed the assistance of an ability th e executives framework that is all around stooped. It is the obligation of the medicinal services association to guarantee that the commencement of initiative improvement is done in an appropriate setting, enveloping the muti-faceted social and mental needs of the workforce. The most significant methodology that can be applied for tending to the issue of improvement of authority limit in the matured consideration workforce is to direct online classes, meetings and workshops. These retreats would be effective in giving conventional preparing to the workforce on differed subjects and give information on the more extensive difficulties looked by the matured consideration workforce. Redistributed preparing openings would demonstrate to offer numerous advantages. Preparing should be on a wide cluster of subjects covering representative inspiration, compromise, time the board and key arranging. The topic specialists would convey exceptional points of view and members would have a more noteworthy comprehension of concerns and issues looked in day by day practices of matured consideration (West et al., 2015) On-work initiative preparing would be another proof based methodology that looks past the present degree of certainty of the consideration specialist and encourages learning. Four sorts of encounters might be important in such manner; execution of required change, new obligations, extended duties and assorted variety. This would give an appropriate chance to proficient advancement of the consideration experts. The difficulties looked by experts in the proper way of training would fill in as the integral asset for figuring out how to display authority. This methodology would prompt expanded inspiration, responsibility, certainty, maintenance and in conclusion hierarchical citizenship conduct. It is essential that particular capabilities of the laborers are recognized in any case. Capabilities can be characterized as the capacities and aptitudes one have. Pioneers over the association are to be met for distinguishing the key occasions that are to be handl

Friday, August 21, 2020

Federal Government of the United States and Sequestration

Understanding Sequestration Christine Miller Webster University Author Note Christine A. Mill operator, Webster University. Correspondence concerning this article ought to be routed to Christine Miller, 21356 89th Street, California City, CA 93505. Email: [emailâ protected] net Abstract Understanding sequestration can be overpowering. What are government sequestration and the Budget Control Act (BCA) of 2011 and how would they sway us? Which government offices will feel the effect the most? Are there offices that are absolved from the sequestration?And at long last, is there an approach to forestall the sequestration? A financial plan sequester is when cash under current law is utilized to finance the spending shortage. President Barack Obama marked into law on Aug 2, 2011 a government rule titled The Budget Control Act (BCA) of 2011. This government resolution will force restrains on optional projects by more than $1 trillion more than ten years from 2012 through 2021. These cutoff points depend on the Congressional Budget Office benchmark from 2010 (Kogan, 2011). Sequestration was in fact activated when Congress neglected to agree by Jan. 5, 2012, but since the cuts don't start until 2013, Congress truly has until the finish of this current year to establish new enactment that would drop or defer the cuts (OMB Watch, Nov 6, 2012). As a worker on an army base, the effects of the sequestration could cause short and long haul consequences for our contractual worker support. Understanding Sequestration can be comprehensively characterized as the move of making legitimate ownership of advantages until an obligation has been paid or different cases have been met. In government terms, a sequestration is an endeavor to change Congressional democratic procedures.This is a push to make the size of the Federal government's spending shortage a matter of cognizant decision as opposed to just the result of an allocations procedure. A procedure where nobody at any point to ok a gander at the total outcomes until it was past the point where it is possible to transform them. On the off chance that the allocation bills passed independently by Congress accommodate absolute government spending in overabundance of the cutoff points Congress prior set down for itself in the yearly Budget Resolution, and on the off chance that Congress can't concur on approaches to decrease the aggregate, at that point a programmed type of spending reduction takes place.This programmed spending cut is what is called sequestration (Johnson, 2005). What are the significant components of the BCA of 2011? To start with, it permitted the President to raise as far as possible by $2. 1 trillion. This cutoff is evaluated to be sufficient through mid 2013. Second, settled cutoff points on yearly assignments charges which spread optional or non-qualification projects, for example, resistance, training, national stops, the FBI, the EPA, low-pay lodging help, clinical research, and numer ous others; the cutoff points lessen anticipated subsidizing for these projects by more than $1 trillion through 2021.Third, it required the House and Senate to cast a ballot in the fall of 2011 on a change to the Constitution to order a reasonable spending plan each year. Fourth, it set up a Joint Select Committee on Deficit Reduction to deliver enactment to lessen anticipated deficiencies by in any event an extra $1. 2 trillion through 2021 (past the reserve funds created by the optional tops). Lastly, the BCA set up a possibility system to guarantee that $1. 2 trillion in shortfall decrease would be accomplished if the Joint Select Committee failed.This given to programmed, in all cases spending cuts in numerous projects in 2013 and decreases in every year from 2014 through 2021 in the yearly tops on optional allotments just as programmed cuts in chosen qualification programs (Kogan, 2011). Which government projects will feel the effect the most? On the off chance that sequestrat ion takes place the cuts will be partitioned equitably between the resistance and non-barrier programs, around $55 billion each.Non-absolved non-safeguard programs like Head Start and instruction projects will have a 8. 2% cut, roughly $38 billion. Non-absolved non-guard obligatory projects like horticultural fiasco alleviation will have a 7. 6% cut, roughly $5. 6 billion. Installments to Medicare suppliers and health care coverage plans will have a 2% cut, roughly $11 billion. Likewise, non-excluded safeguard optional projects will have a 9. 4% cut, around $54. 6 billion (OMB Watch Nov 2, 2012).This incorporates keeping army installations open, paying pay rates and innovative work. The roughly $55 billion out of 2013 safeguard cuts will be forced in a comparable yet not indistinguishable way. The barrier slices will happen through no matter how you look at it, relative decreases in the subsidizing accommodated protection accounts in the allocations bills. War costs inside the Natio nal Defense work are dependent upon sequestration, as are resistance unobligated adjusts extended from earlier years.Although military staff are not absolved from sequestration the President can exclude a few or all military faculty subsidizing from the sequestration. This is on the grounds that the assets for monetary year 2013 will as of now have been appropriated by Congress. In any case, on the off chance that he picks that alternative, the cuts in other barrier financing would need to increment. As of Nov 13 the President exempted military faculty from sequestration (OMB Watch Nov 2, 2012). Which government programs are absolved from programmed cuts?A number of projects are excluded to incorporate Social Security benefits, all projects directed by the Department of Veterans Affairs, enthusiasm on the administrative obligation, refundable assessment credits, and a few low-pay programs. Low-salary programs that are excluded incorporate food stamps, kid nourishment programs, Medic aid, child care, Temporary Assistance for Needy Families, required subsidizing under the Child Care and Development Fund, the Children’s Health Insurance Program, and the Supplemental Security Income program (OMB Watch Nov 2, 2012). So what are the desires for 2014 and beyond?The process for 2014 and out is very extraordinary. The necessary protection subsidizing cut of around $55 billion in every year from 2014 through 2021 will happen through decreases in the yearly legal tops on guard financing that the Budget Control Act sets for every one of those years if sequestration is activated. Not at all like in 2013, there will be no programmed cut of all influenced resistance programs by a similar rate; rather, the Appropriations Committees will conclude how to live inside the recently diminished barrier subsidizing tops (Kogan, 2011).For non-guard programs the procedure will be equivalent to in 2013 for qualifications yet unique for non-protection optional projects. Medicare in stallments to the two suppliers and health care coverage plans will keep on being cut by 2 percent. Be that as it may, on the grounds that Medicare costs are anticipated to ascend through 2021, the dollar sum spared will increment from $11 billion to around $18 billion of every 2021. In years 2014 through 2012, the rest of the measure of the roughly $55 billion in non-resistance slices will be applied relatively to other non-excluded obligatory projects and generally speaking non-guard optional funding.Because Medicare will take a continuously bigger portion of the $55 billion non-protection cut, other non-safeguard programs slices will keep on declining (Kogan, 2011). Probably the greatest worry of the sequestration is the chance of provoking a downturn in 2013. The blend of lapsing tax reductions and the decreases in spending on optional government programs, known as the ‘fiscal cliff’, could toss the nation once more into downturn. Be that as it may, the expectations are that a spending arrangement would be reached in mid 2013 that would retroactively drop the sequestration.Within the Department of Defense (DoD) there is a great deal of worry with sequestration and the programmed cuts that would be executed in financial year 2013 if Congress neglects to agree on the shortage decrease plan. The Under Secretary of Defense (Comptroller) is working with the Office of Management and Budget (OMB) to guarantee the Department is prepared to actualize sequestration in January on the off chance that it happens. Meanwhile, reliable with OMB direction, an update titled Guidance on Fiscal Year 2013 Joint Committee Sequestration has been given expressing that DoD needs to proceed with typical spending and operations.The notice states to not let our projects, staff, and exercises to start to endure the destructive impacts of sequestration while there is as yet an opportunity it very well may be kept away from. The reminder has coordinated that all officers an d administrators in the DoD proceed with the resistance strategic current laws and arrangements, without making any strides that expect sequestration will happen (A. B. Carter, individual correspondence, Sep 25, 2012). At the end of the day, the DoD is to proceed with the same old thing. In spite of the fact that it is the same old thing, government temporary workers may feel the best impact.In end, sequestration would have long suffering and agonizing consequences for all parts of government organizations, DoD and non-DoD the same. In the event that Congress doesn't meet the prerequisites forced by the Budget Control Act of 2011 DoD government temporary worker cutbacks and potential government shutdowns may happen and non-DoD government programs, similar to training and Medicare, will have long haul outcomes. Sequestration must be forestalled if Congress passes enactment that fixes the Budget Control Act of 2011 preceding January 2, 2013. References Johnson, P. (2005). A Glossary o f Political Economy Terms.Retrieved from http://www. reddish-brown. edu/~johnspm/sparkle/sequestration Kogan, R. (2012). How the Across-the-Board Cuts in the Budget Control Act Will Work. Recovered October 30, 2012, from http://www. cbpp. organization/cms OMB Watch (Nov 2, 2012). Alleviating the Impact of a Temporary Sequester. Recovered November 4, 2012, from http://www. ombwatch. organization/alleviating sway of-programmed spending-cuts OMB Watch (Nov 6, 2012). White House and Federal Agencies Could Manage Effects of Automatic Spending Cuts in Early 2013. Recovered November

Thursday, July 9, 2020

Healthcare Reforms Position Paper - 1100 Words

Healthcare Reforms Position Paper (Essay Sample) Content: Healthcare Reforms Position PaperStudents NameInstitutional Affiliation Healthcare ReformsHealthy citizens are the backbone of every successful economy in the world. They provide reliable workforces which greatly contribute to the performance and productivity of various sectors of the economy. Millions of dollars are allocated and spent every year towards ensuring that the health sector is effective and productive towards meeting the medical needs of the American citizens. Various health reforms have been embraced to govern the health sector in United States. For example, in March 2010, president Obama signed two health reform legislation into law, Reconciliation Act of 2010 and the Affordable Care Act (ACA) to ensure effective and smooth working of this sensitive and important sector (Redling, 2013). This paper discusses the role of healthcare reforms, the responsibilities of medical insurance specialists, fraud and abuse and the implications of healthcare reform mea sures on the Medical Insurance Specialist profession.Many health organizations in the United States have embraced and supported Obamas administration to reform the healthcare sector. They have recognized the opportunities provided by the reforms in expanding access to high-quality health care that is cost effective and also one that lays greater emphasis on preventive and primary care in America. The signing of the two reform bills shows the realization of the goals and objectives that started in the late 1950s by the medical sector. The new reform laws provide a series of the much-needed changes in delivery of health care, coverage, education and training as well as payment for the services. Some of these changes are immediate while others require implementation in different phases over the years. The provisions in the reforms broaden and recognize the role of medical/health insurance specialists towards primary care and other health care services (Redling, 2013).According to Stant on (2001), medical insurance specialists review patient records and accurately code all the diagnoses, services and procedures aimed at providing patients with obtaining maximum benefits. They research and pass knowledge on insurance rules, obligations and regulations in facilitating the analysis of patient base engineered towards effective and efficient operations to contain costs. Medical insurance specialists accurately post adjustment, charges, payment and other pertinent information into the patients database. In addition, medical insurance specialists are tasked with preparing, reviewing and remitting advice on all insurance claims and reimbursement using the necessary processes, procedures and avenues. Therefore, medical insurance specialists are involved in the logistics and administration of patients records, insurance benefits and play an advisory role on different policies, regulation and claims through maintaining professionalism and confidentiality of patients informati on (Redling, 2013).Fraud and AbuseFraud and abuse is an economic drain to the healthcare system and costs every nation the health of its citizen. According to Morris (2009), it is estimated that only 3% to 10% of fraud and abuse is identified or reported to relevant authorities for action despite the attention and reforms initiated by United States government. Over the last decade, healthcare fraud and abuse has been growing fast, and many criminals are abandoning other dangerous activities in favor of the loopholes provided by this sector. It is the most essential reason for the rise in the cost of accessing proper and high-quality healthcare. Many Americans who are unable to afford health care rely on the government for assistance through programs like Medicare and Medicaid. Therefore, it is a critical issue to the United States government because it is the principal payer of healthcare, and fraud and abuse in this sector is a waste of a lot of taxpayers money. Additionally, the U .S government is tasked with regulating the healthcare system and allowing fraud and abuse of this sector means that it has failed in its mandate. The U.S government is entrusted with protecting its citizens from fraudulent activities and criminals. This is the main reason the government is keen to allocate many funds and resources towards fraud research and investigations with much hope of identifying and fixing fraud and abuse issues in this sector (Redling, 2013). The potential for fraud and abuse is diverse and vary depending on the nature and magnitude of the effects. The most common cases of fraud and abuse include up coding, Phantom billing, unnecessary services, double billing, bogus billing and pharmacy fraud (Stanton, 2001). Up coding involves claiming a code that legitimizes a higher reimbursement than what was actually provided. It is an easy task to accomplish but difficult to detect (Morris, 2009). Phantom billing occurs when medical insurance specialists charge for se rvices that are not given to patients through coding a service that was not rendered and coding a procedure for non-existing patient. Double billing is also known as unbundling. It involves duplicating bills to the same or different payees and accounts for about 4% of healthcare fraud (Stanton, 2001). Bogus billing occurs when a billing code is altered to cover services that are not to be covered. Pharmacy fraud involves charging generic drugs as the original ones or higher. It also occurs when a patient is directed to buy the drugs at a chemist owned outside the confinement of a hospital where the price is usually hiked (Morris, 2009). Cases of fraud and abuse can be prevented if necessary practices and measure are implemented. To begin with, medical insurance specialists need to be incorporated and actively involved in policy-making bodies both at the local and national levels to offer...

Tuesday, May 19, 2020

Elizabeth Parris, Accuser in the Salem Witch Trials

Elizabeth Parris (November 28, 1682–March 21, 1760) was one of the major accusers in the Salem Witch Trials of 1692. A young girl at the time, Betty Parris appeared to be afflicted by demons and claimed to have visions of the devil; she accused several local women of witchcraft. Bettys accusation lit the fuse that eventually ended with accusations against 185 people, formal charges made against 156, and the execution by hanging of 19 residents of Salem Village in Massachusetts. Fast Facts: Elizabeth Parris Known For: One of the early accusers in the 1692 Salem witch trialsAlso Known As: Betty ParrisBorn: November 28, 1682 in Boston, MassachusettsParents: Samuel Parris, Elizabeth ParrisDied: March 21, 1760  in Concord, MassachusettsSpouse: Benjamin BaronChildren: Thomas, Elizabeth, Catherine, Susanna Early Life Elizabeth Parris, 9 years old at the beginning of 1692, was the daughter of Rev. Samuel Parris and his wife Elizabeth Eldridge Parris, who was often ill. The younger Elizabeth was often called Betty to distinguish her from her mother. She was born when the family lived in Boston. Her older brother Thomas was born in 1681 and her younger sister Susannah was born in 1687. Also part of the household was 12-year-old Abigail Williams, who was described as a kinswoman and was sometimes called a niece of Rev. Parris, probably a household servant, and two slaves Rev. Parris had brought with him from Barbados—Tituba and John Indian, described as Indians. An African boy slave had died a few years before. Elizabeth Parris Before the Salem Witch Trials Rev. Parris was the minister of Salem Village church, arriving in 1688, and had been embroiled in considerable controversy, coming to a head in late 1691 when a group organized to refuse to pay him a significant part of his salary. He began to preach that Satan was conspiring in Salem Village to destroy the church. Elizabeth Parris and the Salem Witch Trials In mid-January of 1692, both Betty Parris and Abigail Williams began to behave strangely. Their bodies contorted into strange positions, they reacted as if they were being physically hurt, and they made strange noises. Anns parents were leading members of the Salem Village church, supporters of Rev. Parris in the ongoing church conflict. Rev. Parris tried prayer and traditional remedies; when those didnt end the fits, he called in a doctor (probably a neighbor, Dr. William Griggs) on or about February 24 and a neighboring towns minister, Rev. John Hale, to get their opinions on the cause of the fits. The men agreed that the girls were victims of witches. Mary Sibley, a neighbor and member of Rev. Parris flock, advised John Indian the following day—perhaps with the help of his wife, another Caribbean slave of the Parris family—to make a witchs cake to discover the names of the witches. Instead of relieving the girls, however, their torments increased. Friends and neighbors of Betty Parris and Abigail Williams, including Ann Putnam Jr. and Elizabeth Hubbard, began having similar fits, described as afflictions in contemporary records. Pressured to name their tormenters, Betty and Abigail named the Parris family slave Tituba on February 26. Several neighbors and ministers, likely including Rev. John Hale of Beverley and Rev. Nicholas Noyes of Salem, were asked to observe the girls behavior. They questioned Tituba. The next day, Ann Putnam Jr. and Elizabeth Hubbard experienced torments and blamed Sarah Good, a local homeless mother and beggar, and Sarah Osborne, who was involved with conflicts around inheriting property and who also had married an indentured servant (a local scandal). None of the three accused witches were likely to have many local defenders. On February 29, based on accusations of Betty Parris and Abigail Williams, arrest warrants were issued in Salem for the first three accused witches—Tituba, Sarah Good, and Sarah Osborne—based on the complaints of Thomas Putnam, Ann Putnam Jr.s father, and several others before local magistrates Jonathan Corwin and John Hathorne. They were to be taken for questioning the next day to Nathaniel Ingersolls tavern. The next day, Tituba, Sarah Osborne, and Sarah Good were examined by local magistrates John Hathorne and Jonathan Corwin. Ezekiel Cheever was appointed to take notes on the proceedings. Hannah Ingersoll, whose husbands tavern was the site of the examination, found that the three had no witch marks on them. Sarah Goods husband William later testified that there was a mole on his wifes back. Tituba confessed and named the other two as witches, adding rich details to her stories of possession, spectral travel, and meeting with the devil. Sarah Osborne protested her own innocence; Sarah Good said Tituba and Osborne were witches but that she was herself innocent. Sarah Good was sent to nearby Ipswich, Massachusetts to be confined with her youngest child, born the year before, with a local constable who was also a relative. She escaped briefly and returned voluntarily; this absence seemed especially suspicious when Elizabeth Hubbard reported that Sarah Goods specter had visited her and tormented her that evening. Sarah Good was held at the Ipswich jail on March 2, and Sarah Osborn and Tituba were questioned further. Tituba added more details to her confession, and Sarah Osborne maintained her innocence. Questioning continued for another day. At this point, Mary Warren, a servant in the home of Elizabeth Proctor and John Proctor, began having fits as well. The accusations soon widened: Ann Putnam Jr. accused Martha Corey and Abigail Williams accused Rebecca Nurse. Corey and Nurse were known as respectable church members. On March 25, Elizabeth had a vision of being visited by the great Black Man (the devil) who wanted her to be ruled by him. Her family was worried about her continuing afflictions and the dangers of diabolical molestation (in the later words of Rev. John Hale). Betty Parris was sent to live with the family of Stephen Sewall, a relative of Rev. Parris, and her afflictions ceased. So did her involvement in the witchcraft accusations and trials. Elizabeth Parris After the Trials Bettys mother Elizabeth died  on July 14, 1696. In 1710, Betty Parris married Benjamin Baron, a yeoman, trader, and shoemaker, and lived quietly in Sudbury, Massachusetts. The couple had five children, and she lived to the age of 77. Legacy Arthur Millers play The Crucible is a political allegory based on the Salem Witch Trials. The play won a Tony award and is still one of the most often-read and produced plays of the century. One of the main characters is based loosely on the historical Betty Parris; in Arthur Millers play, Bettys mother is dead and she has no brothers or sisters. Sources Brooks, Rebecca. â€Å"Betty Parris: First Afflicted Girl of the Salem Witch Trials.†Ã‚  History of Massachusetts.Gragg, Larry.  A Quest for Security: The Life of Samuel Parris 1653-1720. Westport, CT: Greenwood Publishing Group, Inc., 1990.Salem Witch Trials Notable Persons.

Wednesday, May 6, 2020

How the germans conformed to adof hitler Essay - 1382 Words

Question†¦ At the end of World War II, who was placed on the list of history’s most hated villains? Adolf Hitler. How did he get on that list? By becoming a dictator of Germany and conducting a mass-killing spree against the Jews. Was Hitler always like this? No. He was born on April 20, 1889 in Braunau, Upper Austria. His father, Alois worked as a customs officer on the border crossing and his mother, Klara, was a housewife. Hitler had a brother Gustav and a sister Ida, but they both died at birth. He also had another brother, Edmund but he died at the age of 6 and another sister, Paula. She outlived Adolf. He did very poor as a school going individual and dropped out before graduation with an ambition to be a writer. His father died†¦show more content†¦By 1921, Hitler gained full control of the Nazi party and had million of followers. nbsp;nbsp;nbsp;nbsp;nbsp;Millions of followers†¦ What a high that must give someone when they know they have millions of followers. There must even be a high of some sort when someone knows they have only 38 followers and no matter what happens, that person knows that those people will follow him. For example in April of 1997, Marshall Applewhite and his 38 followers committed the biggest mass suicide ever. The people thought that they would be carried on a spacecraft that trailed the Hale-Bopp to the Kingdom of Heaven. So in other words they conformed. Conformity, what does that mean? According to Merriam-Webster Dictionary Online, conformity/conform means action in accordance with some specified standard or authority, to be obedient or compliant -- usually used with to act in accordance with prevailing standards or customs, correspondence in form, manner, or character. Don’t you think that what Adolf Hitler did, was or could be considered conformity? Don’t you th ink he caused his followers to conform after him? According to the information that I found online about Adolf Hitler and his Nazi party, he was technically ‘conformed’ into the position that caused him to go crazy and kill himself. He was carefully and strategically dragged in by the other members of the army and while reading it, it seemed that the army members planned out when they would drag the naà ¯ve Hitler in.

Leadership in Health Care Services

Question: Discuss about the Leadership in Health Care Services. Answer: Introduction: Background: Various concerns related to inequalities in the access to health care services, its provision, and health outcomes have been observed for the Indigenous populations globally Smylie, J. These inequalities have prompted various health services, professionals, and regulatory bodies to examine the methods of overcoming these inequalities for better provision of health care services to the Indigenous groups (Cunningham, 2010). A large number of evidence is observed regarding the unequal health status, as well as, health care between the non-Indigenous Australians and Aboriginal and Torres Strait Islander Australians, also known as Indigenous Australians. Moreover, these inequalities, most particularly evident in communicable and chronic diseases, mental health, infant health, and life expectancy (Walker, Stomski, Price, Jackson-Barrett, 2014). Aim: As I am a nurse and belong to the non-Indigenous community, there are various issues that arise due to these cultural differences in the provision of the healthcare services to the Indigenous people and hence on their well-being. Therefore, the main aim of this paper is to analyze the various issues that hinder the provision of the competent healthcare to the Indigenous people and how these can be overcome. Factors responsible for unequal health care delivery: There are various factors that contribute towards these inequalities, with the largest contributors related to the social factors, which lies outside the system of health care. Studies have also shown that ethnicities have also contributed towards this inequitable access to the health care system and hence the health disparities (Davidhizar Newman Giger, 2000). Globally, various researchers and their studies have observed the negative effects of the provision of the ethnocentric healthcare services on the Indigenous populations and their health status. The deficiency of Indigenous health care workers and staff in the healthcare systems of service delivery results in the delayed or under-use of services by the Indigenous people (Ong, Carter, Kelaher, Anderson, 2012). An increasing evidence has been observed in the fact that health disparities amongst non-Indigenous Australians and Indigenous Australians are related to the accessi bility of healthcare services. Accessibility can be influenced by geographic or economic, as well as, by various sociocultural factors. Hence, it is very important and necessary to increase the number of efforts for improving the performance and provision of all the services, systems, and health practitioners on working work with the diverse population of patients (Davis Shaw, 2000). Barriers between the non-Indigenous health practitioners and Indigenous patients: Communication between the non-Indigenous nurses and the Indigenous patients has been recognized as a hindrance for the effective Indigenous health care outcomes (Durie, 2003). I remember during my clinical practice, I have to assist my mentor in a case of an Indigenous patient. I observed that the language was a major barrier in between the patient and me, which then resulted in the misunderstanding. The reason behind this communication barrier is the fact that few of the Aboriginal people conversed in the Aboriginal English that often is different in meaning and pronunciation from the standard Australian English (Regmi, 2012). This was the reason in our case also and I realized that effective communication skill is very important in dealing with the patients of the Indigenous community. Hence, the foremost part of the framework for the effective provision of healthcare services is the development of effective communication amongst the health practitioner and the Indigenous patients. The nursing interaction with the Indigenous patients should be effective, as well as, culturally safe so that a therapeutic relationship can be developed amongst the nurse and the patient (Stewart, Sanson-Fisher, Eades, Fitzgerald, 2012). The core competencies of the framework include postcolonial understanding, which gives a description of the connection between historical, as well as, current government practices towards the Aboriginal patients. The effective communication is an important step required for the better health care provision amongst the Aboriginal patients (Durie, 2003). Cultural competency framework: To improve status and quality of health services of the Indigenous people, a fundamental shift is required in the basic concept of the health services to incorporate the world and cultural views of the Indigenous patients as a central theme for designing and managing the state health systems. The primary strategy that should be followed for the reduction of healthcare access inequalities and provision of healthcare services is the cultural competency (Devadasan, 2003). This strategy focuses on enhancing the ability and capacity of the healthcare service systems, health care organizations, as well as, health care practitioners for providing more responsive care to the distinct cultural groups, according to the National Aboriginal and Torres Strait Islander Health Plan 20132023 also called the NATSIHP (Hendrick, Britton, Hoffman, Kickett, 2014). Key components of the framework: The framework is formed of important attitudes, knowledge, and skills that are required by the health practitioner to work appropriately and respectfully in the Indigenous people's health settings, as well as, to advocate the equity in the provision of the health and outcomes (Gruen, 2002). I also remember that while dealing with the patient of Indigenous community, I was making a direct eye contact with the patient, which made him feel uncomfortable. I at that time was unable to analyze the reason behind his uncomfortableness. However, my mentor then told me that some Indigenous find it disrespectful or rude, and we should create a negative interpretation if the eye contact is being avoided by the patient. Hence, communication skills that are culturally safe are a fundamental requirement for the nurse for effective management of the Indigenous health care setting. Nurses require the up-to-date and comprehensive set of skills and knowledge across the different health issues faced by the Indigenous people. The adoption of management strategies will help in incorporating an understanding of the health and wellbeing views, and the social determinants of health, as well as, their influence on the Indigenous peoples health behaviors (Palafox, Buenconsejo-Lum, Riklon, Waitzfelder, 2002). Cultural safety is the important concept of the framework, but there is a need for cultural awareness, as well as, sensitivity programs. Nurses should actively model the required behaviors and attitudes that are culturally safe and competent (Siegel, C., Haugland, G., Chambers, E., 2003). Effective communication should be used while dealing with the patients. Nurses should develop the ability to provide culturally sensitive, inclusive, and respectful services to the Aboriginal patients (Kessler, 2005). The National framework for Aboriginal interpretation and translation: The National Indigenous Languages Policy offers for the Commonwealth Government to perform with the Northern Territory and the states for introducing the national framework to have effective use and supply of the Indigenous peoples language interpreters, as well as, translators. The components of the National framework consists of developing and strengthening of the Indigenous people interpreting services by establishing coordinator or mentor positions, training and accrediting the interpreters, providing the base salary funds for the Indigenous interpreters, as well as, administrative support for them, increasing the provision of the Indigenous interpreters by establishment and development of the retention strategy and national recruitment with flexibility, increasing the demand for the Indigenous interpreters by increased training for the non-government and the government (Stewart, Sanson-Fisher, Eades, Fitzgera ld, 2012). Conclusion: To improve the culturally safe clinical and nursing practice, the training of cultural competency is increasingly being encompassed within the education of the undergraduate nursing program. It has been observed that the practice of the culturally safe environment is the one important element of the framework of the cultural competence that may decrease the health care gap, which is experienced by the Aboriginal Australians (Sletto, 2009). Cultural competence consists of knowledge about cultural safety, cultural awareness, and cultural respect. As it is clear that there is a gap amongst the health status of the non-Indigenous Australians and the Indigenous Australians, health care practitioners require to find different ways and methods to decrease this gap (Westerman, 2004). The provision of health care services that is culturally sensitive and safe is considered as an important means of decreasing this gaps of health status between the Aboriginal people and the non-Indigenous people (OBrien, 2006). References Cunningham, C. (2010). Health of indigenous peoples.BMJ,340(apr19 1), c1840-c1840. Davidhizar, R. Newman Giger, J. (2000). Cultural competency matters.Leadership In Health Services,13(4), 8-12. Davis, J. Shaw, J. (2000). Indigenous status a key issue for health services.NSW Public Health Bull.,11(12), 203. Devadasan, N. (2003). Health of indigenous people: Use of health services by indigenous population can be improved.BMJ,327(7421), 988-988. Durie, M. (2003). Providing health services to indigenous peoples.BMJ,327(7412), 408-409. Durie, M. (2003). The health of indigenous peoples.BMJ,326(7388), 510-511. Gruen, R. (2002). Outreach and improved access to specialist services for indigenous people in remote Australia: the requirements for sustainability.Journal Of Epidemiology Community Health,56(7), 517-521. Hendrick, A., Britton, K., Hoffman, J., Kickett, M. (2014). Developing Future Health Professionals Capacities for Working With Aboriginal and Torres Strait Islander Peoples.The Australian Journal Of Indigenous Education,43(02), 154-164. Kessler, R. (2005). Sustainable Development: Empowering Indigenous Peoples.Environ Health Perspect,113(9), A588-A588. OBrien, A. (2006). Moving toward culturally sensitive services for Indigenous people: A non-Indigenous mental health nursing perspective.Contemporary Nurse,21(1), 22-31. Ong, K., Carter, R., Kelaher, M., Anderson, I. (2012). Differences in primary health care delivery to Australias Indigenous population: a template for use in economic evaluations.BMC Health Services Research,12(1). Palafox, N., Buenconsejo-Lum, L., Riklon, S., Waitzfelder, B. (2002). Improving Health Outcomes in Diverse Populations: Competency in Cross-cultural Research with Indigenous Pacific Islander Populations.Ethnicity Health,7(4), 279-285. Regmi, K. (2012). Effective Health Services: Perspectives and Perceptions of Health Service Users and Healthcare Practitioners.Primary Health Care,02(03). Siegel, C., Haugland, G., Chambers, E. (2003). Performance Measures and Their Benchmarks for Assessing Organizational Cultural Competency in Behavioral Health Care Service Delivery.Administration And Policy In Mental Health,31(2), 141-170. Sletto, B. (2009). `Indigenous people don't have boundaries': reborderings, fire management, and productions of authenticities in indigenous landscapes.Cultural Geographies,16(2), 253-277. Smylie, J. (2006). Understanding the health of Indigenous peoples in Canada: key methodological and conceptual challenges.Canadian Medical Association Journal,175(6), 602-602. Stewart, J., Sanson-Fisher, R., Eades, S., Fitzgerald, M. (2012). The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service.Drug And Alcohol Review,31(5), 617-624. Walker, B., Stomski, N., Price, A., Jackson-Barrett, E. (2014). Perspectives of Indigenous people in the Pilbara about the delivery of healthcare services.Aust. Health Review,38(1), 93. Walker, B., Stomski, N., Price, A., Jackson-Barrett, E. (2013). Health professionals? views on Indigenous Health and the delivery of healthcare services in the Pilbara.Aust. Health Review,37(4), 431. Walker, B., Stomski, N., Price, A., Jackson-Barrett, E. (2013). Health professionals? views on Indigenous Health and the delivery of healthcare services in the Pilbara.Aust. Health Review,37(4), 431. Westerman, T. (2004). Guest Editorial: Engagement of Indigenous clients in mental health services: What role do cultural differences play?.Advances In Mental Health,3(3), 88-93.

Wednesday, April 22, 2020

Retail Marketing The Clothes, the Models and Self

When it comes to selling clothes retail marketing is never easy. Since most people have their own self-image, as well as the image of an ideal self, it is very hard to find a model that can help promote clothes to any kind of target audience.Advertising We will write a custom research paper sample on Retail Marketing: The Clothes, the Models and Self-Image. Research Methods and Results specifically for you for only $16.05 $11/page Learn More While it is clear that most clothes look well enough on slim models, displaying clothes only with the help of slim models will mean negligence and even infringement of the rights of large people; hence, the need to introduce larger models arises. Gender is another tricky aspect; putting a clothing item that suits both men and women on a female model can possibly avert the male audience from the given item. That said, it is necessary to figure out what influence different means of promotion have on the target audience . Research Methods Since the given research presupposes the analysis of the efficiency of the existing marketing methods carried out with the help of questionnaires, it can be considered that the basic method of the given paper is quantitative research. It is also worth mentioning that, to evaluate the efficiency of the current marketing strategy, extensive statistical data have been derived from the created questionnaires and conducted opinion polls. The research offers statistics on a number of demographic characteristics, as well as on the opinions of the chosen type of demographics. Participants Speaking of the participants of the research, one has to mention that the research was conducted among students. However, the opinion of the older people was also taken into account. Therefore, the age in the participants’ group varies from 18 to 78. Hence, the mean age of an average participant in the research made 28.5 years (SD = 16, appr.), which means that the number of the y oung people prevailed in the given research. The research was conducted in a mixed group; therefore, both men and women were invited to participate. It is also worth bringing up that each of the participants had to evaluate the look of each model, i.e., both the models of the same and the opposite sex. Of the total number of people, 36% were men (N=90), and 64% were women (N=162).Advertising Looking for research paper on psychology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Materials and Procedure It is important to mention that in the course of the research, the online server Qualtrix was used to analyze the research data. The study was carried out with the help of a mixed (quantitative and qualitative) analysis. The participants of the research were offered questionnaires to fill in. Later on, the answers were gathered and analyzed. Research Results Analyzing the research conclusion, one must mention that the expected results do not d iffer considerably from the ones obtained in the course of the research. A one-way ANOVA was used to analyze the differences in the answers of the research participants. As a reminder, the research revolves around two key variables, which are 1) how a person rates him-/herself with respect to thin model selection (You_thin), and 2) how a person rates him-/herself with respect to curvy/heavy model selection (You_curvy). That said, the results of the research are quite predictable, given the modern idea of being thin as the key principle of beauty. According to the research, the Pearson correlation concerning the You_thin model remained mostly within the 0.5 range (F(1; 254) = 0.002, DS = 0.2733, p0.5), which means that there is no major difference between the opinion of men and women concerning the attractiveness of the clothes when they are put on the You_thin model. The same cannot be said, however, about the attractiveness of the model itself; as the research shows, F(1;254) = 0.0 02, SD = 0.2033, p 0.5, which means that there are different opinions on the You_thin model. Finally, when answering whether the clothes on the You_thin model could look just as good on them, the participants of the research responded mostly positive (F(1; 254) = 0.002, SD =.3979, p 0.5). As for the You_curvy model, the opinions vary even more. It is noteworthy that in case of liking the clothing out on the curvy model, p equals 0.38, which means that most of the respondents would rather try the clothes on the You-thin model as well. Therefore, it can be concluded that the You_thin model correlated with the participants’ ideal self-image. The same cannot be said, however about the You-curvy model. Though the given variable featured the same set of options, the choices were less definite. It is impressive that the appeal of the clothes was increased (F (1; 254) = 0.5365, SD = 0.3480, p 0.5 for model attractiveness, F (1; 254) = 0.5365, SD = 0.846, p 0.5 for clothes attract iveness on the model and F (1; 254) = 0.5365, SD = 1.1, p 0.5 for clothes attractiveness on the participant.Advertising We will write a custom research paper sample on Retail Marketing: The Clothes, the Models and Self-Image. Research Methods and Results specifically for you for only $16.05 $11/page Learn More Therefore, it can be deduced that the You_curvy model, which did not relate to the modern ideal of beauty, destroyed the participants’ ideal self-image, thus, ruining the effect that the clothes produced. It is also impressive that the standard deviations in the You_thin and You_curvy models differ greatly; while in You_thin model, the standard deviation is rather low, which means that the participants have more or less similar viewpoints concerning the look of the clothes, the model and themselves in these clothes, the standard deviation is very high. The given information means that there has been a considerable difference between the an swers that the respondents gave. Therefore, it can be concluded that the You_curvy model contributes to shaping a negative (â€Å"curvy,† â€Å"large†) image of the respondents’ selves, which results in a low â€Å"grade† for the You_curvy model. This research paper on Retail Marketing: The Clothes, the Models and Self-Image. Research Methods and Results was written and submitted by user Beetle to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.