...DISRUPTIVE PHYSICIAN By Irene Greenstein Risk Management in Healthcare Loyola School of Law Master in Jurisprudence in Health Law Dr. Blauhard's story… The Chief of Vascular surgery, Dr. Blauhard,, strode confidently down the central corridor of the operating theaters. Passing the open heart surgery rooms and the new hybrid theater he knew that his patient would be going to sleep in room 12, his room. The patient was lucky to have him as her surgeon. He had been vice-chairman of vascular surgery at a major university and had published extensively in his chosen field. He was viewed as a star. But he was not respected or revered or even liked by the staff at his new hospital. In fact, his behavior at the new hospital had been outrageous. He yelled. He criticized. He threw instruments. He humiliated nurses and technicians and even environmental services workers. He was insufferable to work with and for. So as he pushed through the doors into operating room 12 a sudden quiet fell and bodies tensed. The patient, scheduled for a popliteal aneurysm repair was fast asleep and intubated, sleeping deeply inhaling the agents that allowed the surgeons to invade and repair. The aneurysm pulsed quietly in the right leg, awaiting repair. The right leg was clearly marked across the front of the knee. But prior to prepping, the patient was rolled from the supine position into the prone position, effectively shifting the right leg to the left side of...
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...profession Specific objectives: To determine the awareness of nursing as a profession by secondary school students in Ilala district, explore factors that promote aspiration to enroll in nursing schools and to explore factors that deter aspiration to enroll in nursing schools. Methods: The study was exploratory cross sectional using both qualitative and quantitative methods and was conducted in Azania and Jangwani secondary schools in Ilala district. The sample size included 50 male and 50 female students who were opting for Physics, Chemistry and Biology from form III to form VI in the above mentioned schools. Results: Awareness above 50% for males was 79.2% (95%CI: 66.6, 91.8) while that of females was 76.9 % (95% CI: 65.4, 88.4). Awareness below 50% was 31.4% (95%CI: 8.4, 54.4) for the males while that for females was 31.1% (95% CI: 11.3, 50.9). Non awareness was mostly about nurses being capable of independent practice, making decisions for themselves, working with high technology, following physician’s orders without questioning and feeling good about what they do. Factors that were pointed out included: social, economical, educational and individual perceptions of different students. Although students were aware of nursing, they did not want to opt to join the profession. Conclusion: This study has shown that students are at least aware of the profession but they do not want to opt for it due to the image they have of it from the public. The factors that have been addressed in this...
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...I knew that I wanted to return to school but I didn’t know what for, so I went to Cypress College and talked to a counselor for guidance. She asked me what my interest were and I told her that I enjoyed playing the drums. She then informed me about their Music program and how to enroll. In Fall 2011 I enrolled as a music major and took as many classes as a new student could take. Cypress College is a good school and I was happy to be there, even though it was hard to get the classes I needed. My plan was to focus on the drums and to become the best US female modern drummer. I even took private lessons on the side. At the time, age 22 felt old and I knew that I did not want to end up like the rest of my family so I returned to the advisors office to change my major into something more profitable to realistic. Again I was asked what my interests were and after long thought I decided to pursue their sonogram technician program. I was given a list of pre requisitions and the first class that I took on the list was a 5 unit anatomy and physiology course. This class has been by far my favorite because of...
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...discrimination, difficulties in maintaining employee relations, problems with downsizing workforce, workplace bullying, conflict of interest and compliance issues. The research paper also gives recommendations on how to maintain an ethical environment by: hiring of adequate staff, conducting fair employment testing, rewarding disabled employees, educating on age-discrimination, creating a diverse workforce, communicating to build employee relationships, executing a strategic plan to mitigate bullying and presenting fair judgments. The paper also address issues associated with ethics of flu shots, employment hurdles of medical marijuana patients, inequality of women’s compensation and safety hazards of employees. In conclusion, my personal experience with ethical issues at laurel regional hospital is discussed. Introduction: The human resource department is the heart of every healthcare organization. The human resource functions deals with variety of ethical challenges on daily basis. Human resource includes numerous ethical pitfalls that can damage a company’s reputation or financial stability if not kept in consideration. Why is ethics so important in human resource management in healthcare facilities? Basically, ethics provides a set of standards of morality which the doctors, nurses and other healthcare employees have to maintain in the organizations. Hospital’s human resource department...
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...Behavior 73 (2008) 242–253 Contents lists available at ScienceDirect Journal of Vocational Behavior journal homepage: www.elsevier.com/locate/jvb A model of career success: A longitudinal study of emergency physicians q Sarah Pachulicz, Neal Schmitt *, Goran Kuljanin Department of Psychology, Michigan State University, 262 Psychology, E. Lansing, Michigan 48824-1116, USA a r t i c l e i n f o a b s t r a c t Objective and subjective career success were hypothesized to mediate the relationships between sociodemographic variables, human capital indices, individual difference variables, and organizational sponsorship as inputs and a retirement decision and intentions to leave either the specialty of emergency medicine (EM) or medicine as output variables. Objective career success operationalized as the number of leadership positions held did not mediate the relationship, but income change and career satisfaction mediated the relationship between the hours worked and years employed in emergency medicine. Work centrality was significantly related to subjective career success more so for men than women and perceptions of success or self-efficacy were positively related to subjective career success for women, but not for men. The expected pattern of women indicating more difficulties with personal time and family time did not emerge; but women did indicate less perceived support from the organization, fewer EM leadership positions, less perceived control over their work situation...
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...Vincent Coughlin PATHE 200 Final Project Spring/15 RELIGION AND SPIRITUALITY IN MEDICINE THESIS STATEMENT: Patients with multiple religious beliefs are treated everyday by emergency care workers which creates a void in respect towards the patient and their beliefs if the proper training and knowledge are lacking. INTRODUCTION When the subject of religion and spirituality come up in conversation in the governmental arena most people will argue that they are both on separate planes and should remain that way. But when people were asked if there is a place for religion in the medical field, the majority of those asked will say that they would prefer their physicians inquire about their individual faith and beliefs. In fact, polls indicate that the U.S. Population is highly religious; that most people believe in Heaven and hell. The same people also believe in the healing power of prayer and the capacity of faith to aid in the recovery from disease (N.E.J.O.M. 342). Religion and Spirituality have become an intricate part of patient care in the last 20 plus years. Religion is understood as a set of beliefs, rituals and practices usually embodied within an institution or an organization. Religion is more generalized and all-inclusive. Spirituality is more defined and specific to each individuals Religion. Spirituality is thought of as a search for what is sacred in life, one’s deepest values, along with a relationship with God...
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...[pic] A Project Report On THE PRE – LAUNCH MARKET SURVEY OF CALCIUM SUPPLEMENTS At Shreya Life Sciences Pvt. Ltd Submitted to: Company Guide: Mr.Ranjeet Kadam General Manager Marketing, Akucare Division Submitted by: Darshana D Ghadi MBA (Bioinformatics) Dr. D.Y.Patil University, Department of Business Management . INDEX |SERIAL NO |CONTENTS |PAGE NUMBERS | |1 | PREFACE |3 | |2 |ACKNOWLEDGEMENT |4 | |3 |DECLARATION |5 | |3 |COMPANY PROFILE |6-10 | |4 |INTRODUCTION |11-14 | |5 |PRODUCT INTRODUCTION |15 ...
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...Place matters in the United States. Access to affordable high-quality healthcare depends upon where you live. Throughout rural America, nearly 50 million people face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the healthcare disparities and access concerns that are already elevated in rural communities. High poverty rates and job loss in the current economic recession highlight the challenges of accessing health care and rising health care costs in rural areas. Rates of poverty are higher, with fifteen percent of people in rural areas living below the poverty level compared to twelve percent of people in urban areas. The rural economy is dominated by small businesses, which are struggling as the cost of healthcare continues to skyrocket. In the current recession, the rural economy is losing jobs at a faster rate than the rest of the nation, and loss of jobs can lead to loss of healthcare coverage. In particular, rural communities dependent on manufacturing have lost nearly five percent of their jobs since the recession began. Many rural residents work part-time, seasonally, or for themselves, making them less likely to have private, employer-sponsored health care benefits. Research shows that ninety percent of farmers have insurance coverage;...
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...HLTHIR403C. Work effectively with culturally diverse clients and co-workers Author John Bailey Copyright Text copyright © 2008 by John N. Bailey. Illustration, layout and design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire bound...
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...Nightingale's model and the American Civil War on mid to late–19th-century American nursing education. • Describe the transition of nursing education from the hospital to collegiate programs. • Discuss the role of nursing licensure in safeguarding the public and developing educational and clinical nursing standards. • Discuss the development of advanced clinical practice nursing from the 1960s through the present. PROFILE IN PRACTICE Laura J. Robinson Adult Primary Care Nurse Practitioner Student, University of Connecticut School of Nursing Nursing history is important to me because it has provided me with the opportunity to fulfill my goal to advance my career as a nurse practitioner, a role that was not existent less than half a century ago. Ambitious nurses before me had to establish themselves in a new career, gain recognition, and succeed in order for the position to be present today. One person whom I particularly admire and who helped pave the way is my grandmother, Olive Shea. Grandma Shea earned her RN diploma in 1944 after completing the 3-year certification program offered by Hartford Hospital in Hartford, Connecticut. After various nursing positions, she was employed by the University of Connecticut at the campus Infirmary in Storrs, Connecticut, beginning in 1968. At that time the facility was the home to physicians whose time was mainly devoted to scheduled appointments with their student patients, as well as two floors of inpatient beds where nurses provided...
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...AN EXAMINATION OF DISCRIMINATION AGAINST TRANSGENDER AMERICANS IN THE WORKPLACE HEARING BEFORE THE SUBCOMMITTEE ON HEALTH, EMPLOYMENT, LABOR AND PENSIONS COMMITTEE ON EDUCATION AND LABOR U.S. HOUSE OF REPRESENTATIVES ONE HUNDRED TENTH CONGRESS SECOND SESSION HEARING HELD IN WASHINGTON, DC, JUNE 26, 2008 Serial No. 110–99 Printed for the use of the Committee on Education and Labor ( Available on the Internet: http://www.gpoaccess.gov/congress/house/education/index.html U.S. GOVERNMENT PRINTING OFFICE 43–027 PDF WASHINGTON : 2008 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate 0ct 09 2002 10:55 Dec 17, 2008 Jkt 000000 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 G:\DOCS\110TH\HELP\110-99\43027.TXT HBUD PsN: DICK COMMITTEE ON EDUCATION AND LABOR GEORGE MILLER, California, Chairman Dale E. Kildee, Michigan, Vice Chairman Donald M. Payne, New Jersey Robert E. Andrews, New Jersey Robert C. ‘‘Bobby’’ Scott, Virginia Lynn C. Woolsey, California ´ Ruben Hinojosa, Texas Carolyn McCarthy, New York John F. Tierney, Massachusetts Dennis J. Kucinich, Ohio David Wu, Oregon Rush D. Holt, New Jersey Susan A. Davis, California Danny K. Davis, Illinois ´ Raul M. Grijalva, Arizona Timothy H. Bishop, New York ´ Linda T. Sanchez, California John P...
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...CHAPTER 3 SELECTING AND USING ASSESSMENTS Introduction This chapter will address three issues: (a) the institutional assessment needs of workforce development organizations, (b) the assessment needs of individual youth to help make informed choices about their careers, and (c) the practical needs of practitioners for information about how to select and use different assessment tools. At the end of this chapter, Exhibit 3.1 contains information that can be used to help with the selection and use of assessments, including a directory of commonly used published tests. Meeting Institutional Assessment Needs Agencies and organizations in the workforce system use assessments to meet institutional needs in two ways-to determine a youth's eligibility for services and to document achievement of program goals by assessing the progress of program participants. The number of participants served and achievement of program goals can impact the amount of funding an organization receives. Funding for the youth programs considered in this guide may come from the Department of Education, the Department of Labor, other federal agencies, states, local governmental agencies, or a combination of these. Table 1.2 in Chapter 1 summarizes the eligibility and assessment requirements of IDEA, WIA Title I, and the Rehabilitation Act. More specific information on assessments mandated or permitted by several federal funding sources may be found in Appendix A. (Mandated assessments are...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...2012年12月CET6听力(A套) Section A 11. A) Ask his boss for a lighter schedule. B) Trade places with someone else. C) Accept the extra work willingly. D) Look for a more suitable job. 12. A) It is unusual for his wife to be at home now. B) He is uncertain where his wife is at the moment. C) It is strange for his wife to call him at work. D) He does not believe what the woman has told him. 13. A) The man is going to send out the memo tomorrow. B) The man will drive the woman to the station. C) The speakers are traveling by train tomorrow morning. D) The woman is concerned with the man’s health. 14. A) The suite booked was for a different date. B) The room booked was on a different floor. C) The room booked was not spacious enough. D) A suite was booked instead of a double room. 15. A) The reason for low profits. B) The company’s sales policy. C) The fierce competition they face. D) The lack of effective promotion. 16. A) Go and get the groceries at once. B) Manage with what they have. C) Do some shopping on their way home. D) Have the groceries delivered to them. 17. A) The hot weather in summer. B) The problem with the air conditioner. C) The ridiculous rules of the office. D) The atmosphere in the office. 18. A) Set a new stone in her ring. B) Find the priceless jewel she lost. C) Buy a ring with precious diamond. D) Shop on Oxford Street for a decent gift. Questions 19 to 22 are based on the conversation you have just heard. 19. A) Damaging public...
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...2012 Catalog Volume 20 Issue 1 March 5, 2012 – December 31, 2012 This Catalog contains information, policies, procedures, regulations and requirements that were correct at the time of publication and are subject to the terms and conditions of the Enrollment Agreement entered into between the Student and ECPI University. In keeping with the educational mission of the University, the information, policies, procedures, regulations and requirements contained herein are continually being reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer...
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