industrialisation in russia essays

industrialisation in russia essays There was a great deal of tension between the Russian people and the autocracy during the early 20th century, which was brought about by the poor leadership by the autocracy. The way the country was beining run was out dated and unprogressive, so as the rest of Europe was growing as a result of the industrial revolution Russia was being left behind. Russia was struggling to keep up mainly because the economy was quickly modernising and the autocratic political system was holding it back. Because of all the social and economic changes it was necessary for the political system to change, but the Tsar - who was still held up his views that he held the divine right to rule and his abilities were without flaw - would not listen to the cries of the people no matter how loud, he would simply send out the armies to scilence the people. This continued untill 1905 where things got so bad that somthing had to change. Russia's demise was mostly brought about by the Ineptness of Tsar Nicholas II and his belief in the dying political system of autocrecy. Autocrecy is a form of absoultism, the head of the autocratic system has absolute political power over everyone. Furthermore the leader of the autocracy had a religious dimension attached to attached to them, they were the head of the Curch as well as the chief government power, and thus rule by divine right, which made many of the god fearing peasents too afraid to rebell. Nicholas was also a very stubborn, weak-willed leader, this stubbornness, paired with his delusional belief that he was appointed by god (as all Tsars are), was all it took to halt any progress of change in Russia, because any changes would provide a possible oppoonient to Tsarist power.From these facts it is obvious that that Nicholas was the wrong person for the task of leading Russia through this time of great change, and autocracy's misleading and dangerious allure enhanced the Tsar's inability by allowing him to think that...

Do You Need to Take the ACT for Community College

Do You Need to Take the ACT for Community College SAT / ACT Prep Online Guides and Tips Do you have questions about applying to community college? I have answers! For starters, most community colleges do not require ACT scores. In fact, the vast majority are open enrollment: as long as you meet a few basic requirements (the main one is generally having a high school diploma or GED), you’re in. The exception to this rule isif you're interested in more selective programs in science or law enforcementor if you're planning to transfer to a four-year university. In these cases, you may need to take the SAT or ACT. In this post, I’ll explain the application process for community colleges in more depthand what steps you’ll need to take to apply. What Do You Need to Apply to Community College? The application for community college is very easy. It has just two, or sometimes three, parts: an application form with some basic information your high school transcript or GED in some cases,an application fee (though many schools don't require one) Keep in mind that filling out the application is just the first step. Once you’re accepted, you may need to take a placement test and/or meet with an academic counselor. What If You've Already Taken the ACT? Again, most community colleges don’t require ACT scores for admission, so you shouldn’t register for the test. That being said, if you’ve already taken the test, you may end up wanting to send your scores to the school. As I mentioned above, community colleges generally require aplacement test to determine what level your English and math skills are at and whether you need remedial help. If you scored highly enough on your ACT, you may be able to opt out of this part of the enrollment process. Keep in mind, however, that if you haven’t taken the ACTit will probably be cheaper (or even free) to take the placement test offered by the school. University of Oregon (Jeff Ozvold/Flickr) AreThere Any Reasons Why You Would Need the ACT for Community College? Although community colleges themselvesdon't ask for standardized test scores, you may still need them, depending on your long-term plan. Those students who want to apply to a specialized program or transfer to a four-year university may need to submit ACT or SAT scores. Applying to Specialized Programs Certain community college programs, like nursing and law enforcement, often have more selective requirements than the school as a whole, and some may request standardized test scores. If you’re interested in a specific program make sure to check with yourcollege and find outwhat its admission requirements are and what you’ll need to do to meet them. Transferring to a Four-Year School Additionally, youmay need to take the ACTif you're planning to transfer to a four-year college or university. For some schools, transfer applicants (whether from other four-year schools or from community colleges) areasked to submit standardized test scores, though the exact requirements often depend on how many credits you've completed. Policies on standardized tests for transfer students vary, but, generally, the fewercredits you've completed, the morelikely it is that you'll need to submit ACTor SATscores. (It's often best if you've completed your associate degree.) Pathway programs, which provides priority admission at an affiliated four-year school, also tend to allow you to skip the standardized testing. However, some colleges and universities- mostly, though not exclusively, selective private schools- do require standardized test scores fromall students who apply.I've listed some examples of each type below. Schools that Require SATs or ACTs for Upper-Level Transfer Students Harvard University University of Chicago University of Virginia Tulane University Schools that Don't Require SATs or ACTs for Upper-Level Transfer Students University of California University of Colorado Pitzer College NYU University of Texas University of Florida Miami University (Ohio) This list is obviously not exhaustive, so no matter what,double check the requirementsto transfer tothe specific school and program you'd like to attend. What Are Your Next Steps? Confirm Admission Requirements with the School You’re Interested In This article offers general advice that will apply to most schools, but there’s always a chance that the community college you’re interested in will have different requirements. Make sure to research the application process for the school you want to attend. This info can usually be found on the school’s website, but if you have any questions don’t hesitate to go aheadand call the peopleat the admissions office. They’re there to help! Study for the Placement Test Just because it’s not the ACT doesn’t mean the placement test isn’t important- make sure you’re prepared so that you don’t have to repeat a bunch of material you already know. Plan for the Future If you are planning on transferring to a four-year schooldown the road, set yourself up for success by checkingthe transfer requirements at the schools where you want to apply well in advance. Here are some good questions to ask: what kind of classes do you need to take? is there an admission agreement between your community college and the university you want to attend? are there other requirements like recommendation letters, standardized test scores, or supplemental essays? Knowing what will be expected of you from the beginning helps ensurethat you're in the best position to transfer to a four-year school after completing your associate degree. Other Recommended Reading If you do need to take the ACT, take a look at our test prep guidesand checkwhether you wouldn't rather take the SAT. Also check out ourcomplete guide to transferring colleges! Disappointed with your ACT scores? Want to improve your ACT score by 4+ points? Download our free guide to the top 5 strategies you need in your prep to improve your ACT score dramatically. Have friends who also need help with test prep? Share this article! Tweet Alex Heimbach About the Author Alex is an experienced tutor and writer. Over the past five years, she has worked with almost a hundred students and written about pop culture for a wide range of publications. She graduated with honors from University of Chicago, receiving a BA in English and Anthropology, and then went on to earn an MA at NYU in Cultural Reporting and Criticism. In high school, she was a National Merit Scholar, took 12 AP tests and scored 99 percentile scores on the SAT and ACT. Get Free Guides to Boost Your SAT/ACT Get FREE EXCLUSIVE insider tips on how to ACE THE SAT/ACT. 100% Privacy. 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Experimental Researrch Design Essay Example | Topics and Well Written Essays - 500 words

Experimental Researrch Design - Essay Example Experimental research designs are the only ones that have the ability to determine if a change in the independent variable actually causes a change in the dependent variable. In carrying out an experimental design a number of questions have to be answered. These questions will determine the type of experimental study design to be adopted. Experimental designs are usually carried out on groups or individuals. Accordingly, the structure of the design changes as group experimental design or single subject experimental design (Srinagesh, 2006). Group experimental designs take different forms. If there is only one independent variable then a single variable design is adopted that has three approaches- pre-experimental designs, true experimental designs and quasi experimental designs. However, if there are two or more then then a factorial design is adopted. The single subject experimental designs are used only when one subject is involved in the study and thus aim at studying behavioral changes of different individuals as a result of some treatment or intervention. There are three main types and these include: A-B-A withdrawal design, multiple baseline design and alternating treatments design (Gravetter & Forzano, 2011). In the study question above, it was only possible to identify one independent variable which was the rate of adoption of the electronic medical records. A number of dependent variables were identified and these include: time, the hospitals surveyed, patient knowledge and efficiency. Therefore, in this case a single variable experimental design will be used. Narrowing down in this category, the quasi-experimental design with the use of time series design will be used. The rate of adoption is seen to change over time. The method will be effective because of the time aspect involved in the study. The design will address internal validity in a number of ways. The study

Constantine Trucking Assignment Example | Topics and Well Written Essays - 1500 words

Constantine Trucking - Assignment Example We are easy to access as our trucks are made available on an hourly basis, and delivery can be arranged by the ton/yard, and we provide complete solutions for trucking needs on the go. 2a. Plan Highlights: Our main objective is to ensure client satisfaction through timely and fast delivery, and providing best-quality mulch, excavation services and related products. As the construction industry is booming currently, we have decided to expand our horizons in order to improve profit margins and increase local market share. We have also created organizational diversity into our product line by launching into farming industry and provide our freshly baked home-made bakery items and locally harvested organic produce. 2b. Key to success: The local transportation and trucking industry is booming at the moment, so in order to stay not just defendable but in a combative position, in an ever growing competition we have to focus upon quality as well as cost reduction strategies such as:   a) We can deliver daily, from a minimal 3 yards up to 1,000,000 yards with a fleet of trucks from one ton dump to dump trailers. b) We aim to achieve at least four large-scale contracts for the coming three years. c) Expand our customer base by venturing into other geographical areas to achieve a sustainable level of productivity d) increase marketing expenditures by 15% (â€Å"Trucking Services†). Section Three: Company Summary 3a. Vision: Constantine Construction Inc in Loudonville, New York is a licensed, insured and privately owned construction and Trucking Company which falls in the category of Trucking-Contract Hauling, excavating contractors’ mulch. It is in the business since 50 years (â€Å"Constantine Truck and Repair Service†). The prior vision of this company is to deliver top quality products and services. We are a dedicated team striving to expand our community, helping to maintain existing

Just Take Away Their Guns Essay Example for Free

Just Take Away Their Guns Essay The president wants still tougher gun control legislation and thinks it will work. The public supports more gun control laws but suspects they wont work. The public is right. Legal restraints on the lawful purchase of guns will have little effect on the illegal use of guns. There are some 200 million guns in private ownership, about one-third of them handguns. Only about 2 percent of the latter are employed to commit crimes. It would take a Draconian, and politically impossible, confiscation of legally purchased guns to make much of a difference in the number used by criminals. Moreover, only about one-sixth of the handguns used by serious criminals are purchased from a gun shop or pawnshop. Most of these handguns are stolen, borrowed or obtained through private purchases that wouldnt be affected by gun laws. What is worse, any successful effort to shrink the stock of legally purchased guns (or of ammunition) would reduce the capacity of law-abiding people to defend themselves. Gun control advocates scoff at the importance of self-defense, but they are wrong to do so. Based on a household survey, Gary Kleck, a criminologist at Florida State University, has estimated that every year, guns are used that is, displayed or fired for defensive purposes more than a million times, not counting their use by the police. If his estimate is correct, this means that the number of people who defend themselves with a gun exceeds the number of arrests for violent crimes and burglaries. The available evidence supports the claim that self-defense is a legitimate form of deterrence. People who report to the National Crime Survey that they defended themselves with a weapon were less likely to lose property in a robbery or be injured in an assault than those who did not defend themselves. Statistics have shown that would-be burglars are threatened by gun-wielding victims about as many times a year as they are arrested (and much more often than they are sent to prison) and that the chances of a burglar being shot are about the same as his chances of going to jail. Cr iminals know these facts even if gun control advocates do not and so are less likely to burgle occupied homes in America than occupied ones in Europe, where the residents rarely have guns. Some gun control advocates may concede these points but rejoin that the cost of self-defense is self-injury: Handgun owners are more likely to shoot themselves or their  loved ones than a criminal. Not quite. Most gun accidents involve rifles and shotguns, not handguns. Moreover, the rate of fatal gun accidents has been declining while the level of gun ownership has been rising. There are fatal gun accidents just as there are fatal car accidents, but in fewer than 2 percent of the gun fatalities was the victim someone mistaken for an intruder. Those who urge us to forbid or severely restrict the sale of guns ignore these facts. Worse, they adopt a position that is politically absurd. In effect, they say, Your government, having failed to protect your person and your property from criminal assault, now intends to deprive you of the opportunity to protect yourself. Opponents of gun control make a different mistake. The National Rifle Association and its allies tell us that guns dont kill, people kill and urge the Government to punish more severely people who use guns to commit crimes. Locking up criminals does protect society from future crimes, and the prospect of being locked up may deter criminals. But our experience with meting out tougher sentences is mixed. The tougher the prospective sentence the less likely it is to be imposed, or at least to be imposed swiftly. If the Legislature adds on time for crimes committed with a gun, prosecutors often bargain away the add-ons; even when they do not, the judges in many states are reluctant to impose add-ons. Worse, the presence of a gun can contribute to the magnitude of the crime even on the part of those who worry about serving a long prison sentence. Many criminals carry guns not to rob stores but to protect themselves from other armed criminals. Gang violence has become more threatening to bystanders as gang members have begun to arm themselves. People may commit crimes, but guns make some crimes worse. Guns often convert spontaneous outbursts of anger into fatal encounters. When some people carry them on the streets, others will want to carry them to protect themselves, and an urban arms race will be underway. OUR GOAL SHOULD NOT BE THE disarming of law-abiding citizens. It should be to r educe the number of people who carry guns unlawfully, especially in places on streets, in taverns where the mere presence of a gun can increase the hazards we all face. The most effective way to reduce illegal gun-carrying is to encourage the police to take guns away from people who carry them without a permit. This means encouraging the police to make street frisks. The Fourth Amendment to the Constitution bans unreasonable searches and seizures. In 1968 the Supreme  Court decided (Terry v. Ohio) that a frisk patting down a persons outer clothing is proper if the officer has a reasonable suspicion that the person is armed and dangerous. If a pat-down reveals an object that might be a gun, the officer can enter the suspects pocket to remove it. If the gun is being carried illegally, the suspect can be arrested. The reasonable-suspicion test is much less stringent than the probable-cause standard the police must meet in order to make an arrest. A reasonable suspicion, however, is more than just a hunch; it must be supported by specific facts. The courts have held, not always consistently, that these facts include someone acting in a way that leads an experienced officer to conclude criminal activity may be afoot; someone fleeing at the approach of an officer; a person who fits a drug courier profile; a motorist stopped for a traffic violation who has a suspicious bulge in his pocket; a suspect identified by a reliable informant as carrying a gun. The Supreme Court has also upheld frisking people on probation or parole. Some police departments frisk a lot of people, but usually the police frisk rather few, at least for the purpose of detecting illegal guns. In 1992 the police arrested about 240,000 people for illegally possessing or carrying a weapon. This is only about one-fourth as many as were arrested for public drunkenness. The average police officer will make no weapons arrests and confiscate no guns during any given year. Mark Moore, a professor of public policy at Harvard University, found that most weapons arrests were made because a citizen complained, not because the police were out looking for guns. It is easy to see why. Many cities suffer from a shortage of officers, and even those with ample law-enforcement personnel worry about having their cases thrown out for constitutional reasons or being accused of police harassment. But the risk of violating the Constitution or engaging in actual, as opposed to perceived, harassment can be substantially reduced. Each patrol officer can be given a list of people on probation or parole who live on that officers beat and be rewarded for making frequent stops to insure that they are not carrying guns. Officers can be trained to recognize the kinds of actions that the Court will a ccept as providing the reasonable suspicion necessary for a stop and frisk. Membership in a gang known for assaults and drug dealing could be made the basis, by statute or Court precedent, for gun frisks. And modern science can be enlisted to help. Metal detectors at  airports have reduced the number of airplane bombings and skyjackings to nearly zero. But these detectors only work at very close range. What is needed is a device that will enable the police to detect the presence of a large lump of metal in someones pocket from a distance of 10 or 15 feet. Receiving such a signal could supply the officer with reasonable grounds for a pat-down. Underemployed nuclear physicists and electronics engineers in the post-cold-war era surely have the talents for designing a better gun detector. Even if we do all these things, there will still be complaints. Innocent people will be stopped. Young black and Hispanic men will probably be stopped more often than older white Anglo males or women of any race. But if we are serious about reducing drive-by shootings, fatal gang wars and lethal quarrels in public places, we must get illegal guns off the street. We cannot do this by multiplying the forms one fills out at gun shops or by pretending that guns are not a problem until a criminal uses one. James Q. Wilson is a professor of public policy at U.C.L.A. His most recent book is The Moral Sense. ADS BY GOOGLE

The Good Earth And The Issue Of Respect :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  The issue of respect in The Good Earth is very different from what we consider normal today. People who do nothing to contribute to society get respect and those who would be undoubtedly respected today are ignored because of the traditions of Chinese filial piety.   Ã‚  Ã‚  Ã‚  Ã‚  In The Good Earth we can see many instances where respectable people are seen as nothing and awful people are praised. O-Lan is a good example of someone who is not seen as important but is crucial to Wang Lung's rise to wealth.   Ã‚  Ã‚  Ã‚  Ã‚  When Wang Lung marries O-Lan she achieves a respectable position as the mother of three sons. But as time goes on, Wang Lung becomes rich and he loses his attraction for her and cruelly criticizes her appearance. He becomes obsessed with a prostitute named Lotus and then he buys her to be his concubine, completely forgetting all that O-Lan has done for him. When O-Lan falls seriously ill, Wang Lung deeply regrets his cruelty and sits by her bedside until she dies. Only when she dies does Wang Lung truly appreciate everything that O-Lan did for him.   Ã‚  Ã‚  Ã‚  Ã‚  Wang Lung’s uncle is just the opposite. Wang Lung doesn’t really respect him, but he must act like he does because he is a relative from the older generation. Wang Lung must show him respect and give him support in difficult times, despite his contemptible nature. After the uncle moves his lazy family into Wang Lung’s house, Wang Lung gets to a point where filial piety isn’t even enough to make him bear his uncle’s freeloading. He demands that his uncle and his family leave his home. This is when his uncle reveals that he is a member of a band of robbers, so Wang Lung cannot make his uncle leave without fear of the robbers. His uncle is the one keeping the home safe from looters. The Good Earth And The Issue Of Respect :: essays research papers   Ã‚  Ã‚  Ã‚  Ã‚  The issue of respect in The Good Earth is very different from what we consider normal today. People who do nothing to contribute to society get respect and those who would be undoubtedly respected today are ignored because of the traditions of Chinese filial piety.   Ã‚  Ã‚  Ã‚  Ã‚  In The Good Earth we can see many instances where respectable people are seen as nothing and awful people are praised. O-Lan is a good example of someone who is not seen as important but is crucial to Wang Lung's rise to wealth.   Ã‚  Ã‚  Ã‚  Ã‚  When Wang Lung marries O-Lan she achieves a respectable position as the mother of three sons. But as time goes on, Wang Lung becomes rich and he loses his attraction for her and cruelly criticizes her appearance. He becomes obsessed with a prostitute named Lotus and then he buys her to be his concubine, completely forgetting all that O-Lan has done for him. When O-Lan falls seriously ill, Wang Lung deeply regrets his cruelty and sits by her bedside until she dies. Only when she dies does Wang Lung truly appreciate everything that O-Lan did for him.   Ã‚  Ã‚  Ã‚  Ã‚  Wang Lung’s uncle is just the opposite. Wang Lung doesn’t really respect him, but he must act like he does because he is a relative from the older generation. Wang Lung must show him respect and give him support in difficult times, despite his contemptible nature. After the uncle moves his lazy family into Wang Lung’s house, Wang Lung gets to a point where filial piety isn’t even enough to make him bear his uncle’s freeloading. He demands that his uncle and his family leave his home. This is when his uncle reveals that he is a member of a band of robbers, so Wang Lung cannot make his uncle leave without fear of the robbers. His uncle is the one keeping the home safe from looters.

Cranium Filament Reductions SWOT Analysis

The company that I decided to do a SWOT analysis on is Cranium Filament Reductions which is a hair salon. After reviewing their business plan, I thought that it was very well written and detail-oriented. Below you will find my swot analysis of the hair salon business plan: Strengths: This venture does have experienced, creative leaders and researchers since Susan Sever (the owner) has years of management under her belt. Ms. Sever has done all of her research about the hair salon industry. The industry is easy for anyone to start and end a business which makes for a competitive market. Ms. Sever has realized that customers are looking for quality work and great customer service without paying an arm and a leg; so she has a plan to cater to all of her clients’ needs. She also has a line of products that she will be selling in the salon. In my opinion I think that her market segments are targeted correctly. Her target market includes men, women who cannot afford the expensive upscale salons, and women with children. She has a plan of hiring six experienced hair dressers and an experienced receptionist. Ms. Sever will be offering training to her employees so they can stay up to date on their skills. Weaknesses: There were a couple of weaknesses that I found in the business plan. The weaknesses that I could see were located within the business’ target market segments. Cranium Filament Reductions thinks that young women with children would be a great target for the company. I can understand that their children need their hair done as well but having children in the salon may deter other customers from coming in. Some people use â€Å"salon time† as a way to take time for their selves away from their children so why would they want to deal with other people’s children at a salon. Another weakness is the fact that Ms. Sever is depending on males to make up about seventy to seventy-five percent of their clientele. Depending on the atmosphere at the salon will determine whether or not men show up. If the salon seems to be too â€Å"feminine† then I highly doubt that men will be the majority of their clientele. Opportunities: If Cranium Filament. Reductions actually keeps to their plan about providing high end customer service at a low cost then they will have a strong opportunity to strive. There are people out there that don’t want to pay over $100 for a haircut and some pampering so if they were to find a place that offered everything that they were looking for at a lower rate they would become regular customers. Regular customers would spread the word to their friends and family members and reviews about the salon would be all over town. Having regular customers would give Cranium Filament Reductions the opportunity to become well known around the neighborhood and possibly even the state. If Cranium Filament Reductions can actually make their projected profit for the first year or double the profit, this may provide them with the opportunity to expand the business or the services that they offer. They would be able to buy newer equipment, send their employees for new training, or even expand the product line. Threats: I believe that Cranium Filament Reductions has underestimated the reactions from their competitors. Ms. Sever does realize that the hair salon industry is a highly competitive industry but I don’t think that she understands the lengths that someone will go to make sure your business is not successful. Ms. Sever plans to do a lot of promotional things during the first couple months but that doesn’t mean that another salon won’t start to offer the same promotional items. Cranium will need to stay on their toes to keep their business booming. A change in customer taste does occur rapidly within the hair industry so cranium will need to be up to date with all the new trends and their skills. Competitors may also try to compete with the product line that Cranium offers. Cranium will also need to be on the lookout for new up and coming salons. Everyone thinks that they have a passion for hair so this industry will always be increasing with competitors. Hair Salon Business Plan: http://www.bplans.com/hair_salon_business_plan/appendix_fc.php

Electronic Medical Records Essay

Electronic Medical Records (EMR) are becoming more widely used across the healthcare spectrum. One of the reasons for their popularity is the potential that is presented for increasing the quality of care delivered to patients by decreasing handwriting interpretation errors, reducing medication administration errors and eliminating lost charts. Time management is a crucial skill to have as a nurse. It allows for a smooth workflow which translates into quality patient care. Much time can be wasted not only by the nurse signing off illegible handwritten orders, but also by the other nurses that have to help interpret the handwriting. The EMR requires the physician to enter orders electronically, thereby eliminating handwritten orders. Electronic orders are more precise and more accurately followed (Sokol, 2006). Fewer errors make it to the patient, reducing unnecessary tests and increasing the quality of care that patients are receiving. Electronic medication administration records (MAR) are useful in displaying medications due at specific times. Not only is it possible to sort the medications due at one time, the MAR will also alert the nurse to potential drug interactions. Late medications will be displayed in red to be easily seen. If bar coding is implemented, medication errors can be reduced by a range of 60%-97% (Hunter, 2011). A lost chart can be very frustrating while trying to deliver seamless care to a patient. Paper charts are easily misplaced. Since there is only one, if a single provider is using it, no one else of the medical team can view the chart. The EMR can be viewed from any computer with secure internet access or on a handheld device. When the internet is down, a downtime view only access is available. Nursing Involvement Nurses are known as patient advocates. In advocating for their patients, nurses strive for what is best in their patient’s care. Since nurses will be using the EMR most frequently, it is imperative that they are part of the selection and implementation on an EMR. A nurse, on the EMR team, will represent all nursing. Nurses will be accessing the EMR through their shift several times and will become familiar with the layout and workflow and will be able to provide insight into what would work best to ensure quality of care. There is a saying that you don’t know what you don’t know. A nurse knows what she will need and is the best to supply this information. While researching which EMR would be the best for a facility, a nurse can provide information on time saving workflows between systems. Nurses must also be trained as super users to provide a seamless change from paper charting to electronic charting and provide support to fellow nursing staff. A nurse on the EMR team will be able to deliver new information in a way that other nurses are more receptive to. Handheld Devices If nurses were to use handheld devices in delivery of patient care, there would be a noticeable savings of time as well as more accurate charting. Nursing personnel carrying a handheld device would have immediate access to their patients chart to notice new orders, lab results, or medication admission records. The need to review the paper chart repeatedly throughout the day would be eliminated along with the long search that commences every time you have to look for the paper chart. This could add several minutes to a nurse’s time at the bedside, improving patient satisfaction. When vital signs are taken, written on a slip of paper and then transcribed into the paper chart, there are many opportunities for error and delay. Numbers can be transposed, written incorrectly or the wrong patient’s information could go into a chart. With the immediate availability of a handheld device, the information from the vital signs monitor would have the ability to interface into the patient’s chart virtually eliminating late charting and errors. Security Standards The Health Insurance Portability and Accountability Act (HIPAA) was initiated in 1996 as a standard for protecting individually identifiable health information (U. S. Department of Health and Human Services). HIPAA requires that all information, either written or electronically, that falls under the criteria is protected from unauthorized viewers. An EMR carries more stringent HIPAA guidelines than a paper chart due to the risks associated with computer based files and there are a few key steps that must be taken to ensure compliance with this act. Access control: each user will have a unique user name and password that must not be shared. Firewall protection must be used on the internet server the hospital utilizes to prevent hackers from obtaining access to protected information. If users are authorized to access patient information from home, there must be a secure server used (Arevalo, 2007). Storage: Data must be encrypted to enhance the security while information is being stored and while it is transferred. Encryption entails protection of files and data that is only viewable to authorized users. Compliance of these regulations should be audited on a regular basis with any violation being swiftly remedied (Medical Records, 2013). Healthcare Costs Purchasing an EMR can cost hundreds of thousands of dollars. In order to justify such a large purchase, one must examine the potential ways that money can be saved while using an EMR. After spending hours training users and with a little practice, nurse’s workflows will improve and less time will be wasted. A chart will not have to be searched for, double or triple charting is eliminated by using handheld devices for immediate charting. The quality assurance team will be able to run reports on compliance of core measures and be able to recommend changes to nursing personnel to implement. Fewer medication errors will be made by using the electronic MAR. Most importantly, these time and money saving factors will enhance patient safety. With fewer paper charts to store, valuable space can be remodeled into patient care areas that offer services not previously offered due to space issues (Power, 2013). This will increase revenue for the facility. Comparison Epic offers a computerized management system that is utilized by everyone in the healthcare setting including, nurses, nurse aids, physicians, dietary, radiology, emergency department and the business office. Each department will have a unique look and functionality to their program. There is no need to use multiple systems to gather information on a patient. It can be used in medium size ambulatory settings such as a clinic as well as in a hospital setting for either inpatients or outpatients. With all departments having access to the same information on a patient, errors will be reduced in delivery of patient care. The chance for entering erroneous lab results or miss- documentation will also be reduced with department specific workflows. Not only will this result in better patient care, but also in a nurse’s ability to delivery effective, efficient, quality care without delay. In addition, all physician order entry is electronic, every time. Order sets can be customized for each prescriber, saving time and hassle while maintaining meaningful use and following core measures. For added security, the system can be set to automatically sign a user out after a specified length of time of non-use. And while all of the patient’s information is available to each user, audit trails are left enhancing patient security. Epic has pre-loaded patient teaching materials available as well as the option to custom make information. After visit summaries are easily printed upon discharge and an electronic copy is permanently attached to the chart. Patient would benefit from a facility the uses the Epic system by having access to MyChart. MyChart is a portal of access between a patient and their provider for communication as well as a portable computerized health record. IF a patient were to access care from a facility that does not utilize the Epic system, that patient would have access to MyChart and would then be able to provide critical information that would enhance their care. Another computerized management system available is one from Cerner. This system can be used in all settings in a hospital including nursing. For medication administration, Cerner has available barcode identification of medication to help nursing staff complete their five rights verification prior to administration. It also allows charting at the bedside to enhance accuracy either through a handheld device or a stationary computer. All order entry by physicians is done on the computer allowing the providers to follow built in prompts for allergy information and adverse drug interactions as well as prompts that will aid in the order of care protocols to enhance patient care. Cerner also has a portal designed for patient to have access to their records no matter where they are as well as tracking information for health goals a patient and their provider have established. The portal allows progress tracking and provides information on steps that can be used to help the patient reach their goals. This gives patients more responsibility for their health while providing the incentive needed. Nursing care will be escalated similarly to the way it would be in Epic. Patient information is easily accessible through intuitive workflows allowing nursing staff to make responsible decisions regarding patient care. My recommendation for a computerized management system would be the one available from Cerner. It is the most user friendly for staff including nursing and offers intensive training and yearly upgrades. The different departments systems appear to work together seamlessly resulting in increased savings of time and money (Cerner, 2013).

Essay on Discussion 2

Essay on Discussion 2 Essay on Discussion 2 Find a scholarly research study from the Ashford University Library that uses surveys or interviews for data collection. Also read this week's lecture before submitting your post. Cite the paper in APA format. Background Information & Methodology The purpose of the study was to evaluate the satisfaction of the Associates of Science in Nursing program for students participating in the nursing program. Ideally, such students’ satisfaction would be indicators of the program’s successfulness as a whole, though such satisfaction and methodology had yet to be measured in the United States, (Hsiu-Chin & Huan-Sheng, 2015). A survey was administered using a cross-sectional nationwide questionnaire, gathering data from students pertaining to their satisfaction with the ASN program during 2008-2009, (Hsiu-Chin& Huan-Sheng, 2015). The survey was dispersed using â€Å"stratified random sampling† to all states according to the number of ASN and ADN programs, (Hsiu-Chin & Huan-Sheng, 2015, p. 30). According to the study, the questionnaires were administered anonymously during a regularly scheduled nursing class, (Hsiu-Chin& Huan-Sheng, 2015). Evaluation of Method The use of anonymous questionnaires given to nursing students in the regards to their satisfaction with the ASN program seems to be a useful way to evaluation the successfulness of the program as a whole. Such information gathered through the survey can be useful in pinpointing needed changes within the program. For example, the questionnaire included a section on the nursing facility, curriculum, and environment. The results suggested the lowest item means for student satisfaction pertained to environment. With such information, campus, program chairs, etc. can work on such lacking areas. Method Comparisons There are many different types of methods used in research. For example, in-person or face-to-face interviews, phone interviews, and written surveys, just to name a few can used in research. In essence, each methodology has its both pros and cons. For example, in-person

The History of Kleenex Tissue

The History of Kleenex Tissue In 1924, the Kleenex brand of facial tissue was first introduced. Kleenex tissue was invented as a means to remove cold cream. Early advertisements linked Kleenex to Hollywood makeup departments and sometimes included endorsements from movie stars (Helen Hayes and Jean Harlow) who used Kleenex to remove their theatrical makeup with cold cream. Kleenex and Noses By 1926, Kimberly-Clark Corporation, the manufacturer of Kleenex, became intrigued by the number of letters from customers stating that they used their product as a disposable handkerchief. A test was conducted in the Peoria, Illinois newspaper. Ads were run depicting the two main uses of Kleenex, either as a means to remove cold cream or as a  disposable handkerchief for blowing noses. The readers were asked to respond. Results showed that 60%  used Kleenex tissue for blowing their noses. By 1930, Kimberly-Clark had changed the way they advertised Kleenex and sales doubled proving that the customer is always right. Highlights of Kleenex History In 1928, the familiar pop-up tissue cartons with a perforated opening were introduced. In 1929, colored Kleenex tissue was introduced and a year later printed tissues. In 1932, pocket packs of Kleenex were introduced. That same year, the Kleenex company came up with the phrase, The handkerchief you can throw away! to use in their advertisements. During World War II, rations were placed on the production of paper products and the manufacturing of Kleenex tissues was limited. However, the technology used in the tissues was applied to the field bandages and dressings used during the war effort giving the company a big boost in publicity. Supplies of paper products returned to normal in 1945 after the war ended. In 1941, Kleenex Mansize tissues were launched, as indicated by the name this product was aimed at the male consumer. In 1949, a tissue for eyeglasses was released. During the 50s, the spread of the popularity of the tissues continued to grow. In 1954, the tissue was the official sponsor on the popular television show, The Perry Como Hour. During the  60s, the company began successfully advertising the tissue during daytime programming rather than just nighttime television. SPACESAVER tissue packs were introduced, as well as purse packs and juniors. In 1967, the new square upright tissue box (BOUTIQUE) was introduced. In 1981, the first scented tissue was introduced to the market (SOFTIQUE). In 1986, Kleenex started the Bless You advertising campaign. In 1998, the company first used a six-color printing process on their tissues allowing for complex prints on their tissues. By the 2000s, Kleenex sold tissues in over 150 different countries. Kleenex with lotion, Ultra-Soft, and Anti-Viral products are all introduced.   Where did the word come from? In 1924, when  Kleenex  tissues were first introduced to the public they  were intended to be used with cold cream to remove makeup and clean the face. The  Kleen in Kleenex represented that clean. The ex at the end of the word was tied to  the companys other popular and successful product at the time,  Kotex brand  feminine napkins. Generic Use of the Word Kleenex The word Kleenex is now commonly used to describe any soft facial tissue. However, Kleenex is the trademarked name of the soft facial tissue manufactured and sold by the Kimberly-Clark Corporation. How Kleenex Is Made According to the Kimberly-Clark  company, Kleenex tissue is made in the following way: At the tissue manufacturing mills, bales of wood pulp are put into a machine called the hydrapulper, which resembles a giant electric mixer. The pulp and water is mixed to form a slurry of individual fibers in water called the stock. As the stock moves to the machine, more water is added to make a thinner mixture which is more than 99 percent water. The cellulose fibers are then thoroughly separated in refiners before being formed into a sheet, on the forming section of the creped wadding machine. When the sheet comes off the machine a few seconds later, it is 95 percent fiber and only 5 percent water. Much of the water used in the process is recycled after being  treated to remove contaminants prior to discharge. A felt belt carries the sheet from the forming section to the drying section. In the drying section, the sheet is pressed onto the steam-heated drying cylinder and then scraped off the cylinder after it has been dried. The sheet is then wound into large rolls. The large rolls are transferred to a rewinder, where two sheets of wadding (three sheets for Kleenex  Ultra Soft and Lotion Facial Tissue products) are plied together before being further processed by calender rollers for additional softness and smoothness. After being cut and rewound, the finished rolls are tested and transferred to storage, ready for converting into Kleenex  facial tissue. In the converting department, numerous rolls are put on the multifolder, where in one continuous process, the tissue is interfolded, cut and put into Kleenex brand  tissue cartons which are inserted into shipping containers. The interfolding causes a fresh tissue to pop out of the box as each tissue is removed.

Information Management Essay Example | Topics and Well Written Essays - 1250 words

Information Management - Essay Example This report will examine how senior managers can improve information management within an organization. Information management is an umbrella term, which encompasses people, process, technology and content. Improving information management is driven by the need to improve upon the business processes. Because it encompasses all the systems and processes within an organization, it is essential that managers at all levels communicate effectively. With the growth of the electronic media, the problem of managing information has compounded. There are a large number of information systems today, which lack co-ordination or integration. Information that flows into a company is quite often out-dated, lacks in quality and consistency. The senior management normally does not offer support in managing this information. Added to these are internal politics, changing corporate policies and strategies, and diverse business needs. Investment in information management has also been lacking, as no tangible benefits are visible as in other business processes. People: A strong leadership can help create an effective information management strategy (Robertson, 2005). A clear vision about the outcomes expected from the system is necessary to formulate the right strategy. They must be able to identify and prioritize the business requirements. Senior managers are responsible to ensure that managers at all levels have a clear understanding of the project, its implementation, and the benefits. Technology alone would not suffice unless it is backed by the right managers to implement it. Staff may need to be trained in the application of the information system. The managers also need to recognize the need to invest in developing and maintaining an effective information management system. Technology: Selecting the right technology itself is the first and most important task. No single application of project can resolve all the problems connected