Tuesday, December 24, 2019

Reflection Paper On Anatomy Of Project Organizations

PMGT 611 Reflection Paper Over the course of nine weeks in Anatomy of Project Organizations we have discussed many topics and completed numerous activities where I learned new skills that will help me in my future endeavors. These new skills and or better understanding applies to the areas of organization structure, conflict management, negotiating, steps leading to change, motivation, and presenting. In the paragraphs below, I will reflect upon how each of these has affected me and why these areas are important to me. These are not the only new skills learned in Anatomy of Project Organizations but are the ones I want to improve on in future projects. Organizational Structures To start with I thought I knew what the differences were between the various structures of an organizations, I was wrong. I always felt that the functional organization was the better choice. A functional organization just seemed the best option based on my limited knowledge as the best choice for all organizations to follow. The more I read and we discussed in class, my choice shifted to choose the right organizational structure based on what is best suited for the organization. For me this was hard to grasp. I was an individual who believed there was only one right choice, in this case the organization make up will help you choose the right structure. When you break down the various structures such as functional, dedicated teams, and matrix, I learned each had their own advantage andShow MoreRelatedRethinking Project Management9242 Words   |  37 PagesReINTERNATIONAL JOURNAL OF PROJECT MANAGEMENT International Journal of Project Management 24 (2006) 675–686 www.elsevier.com/locate/ijproman Rethinking Project Management: Researching the actuality of projects Svetlana Cicmil a c a,* , Terry Williams b, Janice Thomas c, Damian Hodgson d Bristol Business School, University of the West of England, Frenchay Campus, Bristol BS16 1QY, UK b School of Management, University of Southampton, Highï ¬ eld, Southampton SO17 1BJ, UK School ofRead MoreNintendo Marketing Report3700 Words   |  15 PagesReport on Nintendo plc Table of contents Table of contents 2 Introduction 3 Exchange process 4 P.E.S.T.E.L Analysis 5 Segmenting markets 6 Marketing information and research 7 Product Anatomy 8 Product Life Cycle 9 New product development 10 References 12 Introduction Nintendo is the worldwide innovator in the creation of interactive entertainment. 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Monday, December 16, 2019

Teens Becoming Parents Free Essays

Teens Becoming Parents 56% of young women and 73% of young men today have had intercourse by the age of 18, compared to the 35% of young women and 55% of young men in the early 1970’s (Facts. ) Each year, nearly one million teenagers in the United States become pregnant. One third of these pregnancies result in being aborted, 14% miscarry, and 52% bear children (Kids. We will write a custom essay sample on Teens Becoming Parents or any similar topic only for you Order Now ) What are the effects of having children at a young age? Education, being unprepared, and a change in responsibility are just a few of the effects of having a child at a young age. Seven out of ten teen mothers complete high school or eventually earn their G. E. D. , but are less likely than women who delay childbearing to go on to college (Sex. ) Having a child in high school makes it more difficult to focus on your studies. Late nights staying awake to feed, change, and care for your baby, can have a huge impact on your ability to focus on school and other tasks you face. As a teenage mother in school, you miss out things such as your prom, sports, and other extracurricular activities. Unpreparedness is another effect of having a child as a teenager. Most teenagers if they work, work minimum wage jobs and have no way of supporting themselves and a child. When a box of diapers for a newborn cost around $32. 50, and last maybe a month, and a can of formula that cost $13, last maybe a week, your priorities of how you spend your money also changes. You no longer are able to go out with the girls for an all-day shopping trip or get your hair and nails done. Every penny you make goes to taking care of that child. The combination of the minimum wage jobs and going to school, allows for very little quality time with their child. Without a good support system, raising a child as a teenager is almost impossible. In 1992, the federal government spent more than $34 billion on welfare for families begun by teenagers, which is $16. 6 billion higher than in 1985 (Babies. ) Prior to becoming a teen parent, most high school students have no concept of what responsibility is. They think that life is theirs to do with as they please. If they want to go out with friends and have good time, they do just that. However, when they become a parent they have minimal time to go out with friends. Their main priority should become their child and taking care of that child. Most teen parents rush out and get married to try and hide that the child was conceived out of wedlock, but most marriages in this form end in divorce somewhere down the line. Having a child as a teenager can really change your life. Most teenagers can’t handle going to school and raising their child, so they drop out of school. Being unprepared for a child, makes it that much harder. Teens should really wait until they are old enough, with their priorities in order, and prepared to take care of a child. Raising a child is a full time job in itself. Works Cited 1) â€Å"Facts in Brief: Teen Sex and Pregnancy,† The Alan Guttmacher Institute, 1996. 2) Kids Having Kids, Robin Hood Foundation, 1996 3) Sex and America’s Teenagers, The Alan Guttmacher Institute, 1994. 4) â€Å"Babies Born Into Peril,† Chicago Tribune, 22 May 1994 How to cite Teens Becoming Parents, Papers

Saturday, December 7, 2019

Ethics and Nursing Practice Samples for Students -Myassingmenthelp

Question: Discuss about the Law, Ethics, Professional Guidelines and their Relationship to Nursing Practice. Answer: The most important role in nursing practice is proper documentation. It assures high quality of patient care where the documents are recorded in a clear and concise manner. The principles of documentation relies on the fact that there should be proper documentation whether paper or electronic based and applied to defend the allegations of negligence, malpractice or failure in meeting the standards of care (Lavin, Harper Barr, 2015). In the given case scenario, there is tampering of the patients documents as documented by the nurse during her previous shift. The original notes of the nursing care of the patient are under scrutiny and there was malpractice of the documented notes. In this scenario, there is disruption of the patients documents that is vitally relevant to the patients nursing care. The nurses notes contain many vital indications or observations that describe the patients problems and immediate actions taken by the nurse in compliance with the problem (Patiraki et al., 2015). The tampering of the medical records in this case is a criminal offense where there is an unauthorized alteration or damage or interference with the original documents of patient. In this case, the healthcare professional involved in the lawsuit has been tempted to make additions or adjustments in the patients medical records so that his or her roles would look insignificant. The tampering of medical records is highly unaccepta ble and violates the law and ethics (Schaar Wilson, 2015). The immediate action would be to escalate the issue and examination of the handwriting. This would help to observe the appearance the writings in the entry and to look for the change in the style of writing. It is also important to look for if the notes are sloppily written or written neatly that might indicate rewritten at a later date. There is also a requirement to evaluate the tampered documents for a typed entry in between the handwritten notes. This would also help one to look for the late entries made at a later date with the number of entries. It is also important to look for the words that are incorporated within the medical records. There is also a requirement to look for the obliterations made in the entries. A review of the tampered documents for the detection of the ink colour that is made within the previous entry is also vital. There is also a need to review the timing of the entries made in the document. This would help to assess the late entry that might have been made after the learning of a problem. After this, it is important to talk to the immediate nurse who attended the patient after my shift. There is a need to talk to her as she might have witnessed something and the immediate healthcare professional that is in charge of the patient. The immediate nurse should be asked for justification for the tampering of the documents. The nurse is required to give explanation for the committed offense as there is falsification of the medical records (Jackson, 2016). Moreover, there is also a requirement to scrutinize the original documents. This would help to know the sections of the tampered documents. This would also aid in knowing that the reason because of which tampering has been do ne to meet the desired outcomes in the patients nursing plan care. The nurse had documented some observations that were not witnessed in the patient as such to get the desired results. The tampering of documents has serious implications as it is a way to cover up the errors that are made in judgment that are not subjected to recovery of the damages made or due to negligence. In the absence of satisfied justification from the nurse and the healthcare professionals, there is a need to escalate the issue to the immediate senior or the ward-in charge. As it is a malpractice, it needs to be escalated to the concerned hospital authority for the proper vigilance of the raised issue regarding the tampering of medical records (Chang Daly, 2015). There is a need to obtain the validation of the concerns that is required to make the correct legal strategic moves. After the intention to sue the nurse and the healthcare professionals, the above matter is to be escalated, the documents are to be reviewed by the investigating officer in charge and the concerned hospital authority. In the case scenario, there are ethical and legal implications involved with the falsification or tampering of the medical records. The registered nurses and the healthcare professionals have the legal responsibilities to abide by the competency standards, professional code of ethics and accreditation standards in the creation of the patients nursing plan. The creation, maintenance and disclosure of the patients medical record information is the responsibility of the registered nurses as authorized or dictated by law (Dwyer, 2013). The patients records serve as the best evidence to judge the breach of professionalism and legal standards involved in the nursing practice. The consequence involved with the alteration or incomplete or tampering of the medical records is ethically and legally catastrophic in nature. Falsification of the medical records has serious implications on the patient safety. The tampering of the records shows loopholes in the incredibility of the nurses. It is a p resumption of negligence depicted in the alteration of records. The deliberate falsification of the patients medical records by the registered nurses is considered to be a malpractice endangering the life of the patient (Hegney et al., 2014). It is a violation of the Australian Registered Nurse Standards for Practice where it is considered to be a criminal offense. According to the Code of Professional Conduct Statement 3, registered nurses should practice and conduct their profession in accordance with the nursing laws that are relevant to nursing practice and profession (Stasa et al., 2014). They are ensured to not engage in any kind of activities or practice that is prohibited by the laws. Under this competency, the nurses are obliged to report unlawful misconduct to the concerned authority. Moreover, if the nurses witness malpractice by their co-workers or colleagues, they have a responsibility to report this misconduct to the higher authority to safeguard and provide high quality of care to the patients. This competency complies with the immediate action that needs to be taken after witnessing the tampering with the medical documents. This competency also states that if the unlawful or unacceptable conduct of the employees is not addressed properly or failed to produce an effective response from the employers, they are obliged to escalate the matter to the external authority. According to the Conduct Statement 10 under the Australian Registered Nurse Standards for Practice, the nurses are obliged to practice their profession ethically and reflectively. According to the Conduct Standard 10 under the NMBA, Australia, the nurses have the responsibility to maintain and develop quality nursing practice that requires proper care to the patients under their provision of care (El Haddad, Moxham Broadbent, 2013). According to the Code of Ethics for the Nurses in Australia, it is the fundamental right of the nurses to identify the ethical standards in which the nursing profession is committed and incorporated into the professional nursing practice under the standards of conduct (LeMone et al., 2015). This also serves as the reference point for the nurses to conduct themselves and others in the nursing practice. It also helps to guide the nurses in ethical decision-making and nursing practice. It also encompasses the ethical values and human rights standards that the nurses are expected to uphold. According to the Value Statement 5 under the Code of Ethics for Nurses in Australia, nurses should value the informed decision-making. They have the responsibility to perform their nursing practice in accordance with the legal and ethical requirements. In the given case study, the tampering of the medical records is unethical and non-relevant to the treatment and care of the patient. There is alterati on of the medical records that is highly unethical in the nursing practice (Adams, 2015). According to the Value Statement 7 under the Code of Ethics in Australia for Nurses, the nurses should value the ethical management of information. The generation and management of the medical documentation or patient information should be performed with integrity and professionalism (Chadwick Gallagher, 2016). There should be proper documentation and recording of the patient information and no alteration should be done or addition of new information. The statement also states that the information should be recorded in an accurate, relevant and in a non-judgmental manner. The health documentation recorded should not be altered or changed or further addition of information. The tampering of the documentation illustrates the negative impact on the quality of care provided to the patient. The falsification of the documents has long-lasting and serious implications on the provision of care. This also affects the ethical decision-making and provision of healthcare provided to the patient . The ethical management of the patient information also involves privacy and confidentiality that should not compromise with the safety of the patient. The data recorded should be authentic irrespective of the medium via which the information is stored. In the case scenario, the alteration and tampering of the patients information have serious implications on the safety and well-being of the patient. It is a violation of the professional code of conduct and poses ethical and legal implications on the nurse or healthcare professional at fault. The nurse-in-charge of the patient had the responsibility to value the professional code of conduct and should not have violated the information of the patient. Nurses have the responsibility to comply with the mandated reporting and maintenance of relevant privacy under the nursing legislation (Johnstone, 2015). The management of the ethical information also requires the nurses to maintain the records and information of the patients in an accurate manner to ensure high quality of nursing care. The nurses are obliged not to divulge any kind of information about any patient or authorize in any kind of tampering of medical records of the patient. Under the Value Standard 7, the nurses have the responsibility to comply with the meeting of the competency standards and expectations seeking nursing practice in Australia. The nurses should value proper documentation and provide reliable information about the patients condition (Burmeister, 2013). According to the Section 17 of the State Records Act 1997, Australia, of a person is found guilty of tampering with medical records; he or she is committed to criminal offence or have to pay a penalty or imprisonment. In the case example of tampering with a patient record at the Lyell McEwin in Australia, the Chief Medical Officer had stated that the legality of the case is to be investigated by the Director of Public Prosecutions (DPP) and the tampering of the medical records have serious legal implications (Stark Payne-James, 2014). It took place in September, 2015 as reported by the Marshall Liberal Team in Australia. This example complies with the given case scenario where the nurse was accused of the tampering of medical records. Moreover, the Chief Medical Officer, Paddy Phillips stated that the case is a criminal offense and the person found guilty would be suspended; however, the full investigation is pending. The case of tampering with medical records is also dealt by The Australian Plaintiff Lawyers Association states that the medical records of the patients should be well documented and falsification of these documents have legal imperatives that requires robust action. The Australian Medical Association (AMA) recognizes the importance of appropriate documentation of medical records and there should not be any falsification of the actual information documented (Kotsirilos et al., 2014). Proper documentation of the patients information and management is essential for the maintenance of health care records. According to New South Wales (NSW) policy directive, Australia, the Healthy Care Records policy defines the proper documentation and management of health records in the NSW health system (Friedewald Cleasby, 2017). The policy ensures that if there is violation or inability to meet the high standards of documentation and management of medical records, it should be dealt under the common law, ethical and legal jurisdiction. The above case scenario depicts that the nursing documentation is an essential part of clinical nursing and is a reflection of the nursing assessment and quality of care. The tampering of medical records poses serious legal and ethical implications that require robust actions under the jurisdiction of law References Adams, M. C. (2015). A documentation standard for the maternal and child health nurse in Victoria. Burmeister, O. K. (2013). Achieving the goal of a global computing code of ethics through an international-localisation hybrid.Ethical Space,10(4), 25-32. Chadwick, R., Gallagher, A. (2016).Ethics and nursing practice. Palgrave Macmillan. Chang, E., Daly, J. (2015).Transitions in nursing: Preparing for professional practice. Elsevier Health Sciences. Dwyer, C. (2013). Comparing Medical Record Ownership and Access: Australia, Canada, UK, USA. InLegal and Forensic Medicine(pp. 1699-1716). Springer Berlin Heidelberg. El Haddad, M., Moxham, L., Broadbent, M. (2013). Graduate registered nurse practice readiness in the Australian context: an issue worthy of discussion.Collegian,20(4), 233-238. Friedewald, M. I., Cleasby, P. A. (2017). Advance care directive documentation: issues for clinicians in New South Wales.Australian Health Review. Hegney, D. G., Craigie, M., Hemsworth, D., Osseiran?Moisson, R., Aoun, S., Francis, K., Drury, V. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results.Journal of nursing management,22(4), 506-518. Jackson, J. R. (2016).U.S. Patent No. 9,280,685. Washington, DC: U.S. Patent and Trademark Office. Johnstone, M. J. (2015).Bioethics: a nursing perspective. Elsevier Health Sciences. Kotsirilos, V., Prince, M., Cohen, M., Sali, A., Hassed, C., Singleton, G., ... Tomas, L. (2014). BEST PRACTICE FOR INTEGRATIVE MEDICINE IN AUSTRALIAN MEDICAL PRACTICE January 2014. Lavin, M., Harper, E., Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings.OJIN: The Online Journal of Issues in Nursing,20(2). LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., Reid-Searl, K. (2015).Medical-surgical nursing. Pearson Higher Education AU. Patiraki, E., Katsaragakis, S., Dreliozi, A., Prezerakos, P. (2015). Nursing Care Plans Based on NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification: The Investigation of the Effectiveness of an Educational Intervention in Greece.International journal of nursing knowledge. Schaar, G. L., Wilson, G. M. (2015). Evaluating senior baccalaureate nursing students documentation accuracy through an interprofessional activity.Nurse educator,40(1), 7-9. Stark, M. M., Payne-James, J. J. (2014). Provision of clinical forensic medical services in Australia: A qualitative survey 2011/12.Journal of forensic and legal medicine,21, 31-37. Stasa, H., Cashin, A., Buckley, T., Donoghue, J. (2014). Advancing advanced practiceclarifying the conceptual confusion.Nurse Education Today,34(3), 356-361.