Future Policing Essay

The field of police work is constantly being forced to develop and improve its protocols, procedures, and practices in an effort to keep pace with the ever-changing society in which it operates and criminal behavior it seeks to eradicate. While the history of policing has been marked by substantial changes throughout time, the work of modern-day police officers and officials demonstrate some of the most substantial adaptations to its surrounding environment that the field has ever seen. In order to understand where the future of policing is heading, it is important to first understand these current trends that are affecting the current landscape of the profession. By doing so, some foreseeable critical issues that may affect policing in the future can be identified, and potential changes can then be proposed and implemented to effectively address these critical issues. Perhaps the most important current trends in policing are those that affect the operational aspects of its crime fighting function. The first and foremost trend amongst this group has been the development of intelligence-led policing, which at its most basic, deals with the â€Å"identification of specific criminal activities or specific criminal populations and targeted enforcement against the highest-risk crimes or criminals to achieve overall reduction in the impact of crime in a community† (Wallentine, 2009, para. ). Within this broadly encompassing trend have come a few important changes affecting police departments across the nation. One is that many police agencies have begun to incorporate professional intelligence analysts into their ranks, a brand new position for most departments and one whose importance will likely continue to grow in the years to come (Wallentine, 2009). Another is that police leadership and command staff has had to incorporate and learn new technologies, and djust to new methods of collecting and sharing information between one another and with the general public (Wallentine, 2009). The overall result of these efforts, particularly in big cities, is a trend away from forceful policing and towards enlightened policing (Herbert, 2007). With that being said, there has also been a trend of increased rates in the commission of violent crimes that has certainly affected policing regardless of what tactics are implored. This includes upticks in international terrorism-based crimes, as well as traditional domestic criminal behavior (Cetron & Davies, 2008). Yet perhaps an even more troublesome aspect of this trend, especially when it comes to homicides, is that these increases have not been spread across the country through moderate rises in all cities, but rather through dramatic rises in homicides in some cities that simply outpace the substantial decreases other cities have experienced (Herbert, 2007). Most of the explanations offered for this imbalanced trend deal with financial cutbacks that have been made to federal crime fighting programs and others that have left many police departments shorthanded (Herbert, 2007). Thus, budgeting strains and constraints serve as a final trend currently affecting policing, as over half of all policing agencies suffered budget cuts in 2012 alone, which comes on top of nearly 80-percent having experienced the same in 2010 (Police Executive, 2013). Alongside the policing trend of improving intelligence and technology, there has naturally been an increase in smarts and technological acumen of criminals. When this is combined with the trends of an overall increase in crime and a decrease in police budgets, the result is that a number of foreseeable issues that could potentially affect policing in the future have risen to the forefront of concern. As each generation becomes more and more Internet and electronic-savvy, there is an increased likelihood that in the years to come America will be plagued with more white-collar crimes than ever before (Wallentine, 2009). This issue becomes even more critical as globalization continues to spread ideas and technologies worldwide on a faster pace than ever, and the gap between rich and poor in the global marketplace increases as well, because he foreseeable result is the strengthening of domestic gangs and international separatist and extremist movements, which of course will lead to even greater spikes in crime rates and terrorist attacks (Cetron & Davies, 2008). Unfortunately, the financial trend that has been seen in policing will likely continue for the foreseeable future, which will not only limit the ability to confront these new critical issues, but will likely exacerbate them as well (Police Executive, 2013). It is also foreseeable that new state efforts to combat their overall economic struggles will serve as a critical issue with adverse policing affects as well. More and more states continue to modify their early release policies, putting criminals back onto the streets sooner and in greater numbers than ever before, which has caused police officials to almost unanimously report that they expect to see increases in their crime rates as a result (Police Executive, 2013). While these foreseeable critical issues certainly pose a set of substantial concerns for and potential threats to policing in the future, many can be dealt with and effectively addressed in the present-day through the implementation of a handful of changes. The first change that can start to take place in the policing world today is to establish partnerships between police forces operating in different parts of the nation and even those positioned in different societies throughout the globe (Cetron & Davies, 2008). While there has been a trend towards more collaborative police efforts in recent years, these efforts may need to take on a more international scope in order to address the critical issues that are likely to arise in an increasingly globalized world. The effectiveness of this change would be to allow police departments, particularly those in large U. S. cities, to address newly developing problems in their communities by connecting with other police forces that have already had to deal with the same exact types of problems in their societies for a long period of time (Cetron & Davies, 2008). For example, Israeli law enforcement officials have ample experience when it comes to dealing with the threat and realization of modern terrorist attacks, and their knowledge would serve as a great asset to big-city police forces in the U. S. if it were to be conveyed through joint-training or planning exercises (Cetron & Davies, 2008). Preparation and planning are also the keys that are essential to the changes that may be needed to effectively address the critical economic issues facing policing in the future. Although funding for police departments has been trending downwards for most localities in recent years, there has also been a concerted effort by federal and state governments to make new funds available when it comes to responding to natural disasters and terrorist attacks (Cetron & Davies, 2008). In light of this, police forces should develop contingency plans that will allow them to efficiently and effectively access funding and take advantage of external support structures that would be made available to them in the wake of these occurrences (Cetron & Davies, 2008). Likewise, a dual-financial purpose would be served if changes to how retired officers are viewed were put in place. Using retired officers as auxiliaries in particular situations would benefit them by helping to counteract the negative pension trend they are faced with, and would also help their employing departments by offering them a means in which they can extend their resource supply without having to pay the full-time salary requirements of newly hired officers (Cetron & Davies, 2008).

Analysis of Human Migration Essay

An Analysis of Human Migration Ever since humans learnt to grow crops as a steady source of food humans have migrated In search of conditions better suited to their needs and comforts. Although all of us but the 30-40 million that choose to live the nomadic life have abandoned that lifestyle and moved on to a more ‘civilized’ modern era, migration still remains an option for those of us seeking to take residence In an alternate region of mother earth. The National Geographic Society [1] defines human migration as The movement of people from one place in the world to another for the purpose of taking up ermanent or semipermanent residence, usually across a political boundary. ‘ Migration Inside a landmass or political region Is called Internet migration and outside a physical or political border Is called external migration. For example Inside moving inside the continent of Australia would be internal migration but moving into a different continent overseas would be external migration. There are a variety of causes for migration, but they havent changed much through the years and remain fairly similar to the reasons our ancestors chose to migrate. These reasons can be categorized into two sections; these being push factors and pull factors. Push factors are reasons for leaving a region because of negative properties of the location and Pull factors are reasons for moving into a place because of positive properties of a location. Such factors can further be divided Into Environmental factors like climate, Political Factors Ilke war, Economic factors Ilke work, cultural factors Ilke education and utility factors like geographic location and socioeconomic status. Statistically speaking, the humans are extremely successful as a species. The 7 billionth human was born not long ago and the 10 billionth Is not far away, calculated to be born around the end of the century. The human race Is not only vast, we are also incredibly diverse and this is what defines us as a species. Meaning when we lost a part of our culture we lose a bit of what it means to be human. This brings us to one of the biggest drawbacks of migration, known as Cultural Extinction. Cultural extinction occurs when a family that Is part of a smaller culture migrates and the next generation of the respective family is only exposed to the native language and culture, since culture and tradition is only carried through families, the prospective bearer of this culture is burned out, ending a vein of this precious cultural blood. But our cultural diversity Itself poses a question. How Is It that we as a human race are so diverse in culture, and yet so similar? A research project named ‘The Genographic project Was created by Spencer Wells for the purpose of answering this question and tracing human movement in prehistoric times. Even though the fields of palaeoanthropology and archaeology already enable us to access this Information, the Genographic project uses a newer method that allows us to find out how closely we are related to each other, enabling us to map out a family tree going back millions IOF4

Support a side on health care Essay Example | Topics and Well Written Essays - 1750 words

Support a side on health care - Essay Example The law seems to be more of a starting point than a destination for health care reform. Essentially, the liberal minded Democrats want a single payer, universal healthcare system instituted which covers all Americans. A similar all inclusive and much more streamlined system than is still the case in the U.S. system is utilized by Canada, Britain, Japan, Brazil, Russia all western European countries and several other nations. Essentially every civilized, industrialized nation but the U.S. employs some type of universal health delivery. The conservative Republican solution is essentially to do nothing much as was done during the Bush Presidency. Giving tax cuts to the wealthy and tax incentives to businesses and individuals in addition to allowing the free market to operate unabated and unregulated is the repeated rhetoric Republicans offer as a solution to the very complex issue of health care. The Republican answers do not address the problem however which is reducing overall costs w hile covering all persons, a very complex issue requiring more then simple slogan-worthy answers. This paper will examine the Democrat position regarding health care reform while offering the Republican viewpoint as rebuttal. The PPACA is expected to reduce the deficit $143 billion during the first decade and $1.5 Trillion the second decade, 2020-2030. (Holohan, 2010) Included in the new law is a Patient’s Bill of Rights which effectively ends some of the most egregious health insurance company practices. People cannot be denied insurance for pre-existing conditions and cannot have their insurance expire due to lifetime limits of the policy. Children of policy holders can stay on it until the age 26, patients are given an appeals process for coverage decisions by the insurer and other benefits to be phased in over the next few years. The PPACA will also

The Buddhist religion.Planetary chain Essay Example | Topics and Well Written Essays - 1500 words

The Buddhist religion.Planetary chain - Essay Example The Buddhist religion, which is perhaps the most widespread and influential in the Oriental world, began in India and spread from there into most of the other countries of East. According to the Esoteric doctrine that was taught to the pupils who are spiritual heirs of the planetary spirit, the personalities are akin to that of beads being strung on the unique personality or true eternal self, which passes through all the incarnation unchanged. In the case of the extinction of a personality, the bead is broken off the individuality and destroyed. An â€Å"Individual† is merely a name for a number of interconnected things, which are bound together. It is continually changing its form, but still there is an apparent identity in this changing aggregate. In the planetary chain, there are seven members. Man, who have achieved seventh state proceed to Nirvana, which is a magnificent condition of â€Å"conscious rest in omniscience†, man becomes spirits of the planet, the angels and guardians of the subsequently terrestrial period. A manifestation of earthly spirits occurs at the start of every race, when the broad ideas of right and wrong are impressed on the earliest members of that race, and the germ of the Esoteric wisdom is instilled into a few chosen souls, who become its custodians and transmitters to future races. This is the mystery of the Divine Incarnation

Should we still talk about a digital divide Essay

Should we still talk about a digital divide - Essay Example The use of e-mails significantly enhanced information exchange in business, learning institutions as well as between individuals (Zittrain 2009). Initially the cost of internet connection, just like any innovative technology in the market cost a huge sum of money upon its commencement and availability in the market. According to research, by the year 2004, almost 50% of adults in America alone do not have access to internet technology, a situation that is attributed to financial constraints (Warschauer 2003). There after, the price of applying this technology has reduced tremendously allowing all economic classes to access information, other factors such as literacy and awareness held constant. With regards to the economic perspective, digital divide is a concept that is fading day by day especially in the developed countries. Mobile phones that have internet access are available in the market at reduced cost than they used to be, and people can communicate better using modern commun ication software such as Skype. According to Turban et al., (2011), Skype serves an average of 25 million clients during peak hours. It has been significant in the lifestyles of the modern society. The most important aspect has been lowering the cost of telephone services. Subscribers of Skype are able to communicate effectively through unlimited phone calls, which is not possible through the common telephone service providers. Moreover, Skype services are accessible globally and therefore every person who has access to the internet can use them (Booth, 2010). Owen et al. (2006) observes that in the developed economies, people have an opportunity of choosing what kind of communication to use rather than where... According to the research findings there are various theories that have been applied to explain the concept of digital divide. These lead to three categories of digital divides including; the economic divide, usability divide and empowerment divide. To begin with, the theory of economic divide is focused on the affordability of information systems and equipment such as computers and telephone. During the inception of Information Technology in the society, the acquisition of computers by individuals required large amounts of money. This limited information flow to a small group of wealthy people who could afford a personal computer. The digital divide was large on a global perspective. The rate of adoption of ICT was also different among global economies. The complexity of emerging technology has locked out many people from accessing and utilizing information. This limitation goes beyond economic aspects with regards to the existence of a digital divide. Most of the less developed cou ntries are still struggling to accomplish the objectives of primary education. Computer literacy is considered to be tertiary level and hence little or no resources are budgeted for it. Empowerment is the practice of augmenting the religious, political, societal, racial, gender and ethnic strength of individuals and groups of people to acquire the confidence needed to accomplish a particular goal. The empowered develop confidence in their competences.

Hypnotherapy and Smoking Cessation How Effective Is It Essay

Hypnotherapy and Smoking Cessation How Effective Is It - Essay Example It is not considered useful for physical problems but is said to help if there is any kind of psychological aspect, for instance, phantom pain from an amputated leg. It can help, but it is not a cure. According to one advocate of hypnotherapy, the process is more than hypnosis. It is a partnership between practitioner and patient (Annamalay 1). Even so, the willingness of the client to share control with the practitioner is paramount. The main question becomes: Is hypnotherapy a useful technique or is it actually a profession, a business set up for profit with no real guarantees, even though money-back guarantees are rampant Is it considered a legitimate process in the health field This essay will attempt to explore the hypnotherapist's role in smoking cessation, how much depends on the client personally, how effective the process has been and whether it is a proven source of help for the smoker to cure his or her addiction. Can one discuss hypnotherapy in the 21st century without acknowledging it as part of holistic health The debate continues as to whether or not hypnotherapy is a preferred treatment for tobacco addiction. It must be noted that smoking is an addiction developed over time, basically through dependence on nicotine, a known addictive drug. This physical need, however, can be overcome if a person truly wants to stop smoking and is determined to benefit from any treatment offered. In the area of hypnotherapy, the ability of a person to be hypnotised is based on the willingness of the subject to allow himself or herself to be hypnotised. Therefore the success or failure of such a process is entirely up to the person being hypnotised. Once the hypnosis is successful, the therapist can be helpful in treating phobias, weight problems, insomnia, anxiety and stress in addition to bringing about smoking cessation. Current Development of Hypnotherapy in Smoking Cessation In modern therapy, Ericksonian hypnotherapy is well known in the field. The process was instituted by Milton H. Erickson, an MD who treated many patients using hypnotic techniques and did his best to document his achievements (Hypnotherapy: History, par. 4). He is highly respected in his field, and the process he developed truly can be called a technique. This type of therapy treats the client based on the unique qualities of the individual's needs. Erickson considered the experience of trance or hypnosis a natural, everyday experience; similar to learning to drive or ride a bicycle and finding it has suddenly become a reflexive action. One can also relive or re-experience an event by bringing it into the present through memory. Erickson further challenged the notion that some people could not be hypnotised and believed that interaction with the client would give them the ability to enter into their own treatment, thereby allowing hypnosis to take place (Johnson, 2, 4). The availability of hypnotherapy at present pretty much depends on the financial status of the person wishing to engage a therapist. Most clinics offering the service are privately owned, and the cost can be anything from 30 to 200 an hour. To get hypnotherapy treatment under National Health Service (NHS), it

Puzzles Essay Example | Topics and Well Written Essays - 500 words

Puzzles - Essay Example elieved that Pythagoras used anagrams to determine philosophical meanings, while Plato believed that anagrams revealed divinity and destiny (Anagrams FAQ). The Romans believed that anagrams actually had mystical and prophetic meanings (Wikipedia). In spite of their popularity in ancient times, anagrams seemed to disappear until the middle ages when Jewish mystics called Cabbalists believed that reciting letters from the Hebrew alphabet in various orders could work miracles and create humans from dust (Sydney Morning Herald). In 17th Century France, Louis the XIII appointed a Royal Anagrammist to whom he paid a reportedly exorbitant salary. By 1988, the first stand-alone anagram generating software was produced underscoring a fascination with this puzzle form that has existed for several thousand years. (Sydney Morning Herald). Throughout history, anagrams have gone in and out of popularity, and they have been used in several applications in addition to providing entertainment for puzzle solvers. Authors have used anagrams of their own names to create pseudonyms for their writing. Writers have also been known to use anagrams of actual people as the names of unpleasant characters. In addition to literature, anagrams have appeared in song lyrics. Jim Morrison used an anagram of his own name, â€Å"Mr. Mojo Risin† in the song â€Å"L.A. Woman.† Other songwriters have used anagrams for titles of songs of for band names. Galileo and other scientists used anagrams to protect their discoveries from being claimed by others. Cryptic crossword puzzles use anagrams as clues to add another dimension to crossword puzzles. (Wikipedia). Before the advent of computers, anagrams were created using pen and paper or letter tiles. Individual words have been anagrammed as well as entire sentences. With the creation of computer programs for anagramming, not only are there more possibilities for the numbers and kinds of anagrams that can be created, but also the games that can be played

Okuns Law Essay Example | Topics and Well Written Essays - 1250 words

Okuns Law - Essay Example Arthur Okun clearly explained in numerical values the link between unemployment and output. Okun's Law states that "1 percent more unemployment is estimated to equal 2 percent less output" (Schiller G-4; "Okun's Law or Rule of Thumb" 60). This was also stated as "The higher the rate of growth of output, the greater the reduction in unemployment, and vice versa" ("Okun's Law or Rule of Thumb" 60). Does this Law apply to the prevailing economic condition Conversely, one can hypothesize that this law does not apply to the prevailing situation in the United States of America, and that 1 percent more unemployment does not jeopardize percentage of output. In the United States of America, circumstances often force people to persist on joblessness. For example, many work applicants are from the secondary level of education and only some college units. Most employers however of the 21st century economy prefer information technology literacy in addition to completed college education. Also, the volume of products as output of inputted goods and services are dependent on the availability of the components of goods to be produced, and the availability of employees with hi-tech awareness (Schiller 127). An even depressing marker is the fact that goods for production may be for consumption or for investment. In case the capital will be used for consumables only, then nothing will be allocated for investment goods and vice-versa. This is the situation when capital is limited. Plus, despite increasing population, labor force have not increased, so the potential for output from out of the population is very well below the output needed to support the population (Schiller 127-128). These facts show that most people must have to be responsive of existing conditions on balance between employment and output or Gross Domestic Product. One good way of being responsive to existing conditions is to be pragmatic with limitations on availment of objects used as resources and expertise. These limits set boundaries on productivity. Additionally, if more people will find jobs in exchange for wages, then, more will be the input for labor necessary for production. In other words, balance between employment and output or Gross Domestic Product can be achieved with the minimization of boundaries set by the government and other concerned non-governmental groups on utilization of the natural resources and expertise (Schiller 128). Another front which could be harnessed to raise productivity is the unaccounted portion of labor. These are the full-time mothers, the full-time students, the teen-agers, the children, the sick, the disabled, and those who are working within a family business, but are not paid wages for doing jobs (Schiller 126; Frumkin 1987). Practically, these people are parts and parcels of the consumers and demand side of the economic market, yet they have no direct productivity in terms of income generation. In fact they may even be the bulk of the population that is reliant on the working groups' productivity. Plus, they are apparently the population who spends more and consumes more than those who are employed. Real life economic growth could hardly be achieved then, unless something is done with the dependent population in the American society. Gauged by the facts that unemployment economically

Black Americans Essay Example for Free

Black Americans Essay Firstly black Americans faced problems in the south because of lynching and the Jim Crow Laws. Lynching meant that racist white Americans would put the law into their own hands and punish black people whenever they please. They would hang the victim from a tree. In 1897 123 black people were lynched in the south, 84 in 1903 and 61 in 1921. The police would turn a blind eye and made no effort to stop lynching from happening. Even though slavery ended in 1865 black people faced the threat of violence, intimidation and racial discrimination on almost a daily bases. The Jim Crow Laws were created to keep whites and coloured people away from each other. The Jim Crow Laws covered all the aspects of life. Black Americans were stopped from using the same restaurants, hotels, libries, taxis, and even cemeteries. If black people wanted to vote the Jim Crow Law made them have to pass a difficult literacy test and they would have to pay high taxes. Nearly 2million black Americans moved from the southern states to the north in hope of a better life. This was called the Great Migration They thought they would be able to escape the Jim Crow Laws and racism as a whole, they wanted to go to the north for a better chance at jobs and education but little did they know. Secondly black Americans faced problems in the south because of the KKK. The KKK stands for the Ku Klux Klan; they were a racist group and were part of a secret society. The leader of the KKK in the 1920’s was a dentist called Hiram Wesley Evans whose name in the KKK was Imperial Wizard. Only WASP’s could belong to the KKK- White Anglo Saxon Protestants. The KKK targeted blacks mainly, but they also hated Jews, Catholics and Liberals but there main focus was poor black families that were very vulnerable. 5 million white Americans joined the KKK between 1920 to 1925. Most members where poor white people because they were afraid that black people would take over their jobs. Some of the KKK members were judges, policemen and lawyers. They would dress in white sheets and white hoods to cover their identities. The KKK used a variety of different methods such as intimidation, murders, raping, whipping, lynching, castration and tar burning. The Black Americans tried to fight back using non-violent methods. The NAACP -National Association for the Advancement of Coloured People- asked the president for new laws to help combat the KKK violence but received very little results. In the 1920’s Black Americans started to turn to the ‘Back to Africa’ movement which told blacks that they should return to their native America. This was started by Marcus Garvey but the whole movement faltered when he was arrested for fraud and sent to prison. In 1926 membership of the KKK dropped from 2million to 300,000 people. Lastly black Americans faced problems in the north because there was still racism around. Black people would be sent to live in the worst parts of the poorest cities. They were last to be hired and first to be fired from any jobs that they could get their hands on. Factory owners in northern cities knew that huge numbers of black people knew how to work well because of the slavery era. So they sent people down South to encourage them to take jobs in their factories up North with promises of good salaries. They wanted to add to the pool of white workers to keep down wages. So the black workers were encouraged to move North to compete with white workers. The white workers did not welcome the black workers with open arms because they naturally saw them as a threat. The black workers were willing to work for less money at least at first. So this led to racial tension. The white Americans refused to accept black members to protect the jobs. Another thing was that white neighbourhoods did not want poor black people and the problems that came with them moving into their neighbourhoods. It was a bad situation all around and led to much racial issues and even race riots These are the problems black people faced in the USA during the 1920s.

Psychology of Personality Essay Example for Free

Psychology of Personality Essay Psychology of personality is a branch of psychology that focuses on the study of personality and the individual differences. The main areas of focus are usually looking at individual’s psychological processes, the individual differences and studying how human behavior is similar. Personality is usually defined as well organized and dynamic set of characteristics possessed by a person that distinctively influence the cognitions, behavior in various situations and motivations. Since personality is complex and dynamic, various psychologists have come up with different theories to explain the different personality types. For the purpose of this paper, Freud’s psychoanalytic theory and Jung’s theory of personality shall be used to analyze the personality of a lady friend by the name Ann. Since most people have various personality disorders, Ann’s personality disorder shall also be analyzed. Freud’s Theory of Personality The Freud’s theory of personality illustrates that personality of a human being is made up of three structures namely; the ego, superego and id. The id contains instincts and it is usually unconscious. The ego develops after the id and is considered to be the executive branch of personality since it uses reasoning to make decisions. Both the ego and id have no morality but the superego is the structure that contains morality as it takes into account whether something is right or wrong. The superego is also referred as the conscience since it has the ability to judge whether something is right or wrong. According to Freud’s theory of personality, personality is established at around five years of age. Studies suggest that the early childhood experience influence human behavior and continue to do so through out the whole life (Mitterer Coon 2008). Further studies illustrate that behavior of a person develops through a series of childhood stages and the driving force during the stages is usually the psychosexual energy. Incase all the stages are completed successfully, healthy personality develops and if not, fixation occurs which leads to a personality disorder. These stages of development include the anal, oral, phallic, latent, and genital stage. Some of these stages shall be discussed comprehensively while analyzing Ann’s personality. Jung’s Theory of Personality Jung is psychologist who accomplished much but his personality theory of introversion and extroversion gained a lot of recognition and overshadowed the rest of his work. His theory suggests that introversion and extroversion are opposing attitude types that make a person to behave in a particular way. According to this theory of personality, human behavior is controlled by the introversion and extroversion attitudes. He defines an introvert as someone who is quite aware of the inner world and does not give much thought to the external world. An introvert attitude is usually more concerned with the subjective appraisal and considers dreams and fantasies more. On the other hand, an extrovert is usually characterized by the outside movement of the psyche energy. An extrovert attitude places more importance on the objectivity and at the same time gains a lot of influence from the outer environment than the inner cognitive processes. Nonetheless, the theory suggests that it is still possible for one person to have both attitudes though more often than not one must be overshadowed by another. The four functions of the personality theory namely, thinking, feeling, sensation and intuition were combined so as to come up with the eight personality types. Discussion Ann is a twenty five year old lady who currently works as a research scientist. She is very competent and productive, and since she was employed two years ago, she has received a number of awards due to her competency. She happens to be the first born in the family of four and has been brought up by very strict parents. Though she loves people, she mostly prefers to be alone and in social functions she prefers to remain calm and only talks with people close to her. She spends most of her leisure time reading or watching television when she is not studying. She can make a very good friend but once angered she reacts aggressively and she can put up a fight very first. In addition, she is quite independent and barely shares her things with other people. However, many people usually complain of her reserved and cold nature but she is quite orderly and maintains high level of cleanliness. In application of the Jung’s theory of personality, Ann displays more of an introvert attitude than that of an extrovert. While making decisions, Ann takes her time analyzing the available options and is not easily influenced by the outside factors which display an introvert attitude as illustrated by Jung’s theory of personality. She often makes a decision which suits her best, without giving much consideration to what others may think of her. Moreover she works best while alone and does not prefer social functions unless when it is very necessary. A person with such behavior is classified as an introvert by the Jung’s theory of personality (Gelpi 1993). While applying the Freud’s theory of personality, some of the behavior that characterizes Ann’s personality can be attributed to the experiences she passed through during the early childhood stages. The fact that she holds a lot of mistrust toward people illustrates that the care takers did not feed her on demand during the oral stage. However, during the anal stage, she received the appropriate toilet training hence the reason why she is quite competent, productive and orderly (Dumont, Wedding Corsini 2007). Personality Disorder A personality disorder is often described as an enduring pattern of inner experiences and behavior that seems to deviates from individual’s culture and sets in during early adulthood or adolescence stage (Dobbert 2007). Since most of these behaviors are pervasive and also chronic they usually cause impairment in the daily life. A study of Ann’s life shows that she most probably suffers from a paranoid personality disorder. It is a disorder that is characterized by agoraphobia, depression and substance abuse as illustrated by the studies of (Dobbert, 2007). Ann displays most of the symptoms associate with paranoid disorder because she does not trust people, gets angry quickly especially if she thinks that she is being deceived, thinks that people are untrustworthy, she is always serious and secretive, and always analyzes every gesture and conversation to look for the hidden meaning. The above mentioned Ann’s personality traits illustrate that she suffers from paranoid personality disorder since the same symptoms characterize the disorder are part of the diagnostic criteria of the disorder. Conclusion and Recommendation Psychology of personality is very important since it helps in understanding different personalities as illustrated by the different behaviors. In psychology, there are many theories that have been established to explain different personalities. Despite the fact that all have the same goals some contain controversial ideas. However, they are still very helpful. In this study, the Freud’s theory of personality which illustrates that early childhood experiences shape the behavior of a person has helped in understanding the personality of Ann. It was possible to deduce that her mistrust originates from her oral stage as her caretakers did not feed her on demand. Such an experience makes an infant to lose trust on people. Jung’s theory of personality helps in understanding that the reserved nature of Ann is a result of an introverted attitude. In addition, the study has been of great help since it was possible to realize that Ann’s pervasive behavior of excessive mistrust is as a result of a paranoid personality disorder. References Dobbert, L. D. , (2007). Understanding personality disorders: an introduction. Westport, Greenwood Publishing Group. Dumont, F. , Wedding, D. Corsini, J. , (2007). Current Psychotherapies. Stamford, Cengage Learning. Gelpi, D. L. , (1993). Committed Worship: Adult Conversion and Initiation. Collegeville, Liturgical Press Mitterer, J. O. Coon, D. , (2008). Introduction to Psychology: Gateways to Mind and Behavior. Stamford, Cengage Learning.

Reality TV Shows in the Arab World

Reality TV Shows in the Arab World Reality TV: the Reality that is Globalized Media Research Methods Arab satellite television stations have recognized themselves now as one of the major sources for information for the Arab world for they are demanding the domination of the American media. Television broadcasting in the Arab world goes back to the mid-1950s when on-governmental air operations were launched in Morocco, Kuwait, and Saudi Arabia. In almost all Arab countries, television services were subordinated to ministries of information or other government bodies, therefore revolving into executive mouthpieces of regime policies as well as into outlets of public civilizing look. By the end of the 1980s, the Arab world TV domination representation began to practice key cracks with the foundation of more independent television organizations in more than a few of Arab countries and the increase of profitable television service besides government spreading. One of the significant developments in the Arab television picture in the 1990s has been the disintegrated of a 40-year government domination representation of broadcasting in the Arab world. The model habitually derives from the idea of broadcasting as a device of public growth that is supposed to be positioned below the government control. In service within ministries of information, television organizations for the majority piece were funded completely from nationwide budgetary allocations and their recruits were viewed as element of state-owned establishment. Moreover, the entry of marketable broadcasters with gigantic technological and monetary possessions into the Arab world television prospect has been a central improvement. In September 1991, Arab audiences had their first experience of confidential satellite television when MBC went on the air from studio services in London with Western-styled indoctrination. More secretive broadcasters followed outfit: Orbit in 1994, ART in 1995, LBC and Future Television in 1995, and Al-Jazeera from Qatar in 1996. The Arab world Television stations had developed too much by the end of the 90s, for the huge and remarkable development era was during 2002 and 2003. The Arab nation since then had decreased the interest in watching news and documentaries, becoming addicted instead to the new trend known as Reality TV. Since 2003 and something new was occurring in the Arab world. Millions of families have closed themselves up in their homes, eyes glued to the TV monitor when the shows begin! The Reality TV had changed several characteristics of the TV broadcast image and content since it occurred, for it is an interesting phenomenon to be focused on to know more about it. Reality TV in the Arab world is built on certain basics which affects the traditions and cultures of the Arabian societies in different ways. 1. The History and The Rise of Reality TV In the past, television programs were built up to be for all family members, however nowadays most of the TV shows and mostly the Reality TV ones are built on the bases of an audience made up of females teenagers and housewives. Reality TV has a historical background that should be focused on in order to know how it arrived to the Arab world countries. Moreover, the rise of reality TV came at a point when networks were in search of a rapid secure way out to financial troubles within the cultural industries. Enlarged expenses in the fabrication of drama, sitcom and comedy ensured unscripted, accepted realistic programming became a feasible financial alternative throughout the 1900s (Hill, 2005). Reality TV has its ancestry in scandalous journalism and popular entertainment, but it owes its supreme money owing to documentary television, which has nearly vanished from television screens in the get up of popular realistic programming. Also, there are three major strands to the progress of popular realistic television, and these relate to three areas of different, and so far overlapping, areas of media fabrication: sensationalist journalism, documentary television, and well-liked entertainment (Biressi Nunn, 2005). The apprehension about reality TV as putting a finish period to documentary includes the claim that modern television or decision about the world that documentary is seen to have occupied, and therefore lacking hope for the setting up of meaning (Bignell, 2005). The quarrel for an apocalyptic finish of television history is reliant on comparing Reality TV to documentarys past but differentiates Reality TV from that past and makes it look like a split growth. Furthermore, Reality TV seems to drift liberated of the past, obtainable in a nonstop present, and therefore looks to its critics like a reckless television type. As an observation of the growth of a live on air television production in the 60s, its obvious that programmers started producing traditional dramatic works of Arab and world literature, but they also started looking at Western shows for either motivation or stealing. By the 80s, the main successes were Arabian versions of primarily European and American shows. In the 90s, it became ordinary for the perception of a Western show, its privileges and invention bible, to be bought and locally reproduced for local use. The rise of Reality TV in the Arab world was in 2003, the program Super Star rapidly became the majority important show of that period. It was broadcasted on Future TV, where by Super Star attempted a clear Pan-Arab explore for the next star singer, by means of casting calls, adjudicators, and live performances, and the audiences right to take part in the ballot. 2. The bases that are built on for the concept of Reality TV The principle of program scheduling is to arrange television performance time donating programs that will lift up ratings at meticulous periods of the day. In a broadcasting ethnicity with several channels, the plan enables channels to contend with each other for audiences by scheduling their programs considering what their competitors will be presenting. Reality TV programs are merely commercial and flourishing if they keep on giving reasons for their expenses and catch the attention of the audience over a comparatively extended run (Escoffery, 2006 ). The guarantee that a long-lasting series has on holding onto the viewers for a period of the programs run which offers the vision of a reliable viewers whose demographic demand and a mass may be eye-catching to advertisers and can lift up the broadcasting channels public profile. Schedulers offer recommendations to commissioning are prepared (Andrejevic, 2004). The last day of December 2003 witnessed the labor of the most successful Arab reality show formed in Lebanon: Star Academy. Following Endemol the production company format for the French version, Star Academys group recognized a grouping of talented Arabs and invited them to participate in the Academy, where they lived and skilled to become star singers. A graduation progression permitted the instructors at the academy to suggest two candidates and the public would vote for one of them to stay in the Academy. Joe Khalil, director and executive producer in several Arabian TV stations for more than 12 years, said in Nov. 23, 2009 that Star Academy extended the restrictions of reality television for the reason of its extraordinary fame and because it represented a complete realization of a promotion and marketing prospective. Possibly the shows major effect, nevertheless, remains its reliable audience faithfulness to both the prime episodes as well as the 24-hour enthusiastic channel. For most of the Reality Shows and especially Star Academy, the concept is based on celebrities and primes for which every Friday there is a celebrity that has to attend the prime and sing with the participants. For commercial purposes and for it to be more popular Rola Saad the executive producer of Star Academy intend to get international celebrities in the same prime collaborating with Arabian Celebrities. For Star Academy rules of participation is to accept living in the same place with people from the opposite sex, and to swim together in the same swimming pool, and to train sports and dancing together, and the most important is to accept to build up love relationships for some participants. For example, Star Academy chose last season Michel Azzi to be in love with Tania Nemer, the crew of Star Academy had discusses this case with Michel whereby he accepted in order to stay till the last prime, and this was what truly happened. 3. The Globalization and the Privacy publicized in the Reality TV Globalization of communication in the second half of the twentieth century was determined by the commercial benefit of United States corporations. Conservative local cultures are believed to be tattered by dependencies on media products, with their helping ideologies resulting from the United States, with the impact of globalizing customer way of life across regions and populations which turn out to be inhibited to get used to its logics and needs, regardless of the need in some of these regions of possessions to contribute with them (Bignell, 2005). What happens in the communication of globalization is a move from opinions for the homogeneity of media customs to opinions for the homogeneity of political financial system of the media, regardless of provincial and neighborhood differences in the intellectual forms which the media receive. The programmers formulate public the dramas of the individual and carry the ideologies of privacy exposed into new interaction with the negotiated meanings they gain from their meticulous local and provincial television contexts. The type of program develops new conceptions of the open and secret spheres and also draws on discourses of body and self those have already been in circulation in such spheres as popular magazine journalism, optional medicinal measures, and lifestyle-interview television programs (Bignell, 2005). The cultural nationality that these programs reply to displays a challenging cooperation between the plan of the perfectibility of the identity and the institutions, socio-economic constraints and networks of domestic and social dealings that limit it. Television programs have been worried with the capability of television to tolerate observation to the varieties of usual peoples lives, and its ability to become a medium for the community exposure of confessions and revelations that seem incapable to be shared with a persons close sphere (Biressi Nunn, 2005). Star Academy is a distinguished case of this style, in which young people are usually paraded on screen and where the issue of how far the contestants will go in their close relations with each other is a big element of their appeal for audiences. Noticeably, the transitional spread of this mixture of the private body and shared moral challenges and tests, is the medium for financial action inasmuch as the television formats occupied are traded supplies, and the appeal of audiences promotes profitable well being for television institutions in a diversity of ways. 4. Audience Perceptions of Reality TV Audiences most of the times consider Reality TV is there so that viewers can see for themselves, and get an unmediated imminent into some phase of life and manners. Audiences are pessimistic about the reality claims of Reality TV programs, set programs beside a range between reality and fiction, and provide the most admiration to what they distinguish as the most truthful programs. Moreover, the incidence at the present time of huge number of Reality TV programs in the schedules has not enlarged viewing hours, so audiences obviously do not rate Reality TV any more than the programs that they have replaced. If Reality TV had a particular position within the audiences, the viewing of Reality TV would be an addition to other viewing time and entire viewing hours might rise. Even though in the television business Reality TV is seen as the newest important tendency, the commissioning of such programs might have more to do with contest over audience contribution and the branding of channel s and audiences, then with an important move in lifestyle of television viewing (Hill, 2005). In addition, the focal point on younger viewers requires a clarification of the traditions in Television studies that have discussed youth audiences and appreciated their defiant attitudes to programs. The creations of television program bands, personalities and rumor have been essential for an extended era. The vulnerable outcome on recent ways of organizing television is that it would end to consist of must-see programs when crowd audience view the same live broadcast at the same time. Star Academy unpredictably became an essential part of many peoples discussions, and viewers contribution was not only with the program and the website but also with the remarks on the program with other viewers and in the media. Rumor was a significant enjoyment for viewers of Star Academy, and it became a convenient subject for discussion about people who viewers felt they knew. The production of viewer chat is expectant and mirrored by talk in Reality TV programs themselves. Television programs are conquered much more than cinema, for example, by people chatting and interacting in common situations, just as life for viewers at home is often centered on these actions. Star Academy consists largely of sequences of discussion among the participants, representing familiar contact and chat which could be then talked about the viewers. The common use of close-up shots of faces in Star Academy reinforces this wisdom of closeness between the viewer and what is publicized on television, an d contributes to an awareness of correspondence between the audiences regular world and the constructed worlds of the plan. This technique of using and experiencing television gives the fantasy of bodily intimacy, and invokes policies of communal contact which require awareness and generate social closeness. 5. Reality TV effect on the Arabian Societies Most of the participants aim in Reality Shows is to become famous, which had become a new phenomenon. Contestants have been constructed as exemplifying a fame culture in which ethos of famous to be famous has triumphed over the concepts of talent and hard work, and they are seen as diminishing victim to the controlling powers of a cruel fame-making mechanism (Escoffery, 2006). Reality TV shows in the Arab World are based on the aspect of emotional recognition among the observer and the protagonists. The Arab channels wont vacillate to split social and ethical borders in order to enlarge earnings. Its obvious to see how the participants symbolize an exceedingly tolerant social cultures and unusual for Arab society. They hug and kiss on live TV. Although most of the viewers agree on the undesirability of such actions, they cant split their eyes away from the screen. The Reality shows get such high ratings that one wonders about present priorities in the Arab world. Some people see it a s an Israeli-American conspiracy, created in order to distract the Arabs from important issues like Iraq and Palestine. Star Academy had made many changes in the concept of Arabian traditions and cultures in which viewers are being inspired by the participants activities. Several conservative families had to remove the LBC channel from their satellite not to let their children to keep on watching Star Academy because they started imitating the participants in the way they dress, communicate with the other sex, and have fun during the breaks time. Moreover, Big Brother Arabia was a 2004 Reality TV show based on the worldwide program Big Brother, in which contestants live in a unique house while competing to win in the end. The show was filmed in Bahrain, aired on MBC 2, and was planned to follow the success of Star Academy, but failed to do so, and instead the show was only aired for 11 days and then got major controversy in the countries it aired in. Big Brother Arabia producers decided to cancel the show, as there were many complaints from viewers. Joe Khalil, a member in the production crew of the program, said in Nov. 23, 2009 that the program had to be canceled because it brought new traditions to the gulf area which is none as a conservative area in the Arab World, because the audience didnt accept the fact that it featured six men and six women living together in one area, despite staying in separate parts of the house. Star Academy and Big Brother showed the women in the Arab World so close to the western Women in the way they dress, dance, and communicate with men. This is what not all of the viewers accept or welcome. Conclusion Reality TV, in the recent years, has become a very famous phenomenon that has influenced the life of viewers in the Arab world. Reality TV shows were based on some theories and techniques in the work process in which these shows were able to change certain thoughts and traditions in the Arab countries. The audience plays an important role in relation with their perception concerning the Reality TV shows. The audiences consider much reality programming to be entertaining rather than informative. These audiences draw on their own personal experience of social interaction to judge the authenticity of the way ordinary people and their behavior on TV. Reality shows works on collapsing the distance that separates those on either side of the screen by enlightening the hope that it really could be you up there on that screen. The democratized adaptation of the star-making machinery goes further than representing its ability to convert real people into celebrities apparently at will. The powe r that the airbrush once exerted over the image is transposed into the record of reality in the form of the power the blade exerts on soft tissue. Television is like religion, is basically a type of social power. Without both people would really begin to consider for themselves and the social communications would break down. Reality TV had been much popular to reach the Arab World, with certain basics built on it had affected the Arabian societies in different ways. Reality TV had arrived to the Arab World after passing by different stages and experiences. All in all, Reality TV had been a main reason for losing privacy in front of the public audience. Lastly, producing reality shows involves a variety of executive, artistic and technological aspects. Reality shows are mostly approved formats that programmers buy for a certain area, such the case of the Arab World. Reality Shows by nature have a huge number of influences, as well as an important profitable section. References: Andrejevic, M. (2004). Reality TV: The Work of Being Watched. (pp.1-23). United  States of America: Rowman Littlefield Publishers. Bignell, J. (2005). Big Brother: Reality TV in the Twenty-First Century. (pp. 34-47, 65-72, 150-160). New York: Palgrave Macmillan. Biressi, A. Nunn, H. (2005). Reality TV: Realism and Revelation. (pp. 118-144). London New York: Wallflower Press. Escoffery, D. (2006). Essays on Representation and Truth: How Real is Reality TV? (pp. 7-26, 61-78, 115-133, 247- 259). North Carolina: McFarland Company, Inc., Publishers. Hill, A. (2005). Reality TV: Audiences and Popular Factual Television. (pp. 39,55, 78, 106). London New York: Routledge, Taylor Francis Group.

The Network Effect Essay -- Technology, Microsoft Products

Some products generate value only when they are combined with others, otherwise they have small or no value at all in isolation (Katz and Shapiro, 1994, p. 93). This is so called network effect – the fact that higher consumption of specific products makes them more valuable (Sundararajan, 2003, p.1). Another scientist Leibenstein, calls this effect as â€Å"bandwagon effect†- â€Å"the extent to which the demand for a commodity is increased due to the fact that others are also consuming the same commodity† (Besen, 1999, p.1). The economical base of network effects has received a huge attention, since it appears to be important in understanding the key features of modern high-tech industries (Bresnaham, 2001, p.2). Transportation systems, telecommunication systems, etc. exhibit network externalities, especially the IT market (Lee and O’Connor, 2003, p. 242). Operating systems of computers and compatible software are some of the examples of products experie ncing network effects. Users prefer to have an operating system on which they will be able to install a large number of applications (Fisher, 2000, p.181). The purpose of this paper is to understand the how the network effects of Microsoft’s products contributed to its rise and dominance in the market. In order to answer this question, the following points should be explained and analyzed. First of all, the environment of network industries in which Microsoft operates must be discussed. Moreover, such terms as â€Å"critical mass† and the way it is generated; â€Å"tipping points† and their impact on the products’ future, etc. should be described. Furthermore, the strategies and tactics, which are used by Microsoft to keep its positions in the market, should be outlined. The reminder of this ... ...uct (Economides, 1998). Also, Microsoft bundled Internet Explorer to its operating system, aiming to create a similar installed base for IE so that it would create an entry barrier to rival browsers. They moved the entry of competitors. More over, it is important to mention that a â€Å"firm like Netscape has less incentive to develop and write software applications if Microsoft can develop its own version of these software applications and bundle them with Windows† (Clements, 2002, 13). The technical development of the Ethernet technologies also helped Microsoft. According to the With Paper, several millions were invested in intra-net networks, into servers, working networks etc. That made Microsoft first company whose products were able to operate in huge networks. This in turn, attracted large organizations and government institutions to Microsoft’s product.

KING TUT :: essays research papers

TOMB OF TUTANKHAMUN   Ã‚  Ã‚  Ã‚  Ã‚  The most famous Egyptian pharaoh today is, King Nebkheperuru Tutankhamun. Tutankhamun is also known as King Tut. The name â€Å"Tutankhamun† is derived from hieroglyphics which means â€Å"Living Image of Amun.† He was an Egyptian pharaoh of the 18th dynasty, he also was the son in law of Akhenaton. Tutankhamun was not a important King, he is well known because of his tomb, containing beautiful treasures. King Nebkheperuru Tutankhamun’s tomb was discovered by an British archaeologists Howard Carter and Lord Carnarvon in 1922.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  King Nebkheperuru Tutankhamun lived over 3,300 years ago. The period he lived in was called the New Kingdom. During this period the Egyptians were worshipping multiple gods. Amenhotep had abolished this belief and had established a new order to worship the sun god Aten, which then he changed his name to Akhenaten, meaning â€Å"servant of the Aten.† A new religion and capital was established in Thebes. His new city was called Akhetaten, meaning â€Å"Horizon of the Aten.† Akhenaten and his wife, Nefertiti had six daughters, and no one to be the next pharaoh. Ankhesenpaaten was one of the daughters of Akhenaten and Nefertiti. Ankhesenpaaten married Tutankhamun. After the death of Akhenaten, Tutankhamun became the next pharaoh at age 9. Since he became a pharaoh at such a young age, he was not able to make decisions. Ay who was the father of Nefertiti and Horemheb who was the commander in chief of the army was in charge. Tutankhamun was taught many skills when he was young. He spent most of his years in the palaces of Akhenaten, he was tutored in reading and writing. King Nebkheperuru Tutankhamun unfortunately died at the age of 18. There is partial evidence that King Nebkheperuru Tutankhamun might have died of an accident falling off his horse or perhaps he was murdered. King Nebkheperuru Tutankhamun burial arrangements lasted 70 days.   Ã‚  Ã‚  Ã‚  Ã‚  King Nebkheperuru Tutankhamun Tomb was located in the Valley of the Kings in Luxar Egypt. Howard Carter and Lord Carnarvon discovered King Nebkheperuru Tutankhamun’s Tomb, his tomb contained the most beautiful treasures. It is said that it was a magnificent collection of Egyptian art. King Nebkheperuru Tutankhamun treasures are displayed in the Egyptian Museum in Cairo. King Nebkheperuru Tutankhamun Tomb contained more than 5000 items. Although it was robbed at least twice right after King Nebkheperuru Tutankhamun was buried, but most of the kings treasure was still there.   Ã‚  Ã‚  Ã‚  Ã‚  The most beautiful piece found in King Nebkheperuru Tutankhamun’s Tomb is his coffin made of solid gold. It is 74† long, 20†wide and 20† high. King Nebkheperuru Tutankhamun was shown as Osiris holding the crook and flail.

Health Needs Assessment Process Health And Social Care Essay

Public wellness is concerned with the local population ‘s wellness and takes into consideration the economic, societal and environmental factors of both communities and persons. Health visitants clearly have a major portion to play in the function of public wellness, which has become a high precedence over the last decennary ( Cowley, 2008 ) . There has clearly been a move off from a medical theoretical account towards a societal theoretical account of attention which requires wellness visitants to hold specialised accomplishments and cognition in order to measure a household holistically. Through a wellness needs appraisal, the wellness visitant can place the demands of a population and so concentrate on an intercession that would profit the population ‘s unmet demands ( Peterson and Alexander 2001 ) . The purpose of this assignment will be to place, utilizing the wellness needs assessment procedure, an issue that needs readdressing. The identified wellness demand will be analysed and so a service or intercession will be created in order to cut down wellness inequalities and better wellness ( Health Development Agency 2004 ) . The National Institute for Clinical Excellence ( Cavanagh & A ; Chadwick, 2005 ) provides an in deepness model to follow which will assist to turn to the chosen wellness demand. Using the model, and a combination of grounds taken from epidemiology and theory, will heighten the determination devising procedure. The population chosen to concentrate on will be female parents who suffer from postpartum depression. A population can be geographical, a client group or people with peculiar wellness jobs ( Calman, 1999 ) . The appraisal will look at the demands of these female parents. The chief purpose will be to supply an intercession that reduces the strength of the unwellness and the figure of female parents enduring from postpartum depression. The principle for taking this population is that postpartum depression can be seen as a important public wellness job ( Sharp et al, 2010 ) . It can besides hold a important negative impact on the lives of the female parents, their babes and their households. Beck ( 2006 ) writes how postpartum depression is, ‘ †¦ a serious temper upset that can stultify a adult female ‘s first few months as a new female parent. ‘ There appears to be a deficiency of services available for female parents with postpartum depression and we need to see, ‘Is there any point in placing adult females with PND if we have no services to offer them? ‘ Public wellness is defined in the Acheson study as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts of society. ‘ ( Acheson, 1988 ) . This definition clearly reflects the indispensable focal point of today ‘s public wellness. Ten old ages subsequently Acheson completed a farther study which looked at inequalities in wellness ( Acheson 1998 ) . Both these studies have been the development and consequence of many public wellness associated paperss. Oliver and Nutheam ( 2003 ) point out that these new authorities policies have been developed to ‘explicitly turn to bing wellness inequalities, ‘ following the election of the new Labour authorities in 1997. Health publicity can be seen as a comprehensive political and societal method. It is non merely aimed at bettering an person ‘s capablenesss and accomplishments, but besides looking at doing alterations to environmental, societal and economic issues in order to cut down their impact on both single and public wellness ( WHO, 1998 ) . Mitcheson ( 2008 ) suggests that wellness publicity is about assisting people to hold the capablenesss and resources to take control of and better their wellness demands. A phrase by Milio, ( 1986 ) , suitably sums up wellness publicity by stating ; ‘Making the healthy pick the easier pick. ‘ Acheson ( 1998 ) negotiations about the ‘upstream ‘ and ‘downstream ‘ public wellness schemes in which wellness publicity can be seen as an upstream attack, concentrating on preventive steps. As wellness publicity is reasonably complex, there are a figure of different wellness publicity approaches that can be used. The pick of attack can depend on the wellness need assessment and the purposes ( Ewles & A ; Simnett, 2003 ) . Models, which are a type of theoretical model, can be utile for planning, implementing and measuring intercessions. The wellness publicity theoretical account is defined by Naidoo & A ; Wills ( 2000 ) , as ‘ †¦ .a manner of associating thoughts and demoing the relationship between theory and pattern. ‘ There have been a assortment of different writers that have produced theoretical accounts for wellness demands appraisals such as Tones and Green, 2004 ( wellness belief theoretical account ) and Tones and Tilford, 2001, ( wellness action theoretical account ) . Roden ( 2004 ) criticises the wellness belief theoretical account by stating that it focuses on a medical attack to wellness publicity instead than a holistic position. A series of paperss and documents on wellness and wellbeing, have emerged from the Department of Health and other associated authorities sections. Several of these paperss highlight the importance of the function of the wellness visitant for advancing mental wellness. Initially in 1997, The New NHS ; Modern, Dependable ( DoH, 1997 ) , this focuses on the authorities ‘s vision to do the necessary alterations to better and undertake sick wellness and inequalities. Other paperss that are comparative to this assignment include: The NHS Plan: Switching the balance of power ( DoH, 2000 ) , Making a Difference ( DoH, 1999a ) , Our Health, Our Care, Our Say ( DoH, 2006 ) , Choosing Health ( DoH, 2004 ) , Report of the Chief Medical Officer ‘s Undertaking to Strengthen the Public Health Function, ( DoH, 2001 ) , Salvaging Lifes: Our Healthier Nation ( DoH, 1999b ) , discusses the demand to diminish the hazards associated with different mental unwellnesss and besides highlights the effects of depression on both the female parent and kid. Every Child Matters ( DfES, 2004 ) and Procuring Good Health for the Population ( Wanless, 2004 ) . A definition that reflects authorities policy has been provided by Wanless as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts and informed picks of society, administrations, public and private communities and persons, ‘ ( Wanless 2004, p.3. ) . This definition appears to be more appropriate for the twenty-first century as it puts more accent on the joint attempts of persons, the province of their ain wellness and besides their households ‘ . The definition besides has the extra construct of informed pick and duty for administrations to work collaboratively in order to advance public wellness. This can be seen as a manner of authorising communities. It can be seen that persons, communities and all wellness professionals have a portion to play in public wellness publicity, bar of sick wellness and wellness protection. These are indispensable demands for the function of the wellness visitant. The Standards for Proficiency for the specializer community public wellness nurse ( NMC, 2004 ) and the wellness sing rules defined in the, Council for the Education and Training of Health Visitors ( CETHV, 1977 ) , place the four chief spheres that define the needed proficiencies. These are: ‘the hunt for wellness demands, influence on policies impacting wellness, facilitation of wellness heightening activities and the stimulation of the consciousness of wellness demands. ‘ From these rules, and including the 10 occupational criterions for public wellness ( Prime R & A ; D Ltd for Skills for Health 2003 ) , it can be seen that overall the purpose is to advance and protect the wellness of the population. Health visitants have ever had an of import function to play in the publicity of public wellness in the community. Over the old ages, the Numberss of wellness visitants has declined. The public wellness curate, Anne Milton ( 2010 ) , admits the profession ‘has been eroded dramatically over the past decennary. ‘ Since the study of the decease of Victoria Climbie ( Laming, 2003 ) , and aboard this the new Children ‘s Act ( 2004 ) there has been acknowledgment of the difference that wellness visitants can do. This has had a considerable consequence on the wellness visitants ‘ function. Health visitants are seen as cardinal confederates in primary attention for implementing new statute law and bettering results for the immature and vulnerable. However Thornhurst ( 2009 ) , writes how the wellness visitants ‘ function has become so centred around kid protection that there is now less clip for them to work in the community, deciding the societal issues that co ntribute to the kid protection instances. This appears to be a go oning public wellness argument. Prior to doing any alterations to better wellness, we need to get down by happening out what the wellness demands are and how, within a population, they can be assessed. Health needs appraisal is defined by Wright et Al ( 2006 ) , as ‘ †¦ . a systematic method of placing unmet wellness and wellness attention demands of a population and doing alterations to run into these unmet demands. ‘ The purpose of the wellness demands appraisal is to look at current informations and information gathered from different beginnings. The information will so be analysed to find any alterations that may necessitate to be made in order to run into the identified wellness demand. It besides involves a assortment of professionals every bit good as the general populace ( Haughley, 2008 ) . Decisions will be made in order to accomplish good results for the population ; resources available will necessitate to be considered. A needs appraisal can assist with doing determinations. The Nationa l Institution for Clinical Excellence ( NICE, 2005 ) provides a model that is robust and it provides systematic cues to steer you through the wellness needs assessment procedure.The model was produced by Cananagh and Chadwick, ( 2005 ) . One of the strengths of the model is that it ‘s an easy and simple procedure to follow ( Coverdale and Lancaster, 2006 ) . This model should non be used entirely but in concurrence with other theoretical accounts as this will assist steer practicians through the procedure. Haughey ( 2008 ) describes the wellness needs appraisal as a manner of garnering parts in order to finish a ‘jigsaw. ‘ The essay will now see the chosen population within the writer ‘s country of pattern and a wellness needs appraisal will follow. Through observation in pattern, it is clear that the wellness visitant is good placed to place any early symptoms of postpartum depression ( DOH, 2003 ) . The National Service Framework for Mental Health ( DOH, 1999c ) recommends that wellness visitants need to utilize their everyday visits for accessing postpartum depression and for handling the identified milder instances. However, recent research suggests that due to cuts in the Numberss of wellness visitants and the deficiency of clip available to go to excess preparation for measuring depression and psychological support attacks, most wellness visitants are unable to to the full back up down female parents ( Brugha et al, 2010 ) . Despite the well known grounds to demo the impact of postpartum depression on the female parent and her household every bit good as the long term impact on the babe, less than 50 % of station natal instances are indentified. A qualitative reappraisal of 40 surveies revealed that a adult females ‘s inability to uncover their existent feelings proved to be a general barrier for seeking aid ( Dennis & A ; Chung-Lee, 2006 ) . Beck, ( 2006 ) writes how wellness practicians fail to observe postpartum depression as they ‘do n't cognize what to look for. He besides suggests that female parents frequently hide their depression. For the instances where postpartum depression is identified, there appears to be a deficiency of services to back up them ( Hewitt et al, 2009 ) . Raising consciousness of the demand to place and back up female parents with postpartum depression includes the function of the SCPHN and is besides highlighted in the public wellness definition. Epidemiology is the survey of diseases of populations and is a major scientific discipline that underpins public wellness. Epidemiology allows us to understand diseases and the causes, place groups that are peculiarly affected and understand the effectivity of intercessions for undertaking identified jobs ( Heller et al, 2001 ) . Epidemiology of postpartum depression appears to be ill understood. Up to day of the month official national figures for postpartum depression have proved hard to garner and the information that is available gives conflicting figures. There is a certain sum of statistical grounds around the prevalence of mental unwellness but a limited sum of statistics that focus on postpartum depression. The information that will be used for the intent of this paper and which has been most often quoted, has been sourced from the NHS ( 2009 ) , which suggests that 1 in 10 adult females will endure from postpartum depression and MIND ( 2008 ) which besides suggests 1 in 10 a dult females, the NICE guidelines ( 2006 ) and the NSF – MH figures ( DOH, 2007c ) , show a prevalence of 10-15 % of adult females with postpartum depression. In England and Wales, this is between 64,000 and 94,000 adult females a twelvemonth. Health visitants are unable to name postpartum depression, if they detect, utilizing a scope of showing tools, or recognize marks and symptoms of station natal depression so this information can be recorded in the female parent ‘s maternal wellness subdivision. No caseload informations can be collected to demo the prevalence or badness of postpartum depression. A diagnosing will trust on the female parent taking to go to an assignment with her G.P.. Following a meeting with one of the local G.P.s, in the writer ‘s country of work it was discovered that the primary attention databases that G.P.s usage have a assortment of ‘read codifications ‘ to separate diagnosings and symptoms, nevertheless the read codification that high spots postpartum depression requires the G.P. to travel on and finish a drawn-out questionnaire with the female parent. For a female parent with postpartum depression this might intend that the G.P.s are taking other read codifications, for illustration, anxiousness where no questionnaire is required. This could be seen as a possible barrier for placing female parents with postpartum depression. Many wellness visitants do non hold entree to the G.P.s notes. If a female parent has seen her GP and postpartum depression has been identified so unless there is good communicating between the GP and the wellness visitant the female parent may be left without the full aid and support that she may necessitate. Postnatal depression will hold the same characteristic symptoms as clinical depression, such as weepiness, loss of enjoyment in life, low temper, loss of assurance, kiping jobs, feelings of guilt, self blame and sometimes self-destructive ideas. For a diagnosings to be made three or more of these symptoms ( which have persisted for at least two hebdomads ) will be identified ( Davies, 2000 ) . There does non look to be a individual cause of postpartum depression, some experts consider it is due to hormonal alterations whilst others suggest a combination of psychological and societal factors ( Clinical cognition sum-ups, 2010 ) . Postnatal depression usually develops during the first three postpartum months ( Cox et al, 1993 ) . Research shows that for the female parent, PND has considerable wellness deductions, it can besides consequence her long term relationships, have an inauspicious consequence on the male parents and perchance the remainder of the household ( Stein et al 2008 ) . There is besides significant research grounds to demo that the effects on the babe can include disturbed forms of communicating, expose unresponsive or retreat behavior and longer term damages in cognitive and emotional development ( Meredith & A ; Noller, 2003 ) . Following the grounds, prevalence and the possible major wellness deductions of postpartum depression, the accent sited by NICE for the demand of early designation, diagnosing and intervention of postpartum intervention, during both the antenatal and postpartum period appears to be wholly justifiable ( NICE, 2007a ) . The most recent comprehensive reappraisal on identifying and measuring methods used to place PND was by NICE ( 2007b ) . Following this reappraisal, clinical counsel was produced on the direction of antenatal and postpartum mental wellness. Designation of adult females with postpartum depression may hold already been completed during an prenatal visit. During a visit a female parent can be asked about her history and if she has experienced any old episodes of depression. However, due to the deficit of wellness visitants, heavy work load and because of other committednesss, it may be that non all female parents are seen for prenatal assignments, ( Shakespeare, 2001 ) . Holocene and up to day of the month research continues to corroborate the effectivity of the function of wellness visitants in cut downing postpartum depression ( Brugha et al, 2010 ) . The Edinburgh Postnatal Depression Scale is a client centred attack that helps to bring out postpartum depression in female parents tha t might otherwise travel undetected. It uses a ego coverage, 10-item questionnaire that focuses on how the female parent felt the old hebdomad. A mark of 12 or over is considered ‘probable depression ‘ , whilst a lower mark of 9/10 suggests ‘possible depression, ‘ ( Cox et al, 1987 ) . Following a recent survey to place methods for accessing postpartum depression, the EPDS was the most often explored, simple, precise, safe and preferable cost-efficient tool ( Hewitt et al, 2009 ) . The Community Practitioners and Health Visitors ‘ Association recommends that along with the EPDS, the wellness visitant besides needs to include her ain clinical appraisal. A late published qualitative survey by Slade et. Al. ( 2010 ) , reports how ‘symptom designation ‘ through the usage of the EPDS has helped adult females to see that the wellness visitant is ‘there for them, ‘ every bit good as the babe. However one of the ascertained negative issu es sing the EPDS is that adult females from other civilizations have troubles understanding and make fulling in the questionnaire, even though there are some EPDS sheets translated into other linguistic communications. ‘Depression ‘ is non ever culturally recognised in other states ( Barclay & A ; Kent 1998 ) . Once a female parent has been identified by the wellness visitant or diagnosed by the GP for postpartum depression, so consideration can be explored into why some female parents fare better than others in mental good being. Health determiners can be utile to see, Dahlgren and Whitehead ‘s theoretical account ‘Determinants of Health, ‘ can be utile to assist research and construct a profile of a local community. Health results and inequalities can be greatly influenced both positively or negatively by persons and communities. Health can be strongly influenced by the manner people live their lives including the conditions in which they live and work, by household, friends and societal webs, ( Marmote & A ; Wilkinson, 2003 ) . For illustration a societal determiner such as a deficiency of household or community support might exacerbate or negatively impact on a female parent with postpartum depression. However, good support could hold a powerful and positive impact on an person ‘s wellness. Step three of the HNA will now follow. This portion of the procedure will direct the practician to set up a helpful and acceptable intercession. Literature environing postpartum depression appears to concentrate on the effectivity of support groups ( Alakus et al, 2007, Dennis & A ; Chung-Lee, 2006 ) . The Royal College of Psychiatrists, et Al ( 2000 ) compose how support in the prenatal period can cut down the badness of PND. More late, Dennis et Al ( 2004 ) writes that PND can be hard to foretell antenatally and suggests that preventive methods have chiefly proved uneffective. Cox in 1986 wrote how support groups during the postpartum period can be ‘one of the most successful agencies of intervention. ‘ Dennis, et Al, ( 2009 ) writes how support groups are good acknowledged in literature as valuable for cut downing and handling depression. For this wellness needs appraisal, it seems that a pilot postpartum support group would be appropriate. In the country where the wri ter works there is presently no group running to back up female parents with postpartum depression. The complexness of PND and the attention required can be complex, so a whole squad attack will be needed, alternatively of an single 1. This will guarantee the attention needed will be successfully provided. When sing the wellness needs intercession a squad will be required to take it. Ideally the squad would dwell of the wellness visitant, G.P.s, baby's room nurses and a community mental wellness nurse. For the intercession to be successful so the squad will necessitate to hold: a shared vision, an apprehension of each other ‘s functions within the squad, a well-thought-of leader to drive the intercession frontward, a sound action program, flexibleness, and the ability to work collaboratively ( Hill et al, 2007 ) . Collaborative working has been greatly emphasised over the last few old ages in a assortment of paperss and is besides considered an of import function of the SCPHN ( NMC, 2004 ) who works within a community, aboard multidisciplinary bureaus to better wellness and g ood being, this is besides reflected in the last portion of Acheson ‘s definition, ‘ †¦ through the organized attempts of society. ‘ There are frequently barriers that can negatively impact effectual collaborative working such as, deficiency of communicating, clip limitations, differing positions and values and frequently troubles even obtaining a room to run into in, ( Almond & A ; Cowley, 2008 ) . The support group will be a good illustration to show collaborative working between professionals and services utilizations. Once a squad had been brought together, a locale would be decided for the support group. The local certain start kids ‘s Centre would be an ideal locale. Certain start Centres are a authorities enterprise which purpose is to give kids the best possible start in life, ( DOH, 2007 ) . The country the writer works in is a rural location with limited public conveyance. Many of the female parents with PND live in stray parts, so for these female parents, free conveyance will be provided. However, if support at the local kids ‘s Centre is cut this may hold a negative impact on this service being offered for the group or any future groups. Leting the female parents with PND, who live in stray countries, the opportunity to go to the support group can hold a important, positive consequence on their depressive symptoms ( Hunker, et Al, 2009 ) . It will be of import to utilize a locale with child care installations. The certain start Centre has been used for a assortment of groups i n the yesteryear and offers a non-stigmatising locale ; a warm and friendly environment. Mothers identified with postpartum depression will be referred to the group and during a place visit, information will be provided so the female parents can make up one's mind whether they want to come. A telephone call prior to the group will besides be made. Empowering people, leting them to do informed picks and bettering their life accomplishments, which are needed for doing alterations, are all portion of the wellness publicity procedure ( Naidoo & A ; Wills, 2000 ) . Many female parents with PND will be in the contemplation phase described in Prochaska and DiClemente ‘s Stages of Change Model ( 1983 ) , where they are cognizant that there is a job but may non be certain or motivated to do the alterations needed. This theoretical account involves the individual traveling through a series of phases when turn toing debatable behavior. Peoples will go through through different phases at their ain gait. Prochaska and DiClimente ( 1982 ) compose how identifying where a individu al is within the theoretical account will enable the practician to accommodate their intercessions to run into their single demands. This might intend that the wellness visitant offers the female parent listening visits at place ( HCP, 2009 ) until she feels ready to go to the support group. The support group would run over eight hebdomads for one and a half hours and a creche will be provided run by the baby's room nurses. The wellness visitant and community mental wellness nurse will jointly run the group and will be trained suitably. The purpose of the group will be for female parents to derive support from other female parents in similar state of affairss and with similar experiences ( Alakus et al, 2007 ) . The purpose will be for the female parents to experience less down, better their self-esteem, self-worth, addition assurance, make friendly relationships and develop get bying schemes. To assist the female parents achieve this, the hebdomadal support group will offer both instruction and besides a assortment of taster Sessionss. For illustration, cognitive behavioral therapy, exercising, babe massage and holistic therapies. The beginning of the group will let female parents to portion any events of the past hebdomad. Exercise can be an effectual intervention for postpartum depression every bit good as increasing the female parent ‘s sense of good being and can be a offered in the group as a combination of both exercising and relaxation techniques. Two recent clinical tests found that many adult females are loath to utilize medicine for intervention of PND. The survey besides revealed that exercising can relieve depression every bit efficaciously as medicines, ( Daley, et Al, 2007 ) . Research has shown that infant massage in group work can cut down emphasis endocrines, significantly lessen depression symptoms and besides aid female parents to better relationships with their babes ( Heh, et al 2008 ) . For adult females sing PND cognitive behavioral therapy is the intervention of pick ( NICE, 2007 ) . The Sessionss will assist female parents to dispute negative ideas and modify beliefs specifically associating to motherhood. CBT helps people to prosecute in activities and has been shown to cut down symptoms, better a individual ‘s quality of life and better map ( NICE, 2009 ) . Evaluation is an of import portion of a wellness needs appraisal and rating of any intercession needs to be considered, as highlighted in the clinical administration rules ( Adams & A ; Forester, 2002 ) . There are a assortment of assessment methods. To mensurate the effectivity of the group the female parent ‘s original EPDS tonss would be recorded and so they would be asked to make full in another 1 at the terminal of the 8 hebdomads to see if their tonss had improved. Improved EPDS tonss and a decrease in PND could intend that the group could go on to run. Long term effectivity of the group, if it continues, will be seen in the bar or hold of ‘morbidity or mortality, ‘ ( Mitcheson, 2008 ) This may finally take to the decrease of cost for handling people with PND. An effectual manner of measuring the intercession could be through a SWOT appraisal, a technique credited to Humphrey ( 1960-1970s ) . SWOT is a structured method used to place strengths, failings, chanc es and menaces. To reason, it can be seen that by working through the phases of a wellness needs appraisal that the demand for an intercession in the writer ‘s country was clearly identified. The literature reviews provided information to help with the apprehension of PND and the effects it can hold on the female parent, household and babe. There is clearly a demand for a more accurate and consistent manner of placing PND and so entering and utilizing the information. For the group to be effectual, it was identified that good collaborative working was indispensable. As the function of the wellness visitant has changed over the old ages, it is of import to show how they can better wellness and cut down inequalities through successful, choice intercessions. Word count 4, 378.

Life, the Better Teacher Essay

â€Å"In school, you’re taught a lesson and then given a test. In life, you’re given a testthat teaches you a lesson. † – Tom Bodett. Learning is the activity that all of us have to do during our life. We have been learning since the moment we are born and we will not stop until the moment we die, this is the only way for us to survive and live normally in this world. Many people attend schools to gain knowledge, amd others gain their knowledge from their experience in life, both ways provide us with much valuable knowledge. However, in my opinion, I think that experience is the more important source of knowledge. It is a known fact that we learn all the time we breathe, a baby when given birth learns to cry and to find milk; then some months or years later, he learns how to crawl, walk, and run after many years of learning basic surviving forever. But academic knowledge is not all, and it is often said that not everything that is learned is contained in books. A book can give you moments of relaxation and famous sayings but it cannot provide you the deep understanding of life. And passing an examination can’t make you be ready to encounter difficulties of the real life. Qualifications are record of what you have learned, but they are not relevant to what you need to know to live normally in this world. Knowledge gained from books cannot be compared with that gained from experience. I say that because books provide us with many theories, but they cannot give us opportunities to practice those things. People say that â€Å"Practice makes perfect†, indeed, only by practicing can you deeply understand what are mentioned in books, we can see what we read with our own eyes, this can excite us and make us more engaged in the knowledge that we have read. Both books and experiences provide us with knowledge, but the ways we approach the knowledge are different and what we get are different, too. Books contain knowledge which is arranged and selected carefully from what authors think about real life. So they are easy to follow and understood. When reading books, readers only need to understand what is demonstrated on papers. In contrast, when actually practice in your real life, you need to observe, think and brainstorm very much to get the ideal information. Even when you can carry out the process of practicing smoothly, you may still draw a wrong conclusion, and no one can tell you about that, all you can do is compare your result with the real life so that you can realize the mistake. The risk of getting wrong conception is apparent, which makes practicing for experiences the most interesting yet difficult way to get knowledge. Everyone can have books, books are everywhere. You can buy books in bookstores without difficulties, just select and pay for them. Also, you can learn from books, and what you learn from the source can be gained from other people such as your teachers, your parents, your friends or even strange people. Because knowledge from books is gained from what people see and hear from the real life, anyway, it is motionless knowledge and you get it in a passive way. In contrast, the knowledge from experience requires you to go much, practice much and think much, such effort creates real knowledge, and you can gain it actively. Experience cannot be bought, you need to think about it, practice and produce it yourself. If experience is seen as a purchasable item, then the money used to buy it is not made from paper, but time and effort. The knowledge from books and that from experience are gained at different measures of difficulty, but what you gained from books is nothing compared to those from experiences. However, knowledge from experience and knowledge from books have a relationship and they support each other. Actually, books are attached to experience, they cannot be created or even thought of without experience. When you practice something, you get experience, but to know whether your experience is correct or not, besides verifying it through real life, you may also look for it in books and compare between your conclusion and theories in books. This way, you can use old and certain knowledge to confirm the new and uncertain one.

Educational Preparation

Write a formal paper (750-1,000 words) discussing the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level in nursing. For additional help finding research on this topic, refer to the library tutorial located at in the Student Success Center. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). IntroductionNurses are prepared in two different educational backgrounds, the baccalaureate degree level of nursing and the associate-degree level of nursing. Though they are prepared in two different settings when completion of these programs both sit for NCLEX-RN exam. The NCLEX is the state board to license and RN for competency to work as a registered nurse. There are few differences in competencies between associate- degree nurses and baccalaureate degree level nurses inc luding their level of commitment, leadership skills and their quality of patient care.Education is an infinite process. Every day, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed nurses.Even though associate degree programs prepare nurses for patient care in a hospital setting, that training is insufficient for a variety of nursing roles. Comparison Point one-Associate level nursing was established after World War 2 during a nursing shortage. This started at the community colleges; students would have to attend for 2 years to obtain your nursing degree. Community colleges were growing at a fast rate they were able to accept many more students than universities. Associate nurses were taught the skills of nursing to work as an RN.One study showed that when reviewed by managers 86% of ADN nurses met or exceeded their expectation. (EEpg268) Point two Baccalaureate degree programs are help at the Universities, and students would attend these schools for four years to obtain their nursing degree. One study shows that nurses with their BSN are shown to be less task oriented, have critical thinking skills, are more professional in their role, and show more leadership skills. These nurses look at the patient as a whole and not just a list of things they need to accomplish during their day.ADN program is designed to provide the skills and knowledge to become a compliant generalist nurse. In most cases, it is a 20 month program aimed to provide a reasonably good training for the licensure examination (NCLEX-RN) and then an imm ediate, decent staff position in hospitals and inpatient healthcare modern society human being, encompass extensively sophisticated requisites provoking advanced techniques of acquisition directly correlating to health care industry.The health care is intensifying in complexity and observing beneficial amendments. The longevity and expectations have heightened thus nurses are obligate to become educated in higher echelon, the professional baccalaureate level, to comprehensively achieve composite necessities. The professional nurse who graduates with a baccalaureate is primed for broader role in numerous facet of health care in addition to global knowledge of functionality of medical system and diverse methods of application.Enabling the application in daily patient care, the delegation of tasks, independent decision making, secure patient discharge, and numerous other aspects provoking an improvement in quality of care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. Education for nurses is life long process either at the bedside or school, nurses are continuously learning to meet the competencies of professional practice and growing demand of excellent care.The difference between the nurse prepared at the associate degree level versus the baccalaureate degree level in nursing is the nurse with baccalaureate degree has the more prestigious degree and training in global aspect of health care Learning in complex systems is, itself, complex. Nonlinear systems confound attempts to develop and enforce simple models of cause and effect, and so traditional, hypothetical-deductive methods to explore cause and effect often fail.We know that in the daily life of parenting, marital relationships, and team sports, where â€Å"continual learning and improvement† replaces â€Å"planned experiment† as an approach for gaining knowledge . Even where firm, cause-and-effect knowledge exists in science-based health care the knowledge, for example, that antibiotic A will almost always kill bacterium B the application of that knowledge runs straightaway into the messy world of complex systems.That is, reliably getting the antibiotic safely into the body of a patient with that germ turns out to be a constant challenge as systems fail (the order got lost), unpredicted side effects occur (the patient is on an incompatible other drug), local circumstances become highly relevant (the drug is unfamiliar to the new doctor), and errors multiply (the bacteriological report was on the wrong patient). The fact is frustrating and inescapable: in health care, as in any complex enterprise, the simple, scientific facts lie fallow without continual Adaptation to local contexts.The modern nurse who intends to improve the job effectively needs to be a master of the work So what is the difference and how will it affect the course of a car eer in nursing In today’s nursing world, more is expected from a nurse than following doctor’s orders and starting IVs. The nurse must be able to make critical decisions about a patient’s care, to question the doctor if orders seem inappropriate and to help the patient through, sometimes, difficult life-changing decisions.These skills take an education that is broad based, one that includes critical thinking and exposure to many different people, thought processes, and culture and societal norms. Two year nursing programs do recognize these needs and address them as they can, requiring liberal arts classes to be taken before entering the program and teaching decision making skills along the way. At every level of nursing, the ability to connect with different people, recognize the pressures they face from their personal environment and find value in each is critical.This is a lot to learn against a backdrop of proficiently performed procedures and giving the rig ht medication. BSN  programs offer more education aimed at developing these skills. These programs bolster knowledge about community and public health issues. There is also more attention paid to nursing management, that is, enhancing skills needed to help â€Å"direct reports† do their best work for the patient and the health care organization. Opportunity to refine patient assessment skills and examine more in depth the pathophysiology of diseases, also sets these rograms apart from their two-year program me Nurses who graduate with a BSN degree will find it easier to enter faculty teaching positions, higher level administrative roles in hospitals or other health care environments and State or Federal level government nursing jobs. And for some, these roles are more satisfying, allowing the individual to affect change at a more global level than one-on-one nursing. While it is true an experienced, talented nurse with an AS degree can move â€Å"up the ladder† into management and leadership roles, the Bachelor’s degree can make the climb a little less steep.And, with all this said, there will always be a critical role for the nurse who works directly with the patient, teaching patients about their health care, assuring quality wound management in the hospital setting and observing patients for signs of a worsening condition. Nursing is a huge and welcoming field. It offers a satisfying career path for both AS and  BSN  trained nurses. Whatever path you have chosen in nursing, the essential wisdom is to continue enhancing your skills and education so that your community, your organization and your patients benefit from your broadened view of the world. ConclusionI know personally from being an RN with my associate degree that I do think differently than other RNs. I find myself worrying a lot about the tasks that I need to finish before my shift ends and not looking at the reasons why I am doing things. I watch other RNs getting why they patient is experiencing these symptoms while I am just following orders and treating the patient. I have seen myself start critically thinking on what my patients need and asking the doctors for different things. References Conceptual foundations the bridge to professional nursing practice 5th edition 2011 American Association of college of nursingRobert Rosseter april 2 2012The Future of Nursing: Leading Change, Advancing Health http://www. nap. edu/catalog/12956. html Aiken, L. H. , Cheung, R. B. & Olds, D. M. (2009, June 12). Education policy initiatives to address the nurse shortage in the United States. Health Affairs Web Exclusive. Accessed June 22, 2009 at http://content. healthaffairs. org/cgi/content/abstract/hlthaff. 28. 4. w646 American Association of Colleges of Nursing (2009). 2008-2009 Enrollment and graduations in Baccalaureate and graduate programs in nursing. Washington, DC: Author. Educational Preparation Educational Preparation juli mar Grand Canyon University NRS 430 12-18-11 Educational Preparation There are 2 common, but different, pathways to receiving a RN license. You can earn a bachelor’s degree (BSN) or an associate degree, (ADN). While there are similarities between the two programs, a BSN takes two additional years of college at a university. Both programs teach nursing skills, electives ,science courses, and clinicals. But, the BSN program is a more in-depth study of nursing research, theory, evidence based practice, management, community, and public health nursing. The baccalaureate program gives the individual the added benefit of having more education. â€Å" No matter which type of entry into practice program one chooses, â€Å"the demands placed on nursing in the emerging health care system are likely to require a greater proportion of RNs who are prepared beyond the associate degree or diploma level. (Recreating health professional practice for a new century. , 1998). Even though the BSN has more education, both graduates are held to the same standards of practice. ADN and BSN nurses must pass the NCLEX exam. They have the same patient workload, responsibilities, and the same starting rate of pay. This brings up the often debate, are their competencies any different ? Mildred Montag created the 2 year associate degree after World War II. Several important goals were attained by the AD programs’ success. It helped train registered nurses to help replace baccalaureate nurses in a shorter time. † A new pool of students, including men, married women with children, and older than typical undergraduates, were now able to choose nursing career† (Creasia & Friberg, 2011, p. 1). Montag assumed these nurses would be assistants to the professional nurses, and since there has been a long debate on whether this degree should continue. The conflict is related to the educational level, leadership, and critical thinking skills of the BSN vs. ADN. Many other countries, Canada, Sweden, Portugal, and the Philippines all require a four year BSN degree for entry level RN. I do believe emplo yers in the United States are moving towards a BSN for entry level as they did before the ADN was developed. In 1965, the American Nurses Association (ANA) designated the baccalaureate degree as the educational entry point into professional nursing practice†(Creasia & Friberg, 1965/2011, p. 4). Most employers have a strong preference for hiring a BSN, as nurses continue to expand their roles and are providing more community based care away from the hospital. Society is also changing and patient needs are becoming more complex as they are living longer, have more chronic illness, and technology advancing. These are reasons a BSN is becoming more apparent in our society today. Does having a BSN mean she/he is more competent over the other ADN ? A BSN is better prepared to meet all the patients needs. They can better assist with teaching in the communities, can take a leadership position, function as clinical nurse leaders( charge nurse), has more advanced critical thinking skills, familiar with nursing research, evidence based practice, and theory. Evidence based practice( EBP), means to back up opinions and practices with facts. Basically, the more we think about what we’re doing and why the better nurses we will be. We learned the importance of this from Florence Nightingale, the founder of modern nursing. She used EBP to improve the conditions of hospitals during the Crimean war. She assessed the environment, collected data, identified interventions, and monitored patient outcomes. In less than 6 months her interventions significantly decreased the mortality of soldiers. Nightingale utilized supporting evidence to transform healthcare(Cooper, 2011, p. 1) With her information, evidence based practice became used and appreciated. Nurses need to know what proven techniques and interventions have been found to be most effective. They can only do this by applying evidence based practice, which is better taught at a BSN level. A BSN can continue to expand their role as a RN, using their BSN as a stepping stone towards, nurse practitioner ,nurse midwife, or nurse anesthetist, if they decide to do so. BSN nurses will find it easier to get faculty teaching positions, higher level administrative roles in hospitals and state or federal level government jobs(Forster, 2008, p. 1). In today’s world more is expected from a nurse than ever before. Nursing practice is not just starting IV’s and following doctors’ orders. The public expects care to be delivered by a professional nurse. The RN must be able to make critical decisions about a patients care, to question the doctor if orders seem inappropriate and to help the patient through some times life-changing decisions. This takes an education that is broad based, one that includes critical thinking and exposure to many different people, thought processes, and culture and societal norms. (Forster, 2008, p. 1). ADN usually cost less and takes less time to complete, but isn’t always the best choice if career advancement is wanted. The quality of our patient care is dependent on our education. Both are wonderful paths for anyone pursuing a nursing career and offer excellent pay, job security, and a wide range of work environments and experiences. References References Cooper, C. (2011). Transforming Healthcare through the use of evidence based practice [journal]. Nursing Excellence, 1(1), 1. Retrieved from http://www. childrenscentralcal. org Cooper, C. (2011). Transforming Healthcare through the use of evidence based practice [online newsletter]. Nursing Excellence, 1(1), 1. Retrieved from http://www. childrenscentralcal. rg Creasia, J. L. , & Friberg, E. (2011). Introduction. In E. Mosby (Ed. ), Conceptual Foundations : The Bridge to Professional nursing practice (p. 4). Retrieved from (Original work published 1965) Creasia, J. L. , & Friberg, E. (2011). Nursing in Institutions of Higher Education. In E. Mosby (Ed. ), Conceptual Foundations: The Bridge to Professional Nursing Practice (p. 41). Retrieved from Forster, H. (2008). ADN vs BSN. Retrieved from http://nursinglink. monster. com/education/articles/3842adn-vs-bsn Pew Health Professions Commission. (1998). San Francisco: Author. Educational preparation There are three main avenues for a person to become a Registered Nurse in the United States. There are diploma programs, associate degree programs (AD), and baccalaureate degree (BBS) programs. Graduates from all three of these programs are eligible to take the same licensing exam and obtain the same registered nurse license in their respective states. Many people, nurses included, have often wondered what the difference is in the education these nurses have received.Is it all the same? Is an RAN an RAN no matter what his/her education level? The primary difference between an AD nurse and a BBS nurse lies within the focus of their nursing education. Recent research indicates that baccalaureate programs focus more on care coordination and community health than do associate programs. One source stated that baccalaureate nursing programs historically provide two to three times more clinical training in outpatient settings than associate programs (Feature 2013).Thus, baccalaureate prepar ed nurses are better equipped to work in these alternative healthcare settings and to provide care to patients who eave the hospital and move on to these alternative settings. The associate degree (AD) nurse holds the same license as the BBS nurse. However, the focus of the associate program education is quite different. City University of New York faculty fellow, Maureen Wallace, Deed, RAN, stated, â€Å"Most AD students get an excellent clinical experience but their education has been heavily skills oriented and focused on acute care. (Feature, 2013, p. 3) The associate nurses' education is geared more towards inpatient, hospital based care. Unfortunately for he AD nurses, this puts them at somewhat of a disadvantage in the current healthcare climate. According to Dry. Patricia Banner (2009), more than 50% of all nurses now work outside of the hospital setting. So while AD nurses may have fantastic clinical skills for acute care, they may not possess critical knowledge needed to educate patients on disease prevention, self-care at home, and utilizing community resources.This apparent knowledge deficit and acute care focused training could significantly impact the way an AD RAN responds to a patient need versus how a BBS RAN might respond. This difference could even negatively impact the patient in the future. This can be demonstrated in the fictitious scenario of Mr.. Smith. Mr.. Smith was admitted to the hospital through the emergency room four days ago with complaints of severe abdominal pain and vomiting fecal matter. He was diagnosed with a bowel obstruction secondary to colon cancer and immediately underwent surgery for tumor removal and bowel resection.He was married with two small children. He had lost a significant amount of weight in recent weeks and was extremely weak. Significant differences in the education level between the AD and BBS nurses can be seen in the way each delivered discharge instructions to this patient. Utilizing her skills and a cute care knowledge base, Nurse AD, focused her discharge instructions on post pop pain management, surgical site infection prevention, dietary restrictions, activity limitations, and the importance of keeping follow up appointments with the surgeon and oncologist.She instructed the patient's wife on how to perform the dressing change, and Mrs.. Smith performed a return ministration reluctantly. Mr.. And Mrs.. Smith nodded politely as Nurse AD provided instructions but they did not ask any questions. They both nodded in agreement when she asked if they understood the instructions. Mrs.. Smith signed the discharge instruction form and Nurse AD advised them to let her know when they were ready to leave so she could call for transport downstairs. Mr.. And Mrs.. Smith were very likely completely overwhelmed at this point, having Just received the new diagnosis of cancer.Mr.. Smith was so weak that he could not perform his own Tall's. Mrs.. Smith as wondering how in the world she was goi ng to get him out of the car once they got home let alone how she was going to bathe him and change his dressing with two small children underfoot. This lack of resources, support, and knowledge could put Mr.. Smith at high risk for re-hospitalizing. Since he will not have adequate assistance at home, he is likely to not follow activity restrictions. He may even fall and injure himself due to his weakened condition. Mrs..Smith probably did not retain much of the discharge education and may not be able to consistently perform an septic dressing change. His surgical wound could become infected. If Nurse BBS completes Mr.. Smith's discharge teaching, the scenario could be much different. Nurse BBS also drew from her educational background. However, hers was more focused on care coordination, community health and illness prevention (The impact of education 2014). She began her discharge instructions by assessing the couple's level of understanding and coping as well as the resources ava ilable to them at home.She asked if Mr.. Smith had a wheelchair for transport from his car to his home. She asked if they had a way to raise the head of his bed or if they had a reclining chair that he could sleep in for comfort and ease of movement. Mrs.. Smith responded by replying that she does not have a clue how to operate a wheel chair or where to obtain one and furthermore, she was not sure she was going to be able to take care of him at all. Nurse BBS identified the need for ongoing skilled nursing care and education. She spoke with the surgeon and obtained an order to refer Mr.. Smith to a home health agency.She delayed Mr.. Smith's discharge for several hours until he home health agency could evaluate him and deliver a wheelchair and hospital bed to his home. Mr.. Smith will now receive nursing care at home to manage his wound and to train Mrs.. Smith on aseptic technique for dressing changes. He will also receive education on all aspects of his newly diagnosed cancer and physical therapy to address his weakness and prevent falls. In this scenario, Mr.. Smith is much less likely to return to the hospital because of the nursing education and in home care he received (Beanbag's and Terrain 2000).His wound will likely heal very icily and he will be better prepared to cope with his disease and recovery because he will have received ample education from his home health nurse. He will probably feel less fearful at home because he will still have access to a nurse when he has a need or a question. In both scenarios, the nurses held the same license. They both performed their Job duties well. They both had the patient's best interest at heart. They both utilized the nursing process and interventions to assist the patient during his time of crisis.However, Nurse Abs's interventions were better suited to meet the tangent's needs. Because her nursing education was more focused on community health and outpatient settings, she was better able to assess the patien t holistically and address his immediate and long term needs. Mr.. Smith is much less likely to be re-hospitalized and much more likely to have a good outcome because of Nurse BBS. Educational preparation There are three main avenues for a person to become a Registered Nurse in the United States. There are diploma programs, associate degree programs (AD), and baccalaureate degree (BBS) programs. Graduates from all three of these programs are eligible to take the same licensing exam and obtain the same registered nurse license in their respective states. Many people, nurses included, have often wondered what the difference is in the education these nurses have received.Is it all the same? Is an RAN an RAN no matter what his/her education level? The primary difference between an AD nurse and a BBS nurse lies within the focus of their nursing education. Recent research indicates that baccalaureate programs focus more on care coordination and community health than do associate programs. One source stated that baccalaureate nursing programs historically provide two to three times more clinical training in outpatient settings than associate programs (Feature 2013).Thus, baccalaureate prepar ed nurses are better equipped to work in these alternative healthcare settings and to provide care to patients who eave the hospital and move on to these alternative settings. The associate degree (AD) nurse holds the same license as the BBS nurse. However, the focus of the associate program education is quite different. City University of New York faculty fellow, Maureen Wallace, Deed, RAN, stated, â€Å"Most AD students get an excellent clinical experience but their education has been heavily skills oriented and focused on acute care. (Feature, 2013, p. 3) The associate nurses' education is geared more towards inpatient, hospital based care. Unfortunately for he AD nurses, this puts them at somewhat of a disadvantage in the current healthcare climate. According to Dry. Patricia Banner (2009), more than 50% of all nurses now work outside of the hospital setting. So while AD nurses may have fantastic clinical skills for acute care, they may not possess critical knowledge needed to educate patients on disease prevention, self-care at home, and utilizing community resources.This apparent knowledge deficit and acute care focused training could significantly impact the way an AD RAN responds to a patient need versus how a BBS RAN might respond. This difference could even negatively impact the patient in the future. This can be demonstrated in the fictitious scenario of Mr.. Smith. Mr.. Smith was admitted to the hospital through the emergency room four days ago with complaints of severe abdominal pain and vomiting fecal matter. He was diagnosed with a bowel obstruction secondary to colon cancer and immediately underwent surgery for tumor removal and bowel resection.He was married with two small children. He had lost a significant amount of weight in recent weeks and was extremely weak. Significant differences in the education level between the AD and BBS nurses can be seen in the way each delivered discharge instructions to this patient. Utilizing her skills and a cute care knowledge base, Nurse AD, focused her discharge instructions on post pop pain management, surgical site infection prevention, dietary restrictions, activity limitations, and the importance of keeping follow up appointments with the surgeon and oncologist.She instructed the patient's wife on how to perform the dressing change, and Mrs.. Smith performed a return ministration reluctantly. Mr.. And Mrs.. Smith nodded politely as Nurse AD provided instructions but they did not ask any questions. They both nodded in agreement when she asked if they understood the instructions. Mrs.. Smith signed the discharge instruction form and Nurse AD advised them to let her know when they were ready to leave so she could call for transport downstairs. Mr.. And Mrs.. Smith were very likely completely overwhelmed at this point, having Just received the new diagnosis of cancer.Mr.. Smith was so weak that he could not perform his own Tall's. Mrs.. Smith as wondering how in the world she was goi ng to get him out of the car once they got home let alone how she was going to bathe him and change his dressing with two small children underfoot. This lack of resources, support, and knowledge could put Mr.. Smith at high risk for re-hospitalizing. Since he will not have adequate assistance at home, he is likely to not follow activity restrictions. He may even fall and injure himself due to his weakened condition. Mrs..Smith probably did not retain much of the discharge education and may not be able to consistently perform an septic dressing change. His surgical wound could become infected. If Nurse BBS completes Mr.. Smith's discharge teaching, the scenario could be much different. Nurse BBS also drew from her educational background. However, hers was more focused on care coordination, community health and illness prevention (The impact of education 2014). She began her discharge instructions by assessing the couple's level of understanding and coping as well as the resources ava ilable to them at home.She asked if Mr.. Smith had a wheelchair for transport from his car to his home. She asked if they had a way to raise the head of his bed or if they had a reclining chair that he could sleep in for comfort and ease of movement. Mrs.. Smith responded by replying that she does not have a clue how to operate a wheel chair or where to obtain one and furthermore, she was not sure she was going to be able to take care of him at all. Nurse BBS identified the need for ongoing skilled nursing care and education. She spoke with the surgeon and obtained an order to refer Mr.. Smith to a home health agency.She delayed Mr.. Smith's discharge for several hours until he home health agency could evaluate him and deliver a wheelchair and hospital bed to his home. Mr.. Smith will now receive nursing care at home to manage his wound and to train Mrs.. Smith on aseptic technique for dressing changes. He will also receive education on all aspects of his newly diagnosed cancer and physical therapy to address his weakness and prevent falls. In this scenario, Mr.. Smith is much less likely to return to the hospital because of the nursing education and in home care he received (Beanbag's and Terrain 2000).His wound will likely heal very icily and he will be better prepared to cope with his disease and recovery because he will have received ample education from his home health nurse. He will probably feel less fearful at home because he will still have access to a nurse when he has a need or a question. In both scenarios, the nurses held the same license. They both performed their Job duties well. They both had the patient's best interest at heart. They both utilized the nursing process and interventions to assist the patient during his time of crisis.However, Nurse Abs's interventions were better suited to meet the tangent's needs. Because her nursing education was more focused on community health and outpatient settings, she was better able to assess the patien t holistically and address his immediate and long term needs. Mr.. Smith is much less likely to be re-hospitalized and much more likely to have a good outcome because of Nurse BBS.