Poor Patient Care due to Nursing Shortage Leading to Professional, Research Paper

Poor Patient Care due to Nursing Shortage Leading to Professional, Ethical and Legal Issues - Research Paper Example This research will begin with the statement that in the healthcare setting, nurses are the important players in nourishing and rehabilitating an unhealthy, injured, diseased individual back to a normal and healthy individual, thereby enabling him/her to live a happy and successful life. The roles and duties of a nurse have also evolved with the changing face of nursing. Rather than becoming few, they have become many, with nurses increasingly taking up certain duties that were previously left to society. The development of nursing has also seen nurses evolve from general practitioners to highly specialized professionals, with areas of practice ranging from geriatric nursing to pediatric nursing. This has resulted in better patient care and higher patient survival rates. With the rapid development of human society and increasing health needs, this specialization across the nursing profession is bound to increase even more. However, there is another side to the above scenario. That is, due to the number of factors, there is sizable nursing shortage throughout the world including in the UK, and that is leading to poor patient care. Due to this shortage of nurses in healthcare settings, patients are put in a high risk condition, as they are not being given expected as well as adequate care leading to professional, ethical and legal issues Identification of the legal, professional and ethical issues A nurse will only â€Å"provide a structure of caring that can ultimately create an environment where†¦ a patient can begin a transition from victim to survivor† (Johnston 2006). Thus, if the shortage of nurses accentuates, the ‘structure’ will collapse, leading to a lot of trouble and risks. Shortage of nurses is being witnessed in many UK hospitals in the past few years, thereby placing NHS in a peril state. A shortage is happening because many hospitals have placed a freeze on the recruitment of new nurses and also axing currently functioning nurses as well. â€Å"Many hospitals have been axing nursing posts or imposing recruitment freezes since 2005 and 2006, having racked up huge debts. Official figures show 5,964 nursing posts have been axed in the past two years. † (Borland 2013). Shortage of nursing staff has a major detrimental impact on the quality of service of the hospital which directly impacts its reputation as well as on the hospital’s overall capacity to service (Buerhaus et al. 2007). More than the hospital’s image, the valuable lives of people are at stake. People come to a healthcare setting in an already compromised state, with both their physical as well as mental health in a will be in a weakened state. That is, as people visit hospitals, when their physical body is malfunctioning, diseased and injured, their physical strength and also their mental morale will be at an all-time low. Fig 1: (Borland 2013). Considering their state, it is of crucial importance for the healthcare profe ssionals particularly nurses, as said above, to provide them with apt care and ‘nurse’ back to health. (Gosling and Mintzberg 2003). However, when there is the shortage of nurses, all the patients may not be given apt and equal care, also may not be given quick care or care in times of need, and even deficient care. When this happens, many worst-case scenarios arise. â€Å"Recent documents, including the infamous Francis Report, have exposed a catalog of failings in the NHS, where patients have been neglected, poorly observed and physically abused. Findings detailed how patients were left unwashed; unable to eat and drink due to lack of help, and overall poorly managed in their final hours of need.† (The City Times).  

Discuss the use of monetary policy to influence the levels of Essay

Discuss the use of monetary policy to influence the levels of inflation and unemployment in an economy - Essay Example Reserves of commercial bank are one from of liabilities of federal bank .the imposition of reserve requirement from federal bank results this liability. Treasury deposits are also a liability for federal bank since there are the deposits made by treasury department of states. Federal Reserve notes are the notes circulated by federal bank in the country in the form of paper money. They are the claims against the assets of federal bank and hence become liability for federal bank. Since, we know that one of the core functions of federal bank is the creation and control of money in the economy, the monetary policy acts as an action plan for this purpose. The federal bank has three core tools to control the money supply in the market Since bonds are floated in the market by government and other organization to raise money, they can be used by the federal bank to increase or decrease the money supply. The federal bank can either buy or sell bonds with commercial bank or general public. Buying securities from commercial banks the reserve of commercial bank are increased while the assets base of federal bank increases. Same thing happens when the federal bank buys securities from public, the asset base of the federal bank increases as well as that of commercial bank. Overall the money at the disposal of federal bank increase which increases the money supply n the market. Reserve ratio is the amount of reserve of commercial bank that they are required to keep with the federal bank. This reserve is not allowed to be loaned to the public. A federal bank, when want to increase money supply in the market decreases the reserve ratio which in turn decreases the reserve of commercial bank kept with federal bank. With the increase money at the disposal of commercial bank they are able to load out more money in the market which increases the money supply. Similarly if the federal bank wants to decrease the money supply it increases the

Marcus allius Essay Example | Topics and Well Written Essays - 750 words

Marcus allius - Essay Example Most of the expressions that Aurelius portrays in his advice to himself employ a much-defined strategy of approaching life. Accordingly, this section of the essay elaborates the manner in which he wants to live his life. Remember, the actual circumstance dictates that he loves his life as a scholar. Accordingly, the philosophy or attitude of his life considers the fate of so many things as personal. That is; it the duty of anyone, including himself, to determine what kind of life he would like to live. He believes that there are four core things besides any other form of jurisdiction. That is; there is oneself, the flesh, spirit and the reasonability level (Aurelius 6). Therefore, Aurelius does not believe in being a slave of his life. Aurelius has the guts and attitude to face issues especially as they arise. That is; issues that affect life deserve immediate attention. According to most of his arguments, he possesses numerous proposals of using formidable force to extinct what he discerns as evil and inappropriate to live. The perception of facing life on prompt dimensions and argumentative life could facilitate further action by Aurelius. For instance, his ideology of life is based on what he aims at doing in the present. For instance, he considers everything that gets done or says as paramount. The value of life to a supernatural perception is not part of his dual reasoning behind life. This ideology is one of the facilitating ideologies that boosts his attitude towards sin (Aurelius 7). Sin is an action. It could get committed on a willing or an unwilling basis. For instance, some of the sins that we commit are actually out of the urge while others are out of anger. Anger is justified to lead towards sin, such as killing. This differs from the perception of killing or even extracting sin from the society with regards to desire. There is no concept in forgiving if sin got desired (Aurelius 10). The entire philosophical interpretation of

Portrait of a Leader - Andy Warhol Research Paper

Portrait of a Leader - Andy Warhol - Research Paper Example The paper "Portrait of a Leader - Andy Warhol" discusses the leader of the pop art, Andy Warhol. As a leader of a time that was typified by a collaboration of the bizarre with the mundane, Warhol has left a legacy that remains powerful and enigmatic. Andy Warhol was born on August 6, 1928 to Slovak immigrants and was raised near the city of Pittsburg, Pennsylvania. As a child, he was ill with scarlet fever which had the consequence of leaving him with an affliction known as St Vitus’ Dance, which left him with an involuntary jerking reflex in his limbs and face. The long term affects appear to have been a general lightening of the skin, hair, and eyes, which gave him a unique and ethereal look that was attractive to the art community of the 1960’s, but left him being unusual as a child. His own commentary about his high school years suggests that he felt isolated and apart from his peers. There are varying stories about the way in which Warhol grew up, partly because of the variety of stories that he himself spread in order to ‘create’ himself. One myth says his father worked in the coal mines of West Virginia and was home very little. He was then mostly raised by his mother, Julie, along with his brother. His father died in 1942 after a prolonged illness from drinking poisoned water after which his family struggled in poverty. Warhol claims that he had three nervous breakdowns in three consecutive years during his childhood - one each at the age of eight, nine, and ten.

Examine the treatment of children and infant mortality from victorian Essay

Examine the treatment of children and infant mortality from victorian writers with special reference to Charles Kingsleys water babies and Thomas Hardys poem To an unborn pauper child - Essay Example In fact this period is also a time when infant mortality was high and the threat of mortality facing infants was 30 times worse compared to what it is today (Garrett, 2006, p.253). Carroll captures this nature of parenting explicitly through fairy tale world known as Wonderland. In the fiction, the characters of authority are shown to be funny and rather absurd at times. The paper undertakes the treatment of children and infant mortality by Victorian authors like Charles Kingsley and Thomas Hardy. Carroll’s work is still published as a children’s classic collection and loved by young and adults alike. Lear, a rival of Carroll also published his limericks, which criticizes the social code of behavior in the Victorian society. Like Carroll, Lear also puts forth certain inevitable violent ends of the characters. The White Rabbit in Alice in Wonderland keeps on reminding the reader that it will be prone to losing its head if he is late to arrive at the Duchess’. (Charney, 2005, p.284) This also reveals the inevitability of social codes and none of the writers could escape that. The Duchess symbolize a typical strict parent of the Victorian age as she tosses her baby pig up into the air and sings the following lullaby to her son, ending every line with a rough shake to the baby: â€Å"Speak roughly to your little boy, And beat him when he sneezes: He only does it to annoy, Because he knows it teases† (Carroll, n.d., p.44). This is also a parody to the p oem of Bates â€Å"Speak Gently†. The story also shows the coming of age of the child Alice, as she tends to forget her nursery poems and finds the characters conversing in a language unknown to her. This introduces her to a whole new world when she resides at the crossing stage from childhood to adolescence. Charles Kingsley’s The Water-Babies is a fairy tale, which condemns child

An investigation into the use of science by one environmental advocacy Assignment

An investigation into the use of science by one environmental advocacy body in relation to environmental issues - Assignment Example The memorandum also concerns about how to guide the human beings for understanding the responsibility to prevent the world from the dangerous interferences of the environment change. Though every government of the industrialised nations had agreed to take adequate measures by setting specific targets as well as timetables for the reduction of carbon-dioxide emission along with other greenhouse gases but such initiatives have not resulted in any concrete outcomes as the entire world is witnessing an escalation of varied critical environmental concerns day-by-day (Hohnen, n.d.). Therefore, with regard to this booming issue, Greenpeace, a non-profit organisation has devoted its activities in order to improve as well as preserve the ecology of the planet as well as environment (Greenpeace, 2013). The objective of the report is to measure the contribution to debate on climate change by Greenpeace and to critically assess the connection between its values and interests, its advocacy positi ons and its use of science. Contribution of Greenpeace to Debate on Climate Change Greenpeace is a globally recognised non-profit organisation that executes passive actions to reduce the prevalent threats to environment. Greenpeace aims to shield as well as conserve the environment through promoting peace by revealing, investigating as well as confronting ecological abuses. The organisation has driven its initiatives by holding a lot of conferences challenging the political as well as trade along with industry powers that are being involved in performing certain detrimental activities for the environment. Greenpeace is the voice of millions of followers worldwide who are environmentally as well as socially responsible for the current as well as future generation. In addition, for inspiring the whole world regarding the concern about environmental cleanliness, the organisation has highlighted various issues through media releases, meetings, by organising petitions as well as through its websites among others. In 1992, after the contractual signature of the FCCC, the head of Greenpeace science team named Dr. Leggett wrote a book on the causes as well as consequences of the climate change. Along with it, Dr. Leggett also conducted meetings with numerous industrialists for sharing the assessment of climate science as well as its implications. In this context, Greenpeace acquires massive affirmative responses from insurance industry for starting the scientific reinforcement through evaluating the risk to the future world. In terms of involvement, the organisation continuously raises its voice against Canada for protecting the Arctic from oil spills. The oil companies always endeavour to demonstrate political power and impulsively pollute water as well as air that are threatening people’s conventional way of existence. Besides, Greenpeace also makes constructive approaches in order to reduce the scientific chemical hazards that fatally harm the ecology of the world. Standing on this solemn situation of the globe, the organisation has promoted a lot of pertinent policies for eliminating the bane of such critical

Establishment of responsibility Essay Example for Free

Establishment of responsibility Essay While at the counter, the customer can see other employees making the pizzas and the large ovens in which the pizzas are baked Instructions: Identify the six principles of internal control and give an example of each principle that you might observe when picking up your pizza. Note: It may not be possible to observe all the principles. ) 1st Principle – Establishment of responsibility * Only one person is responsible for a given task. * For example, the cashier that exchanges the pizza for cash would be the principle of establishment of responsibility. 2nd Principle – Segregation of duties. Accounting employees balances books * Another personnel has custody of cash on hand (making deposits) * In this principle- segregation of duties one cannot observe this principle in this scenario. th Principle – Documentation procedures * Pre-number documents or invoices * For example, the cashier has pre-number receipts for each order that is picked up by the customer. At the end of the clerk’s shift these invoices are forwarded to accounting to timely record each transaction. 5th Principle – Physical mechanical and electronic controls * Consist of having safes, deposit boxes, and time clocks for time worked. * The clerk has a cashier that controls and safeguards the assets to enhance the accuracy and reliability of the accounting records. th Principle – Independent internal verification * Employees review, compare, and reconcile data that was prepared by them. Three measure are recommended: * An example cannot be provided for this principle because a customer cannot identify if: * 1st – Org. should verify records periodically or on a surprise basis. * 2nd – A manager should make the verification of an employee * 3rd – Discrepancies and exceptions should be reported to mgt. to make appropriate corrective action. Chapter 7: Problem Set B: P7-2B The board of trustees of a local church is concerned about the internal accounting controls pertaining to the offering collections made at weekly services. They ask you to serve on a three-person audit team with the internal auditor of the university and a CPA who has just joined the church. At a meeting of the audit team and the board of trustees you learn the following: A) Indicate the weaknesses in internal accounting control in the handling of collections. There are a few weaknesses in internal control in the handling of collections for the church, such as there is no supervision when the ushers take money. There is a chance that the ushers can take money from the collection plate. In addition, the financial secretary manages three tasks like bank reconciliation, has control and has custody of the cash, and maintains the church records. Moreover, the financial secretary holds out cash ($150-$200) per week; different withhold amounts for cash expenditures. There is not a witness when the head usher or the financial secretary count the money. Last, checks are made payable to cash (Kimmel, Weygandt amp; Kieso, 2007). B) List the improvements in internal control procedures that you plan to make at the next meeting of the audit team for: Ushers: How churches handle usher operations varies from congregation to congregation, but a consistent set of controls protects the fiduciary integrity of the church, and creates confidence among donors. One problem in the collection process is that only the head usher counts the collection without any accountability to ensure his count is accurate, or that all of the funds donated are transferred to the safe. This can be resolved by having the other ushers count the donations and sign off on the report, so that more than one set of eyes have verified the donations. Additionally, volunteers will need to take a course familiarizing would-be ushers with standard operating procedures, and reporting standards before being qualified to volunteer for usher position. This will help solidify controls for the ushers. Head Usher: While the church may not be currently experiencing anything wrong with the usher selection and volunteer system at the church, some improvements might be considered. The church might consider making the head usher a year-long term, elected by church members to create continuity, but also impose term limits – possibly every 3-4 years a head usher must take a sabbatical. Additionally, because the head usher role is so pivotal in the collection process, and it is a place where mistakes or malfeasance can easily take place; it would be helpful for the ushers and the financial secretary to be present in the collection counts, the day of, so someone outside the usher department can verify tithe counts. Financial Secretary: The most glaring issue, which opens up easy access for, would be embezzlers in the congregations check policy. All checks being written to cash basically enables anyone to cash out the check, the church, a rouge employee or volunteer, or otherwise. All checks need to be made out to the church, not to cash. It would be even better if the church went the route of many churches by allowing donors to have donations processed monthly (or weekly depending on donor preference) through e-commerce, allowing debit or credit payments to be made automatically to the church account. This will add a layer to the recording process, but it also increases security for donors. The financial secretary also needs to stop pulling cash from weekly donations for cash expenditures as cash transactions are harder to track and thus are more easily abused. Instead a petty cash account needs to be started, and cash allocated as needed based on historical records of cash expenditures. Additionally, a church credit/debit card, or reimbursement policy greatly will diminish the need for high levels of cash in the petty cash account. Finance Committee: The first thing the finance committee needs to do is to follow its own policy, and conduct annual audits. The church’s 501 (C)(3) nonprofit designation demands this. Often the most â€Å"trusted† employees are the ones who are found to have committed improprieties. Regardless of trust, regular audits, and reporting is essential. The second major priority is for the financial committee to purchase a fidelity insurance policy that will protect the church in the case of financial impropriety or massive fraud on part of those who handle finances. In addition to the need for an overhaul in policy (discussed below), the financial committee needs to inculcate a culture of financial vigilance and rigor to keep the church from even the perception of financial impropriety. C) What church policies should be changed to improve internal control? The church board of trustees is responsible of make sure that the church runs smoothly, from assigning the right ministers to the right ministries and making sure that the tithes and offerings are accounted for after each service. The first and most important thing that the church needs to do is getting some fidelity insurance. This type of insurance will protect the church of losses that may result of fraudulent acts by specified individuals. Protecting the church of any dishonest employee or member who may steal money, securities, and other property that once belong to the church. The second thing is to have an audit conducted because there has not been an audit performed in 15 years. Highly recommend using an outside source of performing the audit, this way every rock and stone will be turn over. The church financial management department should be responsible for counting and recordkeeping of the tithes and offering received but in separate offices, one office for counting the money and the other office for recordkeeping purposes The head usher responsibility should be making sure that the tithes and offering plates are accounted for and immediately delivering the plates (with one member from the board of trustee) to the financial management office (the financial office manager, and one individual from the board of trustees are the only ones with keys to both offices). The financial management recordkeeping personnel and the financial secretary should first come to an agreement on how much cash is needed for the week expense. Also the two will count the money with the intention to be deposit along with a deposit slip; the financial secretary will be responsible of making the deposit and afterward returning the deposit receipt to the recordkeeping office for recording purposes.