Statement of Purpose Social Sciences USC’s Master’s program for Social Worker

Statement of Purpose
Statement of Purpose

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Statement of Purpose Social Sciences USC’s Master’s program for Social Worker

INSTRUCTIONS:

Writer a Statement of Purpose  for USC’s Master’s program for Social Worker.

Topic #1:

Describe your understanding of the social work profession and its core values. How have you incorporated social work values in your human service experiences and interactions with others?

What significant relationships and life experiences have you had in giving or receiving help that have motivated you to enter the field of social work?

What personal qualities equip you for the social work profession? Discuss your experiences and feelings about working with populations different from your own.

Topic #2:

The USC School of Social Work is dedicated to providing excellent graduate education for people destined to create social change. What social welfare areas interest you and why? What social problem most concerns you that might be addressed with an MSW?

Topic #3:

Please discuss your career goals. What do you expect to be doing in five years and 10 years? How will your chosen department and practice area help you reach your personal/professional goals and future contributions as a social worker? Include why the USC School of Social Work is a good fit for your goals.

Topic #4:

The rising cost of higher education today is a key concern for the Suzanne Dworak-Peck School of Social Work and we work closely with our students to ensure they understand the financial implications of graduate study. Given the variety of ways to fund your education, please describe in detail your personal plan to finance your education including what steps you have made to obtain necessary funding.

Topic #5:

Field education is a core pillar of the Master in Social Work program. Our curriculum includes 1,000 hours of field placement conducted over 4 semesters. What is your plan for managing your personal and professional obligations while completing the required field placement?

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National Society Collegiate Scholars Application Essay

National Society Collegiate Scholars
National Society Collegiate Scholars

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National Society Collegiate Scholars Application Essay

INSTRUCTIONS:

As a First-Generation college student, what is the one trait you need to succeed and how do you exemplify it? (Respond in 450-600 words)

Tell us how you think joining an organization like National Society Collegiate Scholars will help you excel in college. (Respond in 100-250 words)

What is NSCS?

The (NSCS) is an honors organization that recognizes and elevates high-achieving students. NSCS provides career and graduate school connections, leadership, and service opportunities, and gives out more than $750,000 annually in scholarships, awards, and chapter funds. As a member, you’ll be part of a prestigious community with lifetime benefits.

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Nursing Admission Essay

Nursing Admission Essay
Nursing Admission Essay

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Nursing Admission Essay

INSTRUCTIONS:

Write a Nursing Admission Essay on Why are you pursuing a career as a nurse?

Not everyone dreads the nursing application essay. Some consider writing a strong suit. But others definitely do not. If you fall within the latter category, take heart; submitting a well-crafted, winning essay is not as difficult as it may seem.

It may help to keep in mind that a bad essay probably will not ruin your chances of becoming a nurse. But a good one could mean the difference between getting accepted into a program of your choice, at a time of your choosing, or not. That is because admissions personnel often turn to the application essay to differentiate among candidates who might otherwise seem equivalent. A good application essay can set you apart from the pack and help your application stand out.

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Change of Major Request

Change of Major Request
Change of Major Request

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Utrecht University Change of Major Request to Undergraduate Student Admission Services

You may request a change of major by submitting an online application through StudentAccess. (See exceptions below.)

The standard criterion for eligibility to change your major requires that you are in good academic standing. However, some majors follow change of major criteria that is more restrictive than the standard criterion. These criteria have been formally approved by the Council on Educational Policy (CEP). Review the currently approved criteria for majors with such exceptions.

A request for a double major requires the online approval of both schools or programs offering the majors for any major change to occur.

INSTRUCTIONS:

Why would you like to change your major to U/U?

What major are you planning to declare and how soon will you be able to declare this new major (after being a U/U student)? Why have you not declared a major already?

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What is Child Development?

Child Development
Child Development

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What is Child Development?

Child development basically is any transition in human beings between birth and the end of maturity. It is progressive and is bound to affect the next change or preceding development of a child. Child development may be as a result of many factors including; getting educated, environmental factors and the completion of adolescence. They are many development times in a child before being an adolescent. (Feldman, 2012, pg 67) A child is referred to as a new born between the first 4 weeks of childhood, an infant between 4 weeks and 1 year, a toddler up to 3 years, a preschooler 4-6 years, school aged child 6-13 and an adolescent as from 13 years up to 19 years.

There are many factors that lead to proper child development; parents being one of the many factors, the parents hence play a key role. They help the child to blend socially, academically and reach development wholly. A child is also supposed to receive good care for any chance of proper development which should be the case in order to reach full development. There are so many theories that define child development, such a theory is the ecological systems theory brought up by Urie Branfenbreener who based his postulates on four systems .These were Microsystems, Ecosystem, Macrosystem and Mesosystem .The systems clearly give directives on development. (Feldman, 2012, pg 87)

Jean Piaget a Swiss scholar also developed a theory solely on animals. He came up with stages which include the sensorimotor stage, preoperational stage, concrete stage, formal operations stage which is the last stage. During the sensorimotor stage the child is able to perceive the unseen .At the preoperational stage children explicate their surrounding using symbols of the mind such as words and images.

With this the child is able to apply them in their childish endeavors assuming that they know better and very well as compared to other people. They tend to display ego mostly and knowing more than most people .The concrete stage shows how children begin to think differently and bear a sense of mind. They are able to make it out of situations just by putting their mind to it.

The formal operations is the  final stage which  depicts children as beings able to relate very well and have the clear indication of things that happen or are to happen. This however also means that the child creates a sought of feeling of superiority to most people at times thinking that maybe he/she is at the peak and above the rest which  is not the case. Vygotsky based his theory on the society’s role in developing the child. The child first grows then is able to relate with other people at large. With the help of an adult the child is able to grow and learn for example using rhymes or by certain movements such as tapping.   

John Bowlby came with the attachment theory but Mary Ainsworth improved it. It clearly depicts that the strong ties or bonds between a child and a guardian, a child and a parent, a child and the one looking after the child helps with the growth of the child.  Eric Erickson developed a theory to the aspect of child development too. (Demick & Andreoletti, pg 82, 2014) This include trust vs. mistrust (infant),Autonomy vs. shame (toddlerhood),Initiative vs. guilt (preschooler),Industry vs. inferiority (young adolescent),Identity vs. role confusion (adolescent),Intimacy vs. isolation (young adulthood), Generativity vs. stagnation (middle adulthood),Ego integrity vs. despair (old age).

Other theories include behavioral theory as well as the psychosexual theory .The stages needed to be fully complete for the preceding one to take course basing it also on the libido in a particular place or different places. (Demick & Andreoletti, pg 85, 2014)  The theory has similarities with Bowlby’s theory of attachment and the study of motor development .It helps to relate developments together and to create assertiveness and perception to things.

A different theory known as the “core knowledge perspective” is based on certain domains very important to development which include; physical ,linguistic, numerical, psychological and biological. The main cause of growth is mainly genetic or as a result of the immediate environment. Genetic factors have a great influence on the cell, the diet required, development of the brain too and its growth basically. Certain experiments show that organisms are able to survive with a small change in the environment too or when exposed to environments of slight variation.

However the environment still serves as a factor of development, sometimes both genetic and environmental factors both cause developmental changes .When the rate of genetic factors on the child is high this means that the rate of environmental factors is very low.(Crowley, 2014, pg 114). Physical growth is mainly change in stature over time and this includes the size, weight and physique or stature. This is accompanied with the change in structure such as of the limbs, as a child one has small limbs but as one matures into an adult the limbs become even bigger.

The child shows growth from the head up to the toe with development of vital organs too in the body. The child at first grows fast then progressively and much slower later on. Nutrition ,dieting ,diseases, injuries and exposition to certain things play an important role in the general development. .(Crowley, 2014, pg 114) Variations created later could be as a result of the environment or the genes of the parents and sometimes differences created as a result of different reproductive maturation.

Movement too is a factor of development with the child developing from single steps to continuous and progressive much more conducive steps. This also has an effect on the final posture what is known as motor development. Continuous and vigorous exercise also determines the posture and the ability to move oneself. Children with developed complications may find it very hard to develop and may develop complications. .(Crowley, 2014, pg 115)

This includes sitting, talking or even walking. Development may also vary due to individual differences such as a boy and a girl or even of the left foot and hand as well as the right hand and foot. A child should also be able to develop intellectually and grow certain cognitive abilities .However this depends on certain factors including nutrition, exercise and the parents’ response to the child.

A child first develops response to time and sequence and these increases with the continuing years. This ability was built on successive years checking keenly on their speed and pattern. This is however affected by an individual being left behind or choosing to, this happens in the case of boys and girls. Newborns also tend to create a liking which later changes and they later become weak and scared of people and certain things.

As the child grows he/she becomes friendly and is able to pick out her friends as well as developing feelings attached to people warding off anger or resentment. The more the child tends to relate with the parents certain aspects of social and emotional development are also seen to grow and build. Boys acquire certain behaviors while girls also acquire certain behaviors with differences in their character. (Charlesworth, 2016, pg 20)

Language serves a very important role in development .The components of early childhood development are phonology which leans more on the sounds of language, lexicon, morphology which entails looking deeply into the forms and pragmatics .Infants usually at first have soft vowels and develop cooing and then babbling comes in next ushering repetition of sounds.

(Charlesworth, 2016, pg 22) At 6 months the child is able to understand other’s speech and build on it up to age six as well as acquire mastery of speech and pronunciation .This ensures full participation of the child and exchange based on language .Theories of language development include the bootstrapping theory which bases it theory on the child’s ability to pick out meaning .

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The multi-route model believes in the parent’s ability to influence strongly the speech of the child. Children’s language depends on the attachment of words also known as semantics. .However speech is an important form of development. Delays may lead to serious consequences on the child’s side and the parent therefore should keenly monitor the child’s speech .

There are many causes to this and could be either environmental such as the concentration on other development milestones and stages whereby a child focuses on standing or even walking and neglects even talking. Dire causes could be as a result of neurological causes, for example, deafness, dyslexia and autism. (Brainerd & Pressley, 2012, pg 115) Factors that may pose a risk to the child’s development are either environmental or hereditary.

Environmental factors include those of the prenatal and post natal environment. Prenatal factors are those factors during pregnancy they include nutritional deficiencies, use of drugs, state of the uterus, exposure to radiation, infections, placental implantation. The post natal factors include the external environment, hormones influence, family, nutrition of the child. However malnutrition, maternal depression and substance abuse remain the common factors.

Other factors include post natal depression, socioeconomic status, parasites and poisoning. Abuse of substance also has a great effect, for example, cocaine which leads to poor development of the child especially the mental development altering with the brain functioning. (Feldman, 2012, pg 56) Children who face malnutrition weigh lesser in terms of kilograms and are most times shorter in length .It is also believed that malnutrition poses a danger to one’s  intelligence quotient.

Certain ions also serve as important functions to the body and it is therefore important that one observes proper nutrition of a child. The socioeconomic status is based on income, academic or educational achievements and work. Poverty is seen   to affect so many children in the case of malnutrition and development also due to nutrition. The parents academic achievement may have an effect on the child’s too ,that is how he/she is to perform. This children are affected in class and perceived by many as daft and left behind by teachers.

Some parasites also result into greater effects preventing the development of most children .Obesity still remains a common problem to all with most children not following a proper diet as a result of exposure and sometimes the parents or themselves. Some factors also popular include abuse which could be physical .A child may also not reach his proper state of development due to non proper state of development due to no proper observance of the common factors as a  result of not receiving care. (In Edelman, In Mandle & In Kudzma, 2014, pg 418)

A child who has been neglected is identifiable even by practitioners .The developmental delay may be as a result of many factors and can never easily be ruled out on nurturing .It could be as a result of genetic disorder, disease, physical, sexual or emotional abuse or even a mixture of them at times.

In conclusion, child development is a very important stage in the human cycle therefore it is necessary for all relevant parties involved in this process to take all due duty of care to ensure that  the process is attained in the optimum possible favorable factors. 

References

Brainerd, C. J., & Pressley, M. (2012). Verbal Processes in Children: Progress in Cognitive Development Research. New York, NY: Springer New York.

Charlesworth, R. (2016). Understanding child development. Place of publication not identified: Cengage Learning.

Crowley, K. (2014). Child Development: A Practical Introduction

Demick, J., & Andreoletti, C. (2014). Handbook of adult development. New York: Springer

Feldman, R. S. (2012). Child development. Boston: Pearson

In Edelman, C., In Mandle, C. L., & In Kudzma, E. C. (2014). Health promotion throughout the life span.

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Endometriosis: Lack of knowledge and awareness

Endometriosis
Endometriosis

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Endometriosis: Lack of knowledge and awareness

Research questions

The critical challenge that faces endometriosis community is inadequate factual awareness. Endometriosis is a challenge that keeps most women mired in menstrual myths, misinformation, delayed or under-diagnosis, under treatment, and lack of support.  The societal and cultural bias about menstruation has kept the disease invalidated, diminished and ignored.  This legacy of misinformation covering this illness is spread from medical educators, patients and the next generation (Ferreira et al. 2016).

The paper seeks to explore existing knowledge on socio-psychological impact of endometriosis on the lives of women. By doing this, it will provide insight into ways of increasing awareness of the disease. The research question is “What is the socio-psychological impact of endometriosis on women’s health? What are the impacts of increased awareness of endometriosis on women’s health?”

Clinical relevance

Endometriosis has remained in the twilight for centuries because the society has failed to recognize the existence of this disease. Research estimates that one in ten women in their reproductive age suffer from endometriosis. Endometriosis is often dismissed as a ‘normal’ problem among women. It affects 176 million women across the globe causing them to endure a life of pain and in some cases, infertility. 

Endometriosis has exerted massive economic and social costs at individual and society levels. In the US, it is estimated that 7.6 million women are affected and this accounts for $ 80.4 billion a year. This number is comparable to diabetes yet there are only a small percentage of the afflicted patients who have sought help and are aware of the disease.  (Moradi et al, 2013).

Research estimates that most of the primary doctors are not aware of endometriosis markers, which often makes the vast number of women to be underdiagnosed and undertreated. It is estimated that 61% of women suffering from endometriosis were told that it is normal to have painful periods when under treatment. It takes about 9.28 years to get a definitive diagnosis.

An average woman will take 4.67 years to report the issue and the physicians will take about 4.61 years to make the definitive diagnosis. During that time, the women continue to suffer severe pain and they are not in a position to socialise, work, or have a stable sexual relationship (Heidemann et al, 2013).

Most of the research studies have covered various aspect of the disease. However, most of these aspects are redundant in nature and lack translational benefit. A better part of the research study is directed towards the pharmaceutical diagnosis, but it fails to examine the far-reaching impact of the disease. The enduring lack of awareness exists at all societal levels; hence, this has led to average diagnostic delay which is often a catalyst for delayed effective treatment (Moradi et al. 2013).

 Early intervention and increased awareness of the disease is important. This is because it helps to reduce the disease morbidity, incidences of infertility, and disease progression across women of all ages. Also, increased awareness is important because it helps the affected women to make informed decisions about their health. Furthermore, increased awareness will facilitate delivery of correct information upon which the healthcare providers can base their healthcare decisions to make timely diagnosis (Ferreira et al. 2016).

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Research design

 To effectively address these research questions, the systematic review method will be adopted. This method is preferred due to its ability to include diverse concepts in qualitative and quantitative studies from several disciplines. Therefore, this review draws its synthesis from critical narrative instead of performing the classic systematic review methodology. The classical narrative method will adhere to PRISMA principles as much as possible.

This method is preferred due to its ability to provide exhaustive review of the current literature and published papers on endometriosis awareness, and its impact on women’s lives. The method is cost effective as minimal resources and time is needed. The results generated from this study can be generalized, they are reliable, and can be considered on the context of evidence based practice (Burns & Grove, 2011).

 The study design pitfall is the issue of study variables. This is because systematic review study variables vary, but tend to have the same outcome. Some of the reviews will only analyse certain variables such as gender and age factors that may not be allocated to other studies.  During the critical synthesis of these ideas, the variables studied in each of original studies will be put into consideration.

A systematic search will be done on multidisciplinary data bases including PubMed, CINAHL plus, Cochrane Library, EBSCOhost, SU database, and PsyARTICLES. Appropriate terms for searching the disease will be developed by reviewing the abstracts, titles and keywords, which will help to identify papers that have information on socio-psychological impact of endometriosis and its increased awareness (Burns & Grove, 2011).

 The systematic review will take broad view of the issue because there are limited studies on the impact of endometriosis or the effects that arise due to lack of disease awareness. The work will include information from the various disciplines including sociology and psychology to establish the holistic picture on the impact of endometriosis. 

The articles that will be explored include the peer reviewed articles from English language journals.  Due to the scarcity of the information on endometriosis, its impact and prevention strategies, no date restrictions will be imposed.  However, reviews, commentaries, opinions, and clinical studies will be excluded (Burns & Grove, 2011).

 Conclusion

Increased   public knowledge and awareness will facilitate early identification of disease onset and facilitate timely intervention of the disease. This will reduce associated morbidity, infertility and associated clinical symptoms. It is time to alleviate the culture of menstrual misinformation by ensuring that the public get timely and authoritative education.  Therefore, increased knowledge and awareness will change the presumptuous perspectives and misleading attitudes that normally perpetuate myths about endometriosis.


References

Burns, N., & Grove, S. (2011). Understanding Nursing Research (5th ed.). Elsevier. ISBN-13: 9781437707502

Ferreira, A. et al  (2016). Quality of life of the woman carrier of endometriosis: systematized review. Reprodução & Climatério. http://dx.doi.org/10.1016/j.recli.2015.12.002

 Heidemann, L. et al (2013). The relationship between endometriosis and ovarian cancer – a review. Acta Obstetricia Et Gynecologica Scandinavica, 93(1), 20-31. http://dx.doi.org/10.1111/aogs.12255495. http://dx.doi.org/10.1111/aogs.12121

Moradi, M. et al (2014). Impact of endometriosis on women’s lives: a qualitative study. BMC Women’s Health, 14(1), 123. http://dx.doi.org/10.1186/1472-6874-14-123

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Use of Chlorhexidine Bath to Reduce (CLABSI)

Chlorhexidine Baths
Chlorhexidine Baths

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Use of Chlorhexidine Bath to Reduce Central-Line Associated Bloodline Infections (CLABSI)

The study on the impact of daily use of chlorhexidine bath on the outcomes of ICU adult patients with central-line associated bloodstream infection guided by the PICOT question: In adult patients in Intensive care units (P), does daily use of chlorhexidine bath (I) compared to the use of ordinary soap and water (C), decrease the central-line associated bloodline infections (O), in a period of six months?

An understanding of the effect that chlorhexidine bath can have on improving patients’ outcome is an impact to nursing care and can serve as evidence to nursing practices. Poor nursing practices have adverse effects on patient’s outcomes and results to long hospital stay duration, which is associated with more other risks and complications. Investigation of the best practices on CLABSI, a condition whose outcomes is greatly dependent care is an important thing as it will better the care practices.

Findings

The results of the inquiry are in tandem with the proposition of implementation of chlorhexidine bath as a means in washing intravenous ports to control CLABSI. Results of the study undertaken indicate a decline in rates of infections due to the use of chlorhexidine bath are significant evidence for its adoptions. In investigating the outcomes of the impacts of chlorhexidine, some studies were used, all of which gave valid evidence that indicated a positive result in adult CLABSI patients. 

From the systematic reviews and other studies, it was reported that the use chlorhexidine bath in the management of infections is one of the most essential intervention. Systematic reviews linked the application of chlorhexidine bath as an approach of minimizing the level of HA-CLABSI as well as association health care and medication costs.       

A systematic review (Karki, & Cheng, 2012), realized that use of non-rinse CHG application has a positive impact as it substantially lowers the risk of CLABSI, SSI, and colonization with VRE or MRSA. Another study (Kim et al., 2016), which was conducted to investigate the effect the effects chlorhexidine bathing in CLABSI also gave a similarly positive conclusion.  Kim et al. carried out peer reviews and meta-analyses, which indicated that use of chlorhexidine on a daily basis reduced the incidences of CLABSI, MRSA, and VRE to a great extent (2016).

In addition, Kim et al. found out that the extended use of the approach improved patient outcomes. While conducting investigations using the same variables, a randomized controlled study on the effects of chlorhexidine bath interventions hospital-acquired infections, (Wong et al., 2013) gave positive findings linking the two. Wong et al., states that a daily use of washcloths impregnated with chlorhexidine protected patients from acquiring MDROs and central-line associated bloodstream infections.

Many other studies (Cullen et al., 2016; Denny 2016) reviewed gave additional evidence that supported the use of the intervention in reducing chances of the concurrence of hospital-based conditions and other conditions. The meta-analysis study conducted by (Cullen et al., 2016) found out that using 2 % chlorhexidine lowered the incidences of central-line associated bloodline infections. Moreover, by this mediation, this study reports that related costs of care are decreased by 10% as compared when there are no such interventions.

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Impact

The research will have positive results in the sense that it will provide pieces of evidence that will be used to trigger changes in health care practices. Findings from this study will be used to disprove poor practices which affect patients’ outcomes. As seen from some of the studies, besides improvement of patient’s outcomes, it is also evident that the intervention can improve the whole healthcare system as some of the unnecessary costs due to complex conditions, and increased hospital stay will be dealt with. 

The effect of this intervention will imply that there will be decreased cases of CLABSI, BCC among other conditions. If this intervention is not practiced, then hospital stay duration for patients may be increased and an ultimate increase in the cost of their medication. Generally speaking, without the evidence-based practice, then CLABSI incidences will continue being high as well poor patient outcomes.

Strategy:  Implementation and Challenges

The model can be used in the implementation is the Stetler model which is made up of five stages (Stetler et al., 2007; Aarons, Hurlburt, & Horwitz, 2011), all the parts in this model are designed to allow for critical thinking on the issue of implementation. The model is also a vital tool in minimizing errors in practice. Use of Stetler model in executing chlorhexidine bath will involve the following phases which will be crucial as a requirement of the design. 

Phase 1 (preparation for implementation of Evidence Based Intervention): The aim of this approach could be sited as use of chlorhexidine bath in patients in various patient care settings with the aim of decreasing the rates of CLABSI. In this stage, activities that will be used in support of this evidence-based practice will involve the systematic review randomized studies, the quasi-experimental intervention study, and the prospective multivariate study. In the preparation stage, factors that have the ability of affecting the implementation process such as nurse commitment are needed for best practice.

Phase two (validation): All the evidence and studies chosen to support evidence will be analyzed individually to confirm their suitability and credibility to use in enhancing the use of disinfection caps in the management of CLABSI. This process will be essential for determining the strength of the evidence and will be used in finding whether or not to use evidence from such sources for the preparation of the evidence-based practice.

Phase Three (Comparative evaluation): From in depth study of the various articles chosen for this research, it was noted that they have a great index of resemblance, considering the contents of PICO question. Though different designs were used, they managed to measure the impact of chlorhexidine bath on the incidences of CLABSI. Moreover, study population addressed was the adults. At this juncture, the possibility of the intervention will be chosen by use of triple ‘r’ Stetler’s concept in which  provision of necessary resources, risks and willingness of other stakeholders such as nurses and doctors will be considered before launching  on the evidence-based intervention.

Phase Four (Translation): This will involve a process that is written down on how the implementation process of using chlorhexidine bath will be used to promote the control of CLABSI.

Phase Five (Evaluation): The results of the evidence-based practice will be assessed in various ways. In most cases, this will be achieved by records or a realization of a decreased number of CLABSI and associated conditions.

The preferences and values of other persons including nurses and patients may accelerate or hinder the process. It is as indicated in the Stetler’s model of EBP in third phase where r’ r’ r’ concept is applied. The Evidence-based practice will not be achieved if the resources (R). Also, if other stakeholders are not ready(R) to adopt the approach, then it will not be easy for it to take root.

Lack of enthusiasm from both nurses and patients may pose as a challenge to the project in that clinicians are required to aid in executing it, so that when they object, they will adhere to their standard practice. Some patients have autonomy rights that prompt them to decline some forms of medical procedures. Therefore, the best way of overcoming implementation challenges will include convincing other healthcare workers and ensure that the practice is well funded and supported by stakeholders. 

Project Summary

This research entails collection of evidence that will be used to guide practices in nursing and healthcare as a whole. It focuses on investigating the impact of using chlorhexidine baths to reduce incidences central-line associated bloodstream infections and others conditions that are hospital-based. The project examines different types of researches, be it single-quantitative researches, systematic reviews, meta-analyses and other types of evidence.

To complete this project, research will be limited to the PICOT research question: In adult patients in Intensive care units (P), does daily use of chlorhexidine bath (I) compared to the use of ordinary soap and water (C), decrease the central-line associated bloodline infections (O), in a period of six months?.

Others studies carried on CLABSI, which will not address all these components will not be used as evidence to validate or disprove the intended intervention. Evidence will be gathered from studies that involve adult patients under intensive care or other high risks levels of care. In carrying out this inquiry, outcomes will be compared against that of patients who will not be under intervention programs.

Carrying out this survey is an important thing to healthcare practices in the sense that it will collect enough evidence that will be used to guide care practices so that there is an ultimate improvement in patient outcomes. Further, this research intends to find valid information that will be used to reduce the standard practices such as the use of water and soap, which have proved hurtful to patients’ outcomes.

References

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4-23. Retrieved from http://link.springer.com/article/10.1007/s10488-010-0327-7.

Climo, M. W., Yokoe, D. S., Warren, D. K., Perl, T. M., Bolon, M., Herwaldt, L. A., & … Wong, E. S. (2013). Effect of daily chlorhexidine bathing on hospital-acquired infection. The New England Journal of Medicine, 368(6), 533-542. doi:10.1056/NEJMoa1113849

Denny, J. (2016). Chlorhexidine Bathing Effects on Health-Care-Associated Infections. Biological Research for Nursing.

Karki, S., & Cheng, A. C. (2012). The impact of non-rinse skin cleansing with chlorhexidine gluconate on prevention of healthcare-associated infections and colonization with multi-resistant organisms: a systematic review. The Journal of Hospital Infection, 82(2), 71-84. doi:10.1016/j.jhin.2012.07.005

Kim, H. Y., Lee, W. K., Na, S., Roh, Y. H., Shin, C. S., & Kim, J. (2016). The effects of chlorhexidine gluconate bathing on health care-associated infection in intensive care units: A meta-analysis. Journal of Critical Care, 32126-137. doi:10.1016/j.jcrc.2015.11.011. 

Shah, H. N., Schwartz, J. L., Luna, G., & Cullen, D. L. (2016). Bathing With 2% Chlorhexidine Gluconate: Evidence and Costs Associated With Central Line-Associated Bloodstream Infections. Critical Care Nursing Quarterly, 39(1), 42-50. doi:10.1097/CNQ.0000000000000096

Stetler, C. B., Ritchie, J., Rycroft-Malone, J., Schultz, A., & Charns, M. (2007). Improving the quality of care through routine, successful implementation of evidence-based practice at the bedside: an organizational case study protocol using the Pettigrew and Whipp model of strategic change. Implementation Science, 2(1), 1. Retrieved from https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-2-3.

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Establishing an effective POLC Framework

POLC Framework
POLC Framework

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Establishing an effective POLC Framework

Introduction

Outdoor recreation or activity refers to the pursuit of leisure activities that appeal to the lovers of natural or unnatural activities in remote village settings or towns. These are largely team sports that attract hardened individuals who are risk takers and love challengers. The sporting activity maybe canoeing, waterskiing, rock climbing, surfing, fishing, hunting, sailing or even horseback riding among other sports events.

The management of such an event provides a complex test of organization skills and a web of complicated decision-making that stem from clear understanding of business operations. The complex situations demands for skillful and competent managers who have clear business strategies and vision for successful business operations (Davidson & Stebbins, 2011).

The management of Outdoor Adventure Paintball Park (Outdoor Adventure) and as per the wishes of the three family members, who own the company but are not experienced on handling complex outdoor sporting activities, seeks to establish an effective POLC framework. The company strategically resolved to:

1). Reaffirmed the need to develop and share a strong and motivating mission statement.

2). Change the personnel in charge of resource organization

3). Implement new measures to ensure effective training of manpower, recruitment and development of sound employment policies and job descriptions (Miska & Mendenhall, 2015).

4). Find new ways of improving leadership and motivating employees to work hard.

5). Enumerate the critical aspects of adopting measures of standard performance, balance score cards and effective feedback systems that reflect the company’s vision and mission.

6). To implement the POLC framework and weigh its impact on organizational growth.

Planning

Mission and Vision

The mission of the outdoor facility is to provide fun activities that are safe and which are designed to enhance rich outdoor experience for children, teenagers, young adults, team building work groups that target relaxation and also holiday making. The vision of the facility is to provide unrivalled Outdoor experience that would be an entertainment destination for thousands of professions throughout the country and other fun lovers. The number of visitors currently visiting the facility out-numbers the resources available and mishandling of customer bookings have been noted severally due to staff incompetence and lack of clear operations structure. The result has been loss of potential customers and sales.

Goals, Objectives and Strategy

The company seeks to develop and set goals that are consistent with the management strategies as espoused by the company’s mission and goals. The operations of the company have been organized to develop targets that would ensure that the goals of the company have been achieved. The Outdoor Adventure’s management team has ensured that the operational strategies that had been earmarked to improve performance have been fully implemented in an effort to increase sales and improve customer experiences. The strategies are addressed during the initial POLC framework planning to ensure that the crucial concepts are also captured in the POLC framework.

Organizing

Organization Culture

Outdoor Adventure was established b three owners who shared a dream of developing a first class outdoor facility that would provide memorable experiences to all its customers. However after several years in existence the owners are not on the same page regarding the management of the Outdoor sports center. The management wants to institute a new organization culture that would enhance more team work and create more production and sales.

Organization Structure

The organization lacks a clear organization structure which is making the company to be ineffective in its role as a first class facility. The current structure provides no job definitions or roles. The company needs to adopt a clear organization structure that has clear hierarchy order as depicted below. The major advantage of hierarchal organization structure is that it provides an appropriate centralized structure that is consistent with the nature of the business that needs a strong management presence in most of its operations.

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Job Profiles, Descriptions and Responsibilities

John Thomas oversees most of the company’s general operations and is also responsible for making key organizations changes and business operations. Carl Thomas is also responsible for general business operations together with Joe.

Phillips is responsible for daily operations at the company while also coordinating and assigning duties at the park. Roberts is in charge of sales and marketing and works directly under the three directors. Finesse is in charge of the human resource and is responsible for hiring competent staff. The stores department is manned with Smith who also oversees the work of other store’s supervisors while also controlling the inventory. She reports to Phillips. The concepts of POLC are meant to equip the organization with qualified personnel who can steer the company in the right direction.

Leadership

The lack of a clear organization structure in Outdoors Adventures led to ineffective leadership which also trickled to other departments and eventually affected the customers (Miska & Mendenhall, 2015). Poor communication among the owners resulted in ineffective business operations. To promote innovation at the park, the management ought to consider knowledge-based leadership as a way of promoting innovation (Doh and Quigley, 2014).

Knowledge based leadership would provide better and well informed judgment on the part of the three owners given that some employees are concerned on what are the real objectives of the park from the owners perspective. Leadership skills form one of the major components or pillars of POLC framework (Conway, n, d).

Control

Balanced Scorecard

The best way to implement strategic controls in a company is through the use of balance scorecard that has aligned the four major functions with the company’s strategy that has also incorporated the company’s mission and vision. The balance scorecard (BS) translates a company’s vision and strategy into reality.

The BS identifies the relationship between a company’s operations control and the strategic controls of a company. What the customers are exposed and what the management wants the customers to see. How the company’s financial resources match the shareholders expectations and the best way to grow (Kaplan & Norton, n, d).

Strategic Human Resource Management

The human resource management plays a critical role in POLC framework. The HR department must hire competent employees to ensure that the services provided by the company are above the average standards and qualities of all the company’s services are universally acceptable and are consistent with the company’s objective.

References

Conway, C. (n, d) Leadership Skills Approach retrieved July 11, 2016 from http://users.jyu.fi/~naabouck/paper/Leadership_Chapter3.pdf

Davidson, L., & Stebbins, R.A. (2011) Serious Leisure and Nature: Sustainable Consumption in the Outdoors. Hound mills, UK: Palgrave Macmillan.

Doh, J. and Quigley, N. (2014) Responsible Leadership and Stakeholder Management: Influence Pathways and Organizational Outcomes. Academy of Management Perspectives, 28(3), pp.255-274.

Kaplan, R.S. & Norton, D.P. (n, d) Putting the Balanced Scorecard to Work, Harvard Business Review, retrieved July 11, 2016 from https://web.archive.org/web/20140202115133/http://www.theclci.com/resources/5HBR-PuttingTheBalancedScorecard.pdf

Miska, C., & Mendenhall, M.E. (2015) responsible Leadership: A Mapping of Extant research and Future Directions, Journal of Business Ethics retrieved July 11, 2-16 from http://link.springer.com/article/10.1007/s10551-015-2999-0

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The IRA (Irish Republican Army)

The IRA (Irish Republican Army)
The IRA (Irish Republican Army)

The IRA

Introduction

This paper explores the Irish Republican Army (IRA) regarding its organizational structure and operations. The paper shows the determination and overwhelming support that the IRA had in its bid to unify Ireland and secure socialist independence from the British rule.

The IRA Operations

The Provisional Irish Republican Army (Provisional IRA) was an Irish republican paramilitary organization established with the purpose of rendering British rule in Ireland ineffective and securing socialist independence during the Troubles-era.

The IRA, known by different names including the Provisional IRA, the Provos, and PIRA among others aimed at unifying Ireland by all means. The Provisional IRA took over from the original IRA in 1969 after the republican movement split. From its inception, the group’s operations were independent of political influence.

The Troubles had begun in 1968 when the Royal Ulster Consabulary (RUC) and Ulster loyalists attacked a Catholic-constituted civil rights group (Cottrell, 2014). As a result of the violent attack on the peaceful campaigners, a riot ensued in August 1969 leading to the deployment of British troops.

Whereas the IRA’s initial campaign was defensive, the group resorted to an offensive campaign in 1971 aimed at forcing the British to withdraw from Northern Ireland. The IRA employed guerilla tactics against RUC and the British army in both urban and rural establishments. The group also ran a bombing campaign in England and Northern Ireland with the aim of achieving socialist independence.

Following the re-admission of the IRA’s political wing into the Northern Ireland peace talks, the group called a final ceasefire in July 1997. The IRA disarmed in 2005 under international supervision. Since the Provisional IRA ceasefire, there have been several groups that have emerged such as the Continuity IRA and the Real IRA. These splinter groups are still operating in the low-level nonconformist Irish Republican campaign.

Organizational Structure and Scope

Leadership

According to Horgan and Taylor (2007), the IRA was one of the most sophisticated and highly organized paramilitary groups in the world. The IRA’s organization was structured hierarchically. The IRA Army Council was the top leadership of the organization, headed by the Chief of Staff.

The Chief of Staff appointed the General and the Quartermaster General, consisting of heads of departments for security, operations, publicity, intelligence, training, engineering, finance, and armory. The Council is responsible for the day-to-day running of the organization (Boyne, 1996).

The General Army Convention (GAC) was the supreme decision-making arm of the IRA and met on relatively rare occasions. The IRA Constitution provided for GAC meetings to be conducted once every two years but for exceptional circumstances which would call for a postponement of the meeting.

GACs met regularly before 1969, after which they have only met thrice in 1970, 1986 and 2005. The rarity of their meeting has been a result of the need to maintain secrecy for the large IRA group. The GAC thus elected an executive comprising of 12 members, who selected seven volunteers to the IRA Army Council.

Regional Command

The IRA comprised of the Northern Command operating in the nine Ulster counties and the Louth and Leitrim border counties, and a Northern Command which operated in the other parts of Ireland. Most of the IRA members came from Northern Ireland and the Border counties, while others come from Louth-Armagh border area, Donegal, Derry, and Belfast. Initially, the IRA’s leadership was based in Dublin, but in 1997, the Northern Command was granted the “war-zone” command parallel to the introduction of local cell structures (Kennedy-Pipe, 2014).

Brigades

The IRA’s ordinary members were referred to as volunteers (Moran, 2016). They were organized into units according to conventional military structures. Volunteers based in one area established a company as part of a battalion or brigade. The brigades were organized in county lines although at times they were subdivided especially in major urban settings.

The Belfast Brigade comprised of three battalions in the east, north and west parts of the city. During the initial years of the Troubles, the Belfast Brigade expanded very fast from just 50 members in 1969 to 1,200 members at the end of 1971. The Belfast Brigade became large but loosely controlled.

In 1972, the Derry Battalion was upgraded to a brigade following a rapid increase in membership. The increased membership was due to the killing of 13 unarmed demonstrators at a civil rights march during the Bloody Sunday. The Derry Brigade further controlled the northeastern County Donegal and northern County Londonderry (Boyne, 1996).

County Armagh comprised of four battalions; with the two battalions in South Armagh being more active than the two units in North Armagh.  Particularly, Tyrone consisted of a large IRA presence with three Brigades operating in the east, mid and west. The notorious East Tyrone Brigade also commanded county Monaghan.

The IRA battalions and companies were structured similarly with each comprising of a commanding officer, quartermaster, intelligence officer, and explosives officer. Some battalions and companies further recruited a finance officer or training officer.

Active Service Units

The operational arm comprised of cells referred to as Active Service Units (ASUs). Each cell comprised of five to eight members (Boyne, 1996). From 1973, due to security vulnerability, the organization began to break the larger conventional military structure. Battalion structures were replaced by a system of two parallel types of unit within the brigades.

The company structures were reconstituted to deal with such tasks as hiding weapons, intelligence-gathering, and “policing” nationalist areas. Whereas the old “company” structures provided support services, ASUs were tasked with the bulk of actual tasks. For purposes of improving operational capacity and security of the IRA, ASUs were smaller, tight-knit cells. The brigade’s quartermaster controlled weapons in the unit cells.

Apart from the rest of brigades and battalions, the South Armagh Brigade retained its traditional hierarchical structure and deployed a relatively larger number of volunteers in its operations. The reason for the brigade’s smooth running of operations is because it did not have as many security problems as the other brigades.

The Southern Command comprised of a Southern Brigade and various ASUs in rural areas, which were responsible for importing and storing arms for the Northern units and mobilizing finances through robberies and other means.

It is not clear on the number of people that joined the IRA during the Troubles. In the late 1980s, the IRA’s membership in Northern Ireland was estimated at 300 in ASUs and about 450 in supporting roles. This did not account for the IRA units in the Republic of Ireland or Britain, and continental Europe. In 2005, the government recorded an approximation of 1,000 to 1,500 active IRA members.

Logistical and Operational Requirements

During the initial stages of the Troubles, the IRA was poorly armed. It used the traditional World War II weaponry such as Thompson submachine guns and M1 Garands. However, in the early 1970s, the IRA obtained sophisticated weapons from they’re the United States and Libya supporters and purchased more weapons from dealers in the Middle East, America, Europe and other parts of the world.

The support from the IRA’s allies was regarding sharing training techniques, weapons and funding (Gill et al., 2014). Whereas Libya’s donation of arms to the organization was prevalent in the 1980s, the IRA attracted massive support from its Irish-American allies who provided funding and guns. The IRA was well funded to the extent that they provided a stipend to its members and offered support to families of incarcerated members.

The IRA organized for fundraising in the Irish Republic, the United and across the continent to provide for the relief of the families of IRA prisoners. Sinn Fein, the IRA political wing, is reported to the richest political party in Ireland. Most of the funding for Sinn Feinn was from the United States (Taylor, 2014). The Irish Northern Aid Committee based in the United States is reported to have been the principal source of IRA funds.

Supporters of IRA in the United States raised funds directly and indirectly, at lectures, film shows, house parties, dinners and collections in clubs and bars. Cash was also raised through Sinn Fein’s commercial activities such as books, pamphlets, and Christmas cards.

The IRA supplemented imported weaponry by developing their own. The rationale behind the production of weapons was to avoid dependency on supply into Ireland by air or by the sea, which was not fully reliable. Thus, the IRA called on the services of experienced engineers to help in building weapons such as home-made mortars. The organization also engaged the use of university-educated computer experts to volunteer in the construction of sophisticated timing and remote-control mechanisms that were used in mortars and bombs.

Reports indicate that the IRA utilized the ceasefire period for upgrading these mechanisms and developing techniques for combating the ‘disruptive’ radio signals used by the British Army. In 1993, the Garda uncovered an IRA workshop, where a wide range of advanced electronic detonators was being produced (Gill & Horgan, 2013).

During the initial years of the conflict, the IRA majorly focused on the provision of support to nationalist rioters and defending of nationalist areas. As a result, the IRA obtained support for its activities due to their perceived efforts to defend the Irish nationalist and Catholics against aggression.

Between 1971 and 1994, the IRA engaged in offensive operations targeting the RUC, the Ulster Defence Regiment (UDR), the British army and Northern Ireland economic targets, while some IRA members attacked Protestant civilians. The IRA also targeted British government officials, the British Army in England, judges, and politicians.

During the Troubles era, IRA members became skilled in the production of explosives from substances such as fertilizers and nitrobenzene. These explosives were utilized in both small devices for throwing at the North’s security forces and large bombs for blowing up buildings.  The NRA also produced home-made weapons such as the drogue bomb and nail bomb. The IRA used the ceasefire period to produce the ‘Mark 17’ mortar, which to date is one of the most destructive weapons in the world (Gill, 2017).

The IRA decommissioned its weapons in 2005 under international supervision. The weapons decommissioned included; handguns, hand grenades, rocket-propelled grenade launchers, detonators, flamethrowers, surface-to-air missiles, heavy machine guns, tonnes of Semtex, and rifles.

Conclusion

While the public reacted to the IRA’s activities with love and criticism in equal measure, it is evident that the organization played a huge role in raising economic and political activism in Ireland and the development of modern warfare equipment. The organization stands out as one of the most properly structured paramilitary groups in the world.

References

Boyne, S. (1996). Uncovering the Irish Republican Army. Jane’s Intelligence Review. Retrieved from: http://www.pbs.org/wgbh/pages/frontline/shows/ira/inside/weapons.html

Cottrell, P. (2014). The Anglo-Irish War: The Troubles of 1913–1922. Bloomsbury Publishing.

Gill, P. (2017). Tactical Innovation and the Provisional Irish Republican Army. Studies in Conflict & Terrorism40(7), 573-585.

Gill, P., & Horgan, J. (2013). Who were the volunteers? 1 The shifting sociological and operational profile of 1240 provisional Irish Republican Army members. Terrorism and Political Violence25(3), 435-456.

Gill, P., Lee, J., Rethemeyer, K. R., Horgan, J., & Asal, V. (2014). Lethal connections: The determinants of network connections in the Provisional Irish Republican Army, 1970–1998. International Interactions40(1), 52-78.

Horgan, J., & Taylor, M. (1997). The provisional Irish Republican army: Command and functional structure. Terrorism and Political Violence9(3), 1-32.

Kennedy-Pipe, C. (2014). The origins of the present troubles in Northern Ireland. Routledge.

Moran, J. (2016). From Northern Ireland to Afghanistan: British military intelligence operations, ethics and human rights. Routledge.

Taylor, P. (2014). The Provos: The IRA and Sinn Fein. A&C Black.

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