Writing a science research paper
Great Horn Spoon Essay Topics
Friday, September 4, 2020
Manage Performance
As a Human Resource Performance Management Implementer, talk about the earlier preparing you would provide for line the four gathering head regarding Identifying execution hole? Preparing Is the most Important factor In request to accomplish objectives all the more viably. Head of gatherings should have the option to build up an AMPS by setting destinations and guidelines. They ought to likewise have the option to screen these AMPS and Identify the weaknesses.Once these shortcomings Identified, they should have the ability to monomaniac adequately with the staff when Glenn Instructions and giving input. B. Decide the potential explanations behind Panel's terrible showing. What might be your prescribed answer for every one of these potential causes? 1. Disappointment and absence of inspiration Pamela has been functioning as the collaborator of the head of office for over eight years. She had heaps of duties and had claimed the regard of the other employees.The authority that she had, has been evacuated and she should induce her current secretary Job as not significant or excessively basic for her. Giving her more duties would cause her to feel progressively significant in the association. 2. Absence of oversight She has been having a similar office with Frank for a long time and regardless of whether she would not like to work, she was under the nearby oversight of her supervisor. An AMPS must be set up so as to screen her exhibition and recognize what Is the issue. 3. Lackluster showing from secretaries The secretaries working with Pamela probably won't proceed as required.The applauded out gear' and mistakes left In the records cut down Panel's exhibition. Preparing ought to be given to the staff of Pamela and fitting hardware must be purchased with the goal that they can work successfully. C. As a HER counsel, what steps would you prescribe to Ben that he take In request to lift Pamela level of hurl execution? I would prescribe Ben to present a presentation t he executives framework which he should create so as to screen the exhibition of Pamela. With this framework, he will have the option to distinguish the shortcomings and the qualities of Pamela.He must set key execution pointers and clarify plainly in an arranging conversation what is normal jog close and what are the objectives that rational needs to accomplish . Toward the conclusion to the year, she will be assessed in examination conversations and they will see together if the objectives have been met and what are the moves to be made. D. Accepting that the ultimate result is the end of Panel's agreement, talk about the measures [setup and documentation that would should be set up in understanding to hierarchical arrangement and law?The initial step is look for lawful guidance before ending contract. On the off chance that the exhibition improvement plan has not brought its outcomes, the gathered confirmations can be utilized during the excusal procedure. The data got must be ex aminations, and evaluated. Pamela ought to be given a composed admonition in the event that she has not had the option to arrive at the concurred improvement necessity. Endless supply of three composed alerts, she should be ended. The government work environment relations act 1996 must be mulled over in order to maintain a strategic distance from out of line excusal.
Tuesday, August 25, 2020
ACT Score Range Whats Good
ACT Score Range What's Good SAT/ACT Prep Online Guides and Tips In the event that youââ¬â¢re anticipating taking the ACT, youââ¬â¢re likely considering what you can expect as far as scores. In this article, Iââ¬â¢ll take you through the rudiments of how the test is scored, give you where your scores fall corresponding to different understudies, and give you a couple of tips on the most proficient method to design your concentrating to meet your objectives. ACT Score Range: The Basics On the ACT, your composite score can be anyplace from a 1 to a 36.Unlike the SAT, the composite score isn't the entirety of the scores of different tests - itââ¬â¢s the normal. The ACT has four areas: English, Math, Reading, and Science.Each one is additionally scored on a size of 1 to 36, and the normal of these four scores will make up your composite score. The ACT doesnââ¬â¢t have an off base answer punishment, so your crude score on each segment is only the quantity of inquiries you get right. Any inquiries you answer mistakenly or exclude won't check towards your score.English has 75 inquiries, Math has 60, Reading has 40, and Science likewise has 40. Look at this example transformation graph to perceive how crude scores are changed over to the last scores on a size of 1-36: (note that various tests have distinctive crude score to scaled score transformation diagrams, yet this is commonly the correct thought). The ACT likewise has a discretionary article, however the Writing area won't sway your composite score or any of your test subscores. You will get a score from 2 to 12 on your article in four distinctive appraisal classifications. Your all out Writing score will be out of 36 simply like the other sections.The ACT gives you an English Language Arts (ELA) score also, which is the normal of your English, Reading, and Writing subscores, yet once more, this doesnââ¬â¢t factor into your last composite score. Normal ACT Scores The national normal composite ACT score for the class of 2014 was a 20.Average scores for subsections were: English: 19-20Math: 19-20Reading: 20-21Science: 20-21 In the event that youââ¬â¢re scoring in this range, youââ¬â¢re previously scoring higher than half of understudies who take the ACT and will have a decent shot at getting into numerous colleges.Keep as a top priority, in any case, that national midpoints probably won't be the most pertinent to your individual circumstance. You should look into the normal scores for schools youââ¬â¢re keen on to make sense of what target scoreto shoot for.If youââ¬â¢re planning to go to a particular school, you may need to focus on a score in the 34-36 range.At MIT, for instance, the 75th percentile composite ACT score for conceded understudies in 2014 was a 35.When you take a gander at the midpoints for your school of decision, you should attempt to focus on the 75th percentile score (higher than 75% of conceded students)because it will give you the most obvious opportunity with regards to confirmation. Likewise remember that someschools need you to present the ACT Writing score, and some donââ¬â¢t care about it.This is a significant factor to consider both when contemplating and when concluding whether to pursue the ACT with or without Writing. MIT: A lavish haven where nerds can run free Reading for Your Score Goals You may know where you fall as far as your ACT score extend if youââ¬â¢ve effectively taken the test.If not, evaluate a training test (with fitting time imperatives!), and perceive how you do.If you find that you despite everything need to improve your scores a considerable amount, donââ¬â¢t stress! In the event that you concoct a strong report plan, you ought to have the option to get them up where you need them to be when the test moves around. Iââ¬â¢ll give some short rules underneath about to what extent you should read for various point improvements.For more data look at our total examination plan for the ACT and a guide I composed on to what extent you should consider. Iââ¬â¢m Looking to Improve by 1-2 Points This is an entirely feasible objective, regardless of whether you begin concentrating just two or three months ahead of time of the test.Improving 1-2 focuses should take around 20 all out long stretches of studying.This implies that on the off chance that you concentrate for around two hours consistently for two months, you ought to have the option to meet your score goals.If you need, you can even scatter your reading for a couple of more months so you just need to dedicate an hour seven days to ACT prep. Iââ¬â¢m Looking to Improve by 4 This is an entirely noteworthy improvement, so youââ¬â¢re must place in more time.A four point improvement for the most part implies around 40-50 hours of studying.You could decide to begin contemplating two months ahead of time and plan out five hours per week on the off chance that you incline toward longer, progressively exceptional examination sessions.If youââ¬â¢d rather spread it out additional, have a go at reading for two hours per week for five or a half year. Iââ¬â¢m Looking to Improve by 6 or More Points This degree of progress will require a ton of hard work.For a score increment of at least six focuses, youââ¬â¢ll in all likelihood need 150+ long periods of study time.This implies beginning early and resolving to contemplate meetings each week.If you begin considering a half year before the test, plan out five hours per week to commit to ACT prep. You ought to likewise recall that your concentrating should be high caliber with the goal for you to see results!This implies making sense of what sorts of inquiries mess you up and afterward rehearsing comparative inquiries over and over.You'll need to set aside the effort to truly comprehend your mix-ups before you begin to see positive changes in your scores. Rundown Here are a portion of the primary concerns you ought to recall about ACT scoring: The ACT gives you a composite score on a size of 1 to 36 There are four subtests in English, Math, Reading, and Science, and each is additionally scored from 1 to 36 These four tests are arrived at the midpoint of to make up your composite score The normal ACT composite score is around a 20 broadly To make sense of the score go you ought to focus on, look into the 75th percentile scores of conceded understudies for schools where you intend to apply. This will give you a superior feeling of how much time you ought to commit to studying.Even if the hole between your present scores and your objective is entirely enormous, with enough arranging and centered contemplating, you ought to have the option to beat the test! What's Next? ACT Score Choice and Superscoring are two strategies that may affect which of your scores universities see. Peruse increasingly about what they are and what they mean for you here and here. Still uncertain about whether you should take the ACT or the SAT? Become familiar with which one is best for you. For more data on ACT scores, read this article on the most proficient method to get and decipher your outcomes. Need to improve your ACT score by 4+ focuses? Download our free manual for the best 5 methodologies you need in your prep to improve your ACT score drastically.
Saturday, August 22, 2020
Civil Rights Movement 1890
Social equality Movement: 1890-1900 1890: The state o Essay f Mississippi embraces survey charges and proficiency tests to demoralize dark voters. 1895: Booker T. Washington conveys his Atlanta Exposition discourse, which acknowledges isolation of the races. 1896: The Supreme Court administers in Plessy v. Ferguson the different however equivalent treatment of the races is established. 1900-1910 1900-1915: Over one thousand blacks are lynched in the conditions of the previous Confederacy. 1905: The Niagara Movement is established by W.E.B. du Bois and other dark pioneers to ask more straightforward activity to accomplish dark social equality. 1910-1920 1910: National Urban League is established to help the states of urban African Americans. 1920-1930 1925: Black patriot pioneer Marcus Garvey is sentenced for mail extortion. 1928: For the first run through in the twentieth century an African American is chosen for Congress. 1930-1940 1931: Farrad Muhammad builds up in Detroit what will end up being the Black Muslim Movement. 1933: The NAACP records - and loses-its firs suit against isolation and separation in instruction. 1938: The Supreme Court arranges the confirmation of a dark candidate to the University of Missouri Law School 1941: A. Philip Randoph compromises an enormous walk on Washington except if the Roosevelt organization takes measures to guarantee dark work in safeguard ventures; Roosevelt consents to set up Fair Employment Practices Committee (FEPC). 1942: The congress of Racial Equality (CORE) is composed in Chicago. 1943: Race revolts in Detroit and Harlem cause dark pioneers to request that their adherents be less requesting in attesting their duty to social liberties; A. Philip Randolph breaks positions to call for common rebellion against Jim Crow schools and railways. 1946: The Supreme Court, in Morgan v. The Commonwealth of Virginia, decides that state laws requiring racial isolation on transports disregards the Constitution when applied to interstate travelers. 1947: Jackie Robinson breaks the shading line in significant class baseball. 1947: To Secure These Rights, the report by the Presidents Committee on Civil Rights, is discharged; the commission, designated by President Harry S. Truman, prescribes government activity to make sure about social liberties for all Americans. 1948: President Harry S. Truman gives an official request integrating the furnished administrations. 1950-1960 1950: The NAACP chooses to make its lawful procedure a full-scale assault on instructive isolation. 1954: First White Citizens Council meeting is held in Mississippi. 1954: School year starts with the coordination of 150 in the past isolated school locale in eight states; numerous other school areas stay isolated. 1955: The Interstate Commerce Commission bans racial isolation in all offices and vehicles occupied with interstate transportation. 1955: Rosa Parks is captured for declining to surrender her transport seat to a white individual; the activity triggers a transport blacklist in Montgomery, Alabama, let by Martin Luther King Jr. 1956: The home of Martin Luther King Jr. is bombarded. 1956: The Montgomery transport blacklist finishes after the city gets U. S. Incomparable Court request to integrate city transports. 1957: Martin Luther King Jr. also, various southern dark ministers make the Southern Christian Leadership Conference (SCLC). 1958: Ten thousand understudies hold a Youth March for Integrated Schools in Washington, D.C. 1959: Sit-in crusades by understudies integrate eating offices in St. Louis, Chicago, and Bloomington, Indiana; the Tennessee Christian Leadership Conference holds brief demonstrations in Nashville retail establishments. 1960-1970 1960: Twenty-500 understudies and network individuals in Nashville, Tennessee, stage a walk on city hallthe first significant show of the social liberties movementfollowing the besieging of the home of a dark legal counselor. 1960: John F. Kennedy is chosen president by a restricted edge. 1961: Martin Luther King Jr. also, President John F. Kennedy hold a mystery meeting at which King discovers that the new president won't push hard for new social liberties enactment. 1962: Ku Klux Klan explosive impacts pulverize four dark temples in Georgia towns. 1962: President Kennedy federalizes the National Guard and sends a few hundred government marshals to Mississippi to ensure James Merediths admission to the University of Mississippi Law School over the restriction of Governor Ross Barnett and different whites; two individuals are executed in a grounds revolt. 1963: Black understudies Vivian Malone and James Hood enter the University of Alabama in spite of a showing of opposition by Governor George Wallace; in a broadly broadcast discourse President .
No reader of The Woman in Black, can be left in doubt about its conscious :: Free Essay Writer
No peruser of The Woman dressed in Black, can be left in question about its cognizant summoning of the Gothic ââ¬ËNo peruser of ââ¬ËThe Woman dressed in Blackââ¬â¢, can be left in question about its cognizant summoning of the Gothic. It is brimming with themes and impacts related with that genre.ââ¬â¢ How far would you concur with this proclamation of the novel? There is definitely no uncertainty that Susan Hill intentionally evocates the Gothic in ââ¬ËThe Woman dressed in Blackââ¬â¢. There are numerous conspicuous shows she utilizes that make an extraordinary Gothic impact all through the novel. It is clear that this novel contains the majority of the components that comprise the class, for instance, a creepy environment brimming with secret and anticipation, and a character feeling high or exhausted feelings. This closes the novel into a sub-type of the Gothic, an apparition story. The Gothic has been dynamic since the eighteenth century; the class was particularly well known inside the long periods of The French Revolution and The Incredible Terror, which fell among 1789 and the 1790ââ¬â¢s. The Gothic can additionally be followed back to the first Goths, who were accepted to have been around in the most recent days of the Roman Empire. In any case, there is no generous verification as the Goths left practically no set up accounts, and were generally unbelievable until the ââ¬Ëfirst Gothic revivalââ¬â¢ in the late eighteenth century. In Britain this recovery included a progression of endeavors to ââ¬Ëreturn to rootsââ¬â¢, as opposed to the old style model loved in the prior eighteenth century. It is accepted that the absolute first Gothic epic was developed exclusively by Horace Walpole, when he composed ââ¬ËThe Castle of Otrantoââ¬â¢ in 1764. This novel was imitated all through the next hundreds of years since it contains basically all the components that include the Gothic kind. It is likewise accepted to have affected composition, verse and film making to the current day. Other key Gothic authors of this period that would likewise have added to this impact are Mary Shelly, the creator of Frankenstein, which has had many film adjustments inside the a century ago delivered from it. And furthermore Bram Stoker who composed Dracula, which I think has an impact in ââ¬ËThe Woman dressed in Blackââ¬â¢ as the storyteller ââ¬ËArthur Kippsââ¬â¢, has numerous comparative attributes to the storyteller of Dracula, ââ¬ËJonathan Harkerââ¬â¢, for example, them both being depicted as commonsensical, sane, effective legal advisors determined to without any assistance unwind the puzzle theyââ¬â¢re confronted with. Ann Radcliffââ¬â¢s thought of Gothic repulsiveness has likewise unmistakably impacted ââ¬ËThe Lady dressed in Blackââ¬â¢ as well, since we notice our storyteller on a few events, agreements, freezes and is almost destroyed by a few obscure otherworldly power. Arthurââ¬â¢s first experience with The Woman in
Friday, August 21, 2020
Intellectual and technological property Essay
In the United States, the stakes of recognizing the best laws and approaches for the utilization of scholarly and mechanical property are extremely high (U. S. Congress, 1986). When in doubt, engineers of PC programming look for legitimate assurance for protected innovation by utilizing conventional lawful components found in copyright, prized formula, patent, trademark and authorizing. Of these types of insurance the most effectively feasible security is through copyright law, which makes it unlawful to make or convey duplicates of copyrighted material in the U.à S. without approval (Qu and Potkonjak, 2003). BUGusa ought to utilize, most importantly, the legitimate security of copyright laws so as to monitor its protected innovation. In an occasion of teaching Congress Members with respect to the means taken by the FBI for exchange and scholarly burglary, a case of a case was introduced by the FBI to the Congress. Patrick Worthing was captured by the FBI in the wake of consenting to sell Pittsburgh Plate Glass data for $1000 to a Pittsburgh specialist acting like a delegate of Owens-Corning, Toledo, Ohio. Patrick Worthing was condemned to 15 months in prison and three years probation for the Theft of Trade Secrets (Gallagher, 1998). Wiretime would need to confront comparative liabilities if Steve is trapped in the demonstration of moving significant corporate or scholarly data to his mom organization. Walter could be blameworthy of might be a tort of purposeful curse of passionate trouble. The risk to hurt Steven can be deciphered as an attack. These cases ascend from purportedly improper business rehearses. The tort requires that the defendantââ¬â¢s lead was extraordinary and silly and that extreme physical or enthusiastic mischief came about. Courts anyway request more (Lindemann and Grossman, 1983). Seeing as Walter didn't hurt Steven in any capacity separated from taking steps to hurt him, the odds of obligation held against Walter and BUGusa are not equivalent to a ton. Steve himself had given over the data to Walter and had left the little room without being genuinely hurt. Liu and Ye (2001) talk about different issues of security and application security identified with programming specialists running from showcase disarray, operator approval and exchange. For security, the prime counsel I would provide for BUGusa is ensure the whole framework with predictable and suitable safety efforts. In some cases the framework is unpredictable and regularly not structured in light of security. In this manner it is critical to investigate every segment for its security shortcomings and ensure it as needs be (Interactive Information Security Policies, 2007). As I would like to think, BUGusa might not need to confront obligation if the merchant was assaulted. The vandalism in the city isn't heavily influenced by the organization and BUGusa must feature the point that the organization does as far as possible by making the parking area and dock are sufficiently bright. With respect to the vandalism and the robbery, these are road wrongdoings which the administration and law-implementation offices are to be considered responsible for. BUGusa may shield itself by enduring a misfortune themselves through the vandalism. It might likewise proceed to guarantee for the future that expanded safety efforts would be taken so as to stay away from such conditions. BUGusa needs to demonstrate that Wiretime has carried out some crime against them. On the off chance that Steve has been paid off by Wiretime to perpetrate this demonstration, or has been effectively demonstrated into being viewed as carrying out an example of crime, RICO can be asserted. BUGusa must demonstrate that Steve has been passing significant data to Wiretime for over a huge timeframe. Sally DoGood may have a fruitful argument against BUGusa for the tort of Product Liability. The item, through lawful definition, has caused a deformity because of the imperfection coming about because of the essential rules that it included ââ¬Å"sellerââ¬â¢s inability to practice sensible careâ⬠and ââ¬Å"would cause a sensible individual in position of the purchaser to anticipate that the pre-owned item should introduce no more serious danger of deformity than if the item were newâ⬠. Specialists likewise state that if the offended party finds that the supposed imperfection has been found, (which might be contended on account of BUGusa) the offended party can proceed onward to a carelessness guarantee (Allee, 1984).
Friday, August 7, 2020
Motivational Quotes about Social Anxiety
Motivational Quotes about Social Anxiety Social Anxiety Disorder Coping Print Motivational Quotes for Social Anxiety A list of quotes to help inspire and motivate you By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Medically reviewed by Medically reviewed by Steven Gans, MD on February 04, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on December 17, 2017 Social Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Joerg Steffens/OJO Images/Getty Images If youre struggling to overcome social anxiety disorder (SAD), it can sometimes seem like the road is all uphill. Whether youre receiving treatment for SAD or trying to overcome mild social anxiety through self-help strategies, the following inspirational quotes may help to keep you on track. Try picking your favorites, writing them down or printing them, and putting them where you can see them often. Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. ~Attributed to Carl Bard Be who you are and say what you feel, because those who mind dont matter and those who matter dont mind. ~Dr. Seuss Whether you think you can or think you cantâ" you are right. ~Henry Ford The best way to gain self-confidence is to do what you are afraid to do. ~Author Unknown We acquire the strength we have overcome. ~Ralph Waldo Emerson We are what we repeatedly do. Excellence, therefore, is not an act but a habit. ~Aristotle If you can find a path with no obstacles, it probably doesnt lead anywhere. ~Frank A. Clark Everybody ought to do at least two things each day that he hates to do, just for practice. ~William James No one can make you feel inferior without your consent. ~Eleanor Roosevelt Fall seven times, stand up eight. ~Japanese Proverb Our greatest glory is not in never failing, but in rising up every time we fail. ~Ralph Waldo Emerson Finish each day and be done with it. You have done what you could; some blunders and absurdities have crept in; forget them as soon as you can. Tomorrow is a new day; you shall begin it serenely and with too high a spirit to be encumbered with your old nonsense. ~Ralph Waldo Emerson You miss 100 percent of the shots you dont take. ~Wayne Gretzky The journey of a thousand miles begins with a single step. ~Lao Tzu Success is the sum of small efforts, repeated day in and day out. ~Robert Collier Believe in yourself! Have faith in your abilities! Without a humble but reasonable confidence in your own powers, you cannot be successful or happy. ~Norman Vincent Peale Even if you fall on your face, youre still moving forward. ~Victor Kiam I dont believe you have to be better than everybody else. I believe you have to be better than you ever thought you could be. ~Ken Venturi Learn from the past, set vivid, detailed goals for the future, and live in the only moment of time over which you have any control: now. ~Denis Waitley The secret of getting ahead is getting started. ~Agatha Christie What you get by achieving your goals is not as important as what you become by achieving your goals. ?~Henry David Thoreau What you do today can improve all your tomorrows. ~Ralph Marston Fear is static that prevents me from hearing myself. ~Samuel Butler When you reach the end of your rope, tie a knot in it and hang on. ~Thomas Jefferson You are never too old to set another goal or to dream a new dream. ~C.S. Lewis
Tuesday, June 23, 2020
Annotated Bibliography Research Paper - 2475 Words
Annotated Bibliography (Research Paper Sample) Content: Annotated BibliographyBergman-Evans, Brenda (2008). Uncovering Beliefs and Barriers: Staff Attitudes Related toAdvance Directives. AM J HOSP PALLIAT CARE October/November 2008 vol. 25no. 5 347-353This article was written to explore the attitudes that nurses have towards advance directives given by patients. The article is in line with the 1990 Patient Self-determination Act which allows patientsà ¢Ã¢â ¬ wishes bordering on advance directives were listened to and adhered to even after the patients pass on. In coming up with the descriptive study, the authors carried out a survey to 650 hospitals and professionals who have served in the nursing field for long. 413 surveys were analyzed and the return rate of the surveys noted. Finally, the outcome suggests that even though nursing professionals are for advance directives they find it hard to implement them because of logistical challenges. The article proves worthwhile since the results of the survey give the require d information for ensuring that advance directives are followed.Boot, M. Wilson, C. (2014). Clinical nurse specialistsà ¢Ã¢â ¬ perspective on advance carePlanning conversations: a qualitative study. International Journal of PalliativeNursing, 20(1) pp. 9-14This article identifies the shortcomings met by clinical nurse specialists (CNSs) when having conversations dealing with advance care planning with patients suffering from recurrent illnesses. The responsibility of clinical nurses to facilitate such conversations have been documented in many documents and the authors go ahead to enumerate the challenges. In particular, the focus of the article is on the factors that affect CNSs when they are choosing whether to initiate an ACP discussion or not. Moreover, the methods for conducting such interviews have been listed to get data from predetermined palliative care CNSs. The findings, which include the ACP requiring the CNs to be keen on the harm that may arise as a result of the c are and the benefits that are to be realized, have been listed. Finally, the article concludes by saying that ACP is all about taking risks for those who start it. The risk is largely due to the unforeseen and negative impacts that arise thereafter. The major limitation of the article is that it failed to come up with factors that facilitate nurses to start the process of ACP. Consequently, while the article is helpful for my research topic, it will need some adaptation to satisfy the requirements of the topic.Davidson, R., Banister, E., De Vries, K. (2013). PRIMARY healthcare NZ nursesà ¢Ã¢â ¬Experiences of advance directives: Understanding their potential role. Nursing Praxis in New Zealand, 29(2), 26-33.The aim of the authors of this article is to present the outcomes of a research which was conducted in New Zealand involving 13 senior hospital professionals concerning what they knew, their attitudes and their understanding of advance directives. Advance directives are known to improve the last days of a patient as regards their wishes. Nurseà ¢Ã¢â ¬s organizations in New Zealand pioneered their initial mission statement in the year 2010 as regards advance directives. Their view is an increase in application of the directives. The outcome of the analysis showed a dynamic process where those involved in the survey understood the part they should play in the area. Therefore the article is helpful in aiding me get the reflections on personal experiences of health professionals on advance directives issues.Dow, L.A., Matsuyama, R.K., Ramakrishnan, V., Kuhn, L., Lamont, E.B., Lyckholm, L., Smith, T.J. (2010). Paradoxes in advance care planning: the complex relationship ofOncology patients, their physicians, and advance medical directives. Journal OfClinical Oncology: Official Journal of The American Society of Clinical Oncology,28(2), 299-304. DOI: 10.1200/JCO.2009.24.6397In this article, the authors review the stand of terminally ill cancer patients on advance directives (ADs). Their stand is that such patients do not make known their advance directives with their oncologists and this is likely to lead to unwanted intensive care when they near death. The authors carried out a survey to determine whether the stand the patients had a decade ago still stands. The interviews involved 75 newly admitted cancer patients. The outcome showed a marked improvement in the patients need for AD with about 40 % already having AD. Finally, the article recommends the need to enlighten patients on speaking their ADs, and the need to train health professionals and oncologists on ADs. Therefore, the article is helpful in the assignment as it gives the perspective of patients even when they have very serious illnesses.Duke, G., Thompson, S., Hastie, M. (2007). Factors influencing completion of advanceDirectives in hospitalized patients. International Journal of Palliative Nursing, 13(1),39-43.In the article, the authors describe a cross-sectional, d etailed study that evaluates characteristics and a range of issues which affect decision making by patients in East Texas neighborhood to come up with an AD. They describe the results of their findings from the family unit. The family and a sense of spirituality are key factors that ensure a patient has an AD or not. Many of the patients got to know about ADs from their families and a small fraction from health care professionals. The authors report that the main reason patients in this area completed an AD is because they never wanted to be a burden to their families. Finally, the article ends by stating that health professionals are vague when it comes to AD discussions. However, the article fails to give the attitudes, knowledge and norms that should be adopted when dealing with advance directives. Such knowledge is helpful in giving patients peace of mind when they discuss ADs. The article helps me get the factors for coming up with ADs.Golden, A.G., Tewary, S., Qadri, S., Zaw, K., Ruiz, J.G., Roos, B.A (2011). The PositiveAttitudes and Perceptions of Care Managers About Advance Directives. AmericanJournal of Hospice and Palliative Medicine, 03/2011, Volume 28, Issue 2, pp.98 à ¢Ã¢â ¬101.The article looks at views of health professionals concerning necessity to discuss ADs with their patients. In their previous article, the authors reported that health professionals failed to convince their patients to have ADs. The results show that majority of health professionals believe it is imperative to discuss advance directives while only a few are of the view that it is time consuming. The overall stand is that health care professionals are positive about advance directives and there is need to provide them with knowledge and skills relevant for this sector. Since, the article, succinctly, recommends the need of nurses being trained to handle ADs it proves worthwhile for my assignment.Gutierrez, K.M. (2012). Advance Directives in an Intensive Care Unit: Expe riences andRecommendations of Critical Care Nurses and Physicians. Critical Care NursingQuarterly Issue: Volume 35(4), October/December 2012, pp. 396-409.The author reports that patients have reported issues dealing with advance directives. However, a new finding was that a patient refused to tell people her position on advance directive because she feared that doctors would withdraw life support before it was time. In particular, the author suggested that advance directives may be essential in solving disagreements that arise due to right use of certain treatment modes before court interventions. Finally, the author identifies that some families had successful discussions on advance directives and this may be limiting when it comes to having a broader understanding. Consequently, the article proves worthwhile in my article as it covers the family verses advance directives.Hickman, R.L., Pinto, M.D. (2014). Advance Directives Lessen the Decisional burden ofSurrogate Decision-making for the Chronically Critically Ill. Journal Of ClinicalNursing, 23(5/6), pp. 756-765. DOI:10.1111/jocn.12427.The article identifies the link between advance directive status, population and burdens that come with decision making, of surrogate decision makers (SDMs) of clients suffering from terminal illness. In particular, the authors point out that SDMs are responsible for difficult decisions that have to be made on behalf of the patients even though advance directives have increased. Consequently, if ADs are used there is no major influence on decisions made by surrogate decision makers. This article is helpful as it introduces the concept of SDMs.Hinderer, K. Lee, M. (2014). Assessing a nurse-led Advance Directive and Advance CarePlanning Seminar. Applied Nursing Research 27(1) pp. 84-86.The article assesses how effective a health professional led educational advance directive seminar makes use of the Five Wishes on attitudes and conversations. Advance directives and advance c are planning (ACP) are important in coming up with patient-centered near-death decisions. In spite of their relevance, completion rates for advance directives in the US are low. The main reason for patients not taking part in ACP and AD is insufficient knowledge on the two. Finally, the results of the study make people understand the purpose of nursing-driven community-based knowledge approach to enhance AD adoption and involvement in ACP process. Consequently, I find it helpful in my research.Oà ¢Ã¢â ¬Sullivan, R., Mailo, K., Angeles, R., Agarwal, G. (2015). Advance Directives: Survey ofPrimary Care Patients. Canadian Family Physician MÃÆ'decin De Famille Canadien, 61(4), pp. 353-356.This article describes the prevalence of sick people with advance directives in a family practice with the aid of a survey. The s...
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