Monday, January 27, 2020

Information communication technology

Information communication technology Resistance is Useless Introduction: Todays world or society is changing very fast with the help of ICT (Information Communication Technology). Everyday new technologies were developed to simplify the every days work, but there is a resistance to accept those new technologies among people. This is because of many people doesnt like the CHANGE because they dont like being changed. When change comes it brings resistance and fear to cope up with that or lose something valuable. Even many people could not understand how to use those new technologies or equipments. Many People have natural tendency to stuck with the way of work with whom they used to ,They often change and have faltering to change the way of work or equipments, Some people could not afford to adopt new technology or there is no support to demonstrate the way of   using new technology. In medical field every day new technique or method or equipments were introduced but many physician, nurses and medical personal   does not adopt these new technologies ins tead they continue working in there conventional way. New technologies are invented to reduce the work load as well as significantly improve the patient safety, patient satisfaction in the heath care system and also improve the hospital efficiency. As a example most of the hospital introduce the information database system where the hospital store all the information about the patients medical records, doctors information and all the staffs information about their education, salary, training etc. In medical field or can say in eHealth the amount of resistance for the new technologies or equipments are much larger than other fields. In eHealth new technologies or methods are for better health care and lowered the healthcare costs, but physician, nurses and medical personals are hesitated to adopt these at first time because they came from different background. Even sometime the researchers or developers in medical technologies run out of budget or get budget to go or pass the research stage because of medical personal are unresponsive to those technologies or equipments. Objectives What are the factors while designing a system? How a new system or technology will evaluate? What are the ways to convince the people or the organization staffs who will to use this system or technology? How would an organization introduce the new system or technology and prepare their employees to get the most of the system? What are the reasons behind these resistances to new technology and methods in health care? Discussions: Lecture 4 (slide 46,48) advantages disadvantages + Slide 32-37 (for evaluation) Slide 8 focusing on benefits Slide 24 slide 30 Old people are pessimistic of new technology for usability inconvenience Conclusion: It can be said that resistance is useless. Resistance is the biggest obstacle in developing new technology.   Not only resistance always create problem there are lots of other factor involving to create problem to develop new technology both in medical sector as well as in other sectors. Most of the people have natural tendency to create resistance to the new things because they have fear to change the way of doings jobs. In other since resistance is useful to some extent it helps the developer to develop the new technology in more efficient and user friendly way, So that the end user can get the most of the system. It is more important to have in mind while developing new technology for whom they are developing, in which situation and context the user will use this tools, As well as which task it will solve otherwise resistance will always come to adopt the new technology. Reference: Improve ICT systems in healthcaImprove by Dr. Isabella Scandurra [Ph.D] http://www.icup.org.uk/reports%5CICUP763.pdf http://www.bridges-to-technology.com/page26.html http://www.biomedcentral.com/1472-6947/6/1 http://www.deloitte.com/view/en_US/us/press/Press-Releases/press-release/8696c52c23d85210VgnVCM100000ba42f00aRCRD.htm http://www.1000ventures.com/business_guide/crosscuttings/change_resistance.html http://www.schulersolutions.com/resistance_to_change.html

Sunday, January 19, 2020

A Reflection: Application to Practice

Introduction This reflective brief aims to discuss how and why I will apply my new learning to my routine practice; in particular, focusing on how this learning experience will enable me to show and promote care, compassion, commitment, courage, communication, and competence (6 Cs) within my everyday practice. Although the discussion revolves around these issues, it is consistently supported by literature and evidence. Reflective DiscussionMy most important features of learning within the moduleFor me, the most important features of learning within the module are the inculcation of evidence-based practice of care through communities of learning, and the positive contribution that healthcare-related lifelong learning can extend to an empowering and person-centred care. According to Houser and Oman (2011), evidence-based practice necessitates the incorporation of scientific evidence in the process of clinical decisions rather than sole reliance on experience or intuition. It is also a problem-solving approach to the practice of care, integrating the utilisation of current best evidence from well-designed researches, the expertise of the care professional, and care users’ values and preferences. The concept has several useful implications for my personal practice. In the field where I am currently engaged, the evidence-based practice allows me to carry out my profession to promote and deliver care, utilising the supportive backdrop of theory and practice. At the heart of this backdrop is the way in which evidence-based interventions can help deliver positive outcomes to the practice of care. In other words, such learning is not simply cognitive or knowledge-based, but also affective and psychomotor (i.e. applying knowledge into practice). These are also embodied in Utley (2011) and Rice (2006). By offering a way for theory to support practice, evidence-based healthcare seems to allow the practitioners to incorporate affective and psychomotor aspects with a more rational, research-based approach. I have fully grasped the module’s goal of providing the opportunity to engage with the service users and their carers – their experiences and outlook – and integrating this goal to my professional values. I have thoroughly recognised the importance of this integration, as working with service users and their carers in a healthcare domain necessitates soaking my whole perspective into the care practice. The health practice has become a way of life where I provide care, compassion, courage, etc. which are required of me as a health care professional. This is because it has been a part of my daily routine and concerns. From this, I have come to understand that the care practice is more than a field or profession. Leininger’s Theory of Culture Care informs us of care as the central, dominant, and unifying focus of nursing (De Chesnay and Anderson, 2008).The 6 CsCare is first and foremost the primary duty of a health professional, and on which evidence-based pr actice must be focused. This idea is also embraced in Brooker and Waugh (2013) and Olsen, Goolsby, and McGinnis (2009). Care requires me to have an interest in the condition of service users, their aspirations, uncertainties, hopes and so on. It is not merely working with service users and seeing the work as an objective component of the care practice; but that the care practice requires traits and values beyond these, such as applying an ethical code and seeing the care user with dignity and respect. I would like to note that compassion is a concept that cannot be objectively measured. Rather, it is something that I can extend to a care user only if I have sufficient knowledge of their condition, the problems that bother them, their emotional state vis-a-vis their existing health condition (e.g. Department of Health, 2012). This is where we would find the value of clinical assessment, which must be efficiently carried out (Abbott, Braithwaite, and Ranson, 2014). This is also the reason why I need to communicate with them regularly or as needed, since only through constant interaction can I have adequate knowledge of their present condition; from which I can grow compassion towards them. Commitment hence results from this engagement to the care practice, which I believe is not an overnight process, but definitely requires routine. Watson (1999) describes commitment as a moral ideal aimed to preserve humanity. Courage takes place from such commitment, which enables the health professional to support and even campaign for the welfare of the service users and their carers; certainly a result of his care, compassion, communication, and commitment to the care practice in general. I would say that competence is a product of knowledge and practice of care being put together; it is an expression of evidence-based practice on which the module is focused. My important learning in this aspect is that these values are linked to ethical and moral code governing the care practice (Kelly and Tazbir, 2014).Has the new learning helped me reevaluate issues of dignity and respect?My new learning helped me reevaluate and better understand issues such as dignity and respect. This is by valuing the human person on a higher scale, viewing the care service as a channel for a person to regain his health and live normally again. This is also by looking at their ultimate recuperation as a foremost goal, including their mental, physical, emotional, and even spiritual well-being. This way, the care user is afforded dignity and respect, of which he is certainly worthy and which the health care professional must provide to him/her at all times and by all means. Treating the service user this way is concretely demonstrated in making him well-informed about his overall condition, the kind/nature of care he needs, and the like (Nolan, Hanson, and Grant, et al., 2007).My strengths for applying this learning to my practiceThe strengths I have for applying this learning to my practice are my sympathetic nature, my interactive character, and my ability to recognise accountability for issues involving the welfare of others. I believe that my being sympathetic will enable me to develop care and compassion (two of the 6 Cs) more easily. My interactive character connotes my propensity towards good communication (also one of the 6 Cs), which is definitely necessary in the care delivery. My ability to recog nise accountability, on the other hand, will motivate me to pursue my goals (as a health care provider) with careful implementation of the care practice so that the care user will receive the most adequate level of necessary care (Barrick, 2009). The Intuitive-Humanist Model explains the link of intuition to the relationship between the nursing experience, the knowledge thus obtained from this relationship, and how it enhances the clinical decision-making process (Banning, 2007). Enabling me to demonstrate and promote the 6 Cs would require my knowledge of the care practice as the initial and necessary first step; and the next would be immersing in the health profession and knowing the issues/problems related to care users’ health condition or those affecting the delivery of care, as well as the issues/problems faced by their carers. The idea of the whole point is that the care practice must be evidence-based, since if not, our potential to harm the service users will rise accordingly (e.g. Newell and Burnard, 2011).Opportunities and threats to applying my new learningAn opportunity in applying my new learning to my routine practice is the acquired knowledge of evidence-based care practice and its incorporation into the 6 Cs: care, compassion, commitment, courage, communication, and competence. This is why the 6 Cs are involved/patched to the care practice, as the care practice is not merely a professional domain where one obtains a care service and wh ere the care providers get paid for providing the needed care. There are also threats that may hinder the application of the 6 Cs in my health practice. These are inadequate care facilities and circumvented processes within the care units, which can both delay care delivery. According to Malloch and Porter-O’Grady (2010), evidence-based processes require the development of attitude and facilities in order to obtain real-time information that must be assessed, applied, and translated within the framework of the care circumstance. In this regard, inadequate care facilities can be overcome by pointing out the needed areas to be changed and/or resources to be supplied. Circumvented processes can be resolved by applying efficient methods, such as the Lean management method. It has been proved that Lean adoption produces viable results for the care organisation (Lighter, 2013; Zidel, 2006).A need to share my learning with othersFrom completing this module, there is a need to share my learning with others. Such sharing will enable the care prac tice to develop further, especially if it is shared with colleagues. It can also improve health setting when shared within the job, since it can be evaluated this way. I may pass learning formally through health seminars where I am a speaker. There might also be a case that I would be invited to talk to a group of people about the care practice, in which I can share my learning about the module. The value of sharing one’s experiences about the care practice is in fact exemplified in Hinchliff, Norman, and Schober (2008) where the authors state that the care provider must facilitate the mutual knowledge sharing to others by contributing to their personal and professional learning experiences and development. Capossela and Warnock (2004) even discuss ‘share to care,’ which describes how a group may be organised to care for someone who is seriously ill. It only demonstrates the importance of sharing the care experience to allow others to benefit for their own circu mstances. The relationship between my routine practice, continuing professional development, and safe and effective care These concepts are interlinked and cannot be done without, and dismemberment of any will result in flawed care implementation. If safe and effective care could be achieved by simply doing what one has always done (caring for clients adequately), then it could quite easily be ensured. Furthermore, such relationship is also understood as one that leads to evidence-based practice. This is because it is through routine practice (from which the care provider gains learning and training everyday) (Gordon and Watts, 2011) that empirical evidence is established. Yammel and O’Reilly (2013) even posit that routine practice is an essential part of a continuing professional development programme. From continuing professional development, the care professional is able to pursue lifelong learning and develop expertise about the field (Cleary, 2011). Safe and effective care, on the other hand, is the goal of the care user. On the point of view of evidence-based practice (Brooker and Waugh, 2013), it is crucial to ensure that service users get the most effective treatments and services and receive the best health outcomes. Together with available and adequate funding, cost-effective care services form the provision of clinically effective care. Conclusion This reflective discussion presents my learning experience from the module, supported by a range of literature. The evidence-based practice of care provides a basis for promoting and delivering an empowering and person-centred care. It is a field where I have necessarily obtained cognitive knowledge as well as affective learning and psychomotor application. This reflective discussion has presented what I consider the most important features of learning within the module. The new learning has helped me re-evaluate/better understand certain issues relating to the care user, such as dignity and respect of the human person. My strengths to applying this learning to my practice are my sympathetic nature, my interactive character, and my ability to recognise accountability. The 6 Cs provide opportunities for applying my new learning and humanising the care profession. There are however threats that may hinder effective care delivery from taking place, such as inadequate care facilities and circumvented processes within the care units. Measures to address them are also identified. I also see a need to share my learning with others, which the extant literature also supports. The relationship between my routine practice, continuing professional development, and safe and effective care is inter-connected, from which a flawed care practice might occur if such interconnectedness is lost. It is therefore my realisation to ensure the link between them. References Abbott, H., Braithwaite, W., and Ranson, M. (2014) Clinical Examination Skills for Healthcare Professionals. United States: M&K Update Ltd. Banning, M. (2007) A Review of Clinical Decision Making: Models and Current Research. Journal of Clinical Nursing, 2007 February 28. Barrick, I. (2009) Transforming Health Care Management: Integrating Technology Strategies. London: Jones & Bartlett Learning International. Brooker, C. and Waugh, A. (2013) Foundations of Nursing Practice: Fundamentals of Holistic Care. St. Louis, MO: MOSBY Elsevier. Capossela, C. and Warnock, S. (2004) Share to Care: How to Organize a Group to Care for Someone Who is Seriously Ill. New York: Fireside Rockefeller Center. Cleary, M, et al. (2011) The Views of Mental health Nurses on Continuing Professional Development. Journal of Clinical Nursing, 20 (1): 3561-3566. De Chesnay, M. and Anderson, B. A. (2008) Caring For the Vulnerable: Perspectives in Nursing Theory, Practice and Research. Second Edition. London: Jones & Bartlett Learning International. Department of Health (2012) Compassion in Practice. Nursing, Midwifery and care Staff: Our Vision and Strategy. London: DOH. Gordon, J. and Watts, C. (2011) Applying Skills and Knowledge: Principles of Nursing Practice. Nursing Standard, 25 (33): 35-37. Hinchliff, S., Norman, S., and Schober, J. (2008) Nursing Practice and Health Care 5E: A Foundation Text. NW: CRC Press. Houser, J. and Oman, K. S. (2011) Evidence-based Practice: An Implementation Guide for Healthcare Organizations. London: Jones & Bartlett Learning International. Kelly, P. and Tazbir, J. (2014) Essentials of Nursing Leadership and Management. Mason, OH: Cengage Learning. Lighter, D. RE. (2013) Basics of Health Care Performance Improvement: A Lean Six Sigma Approach. London: Jones & Bartlett Learning International. Malloch, K. and Porter-O’Grady, T. (2010) Introduction to Evidence-Based Practice in Nursing and Health Care. London: Jones & Bartlett Learning International. Newell, R. and Burnard, P. (2011) Research for Evidence-Based Practice in Healthcare. Second Edition. West Sussex: John Wiley & Sons. Nolan, M., Hanson, E., Grant, G., and Keady, J. (2007) User participation in Health and Social Care Social Research: Voices, Values, and Evaluation. England: Open University Press. Olsen, L., Goolsby, W. A., and McGinnis, J. M. (2009) Leadership Commitments to Improve Value in Health Care: Finding Common Ground. Washington, DC: The National Academies Press. Rice, R. (2006) Home Care Nursing Practice: Concepts and Application. St. Louis, MO: MOSBY Elsevier. Utley, R. (2011) Theory and Research for Academic Nurse Educators: Application to Practice. London: Jones & Bartlett Learning International. Watson, J. (1999) Nursing – Human Science and Human Care: A Theory of Nursing. London: Jones & Bartlett Learning International. Yammel, J. and O’Reilly, D. (2013) Epidemiology and Disease Prevention: A Global Approach. Second Edition. Oxford: Oxford University Press. Zidel, T. G. (2006) A Lean Guide to Transforming Healthcare: How to Implement Lean Principles in Hospitals, Medical Offices, Clinics and Other Healthcare Organizations. Milwaukee: American Society for Quality, Quality Press.

Friday, January 10, 2020

Distillation Lab Report

Data and Conclusions: The purpose of this experiment was to learn how to use distillation and gas chromatography to separate and identify different compounds from a given mixture. There are several kinds of distillation methods. However, the method that we used in this experiment was fractional distillation. This method is used when trying to separate two different volatile compounds whose boiling points differ by 40-50Â °C or more.If the boiling points are too close, this method will not work because the two compounds will begin evaporating at close temperatures and will condense down to the receiving flasks at relatively the same times. This will not create an ideal separation. The apparatus used for this type of distillation is longer than that of a simple distillation experiment because this kind of apparatus creates more efficient separation. This happens because the fractional distillation apparatus is longer, and allows for several simple distillations to occur within the col umn itself to more accurately separate liquids.The inside of the column is said to have theoretical plates, or equilibrium stages that are created by the vapor and liquid stages of a compound that create this accuracy. The column must also be insulated with cotton and aluminum to prevent any heat loss that may lead to inaccurate temperature readings or even effect the evaporation of the different compounds. When heating the stillpot, flameless heating should be used along with a magnetic stirbar. This is important to control the temperature of the mixture and keep the heat smooth and constant.Heating the mixture too fast could result in no fractionation in the column and lead to no separation. Likewise, if the mixture is heated too slowly, the vapors might now make it all the way to the condenser, and the liquid will fall back into the stillpot. If the mixture is heated correctly and constantly, the vapors should condense through a condenser and into a receiving flask. This condense r should have water running through it at all times to keep it cool and keep the condensed vapor flowing down into the receiving flask.As a whole, the entire apparatus works perfectly for two different volatile liquids with 40-50Â °C boiling point differences because as the liquid with the lower boiling point is distilled out, the higher boiling point liquid will remain in the stillpot as the other is evaporating and distilled. Then, it will be able to evaporate later as the temperature rises, after the other has more than completely distilled out. As I conducted this portion of the experiment, I noticed that while taking the three fractions, fraction A filled up the full 15 mL and continued distilling through fraction B, and eventually stopped.Because of this, I hypothesized that all of fraction A and most of fraction B consisted of the low boiling point compound. As I raised the temperature of the hotplate, I was able to collect fraction C, and I predicted that it was composed of mostly the high boiling point liquid. To test this, the experiment called for the use of gas chromatography. The chromatography would not only show the relative concentrations of each compound in the fraction, but could also help confirm the identification of the compounds we thought were in the fractions based on the temperatures that each liquid boiled.Before trying to guess the correct compounds of the mixture, one must run each individual fraction through the machine to clearly see the composition of each. Gas chromatography works because as the liquid runs through the machine, its different components run through and exit at different times due to changes of temperatures that measure high and low boiling points. The machine records these using peaks of retention time that identify these different components. After obtaining this data, there was enough information to choose a reasonable match for each of the components.Once both the fractions and the guessed compound were mixed , the retention recordings should not differ in the number of peaks because ideally the compound mixed should have the same retention time as one of the other previous peaks. If the compounds were to differ in the number of peaks, then it shows that another compound must be present with different properties. As I conducted this portion of the experiment, I guessed cyclohexane for my low boiling point liquid and toluene or heptane for my high boiling point liquid based on the fractional distillation observations.For cyclohexane I mixed it with fraction A, since it predominantly consisted of my low boiling point liquid, and observed two peaks in my results. Therefore I concluded that cyclohexane was the low boiling point liquid. However, for the second liquid I guessed heptane first, and my results showed three peaks. Knowing that I had guessed wrong, I tested toluene mixed with my fraction C and only got two peaks. The high boiling point liquid proved to be toluene. In conclusion, my results all matched the main ideas and theories presented in the experiment.From my results I was able to figure out the composition of each of the compounds in the initial mixture and compare them to those of the rest of the class. My results only varied by 3. 18%. When using the two different methods of calculating the composition, the second method using the chromatography peaks was more accurate, and compared to the first method of assuming the ideal compositions, the results differed from the class average by over 10%. Based on the consistency of our class results using the second method, the two compounds proved to have been distilled using the proper method, and is reinforced by the use of gas chromatography.

Thursday, January 2, 2020

Is Creativity Becoming Endangered - 1271 Words

Known for her creative thinking and unique outlook on life a child mourns the death of her soul and heart; so suddenly taken from her by the one she trusted and loved most, school. It is widely acknowledge that creativity is becoming endangered in America; this is so because the American education system is strict and regulated, allowing for little wriggle room for creativity. Many people wonder if schools should teach creativity, however, that is impossible. Creativity is the unique way of thinking and expressing ideas, thus it is impossible to teach. Nonetheless, schools need creativity and can help boost it in their schools by supporting the arts as well as students who think outside the box. When one thinks of the subject of science†¦show more content†¦In this particular class we had been drilling specific type of problems and they teacher wanted us to do it their way. This caused many issues for several if not most of the student in the class, because not everyone’s mind processed and worked things out the same way as the teacher. Thus several students’ had questions on the material. Instead of elaborating upon it in a different way, the teacher explained it again, and again using the same method. Now when the quiz rolled around many kids had deciphered the method and began to understand it. I was fortunate to be one the kids who understood it, but instead I made a hybrid between something that would work for me and method forced upon us; yet despite me showing my work as well as the correct answers I received a D+ why?; because I didn’t follow the method exactly. Even organizations’ that America and even the world hold high in este em have found a lack of creativity. â€Å"NASA and Boeing are finding that recent graduates can technically render in two dimensions but can no longer think in three.† The Creativity Crisis: Why American Schools Need Design, published in The Atlantic, then goes on to state, â€Å"Ideal job candidates at these companies must now show they can †Ã¢â‚¬ think with their hands†Ã¢â‚¬  by having expertise or a second major in a musical instrument, auto repair, or sculpture.†. These passages show the importance of creativity is in the real world, and that