Nursing shortage and its effects on the provision of health care Term Paper

Nursing shortage and its effects on the provision of health care - Term Paper Example Despite renewed efforts at reform in most European countries, the number of uninsured people continues to grow, the cost of healthcare continues to soar, and the safety and quality of care are queried. The great challenges of the healthcare system need significant attention on the part of health experts, policy makers and the society. One problem that has continued to dog the health care sector over the last five years has been the perennial shortage of registered nurses as well as other health care professionals as a demonstration of the fragility and faults in the health care system. For health care delivery to be efficient, reasonable, and inexpensive, there must be an ample stream of knowledgeable, well spread and employed certified nurses. While the general quality of care seems to have responded progressively to the rising emphasis on evidence-based practice and performing procedures, major inequalities in quality stubbornly persist. The health care system and the nursing profe ssion are once more witnessing a shortage in nurses that is augmented by shortcomings of the system and the ever-rising need for health care, as the baby boomers grow old. The intricate environment of challenges of the health care system requires major attention on the part of health care professionals, policy makers and to a smaller extent the public.In all the health care literature available today, the widely accepted elements of health care reform are the ability to get health care, its quality, cost, and the workforce.

Rounding with decimals to the nearest tenth Essay

Rounding with decimals to the nearest tenth - Essay Example This information should suffice for most students who have a solid grounding in the prerequisites. However, weaker students would require not only a good revision of the place value system, rounding whole numbers, recognizing decimal numbers etc. beforehand but could also be aided by a visual representation for rounding numbers, and if necessary a flowchart of the procedure given above (to prevent procedural errors). For the former, the number line is ideal. An example is given below. The similarity with rounding whole numbers should be stressed. They are not really learning anything new. All they need to be careful with now is the decimal point. Thinking along these lines should be reinforced in demonstrating the rounding procedure using the number line (3 examples are given): Five situations are the most likely occasions of problems for students learning to grasp the concept of rounding to the nearest tenth digit. This is given in order of increasing difficulty based on my own experience of teaching children. 1. What to do when the digit in the hundredths place is 0 (zero). Zero does confuse many students. In this case the student should be reminded that (due to its position in this particular case) it holds no value and it is similar to the situation when the digit in this place is either 1, 2, 3 or 4 i.e. we simply truncate the number at the tenths position e.g. 1.60 would become 1.6 similar to 1.63 also becoming 1.6. 2. What to do when the digit in the hundredths place is 5 (five) – perceived as a ‘halfway’ or ‘middle’ point. In this case, the teacher needs to remind the rule that we round up when this digit is a 5 and it is similar to the situation when the digit in this place is either 6, 7, 8 or 9 i.e. we simply increase the number in the tenths position by 1 and leave out the 5 (the hundredth digit) e.g. 1.65 would become 1.7 similar to 1.67

How the Fico or credit score impacts on consumers Research Paper

How the Fico or credit score impacts on consumers - Research Paper Example A lot of consumers don't appreciate the importance of personal credit scores and how it impacts on their daily lives. Some don’t know that credit scores are available and accessible online. A credit score can have a say on what a consumer is or is not able to do. For instance, it can determine what one pays for leasing or auto financing, credit card rates, car insurance and mortgages. It can affect things we may take for granted like whether one gets a job or rent an apartment. When applying for credit, the lenders want to know your credit risk level Buyers or consumers with poor credit (high credit risk level) are turned away by the lending institutions. The current tightening up of the loan and mortgage market makes the situation worse. Customers with less than a 700 credit score are being turned away by car dealers. It is now more important than ever to have a good credit score. Keywords: Credit score, FICOÂ ®, consumers, lenders. What is a Credit Score? A credit score is a number that summarizes your credit risk, based on your credit report at a particular point in time (FICO Booklet). Credit reports and credit risk levels can be evaluated using your credit scores by the lenders. Since it’s just a single number, the lenders don’t have to read through the whole credit history report. It is an indicator of how likely you are to pay your bills. Consumers should be aware that lenders use other information to determine one’s creditworthiness along with the credit scores.... A high score is preferred by the lenders. For instance a score of 720 will get you favorable interests on a mortgage, according to Fair Isaac Corporation. The following table shows how credit scores break out for the American public. Credit Score Percentage 499 and below 2 percent 500 – 549 5 percent 550 – 599 8 percent 600 – 649 12 percent 650 – 699 15 percent 700 – 749 18 percent 750 – 799 27 percent 800 and above 13 percent Components of the FICO Score A credit report contains different types of credit data. It is this data that is used to compute the FICO Scores. Data is grouped into five categories as illustrated below. The percentage represents the importance of each category in computation of your FICO Score. Source: Fair Isaac Corporation Website Items considered in the payment history are account payment information (credit cards, mortgage and retail accounts), Public records (legal suits, bankruptcy, liens and judgments) and delinqu ency, Severity of delinquency, recency of delinquency and adverse public records, past due items on file and accounts paid on time. Amounts owed is checked for the amounts owing on the specific types of accounts, number of accounts with balances, proportion of credit lines used and proportion of installment loan amounts still owing The line of credit history is concerned with the time duration since the accounts were opened and other account activities that have taken place. New credit category is used to check recently opened accounts, recent credit inquiries, last duration of credit inquiry and positive credit history re-establishment following repayment problems Lastly, types of credit used category looks at the recent information on the various types of accounts, be they

Why juveniles run away, and what should be done with them when they Research Paper

Why juveniles run away, and what should be done with them when they are cought - Research Paper Example The issue of children running away from their homes has become popular in recent time due to their ever-increasing numbers. It is estimated that about one and a half million juveniles go missing from their homes, of which, only less than 20% returns into their homes (Zhang, Antonio, David & Victor, 2007). They also assert that about 12% of the youths in the united states run away from their homes at least once before they become adults due to various reasons that shall be discussed below. According to Chapple, Johnson & Whitbeck (2004), youths who have problems that are related to academic achievement, police contact, peer involvement shows high levels of juvenile run away. Most of the homes whereby juveniles run away are associated with limited supervision, limited help in schoolwork, limited opportunity to discuss personal problems and lack of emotional support in times of difficulties. Whenever there is limited support from family members, juveniles experience increased depression that leads to negative life that results to run away in search for a better environment to accommodate them. In some cases, families with high rates of runaway children are those whereby the parents are drug and alcohol addicts therefore they have less time to cater for the needs of their children (Sanna., Kimberly & Gregory, 2005). A high percentage of these families are those that give the children less social and economic support as they face the difficulties of growing up into adulth ood. Some parents and guardians are known to abuse their children excessively, leading to lots of discomfort and subsequently runway in search of freedom in the streets or elsewhere (Elizabeth, Andrienne, Gerald, Kathryn, Andrew, Jonathan & Cheryl, 2010). Continuous use of illegal drugs is also associated with the reason why the juveniles run away from their homes. Drug and alcohol abuse is strongly linked as one of the reasons why juveniles

People and Organizations Assignment Example | Topics and Well Written Essays - 1250 words

People and Organizations - Assignment Example With the policy working, the team was able to meet its deadlines as well as present high quality job. The level of effectiveness has been favored by the continued attendance of meetings by the team members. Every member has been assigned duties that make him or her available for every meeting. This creates a sense of belonging, which creates a strong bond between members of a group (McMillan & Chavis 1989). The result has been we have become friends to each other hence creating a friendly and conducive environment for us to work in. In our group, we worked to enhance motivation that made the team members place group interest ahead of personal interest. So far, we have been able to have four meetings and the attendance and level of participation have been consistent from the team members. Every member’s participation has been recognized by the continued support from the team members on given group work assignments. The previous assignment had six questions. We divided the quest ions amongst ourselves in the sub groups where we worked in pairs on every part of the question. Each meeting had a specified task were everybody turned up prepared and ready to work on the day’s part. John and I were working on a set of three questions. To enhance effectiveness and timely delivery of the assignment, exchanging of ideas, and evaluating responses against questions is very essential (Bloom & Loftin 1998). Upon confirming that we had answered all the three questions as per the instructions, we went ahead and asked for suggestions from the other group members while we also helped them evaluate their answers. The results were a well-done assignment where all aspect of the questions had been addresses effectively. Team support to specific individuals is a key success indicator of every team (Brounstein 2011). At the time of presentation, we worked as teams in supporting each other do a thorough presentation. I remember I was very tense when doing my PowerPoint pres entation that I needed some back up. Grace came in to provide the needed support when laying up the stage for presentation as well as doing a conclusion for the presentation. The same happened when Bill was doing his presentation. John assisted him in doing the introduction and the first part of the questions presentation. This happened until all the questions had been presented and all upcoming questions had been answered effectively to the satisfaction of the audience. Low opportunity, low morale and high team turnover and wasted time are key ingredients to ineffectiveness (Parker 2011). To avoid such problems, our team applied some important factors for team effectiveness that contributed to our team working successfully. Just to mention a few are cohesiveness and coordination, team training and team building activities. Cohesiveness and coordination defines the level of interaction of the team members to each other (Salas 1992). Our team had the greatest level of interaction, wh ich was highly favored by the friendship that existed between us. Working with each other was much fun that one could not miss a meeting to engage in personal issues. For example, I had to fore go a family shopping day to attend a group discussion meeting. This was possible because the team’s interest came first and I felt it was more important, due to its urgency

Urban Water Cycle Essay Example | Topics and Well Written Essays - 1250 words - 1

Urban Water Cycle - Essay Example Most urban centers receive their supply of water from a definite water entity such as a river, lake or a dam. The land area that surrounds the water source is its catchment. The level of cleanliness of a catchment area determines the water quality of the dam or river. A town that uses a dam or several dams as water reservoirs will receive water from rivers. In this regard, the state of the river will determine the water quality that enters the dam. The dam is the storage point for the water from rivers. It is normally built adjacent to a river to block a section of the flowing water and store it. It is from the dam that the urban population receive reliable water supply for their use. Although the water in the dam might look clear, it is not fit for human consumption yet. This is because it contains pollen, soil particles and dust. These particles contain viruses, bacteria together with several other microorganisms that can be harmful to human health. To remove these microorganisms, the water from the dam is first processed in a water treatment plant prior to its use. The water goes through some specific stages and steps at the treatment plant. Such stages include pre treatment, flocculation, filtration and chemical dosing. At the pre treatment level, a polymer called coagulant and alum is added to the water. The substances help to capture the solid particles that provide host to bacteria and viruses. The water free of the particles remains less turbid and clean. At the flocculation level, there is the removal of solid particle from the water. Mixing and circulation occurs for the solid particles captured in the pre treatment step to float on top in the form of froth. At the filtration level, the water is pumped through filters to get rid of the remaining particles. Finally, there is the addition of chlorine to get rid of the remaining microorganisms or germs, if any at the chemical dosing stage. This stage also involves the addition of fluorine for teeth prote ction and the adjustment of the pH level of the water.     After the above stages of treatment, the bulk main pipes supply carries the treated water to reservoirs allowing its distribution into smaller pipes into households. The reservoirs help the water stored to adjust with the changing demands. It also assists in the management of the pressure from users so that it flows to taps at expected speeds. Reservoirs can be either above or below the ground. The reservoirs supply water into homes through the service lines than branch from the mains pipe. After use at home, the water goes down the drain from where it enters the network of wastewater. The wastewater then flows into the sewerage system.

Why juveniles run away, and what should be done with them when they Research Paper

Why juveniles run away, and what should be done with them when they are cought - Research Paper Example The issue of children running away from their homes has become popular in recent time due to their ever-increasing numbers. It is estimated that about one and a half million juveniles go missing from their homes, of which, only less than 20% returns into their homes (Zhang, Antonio, David & Victor, 2007). They also assert that about 12% of the youths in the united states run away from their homes at least once before they become adults due to various reasons that shall be discussed below. According to Chapple, Johnson & Whitbeck (2004), youths who have problems that are related to academic achievement, police contact, peer involvement shows high levels of juvenile run away. Most of the homes whereby juveniles run away are associated with limited supervision, limited help in schoolwork, limited opportunity to discuss personal problems and lack of emotional support in times of difficulties. Whenever there is limited support from family members, juveniles experience increased depression that leads to negative life that results to run away in search for a better environment to accommodate them. In some cases, families with high rates of runaway children are those whereby the parents are drug and alcohol addicts therefore they have less time to cater for the needs of their children (Sanna., Kimberly & Gregory, 2005). A high percentage of these families are those that give the children less social and economic support as they face the difficulties of growing up into adulth ood. Some parents and guardians are known to abuse their children excessively, leading to lots of discomfort and subsequently runway in search of freedom in the streets or elsewhere (Elizabeth, Andrienne, Gerald, Kathryn, Andrew, Jonathan & Cheryl, 2010). Continuous use of illegal drugs is also associated with the reason why the juveniles run away from their homes. Drug and alcohol abuse is strongly linked as one of the reasons why juveniles