Recent orders
Change Model.
Safe Patient Staffing Ratio
Name of Student
Institutional Affiliation
Change Model.
In the previous paper, it highlighted the proposed organizational structure change that will include the chief executive officer, a member of hospital management, doctor, nurse manager, and a nurse. Information was to flow from high cadre to the lower cadre. Change cannot just happen; it only occurs in the proper procedure; thus, in the system changes, Lewin’s Change Model will be considered. Kaminski (2011) notes that Lewin proposed three stages that can be used to achieve the desired change. The unfreezing, changing, and refreezing are the three change stages that should be followed to establish the new order. All factors in the three steps should be taken into consideration for change to be effective.
To begin with, unfreezing is necessary for any change to occur. In the hospital setting, just like any other organization, employees and employers have a norm that has become part of their culture. To institute management and information flow change, both the employees and employers should be enlightened on the need for change. In most cases, change is rejected since it threatens the existing order and norms, which is uncomfortable with nurses and hospital management. Therefore, there is a need that the hospital management and the nurses should be informed on the need to change as well as the flaws of the current order. The benefits of the new change should as well be told to them. In this first stage, the proposed changes may have not occurred, but the nurses and the hospital management are aware of impending changes. Thus they psychologically become ready. Change is needed as hospitals are profit-making organizations; therefore, they need to reinvent to keep up with market demands to offer better health care services and safety to the patients. By knowing about change, the nurses and hospital management become aware and feel the need for change.
Secondly, changing is the stage that the new order is to be established. In the transition stage, the new reality dawns on the hospital staff, and they struggle to adapt to the original order. This stage is characterized by a fear of unknown and uncertainty of what the new reality holds upon them. The nurses and hospital management begin to learn new behaviors, mannerisms, and ways of operation. For instance, in the proposed management changes, the dissemination of information will follow a different order that is systematic. Thus the nurse(s) will have to learn new ways of channelling their communications. The hospital management will as well hire enough nurses given they had prepared. This may affect the nurses positively since their workload will be minimized, and in turn, they will offer safety and better health care according to Koren (2010). In order for the change to be realized, the hospital management can organize for proper communication by expertise, education on the move in progress, give ample time that the hospital staff can process change, and support the team to embrace the new order. The hospital staff should be well versed with reasons for change and the benefits once implementation is concluded.
Furthermore, refreezing cement the new order after the change. This stage should be carefully handled so that the hospital staff may not go back to their old order. The unique culture should be supported and maintained by the hospital staff wholesomely. The hospital staff should be reinforced whenever they try to keep the new status quo since a positively reinforced behavior is likely to be repeated. This stage determines the success of the change process due to how it is handled. The nurses will have to be motivated through monetary gifts and humane treatment so that the management can help maintain the new order. The administration should as well recognized for its efforts to increase nurse to patient ratio.
The understaffing in the hospital, especially in the med/ surgical ward, has reduced the efficiency of better and safe healthcare. This issue should be looked into so that hospitals can ensure patients’ needs are well taken care of and nurses to be given a manageable workload. The hospital management should look to employ more nurses and improve the way of communication by centralizing it. Through centralization, the nurses will know the center of the command and the origin of the information. The nursing literatures exposed some of the fatalities the hospital is likely to experience in the event of understaffing—issues such as medical errors, overworking by nurses, and high mortality rate when the hospital is understaffed. Lewin’s change model will be instrumental in instigating changes. For instance, the hospital management should be prepared to allocate funds to hire more nurses and also change the structure of communication in the hospital.
Change is never easily accepted. However, it should occur in order for safer and better health care for patients. The nurse being used to the already existing plan may be adamant to accept the new changes. The hospital management as well may not want to employ more nurses as it may wish to keep the profits as it exploits the existing nursing staff. To sustain the changes, the hospital may reward those who embrace and try to conform to the new changes. The management should educate its staff on the need to change, and this should be done either after two weeks so that the team is constantly reminded. The administration should endeavor to set aside funds each financial year to employ more nurses so that they can meet the recommended nurse-patient ratio.
References.
Kaminski, J. (2011). Theory applied to informatics-Lewin’s change theory. Canadian Journal of Nursing Informatics, 6(1).
Koren, M. J. (2010). Person-centered care for nursing home residents: The culture-change movement. Health Affairs, 29(2), 312-317.
Movie Reaction Paper to include Assessment, Diagnosis, and Treatment Plan
Movie Reaction Paper to include: Assessment, Diagnosis, and Treatment Plan
Select a movie from the below list and write a reaction and create a clinical assessment with diagnosis and treatment plan for the character with a substance use disorder.
The first page: Your impressions of the movie related to addictions, interventions, stigmas, and/or recovery.
The remaining pages: Have one of the movie characters be your client and demonstrate that you can screen for substance abuse, aggression, danger to self/others & co-occurring; identify the stage of dependence, change, and or recovery; determine an initial treatment plan, and identify the initial counseling strategies you will use. You will write this as you would in your case file to demonstrate you can apply current record-keeping standards when working with client with addiction and co-occurring challenges (or a family member affected).
Evaluation Criteria for this assignment includes demonstrating an ability and willingness to critically evaluate how the media presents addictions and how a media experience might influence theory, attitude and/or interventions in addictions in the general public.
This paper should include information regarding screening and assessment inventories,
-a bio-psycho-social assessment of the client, including spirituality and multicultural issues
-a complete mental status exam,
-a DSM diagnosis
-ASAM assessment criteria used to determine level of care (can be found online),
-and a treatment plan addressing co-occurring disorders, with attention to the role of spirituality, family, social networks, and community systems in the treatment and recovery process, including appropriate individual, group,
self-help, and family intervention strategies.
Movie Ideas
The Fighter
Leaving Las Vegas
When a Man Loves a Woman
Crazy Heart
Country Strong
Less
Than Zero
Thirteen
28 Days
Flight
Traffic
Requiem for a Dream
Spun
Limitless
Walk the Line
Ray
Compile your reactions into a 4-6 page paper.
Advantages And Disadvantages Of Different Renewable Energy Sources
Advantages And Disadvantages Of Different Renewable Energy Sources
Contents
TOC o “1-3” h z u Introduction PAGEREF _Toc379208982 h 1Solar energy PAGEREF _Toc379208983 h 2Wind energy PAGEREF _Toc379208984 h 3Hydropower PAGEREF _Toc379208985 h 3Geothermal energy PAGEREF _Toc379208986 h 4Biomass energy PAGEREF _Toc379208987 h 5
Introduction
The environment is essential to the growth and sustainability of all living things. Human beings are at the top of the hierarchy making them the guardians of all resources present. Most of the livelihood is dependent on the resources acquired from the environment. This places an enormous amount of responsibility of human beings in terms of maintenance and preservation. Resources are ideal for the development of the environment. Over the years human beings have come up with various forms of exploiting resources so as to utilize their benefits. This has in turn placed a significant amount of pressure on the natural resources which continue to face depletion. Resources can be natural or manmade depending on its source. The demand for the use of the resources continues to increase due to the increase in population. Various parties have become greatly concerned about the sustainability of the environment. This has introduced the environmental debates that seek to look at better means consuming energy. The use of renewable resources is one of the possible solutions of to curb the current environmental issues faced to date. The analysis of the issue is thus ideal so as to discuss the merits and demerits that come with the trade (Chiras, 2007).
The focus of this paper is to provide an analysis of the renewable energy as an alternative source of energy. The paper looks at the different options available to man and their significance to the sustainability of the environment. The paper compares and contracts all the viewpoints of key arguments made in regard to the topic. This is summarized using a concluding paragraph that reflects on the contents of the topic at hand.
Renewable resources are resources that can be recycled with the main purpose of using the energy source in question in the future. These forms of energy are naturally occurring and are thus expected to last for a long period of time. Renewable resources have contrasting qualities to those of non renewable resources in that they are sustainable in the long run. Non renewable resources on the other hand face the risk of becoming extinct due their improper use. There are several forms of renewable resources known to man. These resources are use in all parts of the globe making them vital aspects of energy (Organization for Economic Co-operation and Development & International Energy Agency, 2004).
Solar energySolar energy is derived from the sun making it one of the principle sources of energy. Solar energy is produces in the form of sunlight which plays a pivotal role I the growth of both plants and animals. The solar energy can be retrieved directly or indirectly from the sun depending use of the source. The sun as a source of energy has been developed to suite the modern age that comprises of industrial revolution globalization and urbanization. The suns heat is used for warming up cold surfaces and providing a warm environment. One of the developed available for exploiting solar energy is the solar panel. The use of the solar panel is used to attract the sun’s rays which in turn, convert into fuel that can be used as energy in the household. This form of energy can be used to cut down on use of gases that pollute the earth’s ecosystem (Schaeffer & Pratt, 2005).
The main advantage of solar as a source of renewable energy is its naturally occurring state that makes its production cheap. This form of energy can be exploited by all the countries in the globe making it a reliable source. It is also ideal for countries that lack the means of purchasing non renewable which is more expensive.
One of the disadvantages that are experienced from the consumption of solar energy is existence of the weather changes. The change in whether creates a vacuum in some locations which do not experience a particular season for a certain amount of time (Chiras, 2007).
Wind energy Like the term, wind energy is received from the activity of the wind which is a naturally occurring. The wind provides a different form of energy from that of the sun due to their distinctive features. The wind however works with the sun to produce some source of energy when both come into play. The creation of the wind mill changed the dynamics of acquiring wind energy in the environment. Wind mills and wind turbines are use to attract the blowing wind so as to produce grind grain and to produce electricity. These two mediums can be used as alternatives in areas such as factories and households.
An advantage of the wind mill is that it is a cheap and reliable form of energy when located in the right place. Trapping the wind is necessary for the exploitation of the energy source making the investment of the material essential. This has proved as a disadvantage in areas where investment requires a significantly large fee (Rajeshwar, McConnell, & Licht, 2008).
HydropowerHydropower is basically the use of large masses of water to produce energy. Water is life in that human beings cannot perform their daily routine without water. Apart from ensuring the livelihood of individuals, water can be used to produce hydro energy that is a powerful source of energy. The process of converting water into energy takes a while making it a consistent and natural routine. Water has the ability to evaporate in the presence of the sun. The evaporated air then rises into the atmosphere to form clouds. These clouds precipitate to form rain which falls back to the rivers, lakes and the oceans. The water in these water bodies move at a fast pace giving them the friction that turn the water wheels which turn the substance into energy.
An advantage of water is that it is readily available to man due to the presence of a variety of eater bodies and the activities such as rain. The highest percentage of the earth’s mass is made up of water. One would think that it is readily available. This contradicts the argument that water is cheap and easily available. Research shows that water is one of the most consumed sources of energy over the years. This stems from its significance in the households and as a source of food production. The demand for water is thus one the rise due to the rise in the population rates of some of the countries. Another factor which environmentalist’s motions is that the use of geothermal is threatened as a result of the extensive famine that is experienced in the sub-Saharan parts of Africa and the Middle Eastern part of the globe. These areas cannot exploit hydropower energy as a viable option making them subject to other forms of non renewable energy (Mason, Mor & NATO, 2009).
Geothermal energyGeothermal energy works hand in hand with hydro energy making them complement each other. Geothermal energy is produced from the heat of hot water which is converted into electricity and transferred to generators. This form of energy can be retrieved from drilling the surface of water reservoirs. This particular method requires an enormous investment and research so as to target the right location.
The use of geothermal energy is ideal for the exploiting catchment areas that are rich in water. It may however be unsuccessful if not well executed. This form of energy continues to gain recognition across the globe. It thus has a long way to go due to some of the demerits that come with its production (Jordan-Korte, 2011).
Biomass energyOne of the oldest sources of energy, biomass energy is recognized for its contribution to the early forms of development in the early civilizations. The different forms of biomass available are wood, decomposed waste of plants and animals. Wood continues to dominate as the number one choice of biomass energy. Biomass is use to create electricity and gas used in households and industries.
An advantage of using biomass is its ability to sustain a large community due to the amount of energy its produces. Despite this, biomass as a renewable form of energy causes a lot of controversy due to the destruction of the forest so as to create wood. When the wood is burn, it cannot be recycles making its use questionable in the long run (Craddock, 2008).
In conclusion, renewable energy has on several occasions been referred to as the future of the earth sustainability. Most of the sources are ideal for long term use making them reliable, credible and efficient. An enormous amount of research has been placed on this area of study. Reusable energy however has a long way to go before the globe fully adapts its use.
References
Chiras, D. D. (2007). The homeowner’s guide to renewable energy: Achieving energy independence through solar, wind, biomass and hydropower. Gabriola Island: New Society Publishers
Craddock, D. (2008). Renewable energy made easy: Free energy from solar, wind, hydropower, and other alternative energy sources. Ocala, Fla: Atlantic Pub. Group.Jordan-Korte, K. (2011). Government Promotion of Renewable Energy Technologies: A Comparison of Promotion Instruments and National and International Renewable Energy Market Development in Germany, the United States and Japan. Wiesbaden: Betriebswirtschaftlicher Verlag Gabler.
Mason, M., Mor, A., & NATO Advanced Research Workshop on Enhancing Security in the Middle East Through Regional Cooperation on Renewable Energy (London). (2009). Renewable energy in the Middle East: Enhancing security through regional cooperation. Dordrecht: Springer
Organisation for Economic Co-operation and Development., & International Energy Agency. (2004). Renewable energy: Market & policy trends in IEA countries. Paris: OECD/IEA.
Rajeshwar, K., McConnell, R. D., & Licht, S. (2008). Solar hydrogen generation: Toward a renewable energy future. New York, NY: Springer.
Schaeffer, J., & Pratt, D. (2005). Gaiam Real Goods solar living sourcebook: Your complete guide to renewable energy technologies and sustainable living. Ukiah, CA: Gaiam Real Goods.