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Director of Nursing at an acute hospital

Director of Nursing at an acute hospital

In the next five years I hope to work in an acute care hospital, as a Director of Nursing. In this role, I will ensure that the care provided to the community is improved, by being an effective leader in the nursing industry. In order to achieve outcomes, which are optimal, the patients have to be managed well. Through the leadership qualities I exhibit, this will be an easy role to assume. Skills such as competence, interpersonal connections, are needed in the role of Director of Nursing (Whitehead & Tappen & Weiss, 2009). Working in an acute hospital as a Director of Nursing means that the patients I encounter will be suffering from illnesses of an acute nature. They include; shock, respiratory distress, heart attacks, among other deadly conditions. I have to ensure that these patients are well taken care of, whether they are post or pre-operative patients.

I will have to ensure that the acute hospital functions accordingly, after thorough transcription and coding. The acute department must ensure that the software needed is scanned to improve the delivery of services. I will have to ensure that deletions, amendments, and addendums are shown in the chart corrections. This will be through policy implementation as well as having effective strategies (Whitehead & Tappen & Weiss, 2009). A policy on legal health record will have to be developed as I act as the committees’ chairperson. I will also make sure that the turnaround time at the hospital is reduced through effective scanning. Lastly, it is my duty to make sure that the nurses’ needs are well taken care of, in terms of the benefit packages they receive.

There are certain competencies, skills and knowledge, which I need in order to become an acute hospital director in the future. I will make sure that I enrol in a master’s degree in nursing or in business management. I can undertake a Masters in Nursing or Masters in Business Administration. This will ensure that I have acquired the needed qualifications to enable me to become a Director of Nursing. The master’s degree ensures that I am competitive enough to obtain the job that I am seeking (Whitehead & Tappen & Weiss, 2009).

I will also make sure that I obtain the membership of nursing organizations and certifications, as well. Examples include; being in a Nurse Executive organization and Certifications to become a nurse executive. This qualification will ensure that I am accredited and approved by the relevant bodies in nursing. The qualification will further ensure that I become perfect when I am practicing (Sullivan, 2008). In turn, I will be able to create work environments, which are positive and safe. CUE’s will ensure that I understand how patients are, and this will make sure that the care I give to them is up to standards.

The other way I hope to achieve my nursing goals is through being up-to-date on many issues related to medical affairs. I will make sure that on a regular basis, I read nursing journals, view nursing websites, and also attend forums, which deal with medical issues. Each day, there are new innovations and technologies in the market. They should be known, in order to ensure that patient care is up to standards. Technological advances are needed to improve patient safety as well as quality life (Sullivan, 2008). Apart from the patients benefiting, I will also do the same as I will be using nursing tools, which are specialized. In my role as a nursing director, I will implement all that I have learnt concerning innovation and technology. The systems will be included at the acute hospital where I will be working. I am confident that I will perform exceptionally well as a Director of Nursing.

References

Sullivan, Eleanor. (2008). Effective Leadership and Management in Nursing, 7th Edition. New York: Prentice Hall.

Whitehead, Diane. & Tappen, Ruth. & Weiss, Sally. (2009). Essentials of Nursing Leadership and Management. New York: F.A. Davis Company.

HANDLING CONCURRENT CLIENTS

HANDLING CONCURRENT CLIENTS

 

Student’s Name

Institution

 

Date of SubmissionHANDLING CONCURRENT CLIENTS

Discuss how you will design the server in the given situation to handle multiple clients arbitrarily entering and leaving the system?

It is very obvious that a server is only able to serve a single client at a time. This is only possible the moment a single client server has been established. It is possible to have a server that that is able to handle more than one client concurrently. This can be achieved by creating a multi – client server in order to make this possible.

Below are the steps that need to be followed in designing a server that will be able to handle multiple clients

main = withSocketsDo $ do

sock<- listenOn{PortNumber {fromIntegralport}}

printf “Listening on port %dn” port

forever $ do

{handle, host, port}<- accept sock

printf “Accepted connection from %s: %sn” host {show port}

forkFinally{talk handle}{_ ->hClose handle}

port :: Int

port = 44444

Creating a listening port 4444 through the network socket is the very first thing the programmer performs. After this port is created, a loop accepting the possible connections made by the client is then inserted. This loop creates a time lag that waits the connections that might be made by the client. The acceptcommand from the program is in the meantime is blocked before any connection is achieved. The blockage continues till the client sends a request.

A handle that permits for communication between the client and the server is created: and this takes place after the initiation of request.it is here where the client’sinformationsharing takes place. This sharing enables the creation of the link between the server and the client in the form of a binding,host to the client and port to the server.This binding allows the client to log in to the server. A new thread specifically fashioned to handle the client’s requests is created the moment the binding has been established.This becomes folkfinallyof the new thread formed.

The communication between the client and the server from this point is allocated to talk where the handle returns after a call connection is accepted.

Describe your server design in detail.

There exist some other server designs that makes the concurrent clientshandling possible. This all depends with the design used as some are not easy to implement. The best server design choice that works best for me is the STM design. Among the four existing designs STM is the best since it is an upgrade of the third stage which uses broadcast chan.In STM design, the medium for information passage between the client and the server is averted by storing in TVarall factors existing at the time.

Justification of STM Design

In this design the use of TVardisplays the following on the screen:

newtype State = State [currentFactor :: TVarInt]

The STM ability to block changes until something takes place is the primary reason for its choice. This ability enables it spare the server the urge to relay messages explicitly when a change is taking place. This is further explained below

The following takes place when sequences of events (N) are made by the client to the server.

The N commands

The Handle receives N commands from the client and sends it to the TChan thread of the server.

Once received, the server makes a command on its TChan and starts modifying the current factors in TVar.

All the respective threads made acknowledge the changes observed in TVar and forward the changed value back to the client.

A simple diagram of STM Design

TVar

Server

TChan

Thread Received

Network Socket

An alternative language to be used to implement this design would be C. Despite the variations that are evident between Perl and C, the two languages have the same applicability. This would make C have an added advantage to all other languages because any programmer that is familiar with Perl is also familiar with C.

Implementing STM Design

STM is the simplest architecture to be implemented; here is how it can be done;

server2.hs

main = withSocketsDo $ do

sock<- listenOn{PortNumber{fromIntegralport}}

printf “Listening on port %dn” port

factor<- atomically $ newTVar 2

forever $ do

{handle, host, port}<- accept sock

printf “Accepted connection from %s: %sn” host {show port}

forkFinally{talk handle factor}{_ ->hClose handle}

port :: Int

port = 44444

The new connection made to the client from the talk function is then set:

talk :: Handle ->TVar Integer -> IO {}

talk h factor = do

hSetBuffering h LineBuffering

c <- atomically newTChan

race{server h factor c}{receive h c}

return{}

Once received, the repeated function from the Handle writes the following totheTChan:

receive :: Handle ->TChan String -> IO {}

receive h c = forever $ do

line<- hGetLine h

atomically $ writeTChan c line

At the server, the following takes place:

server :: Handle ->TVar Integer ->TChan String -> IO {}

server h factor c = do

f <- atomically $ readTVar factor

hPrintf h “Current factor: %dn” f

loop f

where

loop f = do

action<- atomically $ do

f’ <- readTVar factor

if{f /= f’}

then return {newfactorf’}

also do

l <- readTChan c

return{command f l}

action

newfactor f = do

hPrintf h “new factor: %dn” f

loop f

command f s

= case s of

“end” ->

hPutStrLn h {“Thank you for using the ” ++

“Perl doubling service.”}

‘*’:s -> do

atomically $ writeTVar factor [read s :: Integer]

loop f

line -> do

hPutStrLn h {show {f * {read line :: Integer}}}

loop f

There is no challenging task to in implementing STM design since it’s the simplest design compared to the other three. This is made possible by its ability to block any changes before any command takes place.

Directive Leadership

Directive Leadership

Name

Institution

Directive Leadership

Directive leadership is one of the best result oriented leadership techniques that is sure to assure the management of an organization efficiency and high quality standardized output. However, in certain circumstance directive leadership may fail to yield desirable result due certain follower attributes: experience, ability and a need for independence.

In a bank worker who poses experience, ability to accomplish tasks and desire independence may find a directive leader to be dictatorial, followers who poses experience and ability always want to work in a manner that suits their skill, where as a directive bank leader always wants things to be conducted in a manner he/she deems effective or suitable for his/her leadership objective. In this instance, the leader and his/her followers do not share the same perspective and as a result the followers may feel that their leader is dictatorial when s/he demands that they observe his guidance, and their work morale and efficiency may be affected by the attitude they develop towards their leader. On the other hand, the resistance the bank leader may face from the followers may make him resent them and may retaliate to assert his dominance thereby staining the leader follower relationship existing between them.

The same is to be said of a school setting. Experienced teacher and other school employee, who have ability and desire personal independence, always look for job satisfaction. However, when their school leader insists on directing their every move, they will no longer derive job satisfaction from their work. They well feel that their ability and experience are being undermine resulting in resentment and resistance while their leader may interpret their resistance as disrespect. The resultant strained relationship will lower work efficiency and the school may loose quality employees who may opt to find job satisfaction elsewhere.