Monday, August 24, 2020

Different styles of leadership have become evident through time Essay

Various styles of authority have gotten clear through time between the two sexual orientations - Essay Example Be that as it may, these distinctions additionally serve to make varieties in the way of authority and the board inside the association. Various styles of initiative have gotten obvious through time between the two sexual orientations. Along these lines, the inquiry that asks to be addressed is whether a relationship exists among sex and styles of administration embraced by administrators inside conventional associations? Provided that this is true, to what degree do the character contrasts sway in the decision of an initiative style just as supporting its utilization through a limited timeframe? This doesn't suggest that there is a sure ideal administration style that interests most to a given sexual orientation. Absolutely not; there needs agreement that one initiative style is best in spite of the fact that there is proof through research that exhibits a sharing of basic attributes and inclinations by those in administration positions, which tends to applies pressure upon the indi viduals who are unique (Carpenter and Sanders, 2006). This proposition looks at the initiative qualities and inclinations corresponding to sexual orientation. ... n for the firm, discussing this vision with both profundity and lucidity to different individuals from the association and coordinating and supporting their deliberate endeavors towards the fulfillment of this vision. During the early times of the modern insurgency, authority was focussed on principally guaranteeing benefit for the association. This methodology supported poor administration structures and regularly prompted net unfortunate behavior and maltreatment of administrative authority by those in administrative limits. Present day administration uses the wide billet of hypothetical models that have been created and tried through time. Management’s initiative capacity additionally takes cognisance of developing concerns and issues, for example, morals and corporate social obligation, notwithstanding an accentuation of center standards of responsibility, duty and reasonableness (Dyck and Neubert, 2008). Is there a superior chief in men than ladies or the other way around ? This has been a wellspring of exceptional debate and much enthusiasm of most scholars and chiefs the same. There have been two ways to deal with this basic inquiry in the board: Firstly, that people essentially vary in the manner in which they lead others inside an association (Carpenter and Sanders, 2006). Also, and which is the generally acknowledged situation by most social researchers is that there are moderately no noteworthy contrasts in how people lead given a controlled domain (Dubrin, 2009). The individuals who buy in to the previous way of thinking, for the most part ascribe this distinction to the â€Å"female voice†. This has, be that as it may, been neglected by most standard scientists. Observational examination into these methodologies has just served to facilitate the debate and disarray in this administrative zone. Studies completed somewhere in the range of 1961 and 1987 have been refered to by

Saturday, August 22, 2020

Broadway Caf E-Business Assignment Example | Topics and Well Written Essays - 1250 words

Broadway Caf E-Business - Assignment Example This paper focuses on that the reaction to the children’s story hour concern would be that the cafã © acknowledges all clients paying little heed to their ages and it is focused on addressing the requirements of each gathering of clients. By the by, the cafã © will make changes to facilitate the existing together part of the two gatherings by furnishing separate segments without impedance with kids and their exercises. That reaction is given since the cafã © doesn't wish to lose clients who loathe kids obstruction. Simultaneously, the children’s story hour will stay a basic showcasing methodology. In addition, the administration had noted with worry that kids occasion came about to a ton of aggravation for clients who wished to a have a very and loosened up air. This paper pronounces that Broadway cafã © would need to join legitimate e-business methodologies. Information the board framework can be used to source control over the caf㠩’s contenders. This technique gives chiefs in the executives of the cafã © with the important bits of knowledge when creating and settling on significant choices concerning the firm. Also, the framework recognizes inclines in the market; thus, permitting work of sound showcasing procedures. In this way, the firm picks up edge that is increasingly serious over its adversaries firms. The framework stores significant data and information concerning the firm. In this manner, the administration can clearly keep their plans, fixings, and calculations of delivering their dinners. This data can be utilized to prepare new staff or utilized when there is have to audit their menus or calculations. For the most part, information the executives framework encourages the administration to settle on trustworthy choic es that advance the prosperity of the firm. Client Relationship Management framework upgrades correspondence between the firm and its clients. Through this procedure, the firm can gather data and input from its representatives with respect to its administration and items advertised. The framework helps the administration when deciding, subsequently permitting the firm to address the issues of customer base. In addition, it is a basic apparatus to draw in and hold clients. Further, the framework can be utilized to profile clients so as to recognize purchasing patterns, just as products that are more bought. Furthermore, the framework can assist with distinguishing top seasons for appropriate assignment of staff and creation of profoundly requested menus. Generally speaking, the framework can be utilized to follow buying of individual to compensation in the dedication program. Another e-business system instrument is the utilization of a site, which advises clients regarding the items offered by the bistro and the different areas of bistros.

Sunday, July 19, 2020

How Long Does Psilocybin Stay in Your System

How Long Does Psilocybin Stay in Your System Addiction Drug Use Hallucinogens Print How Long Does Psilocybin Stay in Your System? Psilocybin in Your Blood, Urine, Hair By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Medically reviewed by Medically reviewed by Daniel B. Block, MD on January 29, 2020 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD on January 29, 2020 eskymaks / Getty Images More in Addiction Drug Use Hallucinogens Cocaine Heroin Marijuana Meth Ecstasy/MDMA Opioids Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery In This Article Table of Contents Expand How Long Does It Take to Feel Effects? How Long Does Psilocybin Last? Factors That Affect Detection Time How to Get Psilocybin Out of Your System Symptoms of Overdose Getting Help View All Back To Top Psilocybin is a psychedelic compound found in specific varieties of mushrooms, also known as shrooms or magic mushrooms. Psilocybin-containing mushrooms can be found in the wild in many parts of the world. They can be eaten fresh or dried, or brewed in a tea. Common sources include the P.cubensis mushroom and others of the genus Psilocybe. Nearly 100 species with varying levels of psilocybin have been identified.?? Psilocybin has been granted a breakthrough therapy designation by the FDA to be studied as a possible treatment for depression.?? Despite promising clinical application, psilocybin remains classified under  Schedule I  of the  Controlled Substances Act and is illegal to possess or sell in the United States, though it has been decriminalized in some parts of the country, such as Oakland and Denver. How Long Does Psilocybin Stay in Your System? Urine: Up to 24 hoursBlood: Less than 24 hoursHair: Up to 90 days What to Know About Magic Mushroom Use How Long Does It Take to Feel Effects? After ingesting psilocybin-containing mushrooms, it will take 20 to 40 minutes to start feeling the effects. By then, psilocybin will have broken down into psilocin which acts on serotonin receptors in the brain.?? The effects peak at about 90 minutes to two hours after ingestion. The bulk of the effects are felt during the first six hours??, which matches the timing of when the metabolite psilocin enters the bloodstream to be eliminated through the kidneys. Physical effects include nausea, yawning, headaches, and increased heart rate, blood pressure, and temperature.?? Mental effects include feeling relaxed and having introspective experiences that may feel spiritual as well as unpleasant effects like nervousness, paranoia, and panic reactions. Some studies and sources report that users can have long-term changes in personality, lasting for over a year. ??Some people who use psilocybin have reported flashback experiences long after taking mushrooms. Though typically not severe, there have been rare reports of people developing hallucinogen persisting perception disorder (HPPD) after taking psilocybin mushrooms, and this requires further study.?? How Hallucinogens Affect the Body How Long Does Psilocybin Last? The average half-life of psilocin is 50 minutes??. The half-life of a substance is how long it takes for half of the drug to be eliminated from the body. It generally takes five to six half-lives for a substance to be entirely eliminated from the system. In the case of psilocin, after three hours, about two-thirds of a dose has been eliminated through the kidneys in the urine. Psilocybin is metabolized more quickly by some people than others. Dosage is a large factor and so is the frequency of use, weight, and age. The experience is highly determined by the persons mindset and their physical setting, often referenced together as set and setting. A 2017 study of healthy adults found that the psilocin levels peak after about 80 minutes, corresponding with the average peak in effects after 90 minutes, but this varies across individuals.?? The immediate effects of using psilocybin wear off in six to 12 hours, though most people report continuing to feel the effects until they sleep and a glow the next day. Urine The standard five- and nine-panel drug tests ordered by most drug testing companies do not typically include tests for psilocybin, but companies such as Quest Diagnostics and NMS Labs do offer urine tests for psilocybin and one of its metabolites, psilocin, that could be purchased by an employer or probation office. Only small traces of the drug are detectable by a urine test for up to 24 hours after ingestion.?? Blood Blood testing for psilocybin is much less common, but it may happen under some conditions. However, the detection window is very brief, which means that the test must be administered within hours after use. Hair Like many other substances, magic mushrooms can be found in hair follicles for up to 90 days??. However, such tests may require larger hair samples in order to find detectable amounts of the substance. Factors That Affect Detection Time Determining how long shrooms stay in your system can be tricky. The amount of time it takes for the body to excrete psilocybin depends on many variables. Detection times are influenced by the species of mushroom. The type of psilocybin mushroom a person takes affects how quickly the metabolite is eliminated from the body. There are more than 100 magic mushroom species and they all have varying levels of psilocybin content, ranging from psilocybe liniformans with 0.16% to psilocybe tampanensis with 0.68% to psilocybe azurenscens with 1.78%. How soon psilocybin is eliminated from your body depends on dosage, frequency of use, type of mushroom, your metabolism, and factors such as your age, how much you weigh, your hydration level, and the health of your body systems. A look at some factors that can affect psilocybin metabolism include: Age: People over age 65 tend to have reduced blood flow to their kidneys and liver, which can delay the excretion of psilocybin.Body mass:  People with higher body mass tend to excrete psilocybin faster than those with low BMIs.Activity levels:  Psilocybin is excreted faster in physically active people with higher metabolism rates.Hydration levels:  Water can speed up the excretion of psilocybin.Liver and kidney function: Having liver or kidney disease can slow down the time it takes for psilocybin to pass through the body.Ingestion vs injection: The half-life for intravenously injected psilocybin is much faster than if it is consumed by oral ingestion. When injected, the drug may be cleared from the body in about seven to eight hours. Psilocybin is not tested for on the typical urine drug screen used by employers. If use is suspected, however, specific tests for it may be ordered. How to Get Psilocybin Out of Your System Drug tests of psilocybin and psilocin involve screening urine samples using High-Performance Liquid Chromatography or Tandem Mass Spectrometry. The report is usually made available between four to eight days. The more shrooms you ingest, the longer the psilocybin remains and can be detected. Drinking water can speed up the elimination of psilocybin, but not in any way that is significant for people trying to avoid detection on a drug test. The only way to get psilocybin out of your system is to discontinue use and allow your body time to metabolize and eliminate the substance. How Long Drugs Can Be Detected in Your System Symptoms of Overdose Use caution whenever handling wild mushrooms. Make sure that you get all mushrooms that you pick yourself looked over by an expert before eating them to ensure proper identification. Even experienced mushroom hunters can mistake a highly poisonous mushroom for the one they intended to gather. Mushroom poisoning can result in catastrophic liver damage and death unless there is immediate access to a liver transplant.?? If you suspect mushroom poisoning, call 911 or poison control right away at  800-222-122. Don’t wait to experience symptoms. While physical overdose on most correctly identified species of psilocybin-containing mushrooms is not likely, some people do have what is called a bad trip, in which they experience confusion, loss of awareness, and exposure to challenging psychological material. A bad trip is largely a product of set and setting, but can also be an indicator of a need for more in-depth psychological support. Many people find that bad or difficult trips are minimized through attending to their basic physical needs before and during the experience, keeping overstimulation to a minimum, using lower doses, and checking in with a trusted friend.?? That said, psychedelic experiences may bring psychological material into your awareness that you find challenging, and it is also helpful to be aware of that in advance and have a plan for working with it. If you are someone with a trauma disorder or other ongoing psychological condition, speak to your psychologist before taking psilocybin. Getting Help While psilocybin may have a low potential for physical dependence, that does not mean that psychological addiction is not possible. While many people feel that a handful of psychedelic experiences are enough to get the healing benefits, some people who regularly take psilocybin may start to feel like their default reality does not compare and may seek to have as many psychedelic experiences as possible. If you feel you may have a substance use disorder, talk to your doctor or speak to a mental health professional. There are different schools of therapy that may be helpful, including harm reduction, psychotherapy, and cognitive-behavioral therapy. For help locating treatment services in your area, call the Substance Abuse and Mental Health Services Administrations national hotline at 1-800-662-4357 or use their online treatment locator. Symptoms of Hallucinogen Use Disorder

Thursday, May 21, 2020

Education Is A Waste Of Time And Money - 1487 Words

Education is very important in today’s society in many different ways because it can tell a person’s success in life. Although education is important, some believe that college is a waste of time and are forced by their parents for the fact that they think college education is essential for the American dream or being successful in life. Some may believe that knowledge is the key to one’s success. Colleges can put an enormous amount of pressure on students because they need to keep a good GPA otherwise they have a chance of getting kicked out. I believe that sometimes colleges can waste your time and money by giving you classes that you don t need toward your degree, even though learning new skills and knowledge is important in today s†¦show more content†¦In Caroline Bird essay â€Å"College is a waste of time and money† she argues about how there are many other ways that a student that just got out of high school can be successful. Many students when asked about why they want to enroll in college is because it’s the most pleasant place to be in for the fact it’s is a chance for them to get out of their house and live on campus and be on their own. Finding a job is also a big issue for students who graduated. Caroline Bird states â€Å"Somewhere between the nursery and the employment office, they become unwanted adults. No one has anything in particular against them. But no one knows what to do with them either. We already have too many people in the world of the 1970s, and there is no room for so many newly minted 18-year-olds. So we temporarily get them out of the way by sending them to college†(Bird 248). This shows that although many people graduate and get a degree they still aren’t able to find a job. In addition, she states that although many people decide to go to college few people actually belong there. One major problem is debt which students rake up during their four years which puts them behind because they have to pay that loan back with interest. Even if they file bankruptcy student loan will never be forgiven and stay with them for the rest of their lives. Clearly, this shows that going to college isn’t for everyone because not everyone graduates in field they want to be in or they just drop outShow MoreRelatedGeneral Education Courses Are A Waste of Time and Money Essay examples1569 Words   |  7 Pagesindependent, mature new lifestyle. Not only is higher education a rite of passage, for some, it is also an opportunity to have a better life. Overall, college is a wonderful part of many people’s lives, yet the way the college education system is conducted wastes students time and money. College is basically composed of two parts: general education classes and major specific classes. General education courses are the source of wasted time and money, and should not be required of students. A few ofRead MoreCollege life or your life? In our society in this day and age a secondary education is certainly800 Words   |  4 PagesCollege life or your life? In our society in this day and age a secondary education is certainly not a preference or pleasure, but somewhat of a requirement. Students are basically grown and accustomed to consider that one needs advanced schooling in order to be successful in life. In addition, President Barack Obama gave a speech and he stated that, â€Å"If you think education is expensive wait until you see how much ignorance costs in the 21st century† (Obama). But then as technology continually advancesRead MoreCollege Is Not a Waste of Money1414 Words   |  6 Pages2013 English Dr. Polster College Is Not a Waste of Money In the essay â€Å"College is a Waste of Time and Money,† by Caroline Bird, Ms. Bird explains her beliefs that college is a waste of time and money and how people only go either because they are told to, or because they are not ready for life. She believes college students are all living in sadness and if they would invest money for years, instead of getting an education, they would get more money than if they were to build a career and workRead MoreStudy Abroad : A Waste Of Time1500 Words   |  6 PagesStudy Abroad, a waste of time. I think not! Is Study Abroad a waste of time or an exciting experience? I say that it s a great thing and for the right people it’s not a waste. Williamson in â€Å"Study Abroad: Revenue Drain or Stream† for the Chronicle states, â€Å" many higher-education institutions and others have found ways to generate revenue from study-abroad ventures. The World Bank estimates that $300-billion is spent each year on global higher education†¦Ã¢â‚¬ What Williamson really means is that sinceRead MoreIs College Not The Best Choice For Everyone?958 Words   |  4 PagesCaroline Bird, in her essay about â€Å"Collage is the Waste of Time and Money†, there are thousands of high school graduates going to the college every year despite their interest and necessity. They aren’t there for the higher education; rather it is for the personal benefit. They take it as a medium to escape for the family yet get the financial support from them. She gives numerous reasons to why college is not the best choice for everyone. The college education has been a necessity rather than an optionRead MoreCollege Is A Waste Of Time And Money By Caroline Bird1287 Words   |  6 PagesAshley Loker Project 3 Mr. Lawson 6 October, 2017 Rhetorical Strategies in Bird’s â€Å"College is a Waste of Time and Money† The decision to obtain a higher education beyond high school is no longer a question of if, but when. This is the question that author Caroline Bird discusses in her article, â€Å"College is a Waste of Time and Money,† written in 1975. This text strives to convince students, parents, and advisors that obtaining a degree might not be in the best interest for those involved. CirclingRead MoreCollege is a waste of time and money1196 Words   |  5 Pagesï » ¿Sorayah Vuningoma Professor Scott English 101 Rough Draft College is a waste of time and money In Caroline Bird, â€Å"College is a waste of time and money,† Bird discusses why college is not necessary for everyone. She states that many college students are in college not because they want to but because they have to. Bird came to realize that college students don’t feel needed. They are led to believe that getting a college degree is important because it’s a way of getting higher chanceRead MoreDo The time, Lower The Crime by James Q. Wilson and Mandatory Minimum Drug Sentences Waste Resource by Kevin Zeese1205 Words   |  5 Pageswith prison related problems like overcrowded facility and huge sums of money being spent on these prisons. Two article that are going to be analyzed in this essay are entitled â€Å"Do the time, lower the crime† by James Q. Wilson and â€Å"Mandatory Minimum Drug Sentences Waste Resource† by Kevin Zeese. Both of these articles have opposite viewpoints toward prison reform. One side of the argument which is int roduced in â€Å"Do the time, lower the crime† argues that harder prison sentences are lowering the crimeRead MoreGraduation Speech : College Is A New Lifestyle, And The Hope Of A Job After Graduation1224 Words   |  5 Pagesindependent, mature new lifestyle. Not only is higher education a rite of passage, for some, it is also an opportunity to have a better life. Overall, college is a wonderful part of many people’s lives, yet the way the college education system is conducted wastes students time and money. College is basically composed of two parts: general education classes and major specific classes. General education courses are the source of wasted time and money, and should not be required of students. A few of theRead MoreI Have Never Let Schooling Interfere With My Education951 Words   |  4 Pageswith my education,† by Mark Twain. Mark Twain is differentiating between education one gets at school and education one gets from real life experiences. Th ere are high chances that experience that a person gets from real world cannot get in school or college. A person cannot live his or her entire life with only knowing information or facts learned from school or college. A person also needs talent, skills, and real world experience to live. College is one of the good ways to get education and become

Wednesday, May 6, 2020

SOLUTION MHR Brewster Seaview Case Study Essay - 2017 Words

The Brewster-Seaview Landscaping Co. Part 1 During the summer of my freshman year in college, I worked for a small private landscaping company planting shrubs, seeding new lawns, cutting grass, and tending flower gardens. The company was located in my hometown of Seaview, N.J., which is a rural community on the coast about 80 miles from Philadelphia. The company was owned and run by Joe Brewster, a 45-year-old man who had lived in Seaview all his life. He had started the company some years ago and not only handled the paperwork (payroll, bills, estimates, and so on), but also worked along with the crew six days a week. The crew consisted of five guys ranging in age from 17 to 20 years. We all lived in towns around Seaview and had gone†¦show more content†¦We were always willing to work overtime for Joe when he needed us to do so. Part II I returned the following summer to work for Joe because of the strong satisfaction I had with the job the summer before. So did the others. However, we were in for a surprise. Many things had changed. Joe had increased the number of workers to 10, bought another truck, and hired two young college graduates from Philadelphia as crew supervisors. His plan was to concentrate on the paperwork and on lining up new customers, leaving the direct guidance of the two work crews to the new supervisors. Joe had hired the two supervisors during the early spring after interviewing a number of applicants. Both were young (23 and 24), from the city, and had degrees in agricultural management from Penn State, but had not known each other previously. We â€Å"old timers† were assigned to one crew and five new workers were hired for the other crew. Because the job market was tighter this year, we were hired at the same base pay as the five new workers, but we were told that we would still be able to make bonus money based on referrals but the new people didn’t have this option. These new workers had little experience in landscaping. Except for the working hours, which were the same as during the previous summer, the two supervisors were told that they could run their crew in any manner they wished as

Healthy Work Environment Free Essays

string(151) " characterized as one that establishes relationships which are based on trust, respect, and can be considered genuine and believable \(Shirey, 2006\)\." A Healthy Work Environment: Essential in Providing Quality Health Care Kimberly Lett DeVry University ENGL135: Advanced Composition Fall term 2010 A Healthy Work Environment: Essential in Providing Quality Health Care The delivery of healthcare has evolved and changed over the years and with the advances in science and technology, the ability to provide safe, quality care to all patients has been impacted by the changes. With the rising healthcare costs and decrease in reimbursement for care provided, organizations must look for ways of cost containment to maintain viability for the future. Fabre (2005) noted that administrators are struggling to maintain financial stability and retain competent nurses during these difficult financial times. We will write a custom essay sample on Healthy Work Environment or any similar topic only for you Order Now Organizations are being evaluated and reimbursed based on their patient care outcomes; as such the nurse’s role is critical in helping to identify potential safety risks to patients and the prevention of medical errors. As hospitals have responded to financial pressure from Medicare, managed care , and other private payers, registered nurses have become increasingly dissatisfied with the working conditions in hospitals† (Fabre, 2005, p. 20). One of the many challenges in healthcare today, is the need for organizations to recognize and facilitate the improvement of the work environment. The need for competent, qualified nurses in any organization is imperative for providing safe, quality care to the clients. For this reason the critical role that nurses have in providing patient safety should not be underestimated. The Institute of Medicine (2004) reported â€Å" research is now beginning to document what physicians, patients, other healthcare providers, and nurses themselves have long known: how well we are cared for by nurses affects our health, and sometimes can be a matter of life or death† (p. 2). The importance of a healthy work environment has been recognized as a key component in maximizing organizational performance, contributing to a decrease in the nursing shortage within an organization and is vital in providing quality care to the clients they serve. The growing concern for the nursing shortage continues to be a major issue affecting the profession and attention is being given to the stressful nature of the work environment. Several national surveys were completed in 2002 and 2004, identifying reasons for the ongoing nursing shortage, one of the major concerns centered on the work environment (Florida Center of Nursing, 2006). Organizations are looking at ways of restructuring the work environment, enabling staff nurses the opportunity to participate in decisions that impact their ability to practice. McDonald, Tullai-McGuinness, Madigan, and Shively (2010) remarked that workplaces that have a supportive work environment have noted success in recruitment and retention of their work force, citing an increase in job satisfaction and improved patient outcomes. With nurses making up the largest percentage of professionals working in a hospital setting, organizations now recognize the importance of the nurses’ role and measures to improve the workplace are being developed. Lowe (2002) noted â€Å" diagnosing the extent of work environment problems in healthcare is the first step in designing strategies to improve the quality of healthcare workplaces† (p. 49). Hospitals looking to improve on the work environment must first have an understanding of the nurses’ perception of their workplace environment. Kramer and Schmalenberg (2008) noted â€Å"the perspective of clinical nurses at the front line as to what constitutes a healthy work environment is essential if interventions to improve practice environments in hospitals are to be implemented† (p. 57). Once an organization is able to identify distinctive characteristics that have an impact on staff and their environment, they are then able to proceed in developing strategies to improve the work culture. All members of the healthcare team, including staff, management, and administrators, must be committed to the development of a healthy work environment as well as sustaining the culture through modeled behavior. Practical techniques to assist in the development of staff friendly cultures are clearly identified, with long term strategies implemented rather than short term fixes, for all members of the organization. To help facilitate and guide organizations, professional groups have designed several programs available for their use in fostering a healthy work environment (Florida Center of Nursing, 2006). The American Nurses Credentialing Center (ACNN) sponsors the Magnet Recognition Program, which focuses on the development of nursing practices and evaluates the environment where nursing is practiced. This program is well recognized by organizations throughout the country, as the Magnet Journey and is considered to be one of the highest achievements that organizations can obtain (Broom, Tilbury, 2007). Organizations that strive to achieve the Magnet designation, acknowledge the link between a healthy work environment and the development of an organization of nursing excellence. Hospitals utilizing the Magnet concept demonstrate the following characteristics; (a) authentic leadership, (b) skilled communication, (c) effective decision making, (d) quality patient care processes, (e) collaboration and teamwork among all healthcare workers, (f) professional growth and accountability, (g) clinically competent staff and (h) adequate staffing levels (Shirey, 2006). All the above components are essential and linked to the effectiveness of a quality work culture. An online survey of clinical nurses, conducted by the AACN, were asked to identify factors that had an impact on their satisfaction with nursing as well as potential reasons that might cause them to leave the profession ( Ulrich et al. , 2006). Leadership style was identified as a key component affecting nurses’ satisfaction with their job. Nursing leadership is a crucial element to the work environment of nurses, as it is the leaders who can bring about positive changes to the environment (Florida Center of Nursing, 2006). The importance of effective leadership from all levels of management in any organization is essential in developing and promoting collaboration with their employees. A manager’s ability to foster leadership growth, and recognize the importance and expertise of the nursing staff will have a major advantage in retention of competent nurses in their units. In essence, leaders who can motivate and provide opportunities for their staff, and demonstrate a high level of role model behavior, have higher levels of staff participation and commitment to the organization. Authentic leadership is characterized as one that establishes relationships which are based on trust, respect, and can be considered genuine and believable (Shirey, 2006). You read "Healthy Work Environment" in category "Papers" Leaders that demonstrate excellent management styles are participatory, coaching and mentoring, they encourage and value staff members and support staff involvement in decision making that has an impact on their work environment (Tomey, 2008). The importance of effective leadership, with staff and management working together, is noted by their ability to create a shared vision for the organization through collaboration and continuous improvement of the work environment. Shirey (2006) noted â€Å"authentic leadership was described as the glue needed to hold together a healthy work environment† (p. 256). Another influential factor in the workplace is skilled communication among all levels of the healthcare team. Key components when utilizing one’s communication skills include verbal and nonverbal interactions and enhanced listening skills, all are vital in ensuring effective communication. Because communication happens continuously in the workplace between employees, managers and customers, it plays a vital role in the development of healthy relationships. Fabre (2005) noted that nursing staff expect sincerity, trust and good communication from all levels of leadership within the organization. Communicating openly and honestly allows for individuals to deal with one another in a respectful manner, build trust and have an appreciation for each other. A healthy relationship among co-workers enhances the communication process, allowing collaboration and teamwork, which in turn leads to a decrease in medical errors and fosters a safe environment for patient care. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) remarked that the 80% of medication errors and 70% of sentinel events that occurred in delivery of patient care were directly related to ineffective communication among the care providers (Florida Center of Nursing, 2006). Interactions among nurses, physicians, patients and managers, all have a direct impact on the quality of care delivered. In order to provide optimal patient care, it becomes crucial for all members of the healthcare team to communicate effectively with one another. Interpersonal relationships and collaborative teamwork among nurses, physicians and other members of the healthcare team are crucial to the delivery of quality care to the patients (Parsons, Cornett, 2005). Another important aspect of a healthy work environment is one where nurses are supported and feel empowered to participate in decision making. Ulrich et al. (2006) reported the Institute of Medicine advocates for frontline staff to be involved and entrusted in the decision making and delivery of the patient care provided. When nurses are given the opportunity to participate in clinical and organizational decisions and receive support for their efforts, it fosters personal accountability and autonomy for all staff involved. Empowerment of the nursing staff establishes the groundwork for a positive workplace with collaboration and meaningful communication, enabling professional development and growth within the organization (Parsons, Cornett, 2005). Organizations that promote staff involvement in the development of policies and procedures, fosters support for the nurses’ ability to use their critical thinking skills in determining what is the best plan of care for their patients. Nurses need to feel safe and secure in their work environment to be effective in utilizing their critical thinking skills. Kouzes (as cited by Fabre, 2005) remarked â€Å"the key to unleashing the organization’s potential to excel is putting that power in the hands of the people who perform the work (p. 7). When staff members are engaged and feel valued as member of the team, a true sense of autonomy is present in their daily care of patients. Fabre (2005) remarked it is extremely important for nurses to be autonomous, allowing them the ability to make decisions about direct patient care in their daily practice. One such method for getting staff members involved is through the use of shared governance committees within their units. Direct care nurses participating on these councils, are involved with decision making regarding positive patient care models as well as nursing satisfaction and retention (Florida Center of Nursing, 2006). Nurses working in positive work environments demonstrate mutual respect for one another, show consistent professional collaboration among all team members and function as high performance team members in their organizations. Vollers, Hill, Roberts, Dambaugh, and Brenner (2009) noted â€Å"nurses affect patients’ outcomes by their direct actions and their influence over the actions of other† (p. 24). It becomes easier for employees to recognize and accept the need for change, problem solve and decrease stress in their workplace. Another important aspect relating to nursing satisfaction is the importance of professional development. Organizations that are recognized for their high standard of patient care acknowledge the importance of their nursing staff and provide opportunities for personal and professional growth. Successful organizations offer various learning avenues for their employees. Emphasis is placed on orientation for new staff members, in-service education, continuing education as well as formal education and career development (Tomey, 2008). Nurses recognize that continuing education and competency go hand and hand and is imperative for professional development as well as patient safety. Individuals, who are given the opportunity to grow and develop their skills and abilities within an organization, will be happier and more productive at work. Another avenue of development for nursing is certification in their specialty. A certified nurse provides a level of expertise at the bedside when caring for his/her patients. Ulrich et al. (2006) noted the correlation between certified nurses and improved patient care; nurses were able to quickly identify the problem and intervene appropriately to the issue at hand. Nurses who embrace the idea of lifelong learning are able to adjust to the ever changing needs in healthcare and are much more satisfied in their job roles. Personal and professional growth is valued in organizations, where managers are committed to providing time and resources for staff learning and educational opportunities (Institute of Medicine, 2004). A shift in management thinking, from controlling to guiding staff, becomes an important step for staff development which in turn improves quality of nursing care. A common concern that nurses have with their current work environment is one of inadequate staffing levels. Hospitals that employ the concepts of magnet empower their nurses to make decisions about appropriate staffing levels. Management and staff nurses work together to build safe staffing strategies to meet the needs of the individual units. This collaboration between staff and management, builds trust, empowers the nursing staff and enables nurses to feel they have personal accountability for the success of their organization (Fabre, 2005). Organizations have struggled with trying to determine the number of nurses needed to provide safe, quality patient care and do so in a cost effective manner. The Institute of Medicine (2004) remarked that experts have recognized that healthcare organizations need to be aware, that overemphasis on efficiency and productivity may have a negative impact on patient safety. With the added stress of providing care for sicker patients with fewer nurses at the bedside, less time is available for nurses to meet all the physical, mental and psychosocial needs of the patients. Morgan and Lynn (2009) remarked â€Å"being pressed for time and energy, nurses describe their work in terms of survival; the luxuries of meaningful care interactions with patients are forgone† (p. 07). Often nurses feel they have time to only perform the minimum amount of basic care; and patient education, basic comforting and advocating for the patient is omitted. The lack of resources in staffing as well as a poor working environment is extremely dissatisfying to the nursing staff and impacts patient outcomes. â€Å"Research indicates that nurse staffing has a defin ite and measurable impact on patient outcomes, medical errors, length of stay, nurse turnover, and organizational outcomes† (Florida Center of Nursing, 2006, p. 5). There is no single action that guarantees a foolproof solution to patient safety during one’s hospitalization, but consideration of staffing levels has played a critical role in providing that safe care. Buchan and Aiken (2008) noted an association between higher nurse staffing ratios and a decrease in medical complications and patient mortality. Staff nurses recognize high risk situations and patient safety concerns, when understaffed they are often times unable to prevent these catastrophic incidents. Safety is a patient’s right and they deserve the nurse’s best efforts. Fabre (2005) noted that the success of nurses as well the healthcare organization is dependent on a positive healthy work environment. Patient safety needs to be the most important goal for any organization. Culture does matters and a healthy work environment makes the difference in an organization’s performance. The importance of promoting health, through the use of wellness programs, as well as prevention of illness for employees in an organization should not be overlooked. Staff should be supported and encouraged to participate in their own health management. Burton (2008) remarked â€Å"it is intuitively obvious that unhealthy, stressed employees will cost a company something in terms of absenteeism and decreased productivity† (p. 3). A positive work environment fosters healthy lifestyles, behaviors and enables individuals to develop coping skills to deal with stress on a daily basis. The financial benefits versus the cost of creating a healthy work environment can be cost neutral. Many of the magnet concepts, if developed in the workplace, are done with no direct costs to the hospitals. Changes in leadership styles, supportive and respectful behavior towards staff and empowering nurses in the decision making does not cost the organization money (Burton, 2008). All these factors will have a significant impact on the work environment; improving the physical and mental wellbeing of staff members. Patients trust and recommend hospitals because of the nursing care they receive. Fabre (2005) noted an important reminder to hospitals; patients tell their family, friends and neighbors about the care, good or bad, they received while a patient in their organization. Excellent patient care coupled with patient satisfaction is what attracts people to an organization. Healthcare organizations that demonstrate and promote healthy work environments will become the employer of choice in their communities. Burton (2008) noted that administrators of an organization cannot argue the fact that their reputation is extremely important in the community in relation to the success of their facility. Patients do notice the difference and when hospitals are able to recruit and retain the best nurses in the community; this nursing excellence has the ability to drive the success of the organization. Whether an organization chooses to seek Magnet designation or not, the concepts can still be utilized in any organization towards the development of a healthy work environment. It is important that organizations recognize the need for development of strategies that foster a healthy work environment, where staff are valued and acknowledged for their contributions and have a desire to work in their facilities. The association between a healthy work environment and the health and wellbeing of the nursing staff correlates to the impact on the quality of care provided to the patients they serve. It is evident that the continuity of patient care, recruitment and retention of competent nursing staff and organizational viability are all greatly impacted by the nurses’ work environment. Maintaining a healthy workplace remains a challenge in healthcare and must be seen as an ongoing process. Healthcare organizations that are able to develop and sustain quality workplaces will be able to meet the demands of healthcare in the future by retaining competent nursing staff and meeting the health needs of their communities. . References Broom, C. , Tilbury, M. S. (2007). Magnet Status: A journey, not a destination. Journal of Nursing Care Quality, 22(2), 113-118 Buchan, J. , Aiken, L. (2008). Solving nursing shortages: a common priority. Journal of Clinical Nursing, 17, 3262-3268. Burton, J. (2008). The business case for a healthy workplace. Retrieved January 24, 2011 from: http://www. iapa. ca/pdf/fd_business_case_healthy_workplace. pdf Fabre, J. (2005). Smart nursing: How to create a positive work environment that empowers and retains nurses. New York, New York: Springer Publishing Company, Inc. Florida Center of Nursing. (2006). The value of a healthy work environment. 1-20. Retrieved January 28, 2011 from http://www. flcenterfornursing. org/files/healthworkenv. pdf Institute of Medicine of the Nation Academies. (2004). Keeping patients safe: Transforming the work environment. Washington, D. C. : The National Academies Press. Kramer, M. , Schmalenberg, C. (2008). Confirmation of a healthy work environment. Critical Care Nurse, 28(2), 56-64. Lowe, G. S. (2002). High-Quality Healthcare Workplaces: A vision and action plan. Hospital Quarterly Summer, 49-56. McDonald, S. F. , Tullai-McGuinness, S. , Madigan, E. A. , Shively, M. (2010). Relationships between staff nurse involvement in organizational structures and perception of empowerment. Critical Care Nursing Quarterly, 33(2), 148-162. Morgan, J. C. , Lynn, M. R. (2007). Satisfaction in nursing in the context of shortage. Journal of Nursing Management, 17, 401-410. References Parsons, M. L. , Cornett, P. A. (2005). A healthy emergency department workplace; the staff describe it. Topics in Emergency Medicine, 27(3), 198-205. Shirey, M. R. (2006). Authentic leaders creating healthy work environments for nursing practice. American Journal of Critical Care, 15(3), 256-267. Tomey, A. M. (2009). Nursing leadership and management effects work environments. Journal of Nursing Management, 17, 15-25. Ulrich, B. T. , Lavandero, R. , Hart, K. A. , Woods, D. , Leggett, J. , Taylor, D. (2006). Critical care nurses’ work environments: a baseline status report. Critical Care Nurse, 26(5), 46-57. Vollers, D. , Hill, E. , Roberts, C. , Dambaugh, L. , Brenner, Z. R. (2009). AACN’s healthy work environment standards and empowering nurse advancement system. Critical Care Nurse, 26(6), 20-27. How to cite Healthy Work Environment, Papers

Sunday, April 26, 2020

The Ethereal Plane Essay Example

The Ethereal Plane Paper Without Time on your side I cannot be stoped. My Daemon forces will soon pour onto the Ethereal Planes, and this fool he pointed his finger towards the semi concious Sirch who was attempting to clamber up to a standing position has sent a large majority of your Solar forces to defend the City Of Knights. You are doomed mohahahhhahahah. And with a swish of his cloak he was gone, the Dark Lord had left. His laugh still echoed through the minds of the stupidfied Ethereal beings. All but Rezarf looked to stunned to move, he helped Sirch to his feet and then spoke. Gather all the Solar and Angelic forces you can. he decreed And move with great haste to the Gates of Hell, we must fight him. Sir! Our forward scouts report the seals on the Gate have been broken, but it has yet to be opened. Good work Colonel, gather your forces and prepare to march on the Gate. We cannot let the creatures of the Nine Hells lose on the Ethereal Plane. Very Good, Rezarf my liege. And so it was.. The combined Solar and Angleic forces of the Gods of Good marched towards the Gates of Hell. Each God defending the Ethereal Planes was armoured and battle ready, for Ethereal Powers alone could not stop other immortals. We will write a custom essay sample on The Ethereal Plane specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Ethereal Plane specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Ethereal Plane specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Rezarf was dorned in glittering white plate mail, and held in his hand the legendary great sword Mikil; Sirch marhced alongside side him in golden mail crafted for him by Deah Neequ (the Elvish God of Craftsmen) and carried with him a long sword of Lighting; Amme was suited in light chain mail of heavy crimson and brandished two Rapiers of solid light; and the fearless Semloh (the God of Battle) lead the legions of Ethereal light adorned in his armour forged from the skin of Daemons, carrying his huge two handed battle-axe over his shoulder. Their forces numbered light, with only 200 Solar warriors and 300 Angelic fighters (as Sirch had sent 2000 Ethereal Guardsmen to the Prime Material from whence the could not be reclaimed in time). The did however know their Godly forces outnumbered those of the Dark Lords. 15 Human Gods marched alongside Rezarf, aswell as 5 Elvish, 4 Dwarfish, and 2 of the Halfling race, but they all knew only Rezarf alone could face up to the Dark Lord Iekkob. The marched forward with vigour and purpose, covering the ground very quickly. Whilst the heavenly light shined down upon them from the ever clear skies of the Ethereal Plane. Their shields, swords, and armour glinted and shimmered in the light. Their brightly coloured helms clinked, and their boots ruslted as they marched. The holy sound of the immortal troops marching to become mortal filled the canyons and hills as they passed. And as the grew ever closer to this possible doom the expressions on the faces of the Ethereal dwellers began to change, their brows grew furrowed and their eyes slender, they knew what was awaiting them was eternal nothingness if they failed. though for a lot they knew the void called for them even if they were victorious. Rezarfs expression, however, never changed; his face radiated steely deterimation and unquestionable belief, and this seemed to lift the downheartend soldiers of good. HALT ! Semloh gave a great cry and raised his hand, and the legions behind him began to stop. He moved to Rezarfs side, and they both stood deathly still. They gazed ahead for what seemed like an eternity for the forces of good, they all could sense the great evil emiting from the Gate but were not sure why they had halted so close to their journeys end. Ummm. Rezarf for once Sirch did not sound sure of himself Why have you and Semloh halted our army? Neither of the two answered him, so he joined them staring waiting. A loud hissing filled the air, the troops readyed themselves for battle. Shields were swung from backs, swords drawn from sheaths, and helms repositioned. Only Rezarf and Semloh did not move, the only apparent change was that they now seemed to b consetrating hard staring forwards with a purpose. Suddenly, very quickly, the unmistakable figure of the Dark Lord appeared. He was wearing no armour, only a robe of pure red and orange that seemed to be alight, and he carried no weapon, save for the staff of fire. He walked forward a few paces, bowed to Rezarf and Semloh, and started clapping. Bravo my dear friends. It seems there are some Stayers of the Light less gormless than your friend Sirch. I am proud of you Rezarf, you have done well to sense my concealed army. But I am afraid I must say NOW MY FIENDS KILL THE HARVANGERS OF LIGHT AND GOOD !!!!! He gave his arm a dramatic spin and pointed towards the bemused Ethereal Gods. They were looking from side to side, and some even took a shifty look behind them. Then out of no where a huge army of Daemons and other foul beasts of Hell appeared from behind Iekkob, charging forward. At the front of their lines where the Gods of Evil, and High Daemon Beast of Hell. The legions of light held their ground, drawing their swords and staying their shields. Crunch. The oncoming wave of Darkness had hit the barrier of light. The Solar, Angels, and Ethereal Beings held firm. Daemon after Daemon fell against the Solar Warriors. The Gods of Light and Evil were locked in combat, fighting to put each other into the void that awaited. Iekkob however slowly walked forwards towards Rezarf and Semloh, who stood together as Sirch had flinched at the oncoming wave and retreated to the lines of light. The occasionaly Daemon ran at Rezarf and Semloh, but with a blood curldling thud they fell as the Battle God swung his great axe. And likewise for Iekkob, though it was his glare that seemed to fell the majority of Solars and Angels approaching him. He approached the two leaders of light and spoke clearly heavenly through the choas. Come my friend Semloh, you are the God of Battle, are you afraid to face me in combat. Semloh growled a heavy growl, and bellowed as he charged towards the Dark Lord. I AM AFRAID OF NO FIEND !!!! Semloh swung his great axe as soon as he was in ranged of Iekkob. It was swung with great power, great strength, and incredible speed. For a fraction of a second it seemed to be a clean swing, looking to take the Dark Lords neck, but with timing and uncanny speed the calm, almost complacent, Iekkob raised his staff and defelected the blow. He then thurst his hand outwards and the invisible force pushed Semloh to the ground, about a metre away. He jumped to his feet, but the Dark Lord was their, and he was knocked down by a heavy blow from the staff. The Battle Gods forehead burned and blead as he lie gasping for air on the hard floor. As he looked up he saw the staff decsending towards his chest, he closed his eyes and accepted his fate. The Dark Lord smiled and withdrew his staff from the Gods chest, feeling Semlohs power draining into him. He looked at Rezarf and continued towrds him. Rezarf turned his gaze from Iekkob, and moved it across the battlefield. His eyes feel upon the figure of Yug diving in front of Amme, and taking the spear of Ydrof through the chest. Sirch was battling against Liwl valiantly his sword moving with speed to deflect the two lighting quick daggers of Liwl, but in vain as he was sliced with blood gussing accuracy by Elags from behind. Elechim had drawn her katana and buckler and was slicing through the ranks of the Daemon High Lords, only to be beheaded by a Harkul King, and lost to the void. Yadand, thanks to his great strength, was holding his own and Xela lay dead at his feet, the Drowish Gods entrails spilling along the floor as her summoned Drow Kings fought to protect her body; but even he fell to the skillful spear of Ydrof. Amme shrieked with anger and launched herself at Rehcturc, her beautiful hair billowing as she ran. The God of Orcs, and so forth, lunged without skill his great two handed sword thrusting forward. Amme deflected the thrust with her first Rapier and dislogded Rehcturc head with the second. Iemaj was quick on the action, he disimbowled a Solar Warrior, and thrust his short sword into the Ammes back her squeal covered the battlefield curdling the blood of the Ethereal Troops. Rezarf turned his gaze back towards Iekkob, who had stopped only 2 metres away from him waiting for his attention. Do you see now Rezarf, your cause is noble but pointless. My hordes of Daemons are slaughtering your Ethereal forces. The Gods who fought beside you are fallen deities. Where as my allies are strong, enhanced by the inheritance of the powers of your Gods of Good. I see nothing you wish me to Iekkob, you are evil. That is all I wish to know. And understand me good shall outlive evil. Look around you, my friend. Your army is all but routed and once your powers are mine I shall rule supreme on the Ethereal Plane. No. you wont. I shall stop you Iekkob, your were once my friend and for that reason I am truly sorry. Rezarf sighed heavily and thurst his hand forward, attempting use the unearthly force to throw Iekkob down. But he did not move, the Dark Lord simply laughed. You should know better Rezarf ! Neither of us can use our Godly powers this shall be a mortal fight. And with those words he leaped the remaining distance between them. Rezarfs sword flashed upwards, thrusting towards the Dark Lords chest, but was swiped away by the staff of fire. The had engage in a battle, where upon one would become supreme and the other would enter the void to be forgotten. You shall not be victorious Iekkob ! Rezarf shouted as he fought, warnings of his un-utterable belief in the power of good bellowed from him. The light shall prevail over the darkness. The glorious sword glinted and shone as its Ethereal owner used it to perfection. It hummed in the air, slash after thrust, after stab. Each was timing and speed to perfection. But the Dark Lords staff deflected every blow, with a sudden blaze of fire and embers as the two weapons smashed against each other. The Dark Lord fought his equal opposite, as did Mikil (the sword of Heavenly Light) as it was pitted against the staff of Hells Fury. Each as evil and righteous as their owner, the weapons blazed with their owners hatred for each other. The two most powerful immortals on the Ethereal Plane fought and fought, even as the battle drew to a close. Daemon forces were hunting and slaughtering the last of the Solar warriors and Angelic Fighters. Good and light shone only from its last carrier, Rezarf. He fought valiantly, though the Dark Lord fought supremely. Rezarf slashed downwards at the Dark Lords chest, but the staff caught the blow and deflected the sword. With speed yet unseen in the battle, Iekkob swung the staff of evil around and thrust hard. Rezarf fell to the floor, gasping for air, blood pouring from the open wound in his chest where the blow had landed. Mikil slipping from his grasp had fallen away. I have won my old friend. Goodbye. You have beaten me but you have not won Iekkob. I have seen your path and you shall lead the way to the void before me. The Dark Lord raised his staff and plunged it downwards, towards the Ethereal heart of Rezarf.   The shout echoed around the battlefield, Daemons cringed, Solars weapt, and the whole Plane shook with the sound of death. Storms crashed through the mortal Planes, as the powers gathered by this one of the most powerful immortals transended into a new host. The Dark Lord looked down, and through his chest stuck Mikil thrust from behind. The sword of Light radiated as the blood of evil itself ran down its glimmering blade. It was withdrawn and its wielder watched as the lifeless body of the Dark Lord fell to the ground, blood gushing from the weeping wound in his chest. His entrails slithered along the beaten grass and his eyes stared in fear as the void engulfed him. Thank You gasped Rezarf Light has prevailed because of youuuuuuuuuuuuuuuuuuuuuuuuuuuuu !!!!!! Rezarfs head rolled away across the battlefield, severed from his body, by the sword of Good. His corpe twitched as his Godly essence raced from it and into its knew host, and then it lay still dead. Rezarfs head had come to rest on the body of the Dark Lord, his eyes looking eeriely into the Iekkobs, his mouth parted into a smile his profecy had become truth. Hahahahahahah A Dark laugh filled the battlefield. Its owner stood proud and tall above the fallen bodies of the two most powerful Gods. As the dust cleared the Daemon forces turned their watchful gaze, and saw the figure of a Drowish King his enormous weapon held in front of him. The Daemons, Gods of Evil, and remaining Ethereal troops bowed and chanted.