Stolen Health Information All Security Mechanisms to...

Stolen Health Information Case Study Sarah Kipp HIM113- Law Ethics in Health Information Instructor Michelle Landis November 29, 2012 Introduction A patient’s right to privacy is one of the most important and protected elements of healthcare today. Patient health information is protected by the Health Insurance Portability and Accountability Act (HIPAA) and even more so by the HIPAA Privacy Rule. â€Å"The HIPAA Privacy Rule is a key federal law governing the privacy and confidentiality of patient information.† (Brodnik, Rinehart-Thompson, Reynolds. 2012 pg. 215.) The law governing patient privacy has two goals, â€Å"to provide an individual with greater rights with†¦show more content†¦Providence Home Services violated this Security Rule in almost every way possible. The employee, while it may have been part of procedure, took ePHI from the facility and left it unattended in his car. There is no way possible that it is part of their security protocols to leave ePHI unattended. Administratively, the covered entity is responsible for ensuring that their employees are fully aware of their sec urity protocols and that they follow them. While some physical safeguards were in place, in the form of password-protected information, not all information was password protected. This employee was in clear violation of the HIPAA Security Rule’s required components and paid the ultimate price, his job. Summary The importance of protecting patient’s health information is not something that can be taken lightly. As employees in the healthcare field, we are given the responsibility of protecting patient information. HIPAA has given us rules and procedures to follow that make protecting this highly classified and vital information easy, if those rules and procedures are followed to the letter. When an employee does not follow the procedures that have been given to them, they are in clear violation of these rules and should be punished. Security Mechanisms Security mechanisms play a key role in keeping a patient’s health information safe.

Bus 307 Operations Management and Quantitative Techniques

Mastering the Bread Making Master Schedule and Producing Automobiles Leaner Your Name BUS 307 Operations Management and Quantitative Techniques Your Instructors Date Introduction The Realco Breadmaster A master production schedule is used by business organizations as a metric to ascertain whether or not their production (outputs) meets their supply demands (inputs). There are times when a business wants to have a surplus and at others letting inventory dwindle to smaller numbers is optimal. The idea is to ensure that customers get their orders in a timely manner to retain loyalty, maximize profits, and reduce overhead and direct costs. The Realco Breadmaster Company has a new bread maker in the hopes of increasing their†¦show more content†¦A properly designed and used MPS can assist large companies to constantly improve their efficiency, control costs and still meet customer demand. Introduction A Bumpy Road for Toyota Throughout the years, Toyota has defined themselves as one of the top vehicle vendors in the world. Ending in March 2004, Toyota’s â€Å"net income [was] $10.49 billion in yen,† which was more than General Motors and Ford Motor combined (Bozarth amp; Handfield, 2008). With Toyota’s car sales on the rise they wanted to focus on improving the quality of cars being produced. Unfortunately for Toyota, they found a series of errors and glitches in their entire assembly process with had a negative impact towards Toyota’s brand. The Toyota Company viewed the Lean philosophy as, â€Å"a form of religion† (Bozarth amp; Handfield, 2008). The Lean methodology is a process in which every aspect of the business is looked at and improved to increase productivity of workers, assembly lines, and inventory and manager management among many others, all the while keeping a close eye on production. 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The problem with plastics Free Essays

The problem with plastics The problem with plastic is that it doesn’t break down and go into the soil it Just sits there for years and years and it’s way overused. We use plastic for A LOT of things: packaging, transporting, manufacturing, etc, but do we ever stop to think about what happens to the plastic after we’re done using it, or where it ends up? The ‘out of sight, out of mind’ saying is perfect when it comes to a lot of environmental issues, especially the issue with plastic. Plastic is made from petroleum, which the earth cannot digest. We will write a custom essay sample on The problem with plastics or any similar topic only for you Order Now Instead of plastic biodegrading (breaking down in the soil) it breaks down into smaller and smaller pieces, which causes more harm than Just staying in one piece. For example, if the plastic ends up in the ocean, the plastic pieces will get smaller, and filter feeders will start to eat those pieces. Since filter feeders are on the bottom of the food chain, every organism (birds, fish, marine mammals, etc. ) that feeds on the filter feeders are also eating plastic. Plastic that ends up in the ocean, kills around one million marine organisms each year! One of the most obvious impacts of plastic bottles is what happens after its been thrown away. According to the Container recycling institute, 86% of plastic water bottles used in the US become garbage that ends up in landfills throughout the country. About 60 million plastic water bottles are used every day in the US. Each year making the plastic water bottles used in the US Takes enough oil and energy to fuel 1 million cars All that energy spent to make Water bottles even more to ship it around the Country How to cite The problem with plastics, Papers

English-Indian Relations free essay sample

DBQ #2 The relations between Indians and the English were variable. On one side of the spectrum, the Wampanoag and Puritans got along very well, even having the â€Å"first Thanksgiving†. On the other end, the Pequot War waged the Pequots against three English colonies. Both sides tried to assert their interests; the English used their advanced firearms to drive the Indians off their land, and also accidentally their Old World diseases helped their cause. The Indians used their knowledge of the land and agriculture to attempt to befriend the English, while when they fought they fought in collaboration with other tribes, mostly in guerilla warfare. Alas, the English diseases and weaponry utterly decimated the Indians, who were forced to move deeper and deeper inland. In the first contact between the English and Indians at Jamestown, the Indians attempted to ally with the English, but soon soured with bad governorship of the English. When John Rolfe arrived he began to help improve the relationship between the two cultures, acquiring more land for the English for crops like tobacco, which he made into an economically viable product. He improved the relations so much that he married Pocahontas, the daughter of the Powhatan chief. After he left the relations began to turn for the worse when the English began to want more and more land from the Powhatans. When the English landed at Plymouth, they were on their own for a short period of time, and didn’t fare very well, losing 45 people over the first winter. In the early spring, a Wampanoag tribesman named Samoset had the first formal contact with them. The Wampanoag were a very friendly group, and they had a member named Squanto, who had previously been a slave on an English ship, who was fluent in English. The Wampanoag really helped out the new settlers, teaching them their ways of agriculture and hunting. This assistance really helped the Puritans get on their feet and not get entirely wiped out from having no previous knowledge of farming or hunting. The two factions had the â€Å"first Thanksgiving† in the fall of 1621; which celebrated the harvest of the first crops planted by Puritan settlers. In the early years, the relations between English and Indians at Plymouth were very good, but later steadily declined for the same reasons as most other colonies’ relationships with the natives-they wanted more land. The worst Indian-English relationship was definitely that between the Pequots and Massachusetts Bay Colony. These two sides fought each other in the Pequot War fought between 1634-1638. This war originally started when an English slaver John Stone kidnapped some Pequots to be put into slavery. The Indians caught and killed him, which ignited the hostilities, along with the murder of John Oldham. The Pequots and English each carried out a few raids here and there, until 1637, when the English, with Indian allies, besieged a Pequot fort, set it on fire, and shot and killed all the survivors that were fleeing away. That day three hundred Pequot men, women, and children were killed at the hands of the English, all but entirely eliminating the Pequots and securing a quasi-peace between the two groups for a while. This war was just a small inkling of what was to come later on in the colonial days when English-Indian relations were even more strained. The English had many ways they planned to accomplish their goal of securing a lot of land from the Indians. The English planned to secure more land by forcing the Indians off of it. They would do so with their use of firearms mainly. The English rifles used in the 1600’s were very lethal, and were used to force the Indians to submit and allow the English more land. Also, although not planned to be, the Indian populations were weakened severely by the diseases brought by the English. The English who settled in the colonies were not the first Europeans the Indians came in contact with, as there had been fur traders there many years. So by the time the settlers arrived, the populations of the Indians were already weakened. Soon more than 90% of the indigenous population had been killed by the English, either in war or by disease. Many of the rest were converted to Christianity or sold into slavery once the English had control of their old lands. The English also wanted to become economically profitable with the land taken from the Indians. They farmed the plots of land they had gotten, but never for much profit. Soon John Rolfe figured out how to make tobacco a good cash crop. The only problem was Indians weren’t a stable workforce, so once slaves from Africa were cheap and available, the plantations boomed. Crops such as rice and indigo also needed slaves, and the English profited mightily of the land taken from the Indians. The Indians also attempted to keep their land, but at first they just helped the English. This proved to be part of their downfall, as they allowed English populations to be prolonged, and eventually destroy them. The English would readily take any help they could get from the Indians, as they needed help adapting to the New World. Once the English are able to stand alone in their colonies, they went and stabbed their Indian allies in the back and took their land. The Indians had no choice but to fight back. The Indians really had little weaponry to combat the English. The bow, although more mobile and faster to reload, did not have the killing power of English muskets. The Indians really had one choice, that is to band together and form huge coalitions to wage war against the English. Metacomet, known to the English as King Philip, lead one of the confederacies. He fought the New England Confederation in King Philip’s War, raiding many of the towns inhabited by Puritans. The Indians raided 52 towns, and 12 were burnt entirely to the ground. At the end, when Metacomet died, hundreds of settlers and Indians lay dead, and Metacomet’s severed head wake paraded on a pike to Plymouth. The war was set off by Metacomet’s old advisor, and Christian convert, John Sassamon, who told colonial authorities of Metacomet’s plan. Also, the Indians used sabotage, described by Edward Waterhouse, â€Å"sat down at breakfast with our peoples†¦they basely and barbarously murdered, not sparing either age or sex, man, woman, or child. † The English won this conflict because of their more advanced weaponry and the spread of disease through the Indians. The bow of the Indians was no match for the very lethal English muskets. The most important factor, however, was the spread of disease. The English had built immunity to the Old World diseases they brought to the New World, and these diseases ran roughshod all over the indigenous population. The Indians had nothing to combat these diseases with, and eventually had to give up their land. They either moved farther inland or were sold into slavery, but those Indian cultures weren’t heard from again.

American Industrialization from Civil War to WWI Essay Essays

American Industrialization from Civil War to WWI Essay Essays American Industrialization from Civil War to WWI Essay Essay American Industrialization from Civil War to WWI Essay Essay Between the Civil War and the terminal of World War I. industrialisation played an of all time increasing function in the economic. societal. and political development of the United States. Industrialization had a immense impact on American in all of these ways. such as many Americans traveling from the rural countries to urban countries. populating the large metropolis life style with Industrialization on the rise. Social Darwinism besides known as Survival of the fittest took an impact during this clip period. the state was confronting great alterations doing many people to get down new life styles. Peoples began working in mills and large edifices alternatively of on farms. Labor brotherhoods besides were formed to protect the workers from unjust rewards. long yearss. insecure conditions. etc. Although there were positive effects during this clip there were besides negative effects on the societal. political. and economic. facets of the United States. First I will travel over how industrialisation affected America economically. Industrialization was at a rise during this clip many â€Å"Big Shot† industrialists became rather affluent from this. although most industrialists used ruthless concern tactics to roll up their wealth. Andrew Carnegie believed in the moral responsibility of the rich giving back to the community so he spent much of his wealth paying for libraries. universities. trust financess. and Carnegie Hall to be built besides making more occupations ( Shown in Document 8 ) . Another Economic consequence on the United States was the American entry into WWI. The ground forces for the United States wasn’t as prepared for the modern candidacy military action like other European states. America’s productive strength made up for that by hiking one million millions of dollars and our industrial potency caused its portion of universe fabrication end product to be 2 and a half times that of Germanys. Our entry transformed the balances and compensated for the prostration of Russia at the clip ( Shown in Document 9 ) this being a positive of American industrialisation. Following I will discourse the societal impact industrialisation on the United States. Due to such the high demand for employees and work at the clip working conditions weren’t ever so great. Clara Lemlich a labour brotherhood work stoppage leader sparked the 1909 walkout of shirtwaist shapers. The work stoppage occurred because workers were doing approximately $ 6 a hebdomad on a good hebdomad. are invariably at their machines from 7am to 8pm daily with merely one 30 minute tiffin interruption. This work stoppage gathered the public’s attending fueling the creative activity of labour brotherhoods and labour Torahs ( Shown in papers 6A ) . Due to hapless on the job conditions. insecure and unhealthy work environments. and kids working started the creative activity of labour Torahs. One of the first of these was the Laws of the province of Illinois and their transition of the 38th general assembly. Some of these Torahs were if upon review such workshops shall be found unhealthy/infectious orders will be given and actions taken as the public wellness shall necessitate. Another jurisprudence passed was kids under 14 are prohibited from being employed ; besides no female shall be employed in any mill or workshop for more than 8 hours a twenty-four hours or 48 hours a hebdomad ( Shown in papers 4 ) . Industrialization from the Civil War to World War I affected the societal facet of the U. S. by drastic alterations. changes the American people were non used to this is where Social Darwinism comes into drama. Following I will cover the political alterations industrialisation caused during this clip period. The â€Å"Captains † of Industrialization during this clip were chesty. such as Mr. Rockefeller they believed they were above the Government and politicians. This created Bad Trusts that reduced competition and drove up monetary values. Theodore Roosevelt the president at the clip became a trust fellow. by making the Sherman’s Antitrust Act in 1890 this declaring all combinations of in restraint trade now illegal ( Shown in papers 7B ) . Another illustration of the political impact was the Boss tweed and Tammany Hall dirt. Tammany hall was a political organisation formed in 1786. and played a major function in commanding New York City and New York State political relations. Boss Tweed was an American politician and the â€Å"boss† of Tammany Hall. Boss tweeds control over the political backing in NYC through Tammany Hall every bit good as the tenseness between political leaders an industrialisation â€Å"kings† lead to Boss tweed holding and unjust add vantage over other campaigners. guaranting trueness of electors through occupation offerings. The result of this later resulted in Tweed’s strong belief for stealing an estimated $ 25- $ 45 million dollars from NYC revenue enhancement remun erators due to political corruptness. In decision the epoch between the Civil War and World War I’s industrialisation played an of all time increasing function in the economic. societal. and political facet of the United States in both negative and positive facets. Economic alterations ranged from where the people chiefly lived and types of occupations to how they changed. Equally good as labour brotherhoods and labour Torahs altering working conditions. to the American entry into WWI. Social alterations ranged from the epoch of reform. the women’s rights motion and the 19th amendment and their right to vote. every bit good as adult females doing mass meetings and work stoppages. Last the political alterations ranged from Theodore’s Roosevelt’s â€Å"Trust Busting† to political greed and corruptness.

Famine and Affulence Essay

Famine and Affulence Essay Famine and Affulence Essay While I was reading singer’s article I was having a hard time really understanding his point of view and grasp what he was trying to convey in the article. I personally do not share the same points or moral beliefs so it made it extremely difficult to relate to the article. I believe singer’s article is primarily about how we can make simple changes in our life styles like, not buying designer clothing for fashion and the appeal to looking cool but, rather out of necessity for warmth and protection. By looking into our self and establishing a standard for everybody that we all should give something back to famine societies whether it is 1 dollar or 100 dollars but, not to the point where you start to hurt yourself or you immediately family either just enough where you still provide sufficiently for yourself and your family but, also the care of a famine society where someone does not have the luxuries that we have or the abilities’ to care and need for them selfà ¢â‚¬â„¢s and their loved ones. His arguments are what are the moral implications of this moral situation? While at the same time he states he will not be morally neutral and argue for his moral position that he takes. Secondly he argues that if we have the power to prevent something bad from happening that we ought, morally, to do it. While singer is defending his moral stand point and hoe his beliefs are tied into his article, singer, also makes some very good counter arguments on his position with his position on them as well. Beginning his paper you get the strong scene that he has a very strong moral stand point on the power to prevent something bad to happen. If we have the power to stop something bad from happening weather it is near or far why would you choose not to? You can take something with little moral siginanifance like a wet out fit to save something with a very high siginanifance like a young boy drowning in a shallow lake or you can give to famine charities where that will feed and clothe someone for a week and provide warmth and comfort. As he mentioned weather you are near or far the point is the same but you may have a different moral standpoint if it was rather far than near. Secondly is the proposal of the drastic revision of the moral scheme. While he is not taking a neutral stand point but rather his own conclusion and while he stats that it is a moral point of view that makes us look beyond our own interests of our own society. While at the time the article was written it was not feasible for this to work but in today’s society we as a whole have the power and abilities’ to make this a very real possibility for countries and famine society’s that are still in need of help and support. Lastly singers has another point he really came off as the relative suffering and finding a permanent solution to the ever growing population and inserting a standard guide line on number, to prevent and maintain a healthy manageable population. Singers concept on m arginal utility at the moderate level is defined as giving to the society to a point where our self’s do not fall below that margin our self’s while at the same time providing a balance back to society however, it will likely stay at the high marginal utility and even though we have the means to stop and prevent and stop most bad things from happening we choose to stick to our own morality and not see the out sides. Singer also mentions duty and charity and how the two are seemingly the same and at the same time have become so different over time. Charity is something we do to help and support other who need it as well gives a scene of pride but, singer claims there is no real thing as a true charity due to all of the strings that are now attached on the other hand there is duty and that is something you are obligated to due. He mentions that they help and hurt each other because if there is too much charity they the lack of duty is prevalent and if there is lack of ch arity then the obligation of duty

Marketing of Sushi Research Paper Example | Topics and Well Written Essays - 3000 words

Marketing of Sushi - Research Paper Example 3. The current marketing strategy of your company enables the company to understand and reach out to the needs of its customers. 5 4 3 2 1 4. The current marketing strategy contributes to the company in terms of customer satisfaction and sales increase. 5 4 3 2 1 5. In general, the marketing style of my company is excellent. 5 4 3 2 1 Part 5 Presentation of Data Perceptions Regarding the campaign Quality improves: No. of Respondents who agree Service design customer Satisfaction Increased Competitive Advantage Increased market share Reduced customer complaints Customer loyalty Cost 30 15 30 30 2230 10 Rated most important factors for a company (among other factors given) Cost Scope Time (schedule) Quality of sushi Safety 5 2 320 2 Company's perception of quality Elimination of defects A tool to increase profits A competitive advantage 4 12 14 2. This study will use quantitative research, which uses explanatory methods in describing the variables wherein the data, situations, or other facts collected will be explained... 2. This study will use quantitative research, which uses explanatory methods in describing the variables wherein the data, situations, or other facts collected will be explained or correlated with other data. It is especially useful when conducting a study wherein the data are immeasurable, such as feelings, beliefs, thoughts, and others (Mays & Pope, 2000). Furthermore, the study will be descriptive as it will focus on the conditions set and the nature that surrounds the data and does not focus on the correlation with other collected facts. In order to come up with the most suitable research approaches and strategies for this study, the research process "onion" is used. This is because conducting a research is like peeling the back layers of an onion-in order to come to the central issue of how to collect the necessary data needed to answer the research questions and objectives, important layers should be first peeled away. With the said process, the researcher was able to create an outline on what measures are most appropriate to be applied in the study. It is not unusual for a researcher to first think of his res

SLP 2 - HRM 401 SELECTION Essay Example | Topics and Well Written Essays - 750 words

SLP 2 - HRM 401 SELECTION - Essay Example This is evident in a person’s ability to fit in the position that they are applying for based on their personal attributes and career objectives (Clarke, 1996). The tradeoff between the time taken on the selection process and the cost is the overstretching of the existing workers who must work extra hours to ensure that all the work is done before new employees are recruited to take up those jobs. The company may have to make extra payment to the employees so as to compensate them for the extra work load. There are a number of considerations that the company has to consider in the application process. The candidates are expected to create an online account with the organization through which the can keep track of their applications and other important notifications. Once the application has been received by the organization’s human resource department, the candidates are notified through an automated online acknowledgement system so as to inform them that their applications were well received. The human-resource staff as well as the hiring managers usually narrows down on the list of applicants based on their skills and job histories that are closely consistent with the requirements of the jobs applied for. In cases where they are not sure of the information presented by the applicants in their resume, they can reach them through phone calls or via email. The list of the shortlisted candidates that the team finally emerges with is composed of those whom there are certain bear all the required details of the job. Selection criteria are mainly based on screening of resumes, job applications and biographical information. It is further based on interpersonal skills or team leadership attributes of the candidates and their ability to represent the company’s brand well to the stakeholders. Multinationals such as Coca-Cola that operates in different countries considers

An Analysis of the Movie Syriana Essay Example | Topics and Well Written Essays - 1250 words

An Analysis of the Movie Syriana - Essay Example From the research it is clear Quicksand is an academic book written by one Geoffrey Wawro. The author’s academic background on military matters and the long-term experience as a teacher of the Naval War College grants him an ability to write from a political perspective. He gives a historical perspective of the incidences that have been pioneered by the American government in the Middle East and relates the incidences to the political and economic significances that are the driving forces behind the involvements. This paper seeks to give an analysis of the movie Syriana and in turn give a relation between the main theme communicated by the movie and the propositions given by Wawro in his book Quicksand. As the study presents Syriana is a 2005 film written by Stephen Gaghan. The film focuses on the interplay that exists between political and economic drivers in the world today. The influences of the United States in the oil industry are addressed in the movie. The movie begins with a major US oil company, Connex, losing drilling rights to a Chinese company in the Middle East oil fields in a kingdom ruled by the Al-Subaai family. This turns out to be a great disappointment to US oil industry. Connex, therefore, settles on establishing a merger with Killen, a comparatively smaller oil company that has recently won the rights to drill oil in Kazakhstan. The position of Connex in the oil industry is hence greatly affected and its position in the world among the oil drilling companies drops to twenty-three.

The Work Of Labor And Delivery Nurses Nursing Essay

The Work Of Labor And Delivery Nurses Nursing Essay Today, the work of labor and delivery nurses (LD nurses) is extremely important and responsible because the quality of their work affects consistently the quality of health care services delivered to women and newborns. In this regard, it is important to remember that, today, many women have problems with labor and delivery because of their age, health problems and other factors that make the natural process of labor and delivery difficult. In such a context, the role o LD nurses can hardly be underestimated because their qualification and experience may be crucial for the successful delivery. At the same time, in the contemporary health care environment, the job of LD nurses is basically similar to the job of other nurses in terms of qualification, education, skills and wages. In such a situation, human resource managers often face problems with motivation of LD nurses. This is why human resource managers should focus on the use of non-material motivators, which may be very effectiv e. On the other hand, they should pay a lot of attention to training and education of LD nurses because their qualification plays crucial role in the provision of proper and effective health care services to women and newborn in the course of the labor and delivery. Therefore, LD nurses should have a wide range of nursing skills and abilities, high qualification and solid education background, whereas human resource managers should keep them motivated to carry on their professional development and provide nursing care services of the high quality. On analyzing specificities of the job of LD nurses and their workplace environment in terms of human resource management, specialists (Limentani, 1999) argue that education affects consistently the performance of LD nurses and the effectiveness of their work. In this regard, it is possible to dwell upon basic educational requirements LD nurses should meet in the contemporary health care setting. First of all, LD nurses should have the Bachelor degree because the essential education for LD nurses is the Bachelor of Science in Nursing. However, the bachelor degree is a minimal requirement, whereas often a Master of Science in Nursing degree is needed. The high qualification is one of the essential conditions of the successful professional development of LD nurses because they need to have a solid educational background and profound knowledge in labor and delivery nursing. Naturally, the experience of LD nurses is also very important but they acquire their experience as they carry on their education and professional development. The Bachelor and Master degrees are very important because they provide LD nurses not only with certain status but also and mainly they provide them with basic education on the ground of which they can elaborate the strategy of their professional development and keep growing in professional terms. Furthermore, LD nurses should have a registered nurse license from their state board of nursing (Ryan and Ray, 2004). This is another important requirement LD nurses should meet because the registered nurse license is a sort of guarantee of the current professional level and competence of LD nurses. Registered nurses cannot work without license but LD nurses should strive to obtain the license because the license opens new job opportunities for them and, what is more, contributes to their further professional development. In such a context, many specialists (Benoff   Grauman, 1997) place emphasis on the fact that LD nurses should take training and get involved in courses in a LD nursing program. In actuality, a large number of training programs is available to LD nurses and it is one of the major tasks of human resource managers to motivate LD nurses to participate in training programs. They should explain LD nurses positive effects of training programs for their professional development. In fact, training programs increase the professional level of LD nurses and, therefore, increase the quality of nursing care services they deliver to patients. However, sometimes LD nurses have poor motivation and they need the assistance from the part of human resource managers to participate in training programs. This is a case of experienced LD nurses mainly because they feel confident in their professional skills and abilities, they have extensive experience, and they believe they do not need training courses anymore. This is exactly where human resource managers should work closely with LD nurses to motivate them to carry on their professional development and to participate in training courses. At the same time, along with training, job competences for labor and delivery nurses are extremely important for effective performance of LD nurses and the high quality of nursing care services they deliver to patients. Job competences required for LD nurses normally coincide with job competences required for other nurses. Nevertheless, human resource managers should pay a particular attention to the development of basic job competences in LD nurses. In this regard, LD nurses should have well-developed professional skills above all. This means that they should be professionals, who have extensive knowledge and experience and who are capable to implement their knowledge in practice in their regular work in the real health care setting. Along with specific professional skills and knowledge, LD nurses should develop other competences, which are crucial for their regular work. In this regard, specialists (Miller, et al., 2003) point out that LD nurses should be able to make quick decisions at critical times. To put it more precisely, they should be able to respond fast and properly to any challenge they face in their work. In fact, this is one of the fundamental requirements LD nurses should meet because the fast decision is a key toward the delivery of nursing care services of the high quality. The delivery of nursing care in time may be crucial for the life and health of patients of LD nurses. Therefore, they should pay a lot of attention to the decision making process because often LD nurses have to take decisions on their own and they do not have time to ask for assistance of other health care professionals. In such a situation, the promptness of LD nurses decision making may be crucial for the health and life of women and newborns. At the same time, LD nurses should have good physical stamina and general good health. The work of LD nurses needs significant physical forces and physical stamina and general good health are essential for them. Otherwise, LD nurses could not afford physical pressure they are vulnerable to in the course of their work. At this point, specialists (Limentani, 1999) place emphasis on the fact that LD nurses should always stay focused and concentrated on their work, whatever the time they have been already working. Even if they grow tired, they still have to stay focused on their work because there is no margin for error and LD nurses are responsible for outcomes of their work. The attention and concentration on the proper performance of LD nurses comprise an integral part of their training and human resource managers should develop stamina of LD nurses through stressing the importance of their own health for the provision of health care services to patients. Furthermore, LD nurses may face a number of serious problems in the course of their work. This is why many specialists (Ryan and Ray, 2004) insist on the development of problem solving techniques in LD nurses. It proves beyond a doubt that the development of problem solving techniques is very important because, if LD nurses face a problem and are panic-stricken, they cannot work effectively and they cannot deliver essential nurse care services to patients. In stark contrast, LD nurses, who are experienced in problem solving, stay cool even in the most difficult situation. Instead of falling in panic, they start applying a problem solving technique they believe to be the most efficient in the specific situation. On the ground of problem solving techniques, LD nurses can use their professional knowledge, skills and abilities to work effectively in the most extreme environment. At the same time, specialists (Limentani, 1999) argue that LD nurses should come prepared to face conflicts in the course of their work with both colleagues and patients. In this regard, human resource managers should stimulate the development of conflict management to help LD nurses to prevent the emergence of conflicts and minimize their negative impact on patients and health care professionals, in case conflicts have emerged. In the contemporary health care environment, the conflict management is one of the most important competences of LD nurses because conflicts affect not only psychological state of patients as well as nurses but also their physical state. In case of LD nurses and their patients, any significant deterioration of psychological state or physical health may be dangerous for patients. In addition, many specialists (Miller, et al., 2003) recommend developing counseling strategies in LD nurses. Counseling is very effective, when LD nurses deal with patients, who have significant problems with their health. Counseling helps patient to recover in post-operation period as well as in situations, when they have some difficulties and need the assistance of LD nurses. At the same time, specialists (Ryan and Ray, 2004) point out that economic implications of LD nurses work are also very important in the contemporary health care environment. In fact, the median annual wage of LD nurses meets the average wage level of nurses in the US (Limentani, 1999). The following table shows the wage of LD nurses depending on their certification: Skill: Labor Delivery, Birthing Median Hourly Rate by Job Job National Hourly Rate Data  (?) $0 $10 $20 $30 Registered Nurse (RN) $25.64 Certified Nurse Assistant (CNA) $10.99 Licensed Practical Nurse (LPN) $16.43 Registered Nurse (RN), Emergency Room $25.86 Charge Nurse (RN) $29.12 Licensed Vocational Nurse (LVN) $17.88 Registered Nurse (RN), Operating Room $28.82 Country: United States | Currency: USD | Updated: 17 Feb 2011 | Individuals Reporting: 6,542 Source: Skill Labor: Delivery, Birthing/Hourly Rate. (2011). http://www.payscale.com/research/US/Skill=Labor_%26_Delivery,_Birthing/Hourly_Rate In such a way, LD nurses basically meet average standards in the industry. Therefore, human resource managers can hardly count for the high level of motivation of LD nurses, if they use material motivators solely. Bonuses and increase of wages may be effective but they will not bring positive effects always. In a long-run perspective, other motivators are needed to stimulate LD nurses to work better. In such a context, specialists (Miller, et al., 2003) suggest different strategies and solutions human resource managers can use to increase the effectiveness of work with LD nurses, minimize the risk of conflicts and stimulate the professional development of LD nurses. First, LD nurses need to stay motivated, regardless of their experience, skills and abilities they have developed in the course of their professional career. Second, LD nurses should be confident of their responsibility for outcomes of their work. Human resource managers should inform LD nurses about consequences of professional negligence from the part of LD nurses and their legal liability. At the same time, human resource managers should motivate LD nurses to improve their professional skills and knowledge through participation in training programs. For instance, human resource managers can promote LD nurses, who are particularly successful in training or who are eager to participate in training programs. In additi on, human resource managers can use the knowledge sharing management strategy, which helps to share knowledge within a health care organization using the experience and knowledge of health care professionals working in the organization. For instance, more experienced LD nurses can share their knowledge with newcomers, whereas physicians can share their knowledge with experienced LD nurses. In such a way, health care professionals working within the health care organization will share knowledge and develop new skills and abilities. In addition, human resource managers should help LD nurses to improve communication with patients and to use effective strategies and techniques of problem solving, conflict management and counseling. Thus, taking into account all above mentioned, it is important to place emphasis on the fact that LD nurses are responsible for their work and they should provide nursing care services of the high quality because health and life of patients are in their hands. In this regard, the effective human resource management can be an effective tool to improve the quality of nursing care services being delivered by LD nurses to patients.

Tone Analysis-their Eyes Were :: essays research papers

Tone Analysis of the selected passage from Their Eyes Were Watching God   Ã‚  Ã‚  Ã‚  Ã‚  The somber and effusive tone of the selected passage from Their Eyes Were Watching God, by Zora Neale Hurston, is shown through its general diction and imagery. Hurston uses skillfully chosen words to enhance the imagery, and both devices contribute to the tone of this scene.   Ã‚  Ã‚  Ã‚  Ã‚  The somber and the effusive tone can be seen in this passage, which also happens to be the climax of the novel in which Hurston gives the reader a dramatic image of Tea Cake's death scene. Hurston's choice of words and sentences will aid in creating the imagery. In the first paragraph, she describes how 'Tea Cake crumpled at his bullet'; and how Janie 'pried'; her husband's teeth from her arm after 'he crashed forward in her arms.'; She also begins the second paragraph by saying 'It was the meanest moment of eternity'; and how Janie sacrificed herself 'with Tea Cake's head in her lap.'; The mentioning of Janie's sacrifice is crucial to this scene. Even though Tea Cake treated her better than her pasts husbands, the act of Janie shooting Tea Cake shows her newly gained freedom and independence. Janie learns how to live for herself. The effusive tone or the outpouring of emotions can mainly be seen in the second paragraph. The beginning statements of how 'she wanted him to live so much'; and the sentences before that , makes us sympathize for Janie. Janie's emotions can clearly be seen in this section. She ' held his head tightly to her breast and wept and thanked him wordlessly for giving her the chance for loving service.