Defective Senses in Eliots The Cocktail Party Essay -- Eliot The Cock

Defective Senses in Eliot's The Cocktail Party T.S. Eliot's play The Cocktail Party, among all its banal or peculiar occurrences, is laced with images of defective senses and perception, particularly of sight. The muddle of reality and illusion confounds the main characters, and their attempts to escape drive the plot. Within five lines of the play's beginning we are confronted with defective senses: "You haven't been listening," (p. 9) complains Alex to the confused Julia when she asks about the tigers in his story. Julia exhibits another confused faculty, that of taste: at first she claims "What's that? Potato crisps? No, I simply can't endure them," (p. 15), but later says "The potato crisps were really excellent" (p. 21). Soon she adds sight to the list: "I must have left my glasses here, / And I simply can't see a thing without them.... / I'm afraid I don't remember the colour, / But I'd know them, because one lens is missing" (p. 33). Even with her glasses, Julia's sight will be impaired. And the glasses turn out to have been in her handbag all along. Yet Julia's glasses, though often lost, through their very existence allow her to see better. The spectacles may indeed be a symbol for the play's theme of blindness, but for Julia they provide an excuse to "see" more -- to spy on her companions , as she admits when she says "Left anything? Oh, you mean my spectacles. / No, they're here. Besides, they're no use to me. / I'm not coming back again this evening" (p. 86). The other characters of Eliot's play all exhibit their own failings of perception. Alex finds no mangoes or curry powder in Edward's kitchen, only eggs -- no exotic or intense tastes, only the bland and prosaic. Alex says of his egg concoction that ... ...cent obliviousness "may remember the vision they have had" (p. 139) -- but is "vision" here an apparition or a way of seeing? Do those who retreat from Celia's discovery abandon a dream, or an entire sense? Reilly claims the retreat to normal life "I could describe in familiar terms / Because you have seen it, as we all have seen it" (p. 141), but, if Celia presses on, "the destination cannot be described.... You will journey blind" (p. 141) -- our normal senses fail us, for we need some higher perception. An illusion or mirage is a failure of vision, so what of vision and mortal existence, whose illusion Celia has pierced? Such higher senses, perhaps, belong to the Guardians of Eliot's half-hidden mythos. True sight may be granted only through travel "on the way of illumination" (p. 147). Works Cited: Eliot, T.S.,The Cocktail Party, Faber and Faber, 1950.

Betrayal in Shakespeare Essay

Breaking the bond of trust in a relationship, and deceiving another person is considered betrayal. In Shakespeare’s Julius Caesar, betrayal can be seen as the base of the whole story, and throughout the play between other characters. Due to the anger of Cassius, the whole of the play deals with the betrayal of Caesar by Cassius, and there are examples of this before and after his death. The first betrayal of Caesar can be looked at in the very beginning of the play, when Flavius and Marcillus sends the commoners away, and then proceed to take scarves off of the statues celebrating Caesar. They make the comment, â€Å"These growing feathers pluck’d from Caesar’s wing will make him fly an ordinary pitch,† (Act 1, Scene 1). In other words, the two conspirators feel that by sending away Caesar’s followers will give Caesar a reality check of sorts, and to bring his ego down a peg. The next example of betrayal can be seen by Cassius working to get Brutus to his side, away from believing in Caesar. He does this by first sending him a fake letter, and then proceeds to tell him about why he is so upset, and that he feels betrayed by Caesar. He tells Brutus about a time before when they were swimming across the Tiber river and Caesar was almost drowning, calling out, â€Å"Help me, Cassius, or I will sink! † (Act 1, Scene 2). He describes how he saved Caesar’s life, then tells Brutus, â€Å"and this man is now become a god, and Cassius is a wretched creature and must bend his body,† (Act 1, Scene 2). This would be describing Cassius bowing down to Caesar as a king, even though he had saved his life. Most of the betrayal in this story is fairly upfront, until Act 3, after Caesar is killed. His friend Mark Anthony acts as though he is betraying Caesar, in order to take his later revenge. When he first arrives at the murder scene, he shakes hands with all of the conspirators that have killed Caesar, even though their hands are covered with blood. He then comments, â€Å"Shall it not grieve thee dearer than thy death to see thy Anthony making his piece, shaking the bloody fingers of thy foes, most noble! In the presence of thy corpse? † (Act 3, Scene 1). He is actually speaking to the spirit of Caesar. Anthony plays this part of fake betrayal to Caesar, continuing by agreeing to Brutus that he will not say anything bad about him after Brutus gets done speaking at the funeral of Caesar. Yet, the true betrayal happens when Anthony begins to discount everything Brutus has just said to the citizens, and he turns the citizens against Brutus and the other conspirators. The citizens become enraged as they feel that their leader, Caesar has been betrayed by the killers. The last example of betrayal can be seen as family betrays family. In Act 5, there is a conversation between Lepidus, Octavius, and Mark Anthony. The first family betrayal is when Lepidus consents to have his brother killed along with the other conspirators. Octavius asks Lepidus, â€Å"your brother too must die; consent you Lepidus? † to which Lepidus answers, â€Å"I do consent,† (Act 5, Scene 1). The next family betrayal is when Mark Anthony then agrees that his sister’s son, Publius will be killed too. Anthony replies without hesitation, â€Å"He shall not live; look with a spot I damn him,† (Act 5, Scene 1). There are other examples of betrayal in Julius Caesar, but betrayal is a concept that the whole story is based on, interweaving between almost all the characters of the story. From the major storyline of the betrayal of Caesar, to the minor betrayals between characters which cause Caesar’s death, or betrayal that is because of it, this is ultimately the theme of the story itself.

An Analytical Comparison of the Gangs - Free Essay Example

Sample details Pages: 2 Words: 691 Downloads: 10 Date added: 2019/04/12 Category Society Essay Level High school Tags: Gang Violence Essay Did you like this example? However, the formations of Chinese gangs in both countries are different. In the U.S., the identity crisis is the main factor that leads to gang formation.(Long, 1996). Asian immigrants often found themselves in a cultural conflict: while one stressed strict obedience, the other stressed independence and self-sacrifice, and the inability to reconcile the demands from two inconsistent identities became the cause of the formation of the gangs in the U.S(Long, 1996). In other words, those people came together to realize self-recognition, and make profits together. Therefore, the scale of the gangs is relatively large and unbounded. Whereas in China, gangs are relatively small and exceptionally localized they tend to limit the number of the members to between 50 and 200 people(Long, 1996), because Chinas central government is very protective of its position as centralizing force in the country. That is, Chinas central government has no tolerance of nationwide underground groups that have abilities to challenge the central government. Since gangs by their natures are forces that challenge the baseline of the central government, they tend to draw attention from the central government, but only when they grow large enough to pose a considerable threat(T. Wing Lo, 2010); they can stay out of governments radar, as long as they remain in fairly small size. Don’t waste time! Our writers will create an original "An Analytical Comparison of the Gangs" essay for you Create order Moreover, Chinese gangs in the U.S. and in China have completely different models. There are two models of the gangs: structure-control model and social network model(T. Wing Lo, 2010). Gangs in mainland China is social-network-model-based. In this model, guanxi, which means personal relationship and reciprocal obligation developed through a particular social network(T. Wing Lo, 2010), is essential, which plays a vital role in illegal business. Guanxi provides a huge number of opportunities for the gangs to obtain benefits illegally and commit crimes without punishment. For example, the godmother of the Chongqing underworld, Xie Caiping was the only female gang boss in southern China. As the head of moneylending company and more than 10 illegal gambling dens, without polices crackdown, her gang had made 293,000 dollars since September 2004(NBCNews, 2009). The reason why she could commit crimes without police intervention is that as the sister-in-law of Wen Qiang who was Chongqing deputy police chief, she created a guanxi with the local police. Under the guanxi with Wen, Xie even developed corrupt networks within police at different levels Peng Changjian, deputy police director required low-ranking police officers not to interrupt Xies gambling businesses(Li, 2009), which enabled her to establish a gambling house in a hotel next to the prosecutors office(Branigan, 2010). Therefore, Xies illegal businesses were shielded and became immensely cost-effective. On the other hand, almost all Chinese gangs in the U.S. are structure-control-model- based, which emphasizes that organized crime is facilitated by a cohesive triad structure and tight internal control(T. Wing Lo, 2010). Specifically, structure-control model not only stresses loyalty to the gangs and sworn brotherhood but also emphasizes the oaths, rules and central control within the gangs. This type of controlling mechanism restrains gang members in what they should and should not do, and how they implement the tasks without drawing attention from the police, and reinforces the cohesiveness within the gangs. Contrast to the gangs in China, as immigrants in the U.S, when they dont have a strong connection with the local authorities, they have to maintain a comparatively peaceful environment for illegal money-making, because any violence would attract police attention. For instance, the Flying Dragon, which was the enforcement arm of Hip Sing Tong, was one of the most powerful gangs in Chinatown in New York City. The Tongs were legitimate merchants associations, which functioned like the self-help organization of immigrant groups, providing protection against the larger society(Research Directorate, 2006), but they also possessed affiliated groups, which were gangs, to implement illegal activities. Under the regulation of the Hip Sing Tong, the Flying dragon remained unnoticeable by the police before the police caught its head Johnny Eng; only after the capture of Johnny Eng, the local police realized that the Flying Dragons were an extremely violent gang, which not only involved in drug trafficking, but also involved in kidnapping, arson, murder and illegal gambling.

The Philosophical Issue Of Knowledge - 1237 Words

Name: Instructor: Course: Date: Title: In this project, the philosophical issue is how do we acquire knowledge? Acquisition of knowledge is a culture that is very important in the day to day life of each individual. The world itself revolves around knowledge, it is through knowledge that we can get to grow as human beings either in or academics, careers and in life at general. Epistemology has been well explained by the well re-known philosophers such as David Hume and Rene Descartes. This paper focuses on a philosophical issue: how we acquire knowledge, the philosophers who explored and talked about it, the concerns available and our present view on the current issue. Knowledge is having information, skills, facts and expertise regarding a particular concern or the world at general that increases the faculty of human beings. Well, in philosophy, Epistemology is the process by which knowledge is acquired. The two philosophers, Hume and Descartes, both have different positions when it comes to this philosophical issue and have different views concerning epistemology but they share in some aspect such as the approaches which were skeptical. It is through them that we have widened our knowledge making philosophy to be just as important as sciences are. David Hume is a philosopher who was rather empiricist in a methodological, explanatory and conceptual way (Stirling, 1999), this made him think that it is only through observation that a theory could be determined andShow MoreRelatedThe Central Tension Within The Republic Of Plato990 Words   |  4 Pagesto find the truth - the ideal philosophical way of leading a city. As described by Plato, those who become complete guardians are born with the capability of developing philosophical knowledge unlike others (518b). 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Tom Rockmore is Professor of Philosophy and a McAnulty College Distinguished Professor, Dr. Rockmores current research interests encompass all of modern philosophy, with special emphasis on selected problemsRead MoreEssay on Fulfillment is Gained Through Philosophical Thought1199 Words   |  5 PagesFulfillment is Gained Throug h Philosophical Thought The ability to think philosophical is the ability to truly understand and know ones surroundings and everything that influences those surroundings to the degree that knowledge becomes the ultimate understanding and appreciation of the surroundings without question. With this ultimate understanding, a philosopher is able to appreciate life and live life to a fuller degree than the average person. Unfortunately, becoming a philosopher or even recognizingRead More The Rise Of Christianity Essay1320 Words   |  6 Pageswas no need for new discoveries. Everything that mankind would ever need to know about God, nature, or humanity was to be found in the Bible. The process of discovery that began in ancient Greece had come to an end. Books would be destroyed and knowledge would be lost, marking the beginning of a dark age that would last for the next thousand years. Augustines writings became sacred in their own way. His books still form the backbone of Catholic philosophy today. He died during the barbarian invasionsRead MoreThe Value of Philosophy Essay754 Words   |  4 Pagessynthesize their religious faiths with Greek and Roman philosophy. Modern philosophy includes the various philosophical attempts in the 17th and 18th centuries to react to the scientific revolution which took place during the 17th century. It culminates in the philosophical system created the German philosopher, Immanuel Kant. Recent philosophy covers the 19th and 20th century philosophical movements which have developed in reaction to Kant’s philosophy. â€Å"Practical† people often dismiss philosophyRead MoreA Philosophical Framework For A Project1180 Words   |  5 Pagesa deep philosophical framework in order to be as informative and interesting to be read as it can. bring the best results. Moreover, putting a philosophical framework in projects is supposed to be a critical issue. In addition to this, in order to show clearly the aim as well as the focus of the project, each step must be appropriate, and ‘fit’ if we want to talk with the language of modern research philosophies. Projects should also be characterized by a logical cohesion, so philosophical approachesRead MoreSkeptecism of History and Science1097 Words   |  4 Pagesphilosopher who denies the possibility of knowledge, or even rational belief, in some sphere.When knowledge is primarily presented by an abundance of assumption is brought up. Generally, a skeptic often is required to proceed a thorough evaluation of the assumption or hypothesis p resented in order to provide factual clarity. What may seem correct has the potential to be completely faulty when another evidence clashes with the primary idea. The two areas of knowledge that requires to an individual to thoroughlyRead MoreExploring Strategies for Teaching Essay1189 Words   |  5 PagesTeaching is a strategizing act of service. It aids students in understanding the mysteries of certain subjects and shapes their mindsets on how they will apply the knowledge he or she acquire about the subject. However, in order to do this act, the teacher will have to have an idea about teaching and learning and apply it in his or her instruction. Conversely, instruction of information should be done in a manner that the student can explicate the information that the teacher is elucidating. This

Accounting and Society Example

Essays on Accounting and Society Research Paper ï » ¿Ã‚  Accounting  Ã‚   The accounting major merges practice and theory to train learners for reporting and analysis of the economic interests of corporations or organizations and passing of the attained information to individuals who make decisions. Students who decide to pursue accounting develop techniques in international accounting, managerial accounting, taxation, budgeting, internal and external auditing, accounting systems, financial reporting, financial analysis, and internal controls. The accounting major grooms learners for a wide area of accounting careers in government, profit, and non-profit organizations. The accounting major eases the decision on making a career choice. It helps in determining the career way to pursue (Perks 16). This paper looks at my decision of becoming an accounting major and the accounting profession I would want to become in the future. In recent years, it has become necessary to follow a career path that can provide compensation in case of layoffs or global crises. In addition, several economic sectors, both private and public, have faced economic issues. In choosing a career, it is essential to pursue a career that will not be severely affected in case of an economic difficulty. Accounting provides the most positive answer to any career choice question. People engaged in the accounting profession receive additional payments compared to individuals in alternative professions (Perks 19). Moreover, different substitute employments where enhancement is delayed, the accounting profession has consistently increased its salary within a year in which it stops in business. First, accounting has a lofty competitive salary. The current salary for an account lies between $40,000 and $50,000 annually. Accounts can also earn additional amounts of money depending on their experience in the accounting profession. Individuals who start their career in accounting earn a reasonable pay compared to individuals in commencement of other careers. Second, accounting has always been highly demand. Even though, earlier accountant had not been paid exceptionally well, they have been growing in demand. The accounting profession is increasing becoming a sensitive thriving career margin because every commercial activity that exists, tiny or large, requires the services of an accountant (Perks 23). An impressive accountant will never be unemployed because the accounting profession exists in every business. Third, the accounting major provides an opportunity to advance career. Accounting is a recognized career that has an enormous demand. This means impressive work will be fast remunerated with fortification as immense as increase in payment. There also have been substantial opportunities for advancement that can direct an accountant toward gaining a difference over individuals from other careers within the shortest period. Fourth, the accounting major, will lead to a career in accounting. The accounting profession entails excellent benefits. Apart from large salaries and opportunities for advancement, accounting is also accompanied with numerous, magnificent benefits. These benefits are essential to both the accountant and his family or dependents. The benefits cater for retirement, savings, housing, medical care among other benefits (Perks 26). The benefits act as motivation for the hard work performed by the accountants. Fifth, the accounting major presents the student or learner to several work opportunities. This is because most businesses require the services of an accountant. The demands of accounting can place an accountant to any sector, from industry to the environmental sector. While an original focus on an accountant is on commercial operation finances, the accounting profession in most cases entails communication with extensive different professions in any area of work. There has never been a boundary over where an accountant will work. This shows how the accounting profession is diverse and dynamic. In addition, it is easy for accounting major to change his career path if he is not satisfied (Perks 26). The accounting options are as dynamic as working as an auditor of a major international corporation to running a tiny accounting venture from a home. Sixth, Paying for services that involve bookkeeping, income returns, and payroll can be extremely expensive for a family or small business. Being an accounting major will enable an individual to conduct all these activities for himself. There will be no need to entrust the hard-earned salary, investments, and livelihood to an individual who has not invested anything to lose. In addition, this enables a person to take probable deduction and precaution to take full advantage of the income, investment, or wealth. Also, when a person acts as an accountant, he removes the probability of his money being embezzled. Finally, the accounting major assists an individual make knowledgeable business or investment choices (Perks 28). A person purchases, makes investments, and makes business decisions reduce the income tax results for a business or family and multiply profits. As an accounting major, a person will gain knowledge of what business and investment activities to follow so as to eliminat e tax liability and still gain profits for the business. The different employment opportunities available for people who would want to pursue the accounting profession can be categorized into three core areas. They include government and not-for profit accounting, public accounting, and private accounting (Perks 33). I will pursue governmental accounting, now that accounting is my major. This is because the utilization of accounting processes results in government differs enormously from the utilization in the private segment. I would also want to work for the federal, state, or local government because I will be employed by the Internal Revenue Service. In addition, an accountant working for the government audits private business or maintains government agencies financial records or audit people who are a focus to government taxation and regulation. Also, I would be interested in working as a governmental accountant because the significant decision makers, particularly, representatives and officials, require organized, accounted financial information to be presented for the goals in the decision making. These objectives or goals do not bear any connection to net proceeds outcomes but instead they focus on efficiency and service delivery. Moreover, governmental accounting considers the taxpayer (Perks 35). This is a particularly momentous group, and they want pay the lowest amount of tax as they can for the indispensable services for which funds are being compelled by rules. Also, this accounting calculates the financial resources flow instead economic resources flow. Work Cited Perks, R. W. Accounting and Society. New York: Chapman Hall, 1993. Print.

Promoting Clinical Excellence

Question: Discuss aboout the Promoting Clinical Excellence. Answer: Purpose and search strategy for literature search Health care professional have the duty to effectively deliver quality patient outcome. They are required to promote patient safety and quality through a culture of safety, evidence based practice and clinical judgment (Longtin et al. 2010, pp. 53-62). However, this process of safety is compromised due to fatigue and burnout in the job. To complete explore the issue of burnout in health care, relevant literature on the topic was searched from Google Scholar, Cinahl, MedLine, PsychINFO and Cochrane Library. The key search term included burnout, stress in health care and burnout and patient safety. Only those article were included which was published within the year of 2007 to 2017. The literature search revealed that the prevalence of burnout and psychological distress is a major issue for nurse and health care. The report explains in detail the role of health professionals and other health care team in promoting safety of patients and delivering quality care. As the main focus is on level of fatigue or burn out as an indicator of patient safety, the report discusses the experience of patients related to high burn out issues in health care staffs. Secondly, through relevant literature, it describes the risk assessment procedure and surveillance in relation to the level of burnout in nurses and the role nurses play in improving the care experience. Role of health service and health care team in improving patient safety and quality of care Health care service is a system of care where skilled clinicians and inter-professional health care team work together to improve well-being of patients and assist them in recovery and independence. The main priority of delivering care is to promote optimal level of well-being in client (Carayon et al., 2014). They have the responsibility to develop a culture of safety to improve the provisions of patient safety and deliver high quality care. Safety culture is dependent on performance and attitude of clinicians and nurses in care such as their attitude of maximizing well-being of patients and avoiding errors as far as possible. It is also dependent on organizational factors such as providing adequate training skills to health care professionals from time to time to update them with current development in medical science and intervention (Weaver et al. 2013). Safety culture can also be personified by the shared values, beliefs and implementation of appropriate procedure related to pat ient safety. Such beliefs and norms have an impact on the attitudes of clinicians and staffs related to patient safety and enhances their motivation to engage in safe behaviors in daily practice (Morello et al. 2013). With the rise in demand of health care service and increase in complexity of the illness, many issues are faced by clinicians in the safe delivery of care. Often too many task at hand leads to errors when nurses or clinicians fail to give adequate time to patients. However, lack of adequate staffs and heavy workload creates fatigue and burnout among patients. Work stress not only contributes to high turnover rate and absenteeism, it also affects the quality of care. This causes risk to patient safety too (Leiter 2015, pp.223-227). In such situation, use of electronic medical record (EHR) has also been encouraged by health care service to enhance patient safety and quality of care. (Middleton et al. 2013) has reported that EHR provides health providers with access to complete and accurate information of patients and it maximizes the ability to diagnose disease and improve patient outcome at a fast pace. It also stores all the informations gathered by a primary care providers and clini cians dealing with the patient in emergency department can easility identify life threatening allergies or other complication in patients. With this detail, the emergency staff can work to adjust and treatment process appropriate and avoid medical errors. In some care, EHR also identifies safety problems or health issues within the system to mitigate serious consequence to patients during health care delivery (Slight et al. 2015). Hence, along with a patient safety culture, meaningful of electronic health record also provides health care team to better engage safe and quality health care practice. Patient experience related to indicator High level of burnout has been directly associated with increase in patients dissatisfaction with care. A study with nurse working for longer hours revealed high level of burnout among nurses and patients dissatisfaction with care increased in such situation. Nurses are at risk of burnout when they have to work overtime along with longer shifts. Rotating shifts between day and night increases the risk of fatigue and burnout in nurses. This is highly associated with nurses intention to leave the job and poor nursing performance (Caadas-De la et al. 2015). For an individual nurse, burn out leads to demotivation, emotional exhaustion and poor performance in staffs. Apart from job dissatisfaction and high nursing turnover rate, burnout is also significantly increasing the patients dissatisfaction with care. This is because shift timing of nurses and patients outcome have interrelation. Burnout becomes a threat to patient safety when depersonalization among nurses leads to poor engagement with patients. There is more chances of detachment from work which further lead to the development of negative attitude towards patients. All this factors result in patient dissatisfaction with health care service. The literature study showed that increase in patient dissatisfaction was high when larger number of nurses worked more than 13 hours (Stimpfel et al. 2012, pp.2501-2509). Hence, this evidence suggest that patients are less satisfied with care due to burnout issues in nurses. High-level of burnout was also associated with more incidence of medical error which posed risk to safety of patient. One study suggested that burnout was associated with lower patient safety grade and increase in therapeutic errors (Hall et al. 2016). Another study gave the indication that burnout among nurses has an impact on patient safety and proportion of patient adverse events. The cross-sectional survey with nurses regarding the work environment quality of care, job outcomes and patient adverse events showed that exhaustion along with depersonalization is an important predictor of nursing performance, quality of care and patient outcomes. To avoid creating situations that unnecessary exposes patients to quality and safety related issues, it is necessary to improve the work environment of nurses and reduce their burden in task (Van Bogaert et al., 2014). Risk assessment, surveillance in improving care in relation to the indicator To address the problem of burnout and its risk to patient safety, there is a need to think of strategies to mitigate the issue in clinical practice. The first step is to assess the level of burnout This can be done by means of tools like Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI). MBI is a psychological assessment tool used to predict burnout and the validity of the instrument is proved by various research. It uses three scales to measure burnout, which includes emotional exhaustion, depersonalization and personal accomplishment The reliability and validity of the tool is well-established (Poghosyan et al. 2014). All these three elements are indicators of burnout. Emotional exhaustion measures the level of emotional exhaustion due to work, depersonalization measures impersonal response towards work responsibilities and personal accomplishment determines the feeling of competence in work. Burnout is defined by high score in all the subscales of the inve ntory. This tool is widely used in research studies to evaluate level of burnout in health care staffs and take adequate steps to address burnout issues (Bria et al. 2014). CBI is the a new tool for measuring burnout which uses three scales which is the personal, work and client related burnout (Demerouti et al. 2010, p.209). Based on the score on each areas, the issue can be addressed by increasing motivation in staffs by providing flexible work timing, giving regular breaks and providing them staffs power to engage in decision making. This will motivate staffs to seriously engage in their care priorities and establish therapeutic relationship with patients. Apart from risk assessment regarding the prevalence of burnout issues in nurse, several surveillance and monitoring procedure has been implemented in health care setting to reduce burnout and improve the quality of care. One of the strategies that have been adapted in high intensity setting is building resilience of nurse to reduce burnout among nurses. This is based on creating a healthy work environment and improving resilience of nurses. This goes in parallel with improving retention rates and reducing nursing turnover rate (McGowan and Murray 2016). Similar strategy was tested in a research study in which nurses working in high intensity units of hospitals were assessed regarding burnout, moral distress and resilience through 6 survey tools. This revealed that moral distress was a major predictor of burnout and nurses who have greater resilience achieves higher score in personal accomplishment. These nurses were confident about their competence level in the job. Spiritual weel be ing reduce emotional exhaustion whereas the physical well-being lead to personal accomplishments. Hence, development of strategies to reduce nurses vulnerability to emotional exhaustion will help in addressing issue of burnout and promoting patient safety and quality of care (Rushton et al. 2015). Role of nurse in improving care experience Nurse can enhance the value of health care delivery by means of effective communication with patients and engaging patients in decision-making process. Effective communication is a key attribute to enhance patients satisfaction with care and provide them best care experience in hospital setting. Having adequate skill for patient-centered care is essential to fully partner with patients in decision making and yield positive health outcome. It helps to overcome cultural barrier to care delivery and manage conflict in nursing practice (Campinha-Bacote 2011). In relation to the issue of burnout experienced by nurses, they can work to overcome this issue by means of self-evaluation and coping strategies. Reduced professional efficacy is seen due to inefficiency in work and lack of success in professional roles. This is the cause of burnout and creates the condition for occupational hazard among nurses. Core self-evaluation is emerging as a positive concept to modify personal and increase self-efficacy and self-esteem of nurses in practice. Self-evaluation practices promotes goal setting, commitment and engagement in the job responsibilities. This can be done bv evaluating job performance and identify the personal reasons for non-accomplishment in the job. A nurse who engages in self-evaluation practices is likely to more competent and confident about their skills than those who do not practice it (Li et al. 2014). Apart from it, coping styles of nurse also determines their skill to manage job pressure and prevent feeling of depersonalization in practice. Different individuals may have different coping styles, which varies according to cultural, personal and psychological factors (Howlet et al. 2015). Nurses can improve their performance either by active coping or passive coping. Active coping strategy is to modify the nature of stressor instead of just thinking about it, whereas passive coping strategy is to engage in alcohl use or withdrawal from the pressure to address stressful events. However, passive coping is not the solution because it causes more risk to nurses both in terms of personal and professional context (Monter et al. 2014). Hence, use of active coping style is recommended for nurses to mitigate the negative impact of stressors and develop the skill to react to difficult situations. This will be an effective step to prevent burnout and improve nursing performance. Implication and recommendation to improve practice Nursing performance can be enhanced by building their resilience skill to manage stress in the job. This will help them to cope with job pressure and handle complex clinical situation and workload. Debriefing sessions can also be helpful for nurse to learn the ways to avoid burnout and judiciously handle complex clinical task. Apart from organizational role in providing flexibility in task, personal effort by nurse is also necessary to engage in critical reflection and idea areas of improvement. Based on this clinical judgment, future practice can be improved by means of utilizing best evidence in clinical practice. Reference Bria, M., Spnu, F., B?ban, A. and Dumitra?cu, D.L., 2014. Maslach burnout inventorygeneral survey: factorial validity and invariance among Romanian healthcare professionals.Burnout Research,1(3), pp.103-111. Campinha-Bacote, J., 2011. Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence.The Online Journal of Issues in Nursing,16(2). Caadas-De la Fuente, G.A., Vargas, C., San Luis, C., Garca, I., Caadas, G.R. and Emilia, I., 2015. Risk factors and prevalence of burnout syndrome in the nursing profession.International journal of nursing studies,52(1), pp.240-249. Carayon, P., Wetterneck, T.B., Rivera-Rodriguez, A.J., Hundt, A.S., Hoonakker, P., Holden, R. and Gurses, A.P., 2014. Human factors systems approach to healthcare quality and patient safety.Applied ergonomics,45(1), pp.14-25. Demerouti, E., Mostert, K. and Bakker, A.B., 2010. Burnout and work engagement: a thorough investigation of the independency of both constructs.Journal of occupational health psychology,15(3), p.209. Hall, L.H., Johnson, J., Watt, I., Tsipa, A. and OConnor, D.B., 2016. Healthcare staff wellbeing, burnout, and patient safety: A systematic review.PLoS One,11(7), p.e0159015. Howlett, M., Doody, K., Murray, J., LeBlanc-Duchin, D., Fraser, J. and Atkinson, P.R., 2015. Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey.Emergency Medicine Journal, pp.emermed-2014. Leiter, M.P., 2015, Key worklife areas contributing to health care burnout: reflections on the ORCAB project, British journal of health psychology,20(2), pp.223-227. Li, X., Guan, L., Chang, H. and Zhang, B., 2014. Core self-evaluation and burnout among nurses: the mediating role of coping styles.PloS one,9(12), p.e115799. Longtin, Y., Sax, H., Leape, L.L., Sheridan, S.E., Donaldson, L. and Pittet, D., 2010, January. Patient participation: current knowledge and applicability to patient safety. InMayo Clinic Proceedings(Vol. 85, No. 1, pp. 53-62). Elsevier. McGowan, J.E. and Murray, K., 2016. Exploring resilience in nursing and midwifery students: a literature review.Journal of advanced nursing,72(10), pp.2272-2283. Middleton, B., Bloomrosen, M., Dente, M.A., Hashmat, B., Koppel, R., Overhage, J.M., Payne, T.H., Rosenbloom, S.T., Weaver, C. and Zhang, J., 2013. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.Journal of the American Medical Informatics Association,20(e1), pp.e2-e8. Montero-Marin, J., Prado-Abril, J., Demarzo, M.M.P., Gascon, S. and Garca-Campayo, J., 2014. Coping with stress and types of burnout: explanatory power of different coping strategies.PloS one,9(2), p.e89090 Morello, R.T., Lowthian, J.A., Barker, A.L., McGinnes, R., Dunt, D. and Brand, C., 2013. Strategies for improving patient safety culture in hospitals: a systematic review.BMJ quality safety,22(1), pp.11-18. Poghosyan, L., Aiken, L.H. and Sloane, D.M., 2014. Corrigendum to Factor structure of the Maslach burnout inventory: An analysis of data from large scale cross-sectional surveys of nurses from eight countries[Int. J. Nurs. Stud. 46 (2009) 894902].International Journal of Nursing Studies,51(10), pp.1416-1417. Rushton, C.H., Batcheller, J., Schroeder, K. and Donohue, P., 2015. Burnout and resilience among nurses practicing in high-intensity settings.American Journal of Critical Care,24(5), pp.412-420. Slight, S.P., Berner, E.S., Galanter, W., Huff, S., Lambert, B.L., Lannon, C., Lehmann, C.U., McCourt, B.J., McNamara, M., Menachemi, N. and Payne, T.H., 2015. Meaningful use of electronic health records: experiences from the field and future opportunities.JMIR medical informatics,3(3), p.e30. Stimpfel, A.W., Sloane, D.M. and Aiken, L.H., 2012. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction.Health Affairs,31(11), pp.2501-2509. Van Bogaert, P., Timmermans, O., Weeks, S.M., van Heusden, D., Wouters, K. and Franck, E., 2014. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse eventsA cross-sectional survey.International journal of nursing studies,51(8), pp.1123-1134. Weaver, S.J., Lubomksi, L.H., Wilson, R.F., Pfoh, E.R., Martinez, K.A. and Dy, S.M., 2013. Promoting a Culture of Safety as a Patient Safety StrategyA Systematic Review.Annals of internal medicine,158(5_Part_2), pp.369-374.

Running Review Essay Example

Running Review Paper Essay on Running Rest, who finished his race! The first observation. Read the works of the White movement, immigration, revolution and civil war, it was always very difficult. Very badly I worry about it. After a fratricidal war is always scary and shocking. Scared when strangers mistreat each other, even worse when it is done by his ». Monitoring the second. Any war for a single person is meaningless. No civilian motives can not overcome human pain, suffering, deprivation and humiliation. A man in a whirlwind of events blind and helpless. I am screaming for help Bulgakov: Well, what can be the situation at the front! Dummy! Cannon fire, the commander of the stove front with fervor slipped under his breath, Kuban-Chief sent me a gift, and they bare. Neither the restaurant nor the girls! Green melancholy. Here we sit on stools, like parrots.  » We will write a custom essay sample on Running Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Running Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Running Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Monitoring the third. Running, in my opinion, is much more than Bulgakovs work than The White Guard. Somehow, I think so. Here, such an incredible mixture grotesque and, thus, eerie reality phantasmagorias and despair, comic and tragic. Judge for yourself:  «Ã„Å'arnota. And I remember, what a glorious fight was near Kiev, adorable fight! It was warm, sunshine, warm but not hot, Marya Konstantinovna. And the lice were certainly Louse that this insect FACE!. Fu, muck any say Gregory Lukyanovich! ÄÅ'arnota. Why is it disgusting? Deal still need to insects. Louse pet war, combat, and the bug a parasite. Louse goes squadrons on horseback, louse conceals lava, and then, then, will be a huge battle! (Tosca.)  » I love something black Bulgakovs humor. And, at the same time, terribly afraid of him. Monitoring the fourth (which is the same advice). Did you like the film about Kolchak and do you expect from a book of similar emotions? Running is not read. Formally, the play has a love story, a tragic end But the effect is not the same. Absolutely. The play draws ruined ant, cockroach races white. They are not heroes. They are just people who pursue happiness, or at least quiet life. But here they have reached the goal? .. The answer, I think, you know. In the kitchen again entered in the twilight, the cockroaches on the stove. I lit a match, whet, and they fled. Match take and pogasni. I hear they have legs rustling Shur Shur, mur mur And we also and rustling darkness. I look and think, where to run? Like cockroaches, in a bucket.  » Monitoring the fifth. Still, I am very sorry for the Russian. Every time shuddered when the text met the unfortunate Russian in shabby shape. Monitoring the 6th, it is the latter. Now, too, the hard times and this is my pessimistic mood. I do not think, well hard times, sir, if someone a little will not meet on your way! Lies some sort of strange lady in the church .  » P.S. Still, I am a bad reviewer. I wanted to play, but it turned out about about me.