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Thursday, September 3, 2020
An Analysis of Bathsheba Essay Example For Students
An Analysis of Bathsheba Essay Bathsheba is definitive, lively and professional while managing the paying of the ranch laborers in section 10. She is sure; I have shaped a goals to have no bailiff by any stretch of the imagination. The homestead laborers are astounded at this; The men lapsed a perceptible breath of surprise. I will be up before you are alert, I will be away from home before you are up, and I will have eat breakfast before you are abroad. In short I will bewilder all of you. This expressing and cadence is solid and persuading. This discourse again gives her certainty and her capacity to adapt. Bathsheba is the main female in the corn trade (the single one of her sex that the room contained) yet doesn't appear to mind. Tis an attractive house keeper, be that as it may, and shell before long get got. Here the individuals in the corn advertise are examining Bathsheba and accept that she will get hitched and hand over the homestead for her better half to get got. This part alone shows that Bathsheba has a hard errand in front of her due to the mens perspectives on a lady rancher. The homestead laborers are persuaded that she will present to them all to the awful. She conflicts with conventional ways; Why just yesterday she cut a rasher of bacon the longways of the flitch! (Part fifteen). For the homestead laborers, any change isn't right. Bathsheba has a customary keeps an eye on work. She is a lady rancher however she isn't reluctant to participate with the physical work (assisting with the shearing and so forth ). Bathsheba is particularly strange among a for the most part male cultivating network. Notwithstanding, she adapts quite well. She is a willful lady. This impediment (her sex) brings uncertainty and absence of confidence among the ranch laborers; Our misess will present to every one of us to the terrible. Bathsheba is of an imprudent nature under a deliberative angle. In section three Bathsheba reclines on her seat in a perilous manner. She knows about this being goal-oriented. She is likewise mindful that she is acting progressively like a man. This activity is unladylike and was absolutely not expected of a lady. In part six, when Gabriel has recently helped extinguished the fire he asks: Where is your lord the rancher? Tisnt an ace; tis a Mistress, Shepherd. A lady rancher? Here Gabriel quickly accept that it is a male rancher (as would have been normal in the mid nineteenth Century) and when he discovers that it is a female rancher he is shocked. The very truth that there is a question mark after A lady rancher shows that he isn't just rehashing what he has been told however he is rehashing it in dismay. In this country network obligations fall into two classes: the pragmatic duties and the ethical obligations. Oak goes about as a guide on numerous events to Bathsheba and she gradually gets mindful of her requirement for his guide both for all intents and purposes and ethically. In section four when Gabriel is requesting that Bathsheba wed him she acts unreliably, right off the bat by pursuing him and besides by driving him on and afterward turning him down. Bathsheba pursues Gabriel not to acknowledge him yet in addition not to lose him. The manner in which Bathsheba drives Gabriel on and regards it as a game when he is proposing to her and noting his contributions by saying Yes: I should like that and Dearly I should like that shows how she is vain and inadvertently merciless. She might want the ladies chance of flaunting, however not her duties. We realize why Gabriel won't prevail with her now. He is excessively unassuming (she needs intriguing) and excessively fair (some double dealing is required). At the point when Bathsheba, as a game uses the Bible and key for the old eccentric act of anticipating her better half. The manner in which Bathsheba leaves it to destiny is entirely untrustworthy. She neglects to think about the results of her activities. While Bathsheba is sending the valentine Hardy goes to incredible degree to stretch the inactive casual manner by which the card is sent; Bathsheba, a little yawn upon her mouth, took the pen, and with random tranquility guided the letter to Boldwood. .u70ea9b7ac2bf98bd0f243ef2be965c09 , .u70ea9b7ac2bf98bd0f243ef2be965c09 .postImageUrl , .u70ea9b7ac2bf98bd0f243ef2be965c09 .focused content territory { min-tallness: 80px; position: relative; } .u70ea9b7ac2bf98bd0f243ef2be965c09 , .u70ea9b7ac2bf98bd0f243ef2be965c09:hover , .u70ea9b7ac2bf98bd0f243ef2be965c09:visited , .u70ea9b7ac2bf98bd0f243ef2be965c09:active { border:0!important; } .u70ea9b7ac2bf98bd0f243ef2be965c09 .clearfix:after { content: ; show: table; clear: both; } .u70ea9b7ac2bf98bd0f243ef2be965c09 { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; murkiness: 1; progress: mistiness 250ms; webkit-change: obscurity 250ms; foundation shading: #95A5A6; } .u70ea9b7ac2bf98bd0f243ef2be965c09:active , .u70ea9b7ac2bf98bd0f243ef2be965c09:hover { haziness: 1; change: darkness 250ms; webkit-change: darkness 250ms; foundation shading: #2C3E50; } .u70ea9b7ac2bf98bd0f243ef2be965c09 .focused content region { width: 100%; position: relati ve; } .u70ea9b7ac2bf98bd0f243ef2be965c09 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; text-design: underline; } .u70ea9b7ac2bf98bd0f243ef2be965c09 .postTitle { shading: #FFFFFF; text dimension: 16px; text style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u70ea9b7ac2bf98bd0f243ef2be965c09 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; fringe sweep: 3px; box-shadow: none; text dimension: 14px; text style weight: intense; line-stature: 26px; moz-outskirt range: 3px; text-adjust: focus; text-improvement: none; text-shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: total; right: 0; top: 0; } .u70ea9b7ac2bf98bd0f243ef2be965c09:hover .ctaButton { foundation shading: #34495E!important; } .u70ea9b7ac2bf98bd0f243ef2 be965c09 .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u70ea9b7ac2bf98bd0f243ef2be965c09-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u70ea9b7ac2bf98bd0f243ef2be965c09:after { content: ; show: square; clear: both; } READ: An abstract examination of toni mo EssayThe sassy way in which she picks the seal is again untrustworthy. The manner in which she picks the seal exclusively to agitate Boldwood; Twould surprise the seriousness of a parson and agent excessively is neglectful and she can't grasp that this basic valentine would start off a long chain of occasions finishing off with death and hopelessness. Prior in the novel she is genuinely youthful, rash, careless, gets things done spontaneously and so on However, in section 19 we see the beginnings of Bathshebas development. She appears to be genuinely upset for the torment and anguish she has caused Boldwood and we see a more noteworthy mindfulness; O I am devilish to have caused you to endure so! furthermore, Dont state it: dont! . In section 22 Hardy is as yet keeping Bathshebas vanity before us. Here, despite the fact that she is bothered by Boldwoods torment and sadness and is set up to take care of a punishment for having caused it, she is by and by complimented by his loving of her and satisfied with her triumph; The circumstance was not without dreadful bliss. She feels glad at her honorable conduct of giving an unequivocal guarantee of marriage. We again observe her acting maturely (recognizing the harm she has done and tolerating the punishment of marriage for it). Nonetheless, her gathering with Troy shows that she has immediately overlooked her discourse to Boldwood and indeed we see her returning to her old youthful self. Bathsheba likewise assumes the job of the symbol. Both Boldwood and Oak adore Bathsheba (Boldwood more than Oak). In section 16, Bathsheba, unwittingly, is playing out a job for Boldwood. Boldwood believes that worshiping Bathsheba and appreciating her from a far distance is a decent method of becoming more acquainted with her. Sadly Boldwood has not the smallest thought of acceptable behavior around Bathsheba. Truth be told he doesn't have a clue whether she is pretty or not; Is Miss Everdene thought about attractive? Boldwood rapidly goes from being apathetic about Bathsheba to being desirous of her. In section 19, when Gabriel is conversing with Bathsheba, he is censuring her direct and nearly lecturing at her. She is challenging herself. She doesn't need her to act how she is. He needs her to remain the way that he has adored her as. In section 22 when Bathsheba has honorably put forth a valiant effort to offer some kind of reparation with Boldwood, Hardy says the delight she got from the verification that she was adored. This concentrate shows two things. One is that it shows that Boldwood is worshiping her and the other is that Bathsheba appreciates being venerated (vanity). Bathsheba assumes the job of the coquettish sweetheart. This is indicated when Gabriel is proposing to her and she obliges his proposition and treats it as a game yet from the beginning she had no expectation of saying yes. Bathsheba is exclusively inspired by Boldwood in light of the fact that he isn't keen on her. She is marginally annoyed that the most exceptionally regarded man in the area is likewise the main man who doesn't take a gander at her. Bathsheba gets somewhat provoked at this (which urges her to send the valentine). The manner in which she hurls the psalm book and leaves it to destiny on the off chance that she would send the valentine to Boldwood or not proposes that she needs to send it to Boldwood to get him to see her by adequately requesting that he wed her (wed me); she is acting coquettishly.
Saturday, August 22, 2020
Film Production Essays - Film Production, Film Genres, Film
Film Production In the period past to the 1930's, the dominating type of filmmaking was that of the wrench camera. It is not necessarily the case that engine driven cameras were most certainly not conceivable. Notwithstanding, the engines to propel the film were enormous to the point that they were just too awkward to ever be viable. In this way, it was simply the cameraman who would wrench the film at a consistent rate to uncover the edges. At the point when it came to demonstrating the film, then again, engine driven projectors were very advantageous, and by the 1920's a standard 24 edges for every second was built up for anticipating films. Recording, notwithstanding, remained unstandardized due to the intrinsic variety in recording speeds, since it relied straightforwardly upon the cameraman. An accomplished cameraman was equipped for recording a whole film at around a similar speed, yet regularly varieties were made in the account speed for emotional impact. Diminishing the quantity of wrenches, for instance, uncovered less edges and along these lines when anticipated at the standard 24 casings made the excited activity that described a great part of the Vaudeville film. The French producer Georges Melies was among the first to utilize changing sceneries and outfits to recount to his story. Up until that point many film were just a couple minutes long occurring on a solitary set. Changing sets and outfits opened a tremendous scope of additional opportunities and prodded further development in the juvenile industry. As the film business extended in America, producers found and expanding requirement for to set up a solitary area at which they could assemble sets and film undisturbed. The splendid daylight, relative strength of atmosphere, also, fluctuated landscape found in California made it a perfect spot to film, quite a bit of the purpose behind the business' fixation there. During this time, films were shot on a solitary reel, coming about in filmstrips that were just 15-20 minutes. Autonomous makers spearheaded the utilization of twofold reel filmmaking during the a long time before the First World War. This permitted any longer movies and opening the entryway for additional chance, both monetarily and imaginatively, just as bringing into being the twofold reel camera that turned out to be such a symbol of film creation. The meaningful step forward of the 1930's was the presentation of simultaneous sound and exchange in the late 1930's. First developed and appeared in the 1920's, it turned into the standard by the mid 1930's, incompletely because of the innovation of a gadget dependent on the radio that could viably enhance sound in the theater. At first there were two accessible frameworks with which to record sound. The first was like a phonograph, and recorded the sound to a different circle. The second, progressively mainstream, framework recorded the sound straightforwardly onto the celluloid strip. At first stable prevented the filmmaking procedure, since the cameras needed to be encased to stifle the clamor of their engines and entertainers couldn't wander far from the fixed amplifiers. Notwithstanding, innovative advances before long made up for this and the sound turned into an essential piece of filmmaking. The fuse of sound into film and the subsequent cinema draw set off various mergers in Hollywood as organizations attempted to combine their capacity (and their riches). The consequence of these associations was the making of the main significant studios that commanded the business for quite a long time, Fox Studios (later twentieth Century Fox), Leow's Incorporated (later Metro-Goldwyn-Meyer), Paramount, RKO, and Warner Brothers. These studios cornered the business through vertical solidification, which means they controlled all aspects of the creation procedure. They claimed the essayists, the executives and makers, the on-screen characters, the gear and team, even the theaters. They controlled each progression and overwhelmed Hollywood until 1948 when the U.S. Government saw them as an illicit imposing business model. It was additionally during this time shading in films got conceivable using the Technicolor framework. Technicolor was made utilizing an uncommon camera that ran three segments of film, one in red, one in blue, and one in yellow. At the point when the three strips were merged, the subsequent picture was in full shading, however the hues were as often as possible misrepresented as can be found in two such movies that were recorded as such, Gone With The Wind (1939) and The Wizard of Oz (1939). The 1940's additionally denoted the start of the Italian development known as neorealism. This development concentrated on depicting the non-anecdotal parts of Italian culture for amusement, as opposed to a considerable lot of the fantasy universes that were being created by Hollywood. People in the future of movie producers would seek this development as motivation for their own movies portraying their home nations in a
Friday, August 21, 2020
Seclusion in Mental Health free essay sample
Isolation is a clinical intercession utilized in mental inpatient settings that centers around the administration of savage and forceful conduct when the conduct bargains the security of the administration client and others. The helpful impact of withdrawal has consistently been a dubious issue in psychiatry. Some believe separation to be essential and restorative for the control of fierce conduct while others think of it as an infringement of human rights and a type of discipline. In the DHB inpatient unit it is viewed as an important malice and is utilized if all else fails in overseeing seriously upset and forceful conduct. As of late extraordinary exertion has been made in national and worldwide level to decrease detachment use and there are exacting rules both in law and approach deciding how it is to be utilized. Definition The New Zealand Health and Disability Service norms characterize separation as ââ¬Å"where a customer is set alone in a room or zone, whenever and for any span, from which they can't uninhibitedly exitâ⬠. We will compose a custom article test on Disengagement in Mental Health or on the other hand any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page (Service of Health, 2008) ââ¬Å"Seclusion includes: Containment â⬠an individual is contained inside a room where the entryway is closed and the opportunity to exit is chosen by staff. Confinement â⬠the individual is in the room alone. Decrease of tactile information â⬠the room is sensibly exposed, regularly containing close to a bed and in some cases a toiletâ⬠(Mental Health Commission, 2004) History Because of its meddling nature and the potential for abuse, mediations, for example, withdrawal or physical restrictions are constantly been a questionable issue in mental history. In eighteenth century patients who demonstrated hard to control were regularly separated for significant stretches (here and there numerous years) and were much of the time likewise kept up in physical restrictions. Separation was executed as a discipline, to scare and avoid.
Wednesday, June 10, 2020
Infographic PA VS MD Understanding the Differences
Physician Assistant vs Medical Doctor A comparison of what it takes to get in (GPA, MCAT, GRE scores, prerequisite coursework, and clinical experience), years of training and time in school, job duties, cost of education, average salary, job satisfaction, divorce, and burnout rates all compiled into this (very shareable) image. Share this Image On Your Site /p pstrongPlease include attribution to thepalife.com with this graphic./strong/p pa href='https://www.thepalife.com/infographic-pa-vs-md-understanding-the-differences/'img src='https://www.thepalife.com/wp-content/uploads/2017/05/Physician-Assistant-Versus-Medical-Doctor-Infographic-Understanding-the-Differences.jpeg' alt='PA VS MD Understanding the Differences' width='800' border='0' //a/p p You may also like -A Surgeon Speaks: 7 Reasons Why You Should Choose PA Over MD I am a fellowship-trained surgeon. Besides the financial aspect, the following 7 points will make your decision of PA vs. MD easy: 1. It takes on an average at least 15 years (after high school) of head in the sand (books) to []Physician Assistant vs. Nurse Practitioner vs. Medical DoctorMedical Profession Comparison Chart: Medical Assistant vs. Nurse vs. Nurse Practitioner vs. Physician Assistant vs. Family Practice Physician (updated var dt = new Date(); document.getElementById("datetime").innerHTML = []Why my Wife is Happy I am a Physician Assistant and not an MD"In my life family will always be my greatest priority.I love my patients like I love life itself, but I love my family even more than life itself." - Stephen Pasquini PA-C Years ago I dreamt of being an MD. Since I was a small []
Sunday, May 17, 2020
Using a Semicolon in Spanish
The semicolon, or el punto y coma in Spanish,à is used and misused in Spanish much as it is in English. However, the rules for its application in Spanish can be more subjective than for the other punctuation symbols (signos de puntuacià ³n) and lead to a larger range of common mistakes. Still, there are two main utilities of the semicolon when writing in Spanish: joining independent clauses or detailing a list of items with multiple names in each section of the list ââ¬â in both of these cases, the semicolon acts much as it does in standard English, separating thoughts into a neat, organized form. Be aware t;hat the punto y coma is invariable between singular and plural. In other words, the plural of el punto y coma is los punto y coma. You can also use los signos de punto y coma as a plural form. Using Semicolons Instead of Periods As its Spanish name suggests punto y coma means periodà andà comma, which emphasizes its primary use as being to represent a break between independent clauses (a part of a sentence that could stand alone because it has a subject and verb) that is stronger than what a comma would stand for but weaker than what a period would stand for; the two clauses should be connected as part of a thought or relate to each other.à Note in these examples that separating the clauses with periods would not be wrong, but the use of a semicolon suggests a stronger relationship between the two clauses than making them into separate sentences would: Cuando estoyà en casa, me llamo Roberto; cuando trabajo, me llamo Sr. Smith. (When Im at home, Im Robert; when Im working, Im Mr. Smith.)Esta tarde vamos a la playa; los museos està ¡n cerrados. (This afternoon we are going to the beach; the museums are closed.)En 1917, se inaugurà ³ la Estacià ³n de la Sabana; à ©sta funcionà ³ como punto central del sistema fà ©rreo nacional. (In 1917, the Sabana Station was put in service; it functioned as the center of the national railway system.) If the clauses are especially short, a comma is preferred in Spanish, such is the case with the sentence Te quiero, eres perfecto or (I love you, youre perfect), where it is grammatically acceptable to separate these two short ideas into one cohesive sentence. Using Semicolons in Lists Another use for the semicolon is in lists when at least one of the items in the list has a comma, as in English. In this way, the semicolon functions as kind of a supercomma. In the first example, the semicolons act as separators in the list of countries with deceased populations to provide clarity to the sentence structure. Encabezan la lista de los paà ses americanos con mà ¡s decesos Brasil y Colombia con seis cada uno; Mà ©xico con tres; y Cuba, El Salvador y Estados Unidos con dos. (Leading the list of American countries with the most deceased are Brazil and Colombia with six apiece; Mexico with three; and Cuba, El Salvador and the United States with two.)Los nominados son El à ¡ngel, Argentina; La noche de 12 aà ±os, Uruguay; Los perros, Chile; y Roma, Mà ©xico. (The nominees are The Angel, Argentina; 12-Year Night, Uruguay; The Dogs, Chile; and Roma, Mexico.)Mis parientes este verano viajan a todos lugares: mi madre, a Santiago; mi padre, a Sevilla; mi hermano, a Nueva York; y mi hija, a Bogotà ¡. (My relatives are traveling everywhere this summer: my mother, to Santiago; my father, to Seville; my brother, to New York; and my daughter, to Bogota. Semicolons can also be used in vertical lists at the end of each item other than the final one, such is the case with the following. Although the English example uses periods, commas (but not semicolons) can also be used in English: Tenemos tres metas:ââ¬â aprender mucho;ââ¬â amarnos;ââ¬â vivir con autentididad. (We have three goals:ââ¬âTo learn a lot.ââ¬âTo love each other.ââ¬âTo live authentically.) Key Takeaways Semicolons in Spanish are used much as they are in English, as a punctuation mark that combines uses of the period and the comma.One common use of semicolons is show a connection in meaning between two clauses that would otherwise be made into separate sentences.Another common use of semicolons is to provide clarity in lists.
Wednesday, May 6, 2020
Sarah Henry Talks About The Production Of Soul Fire Farm
Henry, S. (2014, December 02). This Farmer Wants to Help Youth of Color Reconnect With the Land | Civil Eats. Retrieved November 02, 2016, from http://civileats.com/2014/12/02/this-farmer-wants-to-help-youth-of-color-reconnect-with-the-land/ In this article, Sarah Henry talks about the production of Soul Fire Farm. Henry says The program at Soul Fire Farm is designed for young people of color. Penniman the leader of this farm teach kids about farming practices. Penniman and her husband worked with the boys and girls club and residential foster cares. Soul Fire Farm also had a week long restorative justice program. At first, the teens in the program thought working at this farm would be similar to slavery. However, Penniman says ââ¬Å"the boy s mind changed after getting into the programâ⬠. The teens were even able to take some of the food back to their homes. Soul fires farm main objective is to get people access to healthy food. Sarah Henry is a journalist who usually writes about nutrition and local foods. Her intended audience for this article are minorities interested in farming. Penniman raises a local farm with fresh foods and wants people to have access to fresh produce. This is a great article for my unit three essay because this essay talks about a way to solve one of my problems the lack of healthy food or (availability). This article is also great for my essay because the ideas of local farms also fix the problem with processed food. Keeping local foodShow MoreRelatedRace Film : The Great And Only Essay10250 Words à |à 41 PagesBlack because their function, more or less, were to enlighten and mollify White peopleââ¬â¢s curiosity concerning Black culture. The argument presented by Cripps creates an opportunity for speculation on how to categorize a well-known group of films about Black people that in most cases included the participation of White filmmakers. 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Communication and Documentation in Community Nursing free essay sample
This can be achieved by implementing and upholding good communication and documentation practice in every healthcare department (Miller Cameron, 2011). This briefing paper will provide an insight into the complexities of communication and documentation in community nursing when caring for children at end of life. It will highlight the areas in need of development and it will propose two options for the improvement of communication and documentation between different healthcare professionals in the community. This paper will also discuss different leadership and management theories and will present recommendations of how these theories can be applied to each proposal. Proposed options: Option A:Implementing weekly meetings with all healthcare professionals involved in the childââ¬â¢s care. Option B:Developing a policy to implement parent-held records in the home to document the childââ¬â¢s care, treatment, potential problems and concerns. Background: On a recent practice placement opportunity with a childrenââ¬â¢s home care team, one of the main problems encountered was the insufficient communication and documentation both within the home care team and between the team and other healthcare professionals involved in the care of children at end of life. It soon became apparent that not only was the lack of good communication and documentation affecting the healthcare professionals involved, it also had an immense impact on the parents of the children at end of life. On witnessing the distress this was causing to all parties involved, it was suggested that either weekly meetings be held or parent-held records be implemented in the home. The remainder of this paper will discuss how to implement these procedures and will identify the advantages and disadvantages of both options with respect to the healthcare professionals and the families involved. It will also discuss the different leadership and management styles those in managerial positions would benefit from in order to implement each option. Proposal: Option A Implementing weekly meetings with all healthcare professionals involved in the childââ¬â¢s care Aim:To improve communication and documentation between different healthcare professionals involved in the childââ¬â¢s care and to promote a streamlined plan of care for children at end of life Excellent communication between healthcare professionals is a vital component of effective end of life care in any setting (Lowery et al, 2012). However, it is even more important when communication and documentation crosses organisational boundaries (Gardner, 2003). When a child at end of life is being cared for in the home, numerous healthcare professionals will be involved. These include but are not limited to; community nurses, specialist nurses and doctors, GPââ¬â¢s, carers and social workers (DoH, 2009). Ensuring consistently good communication and documentation between all parties involved will guarantee excellent quality of care and it will enhance the patient and carer experience (Horwarth Morrison, 2011). Healthcare professionals are faced with continuous change and it is important for those in managerial positions to develop various leadership and management styles in order to effectively manage complex situations (Grimm, 2010). In order for weekly meetings between all healthcare professionals involved in the childââ¬â¢s care to be implemented, the key worker tasked with organizing this would benefit from adopting a situational leadership approach. Situational leadership can be described as adjusting a particular leadership style to deal with a particular situation or dilemma (Northouse, 2013). Although it is suggested that some straightforward or obscure situations are best dealt with through a task-orientated approach such as transactional leadership (Crevani et al, 2010), this particular situation would profit from a situational approach. Situational leaders are described as having the ability to recognize the presentation, commitment and competence of others and to be flexible in order to meet others needs (Lynch et al, 2011). Each of the healthcare professionals involved in the care of the child will have very difficult and demanding work schedules and adapting the situational leadership style will allow the key worker to recognize this and therefore will aid in their decisions on how to implement the weekly meetings (Whitehead et al, 2009). Implementing weekly meetings with all healthcare professionals involved in the childââ¬â¢s care has many advantages. As communication and documentation between all parties has been very dissatisfactory and caused distress to the patientââ¬â¢s parents, it is vital that all parties involved are familiar and up to date with the changing condition and treatment of the child and any problems or concerns that they may have. It is imperative that collaborative working in such an unpredictable and complex situation is done with efficiency and control (Brown et al, 2000). Implementing weekly meetings will provide the multi-disciplinary team with a joint understanding of the childââ¬â¢s current nursing, medical and social needs (Moules Ramsay, 2008). The weekly meetings will also allow the healthcare professionals to anticipate any changes in the childââ¬â¢s treatment and to develop necessary action plans to highlight each member of the teamââ¬â¢s roles and responsibilities (Moules Ramsay, 2008). The disadvantages of implementing weekly meetings, as mentioned previously in the paper, is the fact that the healthcare professionals involved in the childââ¬â¢s care will no doubt have very difficult and demanding work schedules. They will have numerous children under their care and agreeing on a time and place for a collaborative weekly meeting between all parties involved will certainly have its limitations and may prove impossible (Gibson et al, 2012). To overcome these obstacles, the key worker may decide to implement weekly conference calls over the phone or by computerised video call. Not every organisation will have access to video calling but recent modernisation should allow each party to participate in conference calls by phone (Richter et al, 2001). Although weekly meetings between different healthcare professionals involved in a childââ¬â¢s care at end of life have proved very advantageous to many trusts and organisations (Carter et al, 2007), they have also demonstrated to be difficult to organise and manage (Pontin Lewis,2008). The ideal solution is for everyone involved to meet or speak in person but should this prove impossible, Option B ââ¬â Developing a policy to implement parent-held records in the home to document the childââ¬â¢s care, treatment, potential problems and concerns may be the preferred alternative. Proposal: Option B Developing a procedure to implement parent-held records in the home to document the childââ¬â¢s care, treatment, potential problems and concerns. Aim:To improve communication and documentation between different healthcare professionals involved in the childââ¬â¢s care and to promote a streamlined plan of care for children at end of life Improving communication and documentation between different healthcare professionals involved in the care of a child at end of life is a clear necessity. When numerous parties are involved from different organisations, confusion and miscommunication can cause severe distress and undue harm to the child and their family (Anderson, 2013). The quality of care a patient receives relies heavily on appropriate and correct communication and documentation between all healthcare professionals engaged in the childââ¬â¢s care (Tjia et al, 2009). Avoiding miscommunications and providing clear records will allow each caregiver to provide and receive accurate and timely information about the child and the care they have received (NMC, 2009). Implementing appropriate and effective procedures for such communication and documentation will prevent any unnecessary distress or harm to the child and their parents. When initiating the procedure to implement parent-held records in the home to document the childââ¬â¢s care, treatment, potential problems and concerns, those in managerial positions responsible for such input may achieve rapid success if they were a transformational leader. Transformational leaders convey a clear image of the future (Cherry, 2014). They can identify how to provide motivation to their team and to encourage them to practice within the teamââ¬â¢s vision (Sims et al, 2009). If members of the multidisciplinary team are allowed to participate in initiating new procedures, they will feel important and will develop a part-ownership of the potential outcome, allowing the final result to be achieved (Rolfe 2011). Transformational leaders have been depicted as following a democratic approach to leadership. Democratic leaders consider their team will succeed if motivated and provided with opportunities to demonstrate autonomy (Bass, 2008). Some disadvantages have been noted when taking a democratic approach to leadership. It was suggested that the autocratic style of leadership is more efficient because rather than controlling their team members, the democratic leader merely guides them (Whitehead et al, 2009). However, in order for parent-held records to be implemented, every member of the multi-disciplinary team must be compliant. To deliver quality care and implement new procedures, transformational leaders can ensure their team is committed to the new process (Malloy Penprase, 2010). Advantages to implementing parent-held records include consistent record keeping between all healthcare professionals, carers and parents of the child. This allows for each healthcare professional to view and assess what care and treatment has been provided by other healthcare professionals previous to their current home visit. It permits the parents of the child to input any concerns they have and to note any changes in their childââ¬â¢s condition. It is an ideal alternative to implementing weekly meetings between all healthcare professionals involved in the childââ¬â¢s care. Disadvantages to note on implementing parent-held records are compliance of healthcare professionals, inaccurate information being entered and individual hand writing skills. Every healthcare professional involved in the childââ¬â¢s care must be committed and consistent in keeping the parent-held records up to date. They must ensure their written communication skills are of an excellent standard and that all notes are clear and concise. Parent-held records have shown to improve nursing care of the child being nursed in the home. They have shown improvements in nursing practice and therefore have led to continuous high quality of care for children and their families (RCN, 2011). Conclusion: Excellent communication skills and careful documentation are an important part of nursing practice, whether in the clinical or community setting (Perry Potter, 2014). One of the fundamental aims for nurses in all areas is to safeguard the welfare of their patients and service users (RCN, 2007). This can be achieved by implementing and upholding good communication and documentation practice in every healthcare department (Miller Cameron, 2011). This briefing paper has provided an insight into the complexities of communication and documentation in community nursing when caring for children at end of life. It has highlighted the areas in need of development and it has proposed two options for the improvement of communication and documentation between different healthcare professionals in the community. This paper has also examined the different leadership and management styles required by those in managerial positions need to adopt in order to implement each option discussed. It has also presented recommendations of how these leadership and management styles can be applied to each proposal. Being able to identify the different leadership styles relevant to their nursing practice enables those in managerial positions to implement innovative policies and procedures. Recognizing the leadership and management styles discussed in this paper allows nurses to enhance their skills and therefore become capable leaders. Implementing either strategy will improve the nursing care provided to children at end of life and will enhance the healthcare professionals goals of achieving excellent communication and documentation skills between each member of the multi-disciplinary team. .
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