Wednesday, May 6, 2020
Essay about Distant Education Online Learning - 1565 Words
The development in the information technology during the recent past has increased the overall ability and the reach of the people to the education. For this reason the areas of the online learning are improving to a great extent especially for the high school students. As a result of these improvements and developments, the distant leaning has become an alternative to the schools or colleges (Orgunleye, A. 2013). The distant learning has helped the people who were not able to study because of distance problems and it has helped increase the literacy rate and higher degree rate by encouraging more people to learn. A variety of the degree programs are available on the internet by number of education institutions (Mary F. Ziegler, T. P.â⬠¦show more contentâ⬠¦The first long distance student is believed to have emerged in 1990. At this time, the student faced many challenges in learning as there were no technological developments in the communication sector that facilitated his l earning. This is not the case on todayââ¬â¢s world whereby many people engage in this type of learning. The major factors leading to the success of this learning is the internet and technological revolution in the communication sector. Todayââ¬â¢s touch technology has made this learning very friendly to students and it is the main reason why many people have embraced it. For instance, mobile computing has made it easy for people to learn wherever they are even in public gatherings (Orgunleye, 2013). There are various steps that a person should put in place in order to become successful in this learning. One of these measures is effective time management. Online students need to be proactive and also take responsibilities for their own learning. This is because of the fact that there are many things that might hinder online students from effective learning. The other factor is balancing personal obligations. This ensures that the student is able to allocate time for both learni ng and personal obligations. Students should also ensure that the environment they chose to conduct their studies is conducive. This ensures that they are not distracted by external factor as they go on with their learning activities (Singh,Show MoreRelatedOnline Distant Learning Is Not Beneficial Essay631 Words à |à 3 PagesOnline Distant learning is Not Beneficial to Learners Online distant learning programs help make the easy connection of students in a program connect to the more accessible home environment in a simple way. Students are now given the option of getting their education and making their own schedules, without going through a second person in an easy more efficient way. Consequently, to succeed in online courses and programs the student must have good time management, a computer or laptop, and internetRead MoreOnline Learning Versus Traditional Learning856 Words à |à 4 PagesKeramidas study in regards to online learning versus the tradition setting of face to face classroom is successful because the results varied for each group, it indicated that regards of a preference students must prepare and obtain the skills necessary for online learning. Both options may be successful for students one must masters the skill of time management and self-decline. Those taking a course in a traditional class setting are able to be just as successful, but students factor into accountRead MoreThe Direct Instruction Approach Essay678 Words à |à 3 Pagesappropriate is in the online learning environments. An example of this is Colorado State University Global Campus. Throughout the weekly modules CSU Global often uses YouTube videos for students to watch and learn. This is effective with online learning because some approaches are not possible. For example, experimental approach may be more difficult or impossible. It would be almost impossible to role play online and have it be an effective learning technique. Through online learning students discernRead MoreTechnology As A Tool For Technology931 Words à |à 4 Pagesinstruction is administered to studentsâ⬠. When students are learning via Internet as in distant learning this can eliminate any classroom management problems that may exist in a traditional classroom setting. Since, distance learning provides for educational opportunities outside of an actual classroom; teachers are not faced with problem behaviors, daily routine/procedures; and the challenge to build relationships with students. Distant learning also allows for the opportunity to provide exams throughRead MoreArchitecture Classes : Blended Learning Environments930 Words à |à 4 PagesBoth Architecture classes were blended learning environments, one of which combined classroom and online learning (Bender Vredevoogd, 2006). The conjecture was that blended learning enhanced studio courses by allowing all course material to be viewed by all and by having critiques accessible to all students. Although the supposition was that the students would be able to garner understanding from comments made to others in their class and that the electronic collaboration would allow for greaterRead MoreOnline Education1381 Words à |à 6 PagesOnline Education Education is an important part of peoples lives; it will either make them or break them in the future depending on the careers they choose. Education is greatly diverse today in comparison to the 1950s because of advancements in teaching and other great inventions that provide easier techniques of teaching. One major issue that has been raised is distant learning courses and online education. Distant learning could be any format from VHS videos, DVDs, or internet courses onlineRead MoreThe Impact Of Technology On Our Society1168 Words à |à 5 Pageslater affect he or she in the future. Finally, the last element that new technology has developed which has greatly increased the growth in the school systems is the unique ways of educational methods. Such as research, educational games and distant education. Due to these techniques, this gives students the opportunity to gain knowledge in variety of ways besides inside of a textbook. Sometimes when researching information in the library or trying to seek different examples doesnââ¬â¢t always give oneRead MoreTeachem Inc.: Market Analysis1804 Words à |à 7 Pagesthe government to provide public and merit goods in order to ensure a socially balanced society in this day and age of aggressive capitalism, the governments do eye effective private sector investments to assist them in achieving their objectives. Education and increments in literacy rates is one important concern for any government. With the abundant technological advancement and latest softwares at its disposal, TeachEm Inc. aims at starting a 100 percen t web based organization that will be providingRead More Online Education Essay1378 Words à |à 6 Pages Online Education Education is an important part of peopleââ¬â¢s lives; it will either make them or break them in the future depending on the careers they choose. Education is greatly diverse today in comparison to the 1950s because of advancements in teaching and other great inventions that provide easier techniques of teaching. One major issue that has been raised is distant learning courses and online education. à à à à à Distant learning could be any format from VHS videos, DVDs, or internet coursesRead MoreTechnology : The Effects Of Technology And Society1283 Words à |à 6 Pagescomputer appropriately. Learning tools for school is at the student figure tips. It is important for children to learn how to research topics, by using the web search. Children also need to understand that not everything that they read is 100% accurate. Technology and society: technology ââ¬Å"NOTâ⬠by Virginia R. Jones. Studies show that in 2016 it was reported that 41% of 3-4 years old use internet. 45% of 3-4 years old have played video games, 37% of 3-4 years across online content through YouTube
Psychiatric Patients Mental Health Hospitals-Myassignmenthelp.Com
Question: Discuss About The Psychiatric Patients In Mental Health Hospitals? Answer: Introduction The aim of the report paper part A is to develop a clinical audit question regarding the use of seclusion for the psychiatric patients in mental health hospitals. For this, the background and rationale will be discussed in the first section of the report. A clinical audit question will be outlined and the development of the PICO question is discussed in the following sections with the search strategy. Thereafter, part B will deal with the critical analysis of the evidences that will be obtained to develop the clinical bottom line and best recommendations for the evidence-based practice. Background and Rationale Although, seclusion is an emotive and controversial subject in mental health nursing, it is still practiced in the mental health hospitals widely. There are varied opinions regarding the use of this practice, however, it is still a legitimate intervention to use seclusion as compared to the efficacy of restraints to control aggressive behaviour in psychiatric patients (Knox Holloman Jr, 2012). The focus of the paper is the use of seclusion to control aggressive behaviour through safe practice and guidelines in mental health patients as practiced in mental health institutions. The rationale for choosing this topic is that restraint in psychiatric patients has led to exacerbation of aggressive behaviour that cause harm to other patients and mental staffs. On the other hand, seclusion is preferred over restraint in managing and protecting the patients from aggressive behaviour. Seclusion causes no harm to the patients and is an effective intervention for the management of the aggressiv e incidents. According to Perkins et al., (2012), the mental health nurses for inpatients in psychiatric wards practice restraint when a patient shows aggressive behaviour, acts out or does not follow the rules. However, current data suggests that restraints is not a therapeutic intervention, rather jeopardise the mental health status of the psychiatric patients. In a structured questionnaire study conducted by Vishnivetsky et al., (2013), secluding psychiatric adolescent inpatients was preferable as compared to physical restraint. About 82% of the total participants preferred secluding in the room is preferable as it was less frightening and improved their mental status as compared to restraint. On a contrary, seclusion is used that maximizes the freedom of the patients and protect them from risk by providing them a safe and secure environment (Vishnivetsky et al., 2013). However, there are various arguments reading the use of seclusion as it deprives them of liberty and practice social control as a coercive and negative experience. There is mixed literature regarding the use of seclusion as a way to control violent behaviour and have long-term benefits, however, seclusion is a safe option than restraints. In seclusion, the psychiatric patient is locked in a room, is being isolated from other patients and medical staffs, with loose items, and is allowed to leave the room. The locked patient is continuously observed and is a direct response to their aggressive behaviour that it is because of a psychology behaviour. Thus, the clinical audit will be focusing on the seclusion practice as a better intervention in controlling aggressive behaviour than restraint in psychiatric patients. The best practice is to provide seclusion where as compared to restraint and the mental ward nurses consider it a clear benefit for the person who is being secluded. It is considered a protective measure where the mental ward nurses utilize seclusion complying with the best practice and for the benefit of the patient. Although, seclusion is used insufficiently in the current practice, however while using the nurses follow basic guidelines and standards while utilizing seclusion (Osborne Webster, 2009). They f ollow safe delivery of seclusion in a secure environment that ensures patient safety prioritizing staff education and support so that there is patient-centred care and strong leadership, monitoring, commitment, oversight and transparency while using seclusion in psychiatric wards (Kuosmanen et al., 2015). The current practice also suggests that mental health staffs should abide by the principles of seclusion like use of positive behavioural support and decreased use of physical restraint. Mental health nurses also take into account the policy considerations that manage risk. According to Kontio et al., (2012), the nurses choose seclusion as the last option; however, they use it when they are not left with any other option. They do not continue it for longer and use it as a way to safeguard the patient and staffs from violent behaviour. The care staffs keep the secluded person in sight, sound inside the secluded room, and observe them directly through CCTV or direct observation. The nurse ensures that the patient is safe inside the room and pay attention to the consciousness level of the secluded patient. They also stay alert and concerned about the particular needs of the patient and provide immediate care for the secluded patient. However, in the real world scenario, mental health nurses does not comply with the guidelines of seclusion and are attempting to include the best practice in the seclusion (Jacobsen, 2012). For this, the nurses need to be properly trained and be competent with the recovery principles after seclusion and informed care. Clinical audit topic Do nurses in mental health wards comply with best practice when utilising seclusion? The audit topic is broken into a PICO format that explains that Population, Intervention as a treatment option, procedure or a diagnostic test as compared to another intervention and the outcome of the applied intervention (Methley et al., 2014). This format is helpful in defining the clinical audit topic and enables us to carry out a useful search by using keywords and Boolean operators (Robinson, Saldanha Mckoy, 2011). Population Psychiatric patients who show aggressive behaviour due to psychological disorders are not managed or controlled in a proper way by the nursing staffs. Incorrect management can harm the other patients and staffs in the wards and have serious consequences to the patients well-being. Intervention Seclusion is an intervention that can be used for controlling aggressive behaviour in inpatients in a psychiatric ward. Comparison The multidisciplinary team (MDT) should also utilize the same guidelines or approach while using seclusion. According to New South Wales (NSW) for Clinical Innovation, although seclusion need to be reduced in the psychiatric units, there should be proper care plan, staff training and education and well handover meetings to ensure safety of the patient and staffs (Callaghan Ryan, 2014). Outcome It is reasonable to suggest that although seclusion has no proper therapeutic benefits, it is used by the nurses, at the same time should assure that everyone is safe, and causes no harm. The search strategy for the clinical audit question will be through the database search, keywords and Boolean operators, selection process through inclusion and exclusion criteria and data analysis. For carrying out an effective search for the clinical audit question, one has to conduct an extensive search and come up with strong evidence and best research that can be analysed in a comprehensive manner (Smith et al., 2011). Relevant literature will be drawn from the vast pool of existing literature so that one can reach to a conclusion and summarise findings to indentify gaps and answer the main audit question. Specific databases will be used which are powerful tools that can be utilized to carry an effective search. The electronic databases were used like CINAHL, Ovid, Web search and Medline. All these databases have peer-reviewed and full-text journals that are authentic and reliable sources. The keywords used for the search are crucial elements, consists of short phrases, and commonly used words that extract the information required for the audit question. Boolean operators were also used where suitable keywords with respect to logical terms were streamlined in the right direction like AND and OR. After the meticulous search, relevant articles were included for the study. Rejection and exclusion criteria were used for the papers prior to search. For the present search, articles published after the year 2010 were included. Full-text and peer-reviewed articles were included and 20 articles were screened for studies. The selected articles were in English language form different countries an d use of seclusion for aggression management in psychiatric patients. Clinical Practice Guidelines from the (National Health and Medical Research Council) NHMRC suggest that under the Australian National Seclusion and Restraint Project, mental health facilities should follow the key principles while utilizing the seclusion. There should be protection of fundamental human rights, right to highest care, protection of the secluded person against degrading treatment, right to medical examination, compliance with regulations and legislation and most importantly, benefit of the secluded person (Runciman et al., 2012). The literature regarding the clinical audit questions was reviewed through Joanna Briggs Institute through the levels of evidences and in different themes. The literature was then graded against the Joanna Briggs Levels of Evidence for Meaningfulness. Recovery oriented support and care Among the best practices, the level of use of seclusion varies with different psychiatric settings. The nurses protect the services users, their rights, advocacy, promotion of access and connections with the community and family members. In this, nurses work in partnership to comply with the best seclusion practice while working in partnership. In a study conducted by Kontio et al., (2012), (Level 1) illustrated the perspectives of the patients while using seclusion. The data was collected through a focused interview where 30 patients were interviewed with inductive content analysis. The results depicted that while performing seclusion, they receive insufficient attention and there is no recovery-oriented care towards them. The nurses do not focus on the best practice and follow guidelines while using seclusion. The basic need of the patients is not being met during seclusion and there was no recovery-oriented care and documentation of the patients wishes. In another study conducted by Bogaert et al., (2013) (Level 2), there is workload, stress leading to poor quality of care and burnout. In a psychiatric environmental setting, a survey data was taken from 357 registered nurses from December 2010April 2011 and it was found that the workload and job demand acts as a mediating factor and they were unable to comply with the best practice while utilising seclusion. There was lack of patient oriented care for their recovery and well-being. In another qualitative study conducted by Al-Khafaji, Loy Kelly, (2014) (Level 1) the service users (patients) conveyed that their needs are not responded promptly and effectively and there was no patient oriented care while using seclusion and their compliance with the best guideline practices. Effective care and support Before utilizing seclusion, care need to be planned that, meet the mental health needs of the patient and delivered in an effective way. There should be effective provision of care and support while making effective decision for the patient before utilizing seclusion. The nurses complying with the best procedure and practices should support the health and well-being of the patient. In a study conducted by Wale, Belkin Moon, (2011) (Level 1) demonstrated that although the policy in Australia conveys that there should be elimination of seclusion and physical restraint, the nurses should utilize seclusion for better health outcomes of the patient. According to Borckardt et al., (2011), (Level 5) randomized control trials were carried out in five inpatients unit of a psychiatric hospital in South Caroline, USA. While using seclusion, there was proper care interventions where nurses were trained to positively support the client morale and through collaborative decision-making, seclusion rates reduced significantly. In another study, Wolf, (2012), reported that there are good and bad nursing and breakdown in practices. Although, nurses have the responsibility to work for the welfare of the patients, however, many nurses make mistakes and act recklessly at work. In a randomized control trail by Georgieva, Mulder Noorthoorn, (2013) (Level 2), demonstrated that that there was less relative risk in seclusion with less injuries and it depicts that nurses comply with the best practice while utilizing seclusion as compared to involuntary medication where the relative risk was higher. It also suggests that they perform seclusion that provide effective care and support while safeguarding the patient and staffs. Safe care and support The mental ward nurses have the responsibility to protect the patient from major harm or risk associated with the delivery and designing of the seclusion process. For this, nurses need to gather enough information, monitor the secluded person and learn from the information that are intended to provide safe seclusion practice. However, in many psychiatric settings, patients perceive seclusion in a negative and unwelcoming manner. In a qualitative study (Level 1) conducted by Van Der Merwe et al., (2013), the seclusion is not practiced in compliance with the best guidelines. Through an extensive literature search, the results concluded that patients perceive seclusion negatively and mental ward nurses believe that it has a therapeutic effect and they cannot operate effectively without using seclusion. There is lack of communication between the patient and staff before and after the seclusion application that affect the care process and support. Staffs did not guide the seclusion proces s in an effective manner and failed to adopt a safe mechanism for utilizing it. It is evident that patients experiences during seclusion are negative and mental ward nurses believe that the units cannot function without operating it. There is increased risk for the staffs and so seclusion is employed to ensure safety and protect the patient from aggressive behaviour. Leadership and management The mental health services should have effective arrangements that are intended to deliver best care while utilizing seclusion. There should also be systematic monitoring of the seclusion process and provide opportunities for safety, quality care and reliability of the mental health services. For this, there is requirement of effective leadership by the managers that are intended to promote quality care and safety of the patient and ward staffs while utilizing seclusion. In a quantitative study conducted by Smith et al., (2015), (Level 1) in Pennsylvania state hospital system from 2001 to 2010 showed that there was decrease in the seclusion and mechanical restraint rates. The managers and nurse leaders advocated effective leadership qualities and transparency with better policy changes and enhanced workforce response and development that led to the decline in seclusion and restraint rates. In a study conducted by Azeem et al., (2011) (Level 1), stated that after the implementation of the six core strategies in trauma informed care, the seclusion and restraint rates decreased in hospitalized youths. In this qualitative study, leadership and advocacy of the nurse managers helped to reduce the restraint and seclusion among the hospitalized youth based on trauma informed care. Workforce The mental health services should advocate caring plan, organize and manage the mental health workforce that achieve the best care, recovery oriented and provide ample support to the secluded person. The nurses should be recruited through arduous training on seclusion application with required competencies for safe delivery and protection of the patient. The mental health workforce should possess competencies that are intended to deliver the best quality of care and safeguard the patient during seclusion. While utilizing seclusion, the mental health ward staffs should deliver high quality service that provide recovery oriented and safe services for the patients and the other staffs. According to Masters, (2015) (Level 5), the seclusion and restraint are dangerous coercive measures that have a negative psychological effect on the secluded person and is likely to create an unprepared or insensitive environment. Nurse Managers should advocate leadership that evaluate the data on seclusion and restraint that are carried out in inpatient mental health settings. Staff training is also important where the mental health workforce should be trained to use seclusion in a recovery oriented and safe manner. There should be collaborative training of the staffs so that they negotiate with the patients to resolve the disagreements. This increases the patient autonomy and strengthening their trust in staff resulting effective decision-making. Clinical bottom line In qualitative and quantitative studies, recommend that the patients received seclusion in an ineffective manner where their needs were not addressed and no recovery-oriented care. Due to workload and demanding nature of job of the mental ward nurses, they fail to comply with the best practice while utilizing seclusion. As a result, there was lack of patient-oriented care. Kontio et al., (2012), (Level 1); Bogaert et al., (2013); Al-Khafaji, Loy Kelly, (2014) (Level 1) There is lack of provision of care and support during seclusion utilization and nurses fail to comply with the best practices. However, there was proper care interventions that supported the patient needs and there was decline in seclusion rates. Wale, Belkin Moon, (2011) (Level 1); Borckardt et al., (2011), (Level 5); Wolf, (2012), (Level 5); Georgieva, Mulder Noorthoorn, (2013) (Level 2) Qualitative studies recommended that patients perceive negative seclusion and feel unsafe during the process. Mental ward nurses lack enough information and information regarding the process that provides safe seclusion practice. Seclusion does not comply with the best practice by mental wards nurses as they lack a safe mechanism while utilizing it. Van Der Merwe et al., (2013) (Level 1) During the execution of seclusion, there should be systematic monitoring of the process that ensures safety, care and reliability of the process. For this, effective leadership is required for the safe utilization of seclusion. However, in Pennsylvania state hospital system, nurse managers advocated effective leadership while utilizing seclusion. Smith et al., (2015), (Level 1); Azeem et al., (2011) (Level 1) For safe and best practice, expert opinion recommends that nurse managers should advocate effective training of the mental health workforce for a safe seclusion practice. This collaborative staff training is crucial so that they perform a recovery based and safe seclusion practice. This strengthens patient autonomy and their participation in effective decision-making. Masters, (2015) (Level 5) Standards of Best Practice The mental health ward nurses should be intended to utilize seclusion that protect the patient, provide recovery oriented care, and support their well-being. There should be partnership approach towards recovery and provide ample care and support to the secluded patient. Kontio et al., (2012), (Level 1); Bogaert et al., (2013); Al-Khafaji, Loy Kelly, (2014) (Level 1) (Grade B recommendation) The mental health ward nurses should practice seclusion in a safe manner to achieve the best health outcomes for the patient undergoing seclusion. Seclusion should be performed in a way that is intended to be meaningful and aimed at providing effective care and support. Wale, Belkin Moon, (2011) (Level 1); Borckardt et al., (2011), (Level 5); Wolf, (2012), (Level 5); Georgieva, Mulder Noorthoorn, (2013) (Level 2) (Grade B recommendation) For the best seclusion practice, safe care and support should be provided to the patient that reduce the harm, risk to injury, and safeguard the patient. This can be achieved through identification, assessment and monitoring of the risk and appropriate actions during adverse incidents. Van Der Merwe et al., (2013) (Level 1) (Grade B recommendation) For the safe and best seclusion practice, the nurse managers and ward leaders should perform effective leadership and management to manage the risk, govern the seclusion process and are held accountable for the safety, quality and satisfaction of the patients. They should advocate leadership for the delivery of care and find ways to meet the regulatory, strategic and financial obligations. Smith et al., (2015), (Level 1); Azeem et al., (2011) (Level 1) (Grade A recommendation) An effective mental health workforce is required who can plan, lead, organize, train and motivate the staffs to achieve the best seclusion practice guidelines and reliable mental health services. Masters, (2015) (Level 5) (Grade B recommendation) References Al-Khafaji, K., Loy, J., Kelly, A. M. (2014). Characteristics and outcome of patients brought to an emergency department by police under the provisions (Section 10) of the Mental Health Act in Victoria, Australia. International journal of law and psychiatry, 37(4), 415-419. Azeem, M. W., Aujla, A., Rammerth, M., Binsfeld, G., Jones, R. B. (2011). Effectiveness of six core strategies based on trauma informed care in reducing seclusions and restraints at a child and adolescent psychiatric hospital. Journal of Child and Adolescent Psychiatric Nursing, 24(1), 11-15. Bogaert, P., Clarke, S., Willems, R., Mondelaers, M. (2013). Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: a structural equation model approach. Journal of advanced nursing, 69(7), 1515-1524. Callaghan, S., Ryan, C. J. (2014). A submission on the issues raised by the review of New South Wales Mental Health Act 2007. Georgieva, I., Mulder, C. L., Noorthoorn, E. (2013). Reducing seclusion through involuntary medication: a randomized clinical trial. Psychiatry research, 205(1), 48-53. Jacobsen, T. B. (2012). Involuntary treatment in Europe: different countries, different practices. Current opinion in psychiatry, 25(4), 307-310. Knox, D. K., Holloman Jr, G. H. (2012). Use and avoidance of seclusion and restraint: consensus statement of the american association for emergency psychiatry project Beta seclusion and restraint workgroup. Western Journal of Emergency Medicine, 13(1), 35. Kontio, R., Joffe, G., Putkonen, H., Kuosmanen, L., Hane, K., Holi, M., Vlimki, M. (2012). Seclusion and restraint in psychiatry: Patients' experiences and practical suggestions on how to improve practices and use alternatives. Perspectives in psychiatric care, 48(1), 16-24. Kuosmanen, L., Makkonen, P., Lehtila, H., Salminen, H. (2015). Seclusion experienced by mental health professionals. Journal of psychiatric and mental health nursing, 22(5), 333-336. Masters, K. J. (2015). Ask the Expert: Seclusion and Restraint. Focus, 13(1), 47-49. Methley, A. M., Campbell, S., Chew-Graham, C., McNally, R., Cheraghi-Sohi, S. (2014). PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC health services research, 14(1), 579. Osborne, S., Webster, J. (2009). Development and use of clinical guidelines. Using Evidence to Guide Nursing Practice, 59. Perkins, E., Prosser, H., Riley, D., Whittington, R. (2012). Physical restraint in a therapeutic setting; a necessary evil?. International journal of law and psychiatry, 35(1), 43-49. Robinson, K. A., Saldanha, I. J., Mckoy, N. A. (2011). Management Development of a framework to identify research gaps from systematic reviews. Journal of clinical epidemiology, 64(12), 1325-1330. Runciman, W. B., Hunt, T. D., Hannaford, N. A., Hibbert, P. D., Westbrook, J. I., Coiera, E. W., ... Braithwaite, J. (2012). CareTrack: assessing the appropriateness of health care delivery in Australia. The Medical Journal of Australia, 197(2), 100-105. Smith, G. M., Ashbridge, D. M., Davis, R. H., Steinmetz, W. (2015). Correlation between reduction of seclusion and restraint and assaults by patients in Pennsylvanias state hospitals. Psychiatric Services, 66(3), 303-309. Smith, V., Devane, D., Begley, C. M., Clarke, M. (2011). Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC medical research methodology, 11(1), 15. Van Der Merwe, M., Muir?Cochrane, E., Jones, J., Tziggili, M., Bowers, L. (2013). Improving seclusion practice: implications of a review of staff and patient views. Journal of Psychiatric and Mental Health Nursing, 20(3), 203-215. Vishnivetsky, S., Shoval, G., Vadim Leibovich RN, M. P. A., Marsel Mitrany RN, B. A., Aliza Barzilay, R. N., Volovick, L., ... Zalsman, G. (2013). Seclusion Room vs. Physical Restraint in an Adolescent Inpatient Setting: Patients' Attitudes. The Israel journal of psychiatry and related sciences, 50(1), 6. Wale, J. B., Belkin, G. S., Moon, R. (2011). Reducing the use of seclusion and restraint in psychiatric emergency and adult inpatient servicesimproving patient-centered care. The Permanente Journal, 15(2), 57. Wolf, Z. R. (2012). Nursing practice breakdowns: good and bad nursing. Medsurg Nursing, 21(1), 16.
Saturday, April 25, 2020
The Secret Truth About Essay Topics on Camus the Stranger Revealed
The Secret Truth About Essay Topics on Camus the Stranger Revealed In this way, you're certain not to damage your penis and you'll receive the best outcomes. Which is the reason why the all-natural penile enlargement exercise programs have now come to be the number one choice for men which are really seriously interested in raising their penile size permanently. A normal sex time is all about seven minutes for healthy males. All this can cause the penis getting sore from overuse. Key Pieces of Essay Topics on Camus the Stranger Going through it's rewarding though, as you'll have many Aha! Having sex shouldn't be achieved in a rush. Females will take some time for them to accomplish their climax. Every life would be worth the very same and all are privileged. However, you have to have the ability to make small talk if you would like to survive any given social scene. Absurdists believe it is futile to inspect the significance of life, since live has no meaning. Meursault is extremely content with his present life. The Basic Facts of Essay Topics on Camus the Stranger Though a guy is still younger, he can ejaculate at the shortest quantity of time but that's not a huge issue in their opinion. Meursault is struck by the thought of being married. He wakes up the following day and realizes that it's a weekend and isn't surprised his boss was annoyed. You should relax and attempt to consider something else that may make your partner enjoy your time together. Therefore, the secret to being comfortable enough to make small talk is to attempt to truly feel comfortable once you are with different folks. It is clear that the individual has lost their physical freedom. A completely free person isn't anxious about anything. Meursault, the narrator, is somebody who neglects to mention several critical facets of his internal state (which after a lot of speculation appears to be what the book is truly about). 1 instance of this is as soon as the narrator never says he isn't overly distraught over his mother's death. Essay Topics on Camus the Stranger Features The majority of Peterson's rules for life appear to come straight from the stoicism handbook. It is advised to look for the one which has a fantastic reputation and offers high-quality papers at economical rates. PaperCoach will be able to help you with all your papers, so take a look at this time! Meursault makes the option of quality. External events aren't deemed to be good or bad since they aren't part of our character. Nowadays you have sufficient topics to have you started! It is simpler to kick off the little talk in case you have knowledge in a number of topics that will interest others. Broaden your understanding of a broad scope of topics. The cost of an essay rides on the quantity of effort the writer has to exert. A satirical paper is designed to make fun at a specific subject. But still if you're unable to generate creative and intriguing tips for fiction essay then you could always use the preceding fiction essay writing ideas. Their themes are broken up into various categories. Up in Arms About Essay Topics on Camus the Stranger? He's very existentialistic due to his fate. To become indifferent to the world is a tricky endeavor and one lots of people do not desire to espouse. To a certain level, this new method of life is not as colorful since it predisposes relatively neutral emotional states. Meursault is the standard absurd man. The Fundamentals of Essay Topics on Camus the Stranger Revealed If you don't have the all-natural inkling to take part in small talk, practice. He lives life with detachment and too little emotion. You need to begin somewhere in case you want to develop those `rusty' convers ational skills. He gives examples of how others would appear to make this type of leap. If people put effort in their life, then their existence is going to have a goal. For instance, time gets symbolic for order and sense and it's appropriate that Mersault does not have any comprehension of it since he's a stranger in the world he lives in. Engaging others in little talk is additionally a polite gesture, and in addition to that, additionally, it can help boost your confidence and widens your social circle. The two must experience that it is going to convey them closer to the society that they're alienated from because it's the 1 thing all individuals have in common. Essay Topics on Camus the Stranger at a Glance For example, rinsing clothing thoroughly after washing can help to get rid of traces of detergents. He is a youthful delivery clerk residing in Algiers. The year until the following summer passes quickly and now is the time for Meursault's trial.
Essay Topics on Henrietta Lacks
Essay Topics on Henrietta LacksIf you are looking for essay topics on Henrietta Lacks, the chances are you have stumbled across this article. I have seen a lot of advice about how to write an essay that is not only informative, but will also draw attention. This is a little different from some of the other advice you may have seen out there.The truth is that writing an essay can be more fun if you have an interesting subject to write about. Writing about someone who is in the news, like Henrietta Lacks, does not fit that mold. So how do you create a good essay topic on Henrietta Lacks?The best way to find a topic that is not going to cause too much controversy is to start with something you know. Find a topic that you know very well. It doesn't need to be a new story, it just needs to be something that you can relate to or have some knowledge about.After you have found a topic that you are passionate about, you can begin to turn your attention to developing a common interest with the topic. One thing that is very important in essay topics is to pay attention to the grammar. Remember, most people, especially the student's won't be able to read it or understand it anyways. So make sure the writing is grammatically correct.Take a look at how Henrietta Lacks has lived her life and try to get a glimpse into her person's life. What do her family members say about her? What events shaped her life? Where was she born?You should spend some time trying to identify with Henrietta Lacks. In fact, the more you get to know her, the more it will help you when you are creating essay topics on Henrietta Lacks. When I use the term 'identify' I mean that you want to find a way to fit all of her personal traits and experiences into one piece of writing.Of course, you can still be creative when it comes to essay topics on Henrietta Lacks. Take a look at some of her famous quotes. Try to find some of her favorite things. Of course, this is another subject that are going to require a lot of work, but it will definitely bring out her personality.Good essay topics on Henrietta Lacks do not have to be controversial. Use the one-to-one model with the person, rather than going for controversy by using a controversial figure.
College Essay Proofreading Exposed
College Essay Proofreading Exposed The Dirty Facts About College Essay Proofreading Essay Writing and Masters Essay is a remarkable service. Work is performed under various Subjects each headed by means of a Referee. Students cannot register for classes or housing unless they've signed the LTC pledge every year. Dissertation plays a vital part in your academic success. When you send a request that says Edit my paper, we'll be prepared to supply you with a huge number of services to ensure that your essay will be brilliant. You can trust the very best essay help online. PNAS Online is distributed with the aid of. Here's What I Know About College Essay Proofreading You pay money for expert essay paper writing or editing service and it's your right to demand the maximum quality. Simple essay service is the secret to academic success. It's at times hard to compose an excellent essay without having an excess eye on it. Our customized essay writing service is intended to be sure you merely work with the finest in the area. To start with, our professionals are ordinarily more experienced than a paper writer typically. Our incredible century and technology development lets us get massive advantages from the web. Many colleges utilize the application essay for a method of finding out about you. Having written a very long text it's rather difficult to make good proofreading or editing simultaneously. Formatting is still another considerable element which should be considered. The proofreading tool extends to you different variants to change various phrases. Editing is an essential portion of the writing process. Then you definitely call for an expert editing services. Proofreading services, in addition to editing solutions, can help you avoid many troubles. Editing essays isn't that easy since there are many aspects that you have to take into consideration like spelling, grammar, format and content. You're not an expert dissertation writer so there's always a chance of errors and mistakes in your document. It's far better to employ an expert proofreader who's trained to spot and correct errors. A spelling checker might give you a hand or perhaps a paper rater. The Meaning of College Essay Proofreading However difficult your assignment is, we'll do our very best to fulfill all your requirements and requirements. Therefore, in case you have any questions regarding your existing order, please don't hesitate to address them via our site or email. It is possible to easily rely on us even in the event the deadline is very close. During exams, proofreading through your work before submitting will help you stay away from penalties or tiny errors and will provide you with a prospect of getting a greater grade. When it regards an essay, w riting is really only the beginning. Whether you must generate a paper of one-of-a-kind flawlessness, just get an essay here and our writers will provide help. Actually, a seasoned writer can get the job done much faster than any student as they've been writing academic assignments during their entire life. With internet essay proofreading, your expert editor will have the ability to clean up your writing and enhance your grade. It's possible to either Writing assignment is a really standard thing at college. You are also going to be in a position to see if every sentence is correct, in it has a subject and verb. Essay editing isn't a whim, but it's rather a crucial step towards an expert bit of work. It is a very important part of writing. The Chronicles of College Essay Proofreading Actually, asking an academic professional to proofread my work has become the most responsible action to do. When you get in college life, you could start to assume your scholastic success will be quite simple to get to. Many students do everything yesterday evening. There are lots of students who don't have time or the vital skills to do a painstaking work of proofreading the dissertation since there are lots of details which are require attention.
A Writing Sample Essay Can Be a Great Tool to Help You Pass Your Test
A Writing Sample Essay Can Be a Great Tool to Help You Pass Your TestIf you are considering taking a Composition exam, you will want to take the English composition sample essay. Most students look forward to taking this type of exam, because it can be a very revealing test, especially for individuals who do not know much about writing.The English composition sample essay is one of the best tools you can use to teach yourself what it means to write effectively. It is essential that you learn how to write properly when taking any type of writing exam. This is the first thing that most students learn on their way to becoming successful writers.What is most important about this essay sample is that it allows you to do things like run a script. The amount of time it takes you to write an essay depends largely on how you work with the elements of the script. If you do not pay attention to the structure of the essay, the writing itself will probably suffer because you lack the ability to c reate a proper structure. By writing the script correctly, you are likely to come out ahead.Also, you can make changes and add to the composition sample, so as to make it more interesting. You may use it to help shape your entire essay in any way that you see fit. For example, if you write a section that seems too short, you may cut it out completely, or add a new plotline or two.There are also some great places where you can take the English composition sample test. One place you may want to try is the Kaplan Writing Center. This test preparation site is extremely popular with students and is known for its ability to help you prepare for your exam.Another good place to check out the English composition sample is the College Board. Although there are some test prep sites on the Internet, many people believe that the College Board website is one of the best tests preparation sites on the Internet. The site offers excellent test preparation techniques, and includes interactive games t hat will teach you how to take your test.Writing well is the biggest thing you can learn from the test. In order to get better, you need to learn what it means to write properly, and how to structure your essay. The English composition sample will give you a great place to start on this journey, and should be a part of your arsenal of writing skills as you move forward with your college education.
Tuesday, April 21, 2020
The 38th Parallel Essay Sample free essay sample
The 38Thursdayanalogue. which approximately bisects the Korean peninsula. is best understood as an accident of history. an originally impermanent step that has lasted far longer than its Godheads intended. During World War II. the Korean peninsula. along with much of Asia. was occupied by Imperial Japan. Many Koreans resisted the Japanese. but Korea was non liberated until the reaching of American and Soviet ground forcess in 1945. After the ejection of the Japanese. the Soviet Union occupied the northern half of the Korean peninsula and. merely as in Eastern Europe. sponsored a authorities that was friendly to Soviet involvements. The United States did approximately the same in the southern half of the peninsula. holding drawn the 38Thursdayparallel as a slightly arbitrary line for the division of the busying ground forcess. The all-Korean elections that were envisioned for Korea at the clip of the division neer took topographic point. for a assortment of grounds and involvements on both sides. We will write a custom essay sample on The 38th Parallel Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page After the division seemed to take on a more lasting character. the leaders of both North and South Korea began readyings to reunite the Korean peninsula by force under their several methods of administration. The North. governed by Kim Il-Sung. struck first. occupying the South. governed by Synghman Rhee. in 1950. Brushing over the 38Thursdayanalogue. the North Korean forces seemed poised for a speedy triumph as they quickly reached the southern tip of Korea. The United States. nevertheless. intervened with 10s of 1000s of combat military personnels and turned back the tide. driving the North Koreans back to the 38Thursdayanalogue. The was did non stop at that place. nevertheless. as the United Nations forces. led by the United States. elected to occupy North Korea and reunite Korea on its ain footings. After the United Nations / United States forces crossed the 38Thursdayanalogue and invaded North Korea. the Peopleââ¬â¢s Republic of China intervened of behalf of North Korea. as both states shared an involvement in maintaining the United States off from the boundary lines of China. Chinaââ¬â¢s entry into the war led to three old ages of military deadlock. In 1953. an cease-fire was signed that efficaciously restored theposition quo ante bellum.although North Korea gained the metropolis of Kaesong. Technically the Korean War neer ended. as an cease-fire in non tantamount to a peace pact. Fifty-seven old ages after the war began. the 38Thursdayanalogue remains a militarised tripwire between a communist North and a capitalist South. Mentions: hypertext transfer protocol: //en. wikipedia. org/wiki/38th_parallel_north # Korea Oberdorfer. Don.The Two Korean peninsulas: A Contemporary History. Perseus Books Group. 2001. Martin. Bradley K.Under The Loving Care of the Fatherly Leader. St. Martinââ¬â¢s Press. 2004.
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