Critical incidents and our behaviours.

Critical incidents and our behaviours. What is critical incident? Critical incident has been defined in different ways depending on the nature of the incident and the environment or setting where it took place. Tripp (1993) defines critical incidents as a commonplace events that occur in routine professional practice Incidents may relate to range of issues amongst which issues of communication, relationships, moral beliefs and ethical values, knowledge, culture or emotions. The definition I like best is that a critical incident need not be a dramatic event, but it is an incident which has significance for us. It is often an event which made us stop and think, or one that raised questions for us. One that may have made us question an aspect of our beliefs, values, attitude or behaviour. It is an incident which in some way has had a significant impact on our personal and professional experience and learning (MU). Curiosity is a basic human emotion. The psychologist William McDougall states that The instinct of curiosity is at the base of many of mans most splendid achievements . As humans we all have the drive to find rational explanation of lived events and our surrounding. We do that though trying to examine or reflect on our experiences. According David A. Kolb (1984) reflection is an inseparable part of the learning process. This is the part during which by analysing given event we enhance our knowledge, enrich our practical experience and prepare for new and challenging situations. Different frameworks have been developed to aid the development of critical reflection. Most prominent are the models of Kolb (1984), Gibbs (1988), Atkins and Murphy (1994), Johns (2000), Rolfe et al (2001) and Lister and Crisp (2007). Lister and Crisp explain that critical incident analysis has developed as a tool to aid critical reflection in practice, in health and social work. It has been used to enable students to describe and explore issues from their practice (Nygren and Blom 2001), (Montalvo 1999). PoDAIT describes that Critical Incident Analysis is an approach to dealing with challenges in everyday practice. and that As reflective practitioners we need to pose problems about our practice, refusing to accept what is. We need to explore incidents which occur in day-to-day work in order to understand them better and find alternative ways of reacting and responding to them. Therefore it is safe to conclude that critical incident analysis can enable professionals to reflect on their practice and to explain and justify it. Account: During my placement at a south London CMHT I had short period of working with the duty team. This was when I and the MH nurses Q met Miss X for an initial assessment. Several days following Miss Xs assessment her case was discussed at a clinical review with one of the team consultants DR G and it was decided that the dosage of her medications is to be altered. When I informed her GP of the above I was told that her medications have already been adjusted and that the dosage is different from the one given on her referral. This created the need for reviewing Miss Xs case second time. In the meanwhile Dr G left the team and was replaced by Dr V. By that time I had finished my period of duty work and despite the fact that I had recorded all information on the internal database and that Miss X was still a duty client I was asked to present her case at Dr Vs next clinical review. I had no objections as I had knowledge of the client, and especially as Q was not present. At the review was decided that Dr. V will offer Miss X another appointment. I recorded the outcome on the internal database and also reported to Q who happened to be on duty shift. I also informed him of the need for Miss X to be notified of her appointment. On the agreed appointment date Miss X did not attend and when contacted by phone she stated that she was not notified of it. Dr V asked me to offer her a new appointment for the following week. I had no obligation to liaise with the Miss X or do any work on the case as she was a duty client and I no longer had formal involvement with her. Nevertheless, I notified her of the new appointment did both over the phone and in writing. When the second appointment came Dr. V asked me to attend the assessment with her. I was not required to, however I accepted. I decided that while Miss X would be more comfortable with a familiar person during the meeting, I would have good learning opportunity attending an assessment conducted by one of the team consultants. When Miss X arrived I introduced Dr V to her. During the assessment Miss X said that her medications have not helped and that she cannot cope. During the assessment she was wringing her hands and became tearful. Dr. V identified that Miss X had not been taking her medications at the appropriate time and that sleeping in the afternoons could be contributing to Miss Xs difficult night sleep. During the assessment Dr. V suggested that she can prescribe Miss X a number of different sleeping aid medications. However, at the end Miss Xs medications were not changed and she was told to continue with her current ones, but to take them at the prescribed times. Dr V informed Miss X that she will offer her a follow up appointment in two weeks time, in order to assess her progress and to change her medications as and if necessary. Following the assessment I went to the duty workers and asked them to come for an update from Dr. V. Two of them were busy and the third one Z who is a MH nurse was dismissive. As I could not get anyone from the duty team to come I went to the doctors office for final discussion and planned to record the outcome of the assessment and any decisions on the internal database. While we were discussing Miss Xs action plan Z entered the office. It was jointly agreed that Miss X will be offered follow up appointment in two weeks time. Later in the day Z came to me and asked me whether I have recorded the appointment in the duty diary. I informed her that I have not as my understanding was that this is consultants appointment rather than a duty one, which is normally not recorded in the duty diary. Nevertheless, she insisted that I do so. As I recorded the appointment in the diary, which I found on Zs desk, Z came and asked me not to make the appointment for the agreed date but for the day after. She explained that the appointment fell on a day which should be free of duty appointments. I was obviously confused as the date was chosen by Dr V and the other 2 previous appointments were both booked for the same day of the week without that being a problem. Z said that she has spoken to Dr. V regarding the appointment already. While trying to be helpful, having been given ambiguous information and the fact that Miss X was not my client to start with, I decided to step back and asked Z to clear any confusion with Dr. V. On the following day during Dr. Vs clinical review meeting Z presented Miss Xs case with suggestion for her to be discharged back to GP. To my big surprise Dr. V agreed with the suggestion. The rest of the team approved her decision silently. As the team had moved onto discussing other client I did not want to interrupt and did not speak out until the end. Having considered the distressed and tearful state in which Miss X presented, during the two assessments, her reports of feeling hopeless and without support, and her previous suicidal ideation, I asked if we could have another look at her case and perhaps offer her one more appointment before discharging her from the team. Dr. V said that she had reconsidered her yesterdays decision and assert that Miss X presented low risk; therefore she did not require further input from a consultant. In principle I agreed that Miss X may not have to be seen by a consultant. Nonetheless, I still felt that it would have been appropriate and an example of good practice for a member of the team to see Miss X before discharging her, especially after she was told to expect further support. Z suggested that I should take the case on. I explained that without my placement tutors permission I am unable to accept any new clients. Z suggested that keeping her as a client for an extra week or two puts strain on the duty team and suggested that as alternative to face to face appointment I can call the client. I agreed to that, but highlighted that due to my student capacity I would still have to be supervised by a team member. One of the senior social workers commented that I will be given credit towards my competencies, for adv ocating for the client. My request was left unanswered and Z said that she would deal with the case. Following the meeting another member of the team also a MH nurse spoke to me and said that I should not have brought up this question and contested the decision made by the consultant. I provided my practice assessor with a report of the situation however, it never went any further. I tried to look at the whole process and the outcome from Miss Xs perspective and tried to explore her feelings. Removal of formal and informal power barriers between the su and s providers Did not feel like I could change the decision and speaking to the cons. Would not have been benefitial. I was surprised if not even shocked by the consultants decision. Earlier I had observed (noticed) a certain level of indecisiveness as whether to prescribe different medication s or not have offered a range of different meds however did not stick to any of her own suggestions. Reflecting on that I tried to justify her behaviour accepting the fact that along the assessment different new information came to light. (reflected on her actions and decisions made) Power dynamics, my student and consultant Being familiar with the details ot the case I felt it was morally and ethically unjust to remain silent and not bring the matter up Being assertive but not argumentative (being diplomatic) in this situation my believes and values clashed with the decision taken What was the right thing to do. Keeping in mind my status in the team as student on placement, without extensive social work experience and not familiar with the power dynamics within the team I was double minded as to whether to Express my disagreement by suggesting an alternative approach to the situation and in this way challenge the decision taken by the consultant or to remain silent. In this situation the final decision about the care of the patient was being made. I (felt) was aware that once the decision was made speaking in private with any of the participants would not be constructive or bring positive results. Learning No one likes being challenged and when this happen some people may become self-protective and resistant to accept others views which may also impair future joint working. It is important to highlight that by challenging certain decision it is only the decision being challenged and not the person. After all the joint goal is the wellbeing of the client and not proving who is right or wrong. Be aware of office power dynamics and be mindful that some professionals may be strongly opinionated and confronting their views on a particular matter has to be made with care and in non confrontational approach. Sensitively approach and challenge others opinions try to (prevent from happening) diffuse charged emotionaly situations (to be diplomatic) When analysing a critical incident, it is useful to ask yourself questions such as: Why do I view the situation like that? What assumptions have I made about the client or problem or situation? How else could I interpret the situation? What other action could I have taken that might have been more helpful? What will I do if I am faced with a similar situation in the future? Refs: Atkins, S Murphy, K (1994) Reflective Practice Nursing Standard 8 (39) pp49-54 Evans, D. (1999) Practice Learning in the Caring Professions, Aldershot, Ashgate. Gibbs G (1988) Learning by doing: A guide to teaching and learning methods. Oxford Further Education Unit, Oxford. Johns C. (1995)Framing learning through reflection within Carpers fundamental ways of knowing in nursing. Journal of Advanced Nursing 22 p. 226-234 McDougall W. (2003), An Introduction to Social Psychology, Courier Dover Publications Rolfe G., Freshwater D., Jasper M. (2001), Critical Reflection in Nursing and the Helping Professions: a Users Guide. Basingstoke: Palgrave Macmillan (M.U.)(http://www.monash.edu.au/lls/llonline/writing/medicine/reflective/2.xml) KOLB D A (1984) Experiential Learning: experience as the source of learning and development New Jersey: Prentice-Hall ProDAIT http://www.prodait.org/approaches/cia/ [accesedà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.]

Duality in Fahrenheit 451 :: Fahrenheit 451 Essays

Duality in Fahrenheit 451 Dualities are the most elementary of comparisons, and are the easiest for the mind to comprehend in that total opposites are brought to attention. These opposites subconsciously provide one with a deeper insight of the material and consciously entertain. In Ray Bradbury's Fahrenheit 451, many dualisms are included both within Montag and in the outside world that provide 180 degree flip-side views, giving the book further depth and inner meaning. Within the many layers of Montag lay several opposite sides. For example, Montag is a fireman who burns books for a living but at home, spends time reading novels, poetry, and other written material. Although Montag could be called a hypocrite, he does not enjoy both the reading and the burning at the same time; he goes through a change that causes him to love books. Humans have the power to change and grow from one extreme to another, sometimes for the better and sometimes for the worse. In addition, when Mildred is with Montag, Montag does not have feelings for her but thinks of her as she is killed by the bombs. He possesses both the knowledge that Mildred does not love him and the heart that truly cares, but he knows not how to deal with this. His feelings are oppressed; it takes a major event (the bomb) to jolt them from hibernation. There are many dualisms in the outside world of Fahrenheit 451. For example, Montag receives contrasting lectures from Faber and Beatty on what to do with the books and how to be. Beatty and Faber are like black and white: total opposites no matter how you look at it. This "flip-side of a coin" clearly compares the book burner to the book reader, the hatred to the love, and it also gives the reader the opportunity to "choose" their side. In addition, the fire is used to burn houses and books, to destroy possessions; it also is used by the outcast men to cook their meal, warm themselves, and provide light for them. The fire has, in itself, two conflicting sides which includes destruction and preservation. The fire gives Montag as well as the reader the understanding that one thing can have both good qualities and bad qualities at the same time, and that many powers can be spoiled if used for negative intentions. Duality in Fahrenheit 451 :: Fahrenheit 451 Essays Duality in Fahrenheit 451 Dualities are the most elementary of comparisons, and are the easiest for the mind to comprehend in that total opposites are brought to attention. These opposites subconsciously provide one with a deeper insight of the material and consciously entertain. In Ray Bradbury's Fahrenheit 451, many dualisms are included both within Montag and in the outside world that provide 180 degree flip-side views, giving the book further depth and inner meaning. Within the many layers of Montag lay several opposite sides. For example, Montag is a fireman who burns books for a living but at home, spends time reading novels, poetry, and other written material. Although Montag could be called a hypocrite, he does not enjoy both the reading and the burning at the same time; he goes through a change that causes him to love books. Humans have the power to change and grow from one extreme to another, sometimes for the better and sometimes for the worse. In addition, when Mildred is with Montag, Montag does not have feelings for her but thinks of her as she is killed by the bombs. He possesses both the knowledge that Mildred does not love him and the heart that truly cares, but he knows not how to deal with this. His feelings are oppressed; it takes a major event (the bomb) to jolt them from hibernation. There are many dualisms in the outside world of Fahrenheit 451. For example, Montag receives contrasting lectures from Faber and Beatty on what to do with the books and how to be. Beatty and Faber are like black and white: total opposites no matter how you look at it. This "flip-side of a coin" clearly compares the book burner to the book reader, the hatred to the love, and it also gives the reader the opportunity to "choose" their side. In addition, the fire is used to burn houses and books, to destroy possessions; it also is used by the outcast men to cook their meal, warm themselves, and provide light for them. The fire has, in itself, two conflicting sides which includes destruction and preservation. The fire gives Montag as well as the reader the understanding that one thing can have both good qualities and bad qualities at the same time, and that many powers can be spoiled if used for negative intentions.

Internet Gaming Addiction Essay

Computer games are software which developed with an interesting plot, amazing graphics and unreal concepts which you may only see in those games, fantasy movies or animated movies. There are many types of computer games. There are some games that are really addictive making players unhappy if they were offered just a nick of time for playing. Some computer games drive and put the player at the highest level of eagerness to finish the game and wait for the next version. These games are addicting for only a short period of time, and stops after finishing it. The bad thing here is when the player starts to look for another game similar to his previous game. This surely is a sign of addiction. These computer games have characteristics that may or may not be experienced in real life. The difference of these games from the real world is that it makes the user do virtual things that people don’t do in real life. These games are designed to entertain people and one of its objectives is to make people hooked to it. If there are more people hooked, then the producers of the games get more profit. How did these games appeal to the people? Some games may not have done its objective but there are some that greatly caught the attention and time of the people who played it. Another thing is that these games offer competition. It is the same competition that we experience in real life. If the player performs well over the other players in the game, he feels satisfaction. In order to stand among the rest, a player needs to play hard or devote more time. It is just like when we want to standout in class, we have to study harder or when we like to be the most outstanding player in our favorite sports, we have to practice more. A person gets satisfaction after achieving something that he or she wants. This achievement is easy to acquire in computer games as compared to real life. You just sit down, run the game, and enjoy yourself while achieving your goals. However, computer games are far from our real world. You may relate to them, but the real thing is really different. Sometimes, the things that happen to your character in a role playing game may resemble the exact opposite of what is happening to yourself. When your character in the game gets richer, it does not follow that it could happen to the real you. Actually, it does the other thing – you become poorer. Getting addicted to these computer games may be enjoyable but there are serious consequences. Addiction always leads to negative effects. It renders a person irresponsible and makes him forget more important things he should do, and worse, people who are close to him. Sometimes life itself could be just thrown away like a disposable item. A South Korean man was reported dead after playing online game continuously. The death was caused by heart failure due to exhaustion, lack of sleep, and not eating enough (BBC News, 2005). Not sleeping or lack of sleep leads to failure or weakens the capability of our body to resist sickness. And gamers always force themselves to play up to the point that they even lose the time for sleeping. If normal people who lack sleep do not feel good sometimes, then this fact also applies to the gamers. Playing computer games is not for free. It uses electricity, some needs Internet connection, and sometimes you have to pay the game servers to play their online game. Living our daily lives is not for free either. We need resources to support our needs. We need to work to earn resources. Lucky are those teenagers supported by their parents. And obviously those parents will not support for addiction to computer games. It is also a reality that we may earn money from playing games because there are things in a computer game especially in online games that can be traded off with real money. But this money is not enough to support our needs. Addiction to computer games, generally, will not do good effects to the people. If you want to play computer games, you can play them. But be sure to remember not to fall on its trap on becoming addict to it. It has never been good to be an addict on computer games or anything. The only problem is, sometimes, you tend to ignore things because it is being blocked by something attractive or enjoyable. Being responsible is the key to avoid addiction. You better think of yourself, your family and your future. Do not let yourself get entangled in the roots of addiction. You should balance all the things that you do. Do not forget to be happy or do necessary things for your own life. You should know and set priorities in life. You should ask yourself what is important. Think critically, responsibly and do not stop with that. Whatever might be the result of that thinking, carry that on. Just plant in your mind that being an addict to whatever is not good. References: BBC News. 2005. S Korean dies after games session. Retrieved May 1, 2007. http://news. bbc. co. uk/1/hi/technology/4137782. stm.

Interview Essays

Interview Essays Interview Essay Interview Essay Jean Pierre Peguero Interview Environmental factors do have a great impact on the development of a persons life view. Throughout life we Learn new things, go through trials and tribulations, and overcome hardships. All the things we experience and go through in life help form and shape the way we look and live our life’s. â€Å"Influence may be the highest level of human skills. † I conducted an interview with a good family friend of mine Jose-Luis DeJesus. Jose-Luis is of Puerto Rican descent. He works as a registered nurse at Brigham and Womens Hospital. We differ from age, up bringing, religion and our career paths are complete opposites. His age is 55 years old and I am 22 Years old, which makes that a 38 year difference to me. Our up-bringing was different on the count of I was brought up more modernized than him, Jose-Luis grew up his early years working on a farm. Our religions are also different. Jose-Luis religion is christianity, and is a dedicated church goer. I on the other hand, am Un-decided and dont believe much in religions. Jose-Luis chose to be a nurse as his career path because helping people is what he likes to do. I chose graphic design as my career path because i want to leave a mark visually on this earth. The highest dollar check I could get now in high school basketball would Just depend on what school I went to and what their budget is, but more than likely a coaching Job in Texas for high school would pay more than a high school coaching Job in Oklahoma. The pros of teaching and coaching are that you can make sure that your players are being more respectful in class, keeping up in their classes, and getting to be around them more because like I said once basketball season starts there like my family he said. Coach Thomlinson said he oes an occasional summer school for students who have failed and need to make up classes for some extra money but other than that the wife Just brings in the big bucks. If I could do it all over again I would definitely choose this profession because day in and day out it might not pay as well as other Jobs or some nights might be a lot rougher than others but the feeling you get when youre helping the kids on your team get to play the game they love and teaching them about the game they play couldnt be traded in for anything in the world I think

How to Write a Literature Essay on #8220;The Red and the White#8221;

How to Write a Literature Essay on #8220;The Red and the White#8221; A literature essay is used to closely examine a piece of prose, poetry, or a treatise. If you have to write one on, let’s say â€Å"The Red and the White: A Family Saga of the American West†, you need to know how to draft one for your instructor to give you a good grade. After all, you need to thoroughly analyze the written masterpiece you read. So, here are the steps your instructor will expect you to follow to write your first ever literature essay. Reading and Research Phase Analyzing a book becomes a lot easier if you have read the text thoroughly. Ideally, critical analysis requires deeply reading the text. If you do not have time for this, try to read the book at least once. After reading the primary text, you need to research secondary sources. Look up relevant facts on â€Å"The Red and the White† for a literature essay and carry out some additional reading on the major themes presented in the book. However, remember that these secondary sources are just an aid for your work. The ideas you present must be your own. At this stage choose the topic you wish to write about. You probably have already discovered some interesting aspects you can write on. For instance, you can focus on characters, themes, and historical events which motivated the author. For more topics on a literature essay about â€Å"The Red and the White: A Family Saga of the American West†, refer to 20 topics on â€Å"The Red and the White† for a literature essay. Introduction This is the first and most important part of the literature essay. It contains three basic components: a hook, a transition, and your thesis. The hook is a sentence that is used to grab your reader’s attention. You should broadly state the topic you are writing about. Try to make the introduction as interesting as possible. The second component, the transition, connects the broad idea of the hook to the specific work of literature you will be writing about. Include the title of the work; the name of the author in the introductory part of your essay. Also mention any special awards/accolades the book has received. The last part of the introduction is the thesis. A thesis is the central idea the entire essay. It should be a strongly worded statement that is equally clear and succinct. You can also provide a preview of your essay; simply list the major ideas your paper discusses. Body of the Essay The body of the essay is composed of three to five paragraphs. Each paragraph presents one idea which ties back into your original thesis. These paragraphs should be structured as follows: Topic sentence Explanation of the idea Supportive evidence from the text Connecting the idea to your main thesis The paragraphs should be structured in a way that allows the essay to flow smoothly from one topic to another. Keep your focus on proving the central idea you stated in the introduction. Conclusion Reiterate your central idea. Try to describe the broader significance of your topic. Finally, state why the literary aspect under discussion was used and how it illustrates your idea. This template is an ideal format to follow when writing a literature essay. Although it focuses on a specific book, you can easily generalize these guidelines and use them for any literature essay you need to work on in the future.

Executive Summary for business plan for frozen yogurt company Assignment

Executive Summary for business plan for frozen yogurt company - Assignment Example This, in turn, will significantly contribute towards the swift operations of the company. As a result, the company will be able to follow through on its objectives and mission of providing quality and efficient services and products to clients. Product. Y-spot frozen yogurt company is a business that seeks to commit to quality production for the market base. The company shall focus on the production of frozen yoghurts. Thus, in order to gain a competitive edge over its competitors, the company shall specialize in the production of different flavors of yoghurts. These flavors shall be based on unique customer requests. This implies that the company shall focus on the production of tailor-made yogurt products for its consumers. Therefore, the company shall gain a competitive edge over its rivals by responding effectively to unique customer needs. In addition, production of frozen yoghurts by the company also offers an efficient and effective mode of preservation for the company’s highly perishable products. Location. Y-spot frozen yogurt company shall, thus, be located in New York. This is attributed to the magnitude and nature of New York’s population. The city is inhabited by numerous and vast populations from various parts of the world. In addition, the city also boasts of numerous institutions with an immense student and working population. Therefore, the city’s vast and cosmopolitan population will provide the necessary market for the company. However, the company shall also employ the necessary marketing strategies such as use of the internet and social networks in the process of optimizing its sales operations. Moreover, the company shall also roll out its operations to the environs of New York as part of its first substantial expansion plan prior to rolling out operations to other parts of the nation. These expansion processes

CW4 - Peter Drucker Essay Example | Topics and Well Written Essays - 1500 words

CW4 - Peter Drucker - Essay Example Peter’s era was the twentieth century where his career regarding management consultant grew from 1942.Peter Drucker had led a bright career in teaching phycology, sociology and management. Ultimately he pioneered in offering an executive MBA program for working professionals in Claremont Graduate University. His writing and critical thinking regarding the improvement of the organization as to adopt the human resource and benefit the human race urged him to write several books and articles. Although being the management consultant he was not much inspired by the numbers but he was focused upon improving the organizational cultures and relations so that the human resource management can be done more effectively and beneficially. Peter Drucker’s writing regarding society and politics led him to work in the high level management of one of the biggest company around the world at that time, General Motors. Peter taught the management of liberal art where the relation regardin g the suppliers, customers, employees and other companies were given much value than crunching of the numbers. With his workings and phycology Peter earned links in the top management of the many of the big bulls of that time including General Electric, IBM, Sears and many more especially in Japan as Japanese where really inspired with his works. Main Thought From the start Peter Drucker was more inspired and exaggerated the relationship between the people then from the valuation of numbers. The main focus of Peter was upon improving the relation between the employees and enhancing the capabilities of the human resource. He was much inspired by those who work with minds rather than those who work with hands. Most of the works of Peter Drucker is upon the betterment of the management in the organizations as he believed that private organizations play a vital role for the betterment of the society. Peter’s belief of making organization better to better serve the society led to many ideas in reforming the organizational cultures and norms so that the private sectors serve the economy and enhance the human lives. The Wall Street Journal called Drucker â€Å"the most influential management thinker of the past century,† who â€Å"developed a loyal following among many of the world’s most-famous corporate chieftains, and became the model of the modern management guru, a craft he plied far more modestly than many of his successors† (Thurm & Lublin, 2005). Peter believed that the human resource is one of the most important assets to the company and the management should value the employees and train them accordingly so that the employees would bring out their talent and benefit the organization and the society. it is this thought of Peter Drucker that realized the worth of human resource in the organizations and ultimately leaded to the enhancements in the human capabilities. Peter Drucker idealized the importance of the private sector as th e organizations and their relation with the better society by providing human resource that are more benefiting for the society as a whole. According to him the works of the workers should be appraised and appreciated. By appreciation the motivation level of the individuals increase and thus improves the potential of the individual ultimately resulting in the enhancement of knowledge within the individual and then spreading in the social circle and thus benefiting for the whole society. The appreciations of the works of the workforce is the main reason that the workforce devotion