Thursday, October 31, 2019

Experimental Designs I Statistics Project Example | Topics and Well Written Essays - 750 words

Experimental Designs I - Statistics Project Example 4. It sets the rate of alpha error to the experiment error rate, which is usually 0.05. This is divided by comparisons in totality to type 1 error control if there is a consideration of multiple comparisons. In case, the bonferroni test is applied, there will be a print out of multiple comparison tables by SPSS providing mean differences in dependent variables among groups. The importance of these differences is also given showing 0.05 to be the differences significant level. 6. Post hoc comparisons are performed when a researcher is finding out differences, which is not limited to an individual’s theory (Gonzalez, 2008). Many tests that are carried out under post hoc apply the q statistics. If group means comparisons are chosen because of their large size, there is a variability increase expected. This must be compensated by the researcher through application of more tests, or else there will be occurrences of type 1 errors. 8. Repeated measures ANOVA is more powerful because every factor controls itself. In these designs, differences in individual subjects do not interfere with treatment group differences (Kulinskaya & Dollinger, 2007). SS stands for variation; df means the degree of freedom; MS is the variance that is arrived at by SS/df, and F is the ratio test got by dividing between MS by within MS. In the table above, the MS of within-group is less than between groups which shows that the grouping has no effect. The grouping has been done in three categories, that is, df within groups being (3-1) =2. There are 4 people in every group, therefore, df within groups is the group number multiplied by one less the number of each group: 3*2= 6. These are denominator’s and numerator’s df. From the F table with 0.0 5significance level, 5.14 is the critical value. As the F value that has been computed is less, it can be concluded that grouping variables have no effect on dependent variable. SS stands

Tuesday, October 29, 2019

Consumer Driven Health Plans and Health Savings Accounts Essay

Consumer Driven Health Plans and Health Savings Accounts - Essay Example ible Spending Accounts such as tax benefits to employees and employers, a portable health program, an attractive incentive program and an affordable approach to health care. They are preferable to other options because they offer portability and are less limited or risk-laden than the HSA. However, they do require a high deductible health plan. In determining the best type of health plan to offer our employees, the option of Health Savings Accounts presented itself as being the best choice for our company situation as a small but growing firm. This paper describes what a Health Savings Account is, addresses the most unique advantages it has to offer with particular emphasis on the advantages offered to small companies and compares this type of program with other consumer driven health plans available. In addition, the disadvantages of Health Savings Accounts are discussed, common questions are posed with answers provided by the Department of Treasury and consumer feedback is offered. A Health Savings Account (HSA), an example of a consumer-driven health plan, offers a distinct alternative to the way in which we work with traditional health insurance programs such as Health Maintenance Organizations (HMO) or Preferred Provider Organizations (PPO). One of the greatest advantages of HSAs is that they offer tax breaks that continue to grow wealthier because consumers decide for themselves how to spend less. Patients pay for a greater share of their health care directly and are given more control over the money in their HSA than they would have in more traditional plans. These plans are contingent on the use of a high-deductible health insurance plan that meets specific criteria, which functions to lower costs for employers as well as premiums for employees. Decisions on what types of investments to make with the money are made by the individual consumers without relying on a third party employer relations expert or a health insurer. In addition, each person

Sunday, October 27, 2019

Reflective Analysis of personal Time Management and Nursing

Reflective Analysis of personal Time Management and Nursing An event that was meaningful to me as a nurse happened during my clinical time at St. Michaels Hospital when I did not wash my patient before 8:00 am in order to prepare her to go to a plastic surgery appointment later on that day. My patients 10:00 am Heparin administration was delayed by 45 minutes because she was being washed at that time. This event occurred because I did not prioritize the tasks I had to complete during the day properly, and therefore I learned the importance of time management while I work as a nurse on the clinical unit. Besides me, the people who were involved in the event were the registered nurse who I shadowed, my clinical instructor, and my student nurse buddy. At the beginning of the clinical day, while the events happened, I contacted my instructor, my nurse, and my student nurse buddy. The nurse and I sat down to look at the Kardex of patients and wrote down notes on our Personal Organizational Plan (P.O.P.). On the Kardex, my patients condition was the same as yesterday except she would have a plastic surgery appointment later on that day. Usually the patients husband would visit her daily around 9:30 am and provide care which including washing the patient and helping her to perform bowel elimination. My patient preferred that nurses leave them alone while her husband cares to her. On this particular day, the patients husband had an appointment and could not visit his wife in the morning, which meant it was my responsibility to wash my patient early so she could be ready for her appointment. I verbally informed my student nurse buddy that I would need her help to wash my patient but I thought my memory was good enough that I did not have to write down this specific task on my P.O.P. When I met with my patient, I concentrated on measuring her vital signs, completing the initial assessment, nursing activities, and interviewing my patient for the Roy Care Plan assignment as these tasks were originally listed on the P.O.P. I made sure I finished charting by 9:00 am. Once I finished charting, the nurse came up to me to see if I had bathed my patient and I replied no. From the nurses unsatisfied facial response, I realized I should have bathed my patient earlier in advance. My clinical instructor also asked my student nurse buddy and I the reason the patient had not been washed yet. I thought I could have washed my patient after I completed the charting as I knew the patient usually was washed around 10:00 am by her husband. I felt really bad and irresponsible because I did not wash my patient on time and prepare her for the appointment. My intuition told me there must be an essential task I had missed, but I just could not recall what it was since I did not write it down on the P.O.P. I thought my clinical instructor and the nurse must feel disappointed that I did not perform the task earlier as I remembered my clinical instructor stated clearly to check if any of our patients has special orders or tasks to be done at the beginning of the shift. I believe there are ethical and economic considerations to be taken into account about this event. If my patient was still in the process of getting ready while she received a call to go down to the plastic surgery unit, it would create unnecessary wait time for the plastic surgeon and other patients who would see the plastic surgeon later on. In order to compensate for the extra wait time, staffs at the plastic surgery unit may try to rush things and quality of treatment that patients receive may suffer. Staf fs may have to work overtime due to the delay and economic burden would be a result. In addition, delay of administering Heparin will increase patients risk of blood clotting and serious consequences such as pulmonary emboli, myocardial infarction, and deep vein thrombosis may be resulted. This will be considered as maleficence to the patient (Potter Perry, 2009). Moreover, I believe I should be accountable to my patient by providing safe and quality care to my patient which includes washing my patient on time. This belief arises from my nursing teachers constant reminders to us that it is very important to follow CNOs practice standards during practice. The key issue of the event is time management skills for clinical practice. If effective time management strategies were applied to my clinical practice, the chance of this event occurring would have been minimized and my performance of clinical practice will be improved. According to Chater and Litchfields study done on new graduate nurses who work in a neonatal unit at an Australian hospital (2007), five themes: knowing, planning, support, fulfillment, adapting and being flexible can be utilized to help student nurses and new graduate nurses to better manage their clinical time. Firstly, knowing is essential for nurses to manage time on the unit. The reason is if novice nurses do not know the condition of their patients, then they will not know what interventions they need to apply. More time will be spent looking up and learning about how to take care of the patients conditions. Therefore, obtaining nursing knowledge and familiarity with the daily routine care of the unit can help nurses handle their time on unit more efficiently. Having knowledge about the patients condition will also help novices feel less anxious, gain a sense of control, and raise their level of confidence (Chater Litchfield, 2007). Secondly, planning involves thinking about all the tasks which need to be completed as well as how much time each task requires. Proper planning can guide nurses through their day and ensure that important tasks will not be missed. Taking the time to think about required tasks also saves time because it allows the nurse to figure out what resources will be needed to complete a specific task and get everything ready in advance, rather than beginning a task and suddenly realizing something is missing and having to pause to figure it out. Thirdly, new nurses should not hesitate to obtain support from their preceptors and peers. Researching the right knowledge for a patients problem is time consuming but important, so nurses should not be afraid to ask for help since it is in the best interests of the patient. Also, talking to another new nurse peer will aid in continued development of time management skills. Moreover, when novice nurse are able to manage time and are able to complete all the routine care, they gain a sense of fulfillment and accomplishment (Chater Litchfield, 2007). Finally, adapting and being flexible is essential to mastering time management skills. There are always unexpected and unpredictable events that occur during clinical and being able to adapt and find alternative ways to deal with various situations will help nurses feel less stressed when managing their time on the unit (Chater Litchfield, 2007). Besides the five managing themes stated above, prioritizing is a necessary tool for effective time management. Nurses have to prioritize tasks on their route and finish tasks from high to low priority order. For example, when starting a shift, a nurse should decide which patient requires the most care. The nurse can do this by checking in with each patient briefly to say hello but at the same time to assess their needs. After an assessment is done, it can be explained to the patients who do not need immediate care that they will be taken care of shortly while the nurse attends to those with urgent needs (Waterworth, 2003). In addition, nurses should be careful of some priority setting traps. The first trap is whatever hits first which means a nurse responds to tasks that happen first instead of thinking twice and then responding. The second trap is the squeaky wheel, a patient who is able to gather the most attention from a nurse to hear his or her urgent request may not be the one w ho is the most in need. The last trap is waiting for inspiration, nurses should not be wait to be inspirited to complete a task and they should actively think about what tasks have to be done while on unit (Vaccaro, 2001). I learned effective time management strategies to handle my time on clinical and I will definitely utilize the time managing strategies step by step from knowing , planning , prioritizing tasks, gaining support from other nurses, and being flexible with my tasks. My thinking has changed after analyzing the key issue. It now makes more sense to me the reasons that our instructor requires us to finish all the paperwork on Tuesday night even when we feel tired after spending the whole day on unit. In fact, completing the Diagnostic Complications Sheet and Medication sheet correspond to the knowing phase by gaining knowledge about our patients so that we can provide specific care to our patients, feel less anxious, and better manage our time on unit. By filling the detailed P.O.P., this correspond to the planning theme which helps student nurses organize their day and ensure tasks to be performed will not be missed. In my point of view, I would preserve the action that the register nurse comes to check on me to see if I bathed my patient. With this action, she is being responsible to the patient and also she is offering me support to help me take care of the patient. On the other hand, I would definitely change the way I organize my P.O.P and I would follow my P.O.P. with flexibility and do not just focus on the original task I planned for my patient. For example, once I found out my patient has to be washed before 8:00 am, I will write it down immediately so that I will not forget to complete the task. If a similar situation arises again in my practice, I would inform my student nurse buddy that I require her help to wash my patient before a certain time and ask him or her to remind me to finish the specific task in case I forget or become occupied by some other tasks. In term of recommendations, I think there is no better way than to come to the unit with preparation. For example, student nurses can build their well of nursing knowledge by reading the nursing interventions related to a patients specific condition from the Canadian Fundamentals of Nursing and the Medical-surgical Nursing in Canada. Also, Pharmacology for Canadian Health Care Practice can help student nurses build up their knowledge in medication. The more a student nurse comes prepared for their clinical time, the less anxious he or she will be and can apply the five time managing strategies mentioned above to handle their time on unit more effectively.

Friday, October 25, 2019

Pragmatism in Navarre’s Heptameron :: Navarre Heptameron

Pragmatism in Navarre’s Heptameron In Navarre’s Heptameron, the tale of the princess who thwarts an attempted rape reveals the superiority of pragmatism over passion in a Europe transitioning from the medieval period to the Renaissance. Firstly, it is worth mentioning that the princess’ physical defeat of her lustful attacker would have violated traditional societal mores vis-à  -vis the male-female power dynamic. However, it is the princess’ social response that is most significant. While initially insistent on the would-be rapists ‘head’, she calms down after a discussion with her assistant. Her good judgment eventually prevails and the conclusion is favorable for her. The princess was a woman of moral uprightness; that is emphasized in the tale. Her rage emanated from her knowledge that a man, whom she, in an exercise of free will and of her honor, had rejected, would then try to take forcefully that which she had refused to give voluntarily. Clearly, the assailant (also her host) deserved to be punished. The medieval solution would be execution of the attacker; that was the surest way of preserving the family’s honor. However, in the process, the princess’ personal reputation could be destroyed. So, the princess pursues her own personal interest; she refuses to be a victim of â€Å"greater good† philosophy. Her innovative solution leads to the host being consumed with his own guilt. He can no longer bear to face the woman he loved so greatly. His bruises serve as a personal reminder of his sin. The princess, on the other hand, receives confirmation of her suspicions—which she would have been deprived of had she punished her host in a more traditional fashion—and her honor remains intact. Her scheme is also more torturesome for the host; he knows that she might know and her professional and noble behavior throughout attests to her goodness—a goodness he tried to violate.

Thursday, October 24, 2019

Employment Law Midterm

Employment Law Midterm 1. DePeters, Co. is sued for sex discrimination on the grounds that too few women are hired because fewer women than men achieve passing scores on a required manual dexterity and physical strength test. DePeters, Co. offers in its defense that even though fewer women score high enough on the test, a greater percentage of the passing women are hired. The company maintains that, as a result, the percentage of women in the workforce mirrors the percentage of available women in the labor pool. A group of women who took the test and failed file suit.Explain the basis for the cause of action, and analyze the merits of the cause of action, employer defenses, and likely outcome. Support your response with applicable law. (Chapter 6) The women would file suit, alleging a violation of Title VII of the Civil Rights Act of 1964, alleging that the test has a disparate impact upon women. Even though a greater percentage of the passing women are hired, the employer's process of arriving at the bottom-line figures should be scrutinized for disparate impact. This situation is similar to the case of  Connecticut v.Teal, 457 U. S. 440  (1982), in which the Supreme Court held that the â€Å"bottom-line† result does not preclude employees from establishing a prima facie case, nor does it provide the employer with a defense. Although the percentage of the women in the workforce mirrors the percentage of available women in the labor pool, the test still results in fewer women passing it than men. Therefore, the test has a disparate impact upon women. The employer's defense to this suit would be that passing the test is a bona fide occupational qualification (BFOQ).DePeters would argue that the job required manual dexterity and physical strength similar to that which is tested. If they were able to show that passing the test was reasonably necessary to their particular business, they may have a valid defense against the claim. The burden of proof woul d be on DePeters to show the similarity between the positions and the test, and that the dexterity and strength were bona fide occupational qualifications. If they were unable to meet that burden, the women would likely be successful in their claim. 2. Shaun, a woman of Hispanic origin, waits tables at Mongomey's Restaurant.Phil, an African-American local businessman who frequently brings clients to Mongomey's for lunch, dislikes Hispanics. As a result, he lies to the owner of the restaurant and tells the owner that Shaun referred to him by an ugly racial epithet. Once this complaint is brought to Shaun's attention,  she is demoted from waitress to dishwasher. Shaun filed a Title VII claim against Phil, even though Shaun works for Mongomey's, not for Phil. Analyze the basis for the cause of action, the company exposure, steps that could have been taken by the company to reduce exposure, the outcome, and support for the outcome.Utilize applicable law in your analysis. Title VII is applied to employer-employee relationships. If a customer made it a hostile environment, then the employer would be liable towards the employee, but in this instance, the employee has sued the customer. Phil is a customer, not an owner or operator of Shaun's establishment. Title VII states that â€Å"(a) It shall be unlawful employment practice for an employer†¦ † Here, we have to stop. Phil is not an employer of Shaun and cannot be held accountable under Title VII since this encompasses employment, not general discrimination.Shaun would need to investigate local state laws and ordinances to see what action she could take against Phil. Most likely, she has a slander charge against Phil rather than any kind of Title VII ruling. Though Phil brings clients to this restaurant frequently, this by no means makes him an employer of Shaun. That would make an unreasonable burden on everyone who encounters a waiter or waitress since the customers could now be considered that perso n's employer. Phil does not pay employment taxes for Shaun nor places her on his payroll, and any tips he has left have been for her services and do not constitute any kind of salary.Also, Phil's office may contain less than 15 employees and not even under the realm of Title VII. No, Shaun needs to chase her employer, not Phil, the customer. Again, Shaun should investigate local ordinances and state laws to see what is out there to use against Phil. 3. Pugh worked for See's Candies, Inc. for 32 years. He had started out as a dishwasher, worked his way up to vice president of production, and was also on the Board of Directors. When he was hired, he was told by the president and general manager, â€Å"If you are loyal and do a good job, your future is secure.   The president had a policy of only terminating employees for good cause, and that policy was continued by his successor. During the entire period of Pugh's employment, his performance had never been formally evaluated or cri ticized, and  he was never denied a raise or bonus. After the company had set sales records for the Christmas and Valentine's Day seasons, Pugh was called into the president's office and told that he was fired. He was not given a reason for his discharge, but he suspects that he was fired because he objected to the  sweetheart  relationship that the company had with the union representing its workers.Does Pugh have a cause of action for wrongful discharge? If so, what could the company have done to minimize exposure? The court held that Pugh had stated a cause of action for wrongful discharge under an implied contract. The president's statement and the policy of discharging only for good cause created a contract offer that he accepted by continuing his employment with See's. One of the exceptions to at-will-employment is an implied covenant of good faith and fair dealing. This covenant is an implied contractual obligation to act in good faith in the fulfillment of each party's contractual duties.Under this exception, both employer and employee enter into a contractual relationship in which the particulars of why and when an employee can be terminated  are not specifically addressed in the agreement. When Pugh was hired, he was told that if he does a good job, his future is secure. Pugh could argue that he understood this statement as a promise by the company to continue employing him as long as he remained a good performer. The next factor to consider is the company's policy for termination. The company appears to have a very specific and well understood policy  that states that it will only terminate employees for good cause.Although this policy may not be in writing in an employee handbook, Pugh could argue that this policy is implied and relates to all employment relationships, including his own. Given these facts, it appears that Pugh could prove that his termination was not in compliance with the company's policy for terminations. Since the comp any would not give him a reason for his discharge, this further proves that he most likely was not terminated for good cause. Also, since Pugh's performance had never been evaluated or criticized in 32 years, it does not appear that the  company could prove that he was terminated due to poor performance.

Wednesday, October 23, 2019

Managing Homework

The point of view in managing homework focused on teaching strategy used by the teacher, to convey students to learn subject matter that has been discussed in class. When motivating students to learn, there’s likely to be to be a few students, if not many, do not understand the subject matter. Likewise, effective teaching can be measured by amount of learning the students get. Teachers should find means to let students have greater learning acquired through teaching and learning process. Teaching strategy is one of the factors to consider in determining the degree of learning that takes place. One of the tasks of the teacher’s lesson plan is giving assignments or homework to students. Effective teacher corporate and plan well lesson and incorporate there in the lesson plan the quality homework to ensure thorough learning. Also, a good homework is the one that is structured in the planning ahead of time.  The role of the teacher in the classroom is a good planner and a manager of his or her own class. The teacher should see to it that giving homework would be a part of the teaching strategy that is imparted to students. A good teaching strategy is the one that includes to ensure students homework that are well and properly planned. A good homework reflects teacher’s effective means of managing the student learning process. Thus,† homework should contain consolidated skills†(Newsam, Peter, Teaching and Learning) already taught by the teacher and the students has a wide knowledge of the skills needed to make the homework accomplished. That skill that has been learned and mastered by students is the one to used in the making of the homework. It’s just a sort of applying those skills in real situation outside classroom, that is, the home. So that in they’re respective house, the parents acts as the substitutes in the absence of the teacher. There is still continuous learning that takes though there is absence of teacher’s guidance and motivation. Let us take for example skills acquired in learning counting numbers in mathematics subject. In the classroom teacher in math teaches the students how to count by using four operation skills. Objectively, students have mastered all those acquired skills in the teachers teaching in the classroom. But students of course don’t apply yet thoroughly those skills that have been acquired. Definitely, students should continuously learn at home by applying in real situation. These aspects, of continuous learning at home by making homework will help lessen errors, when the teacher gave the time of assessment to students. So definitely effective learning takes place on the students. There is no hard time for the teacher to teach the students when proper instruction in classroom is given. It is important that you let the students know that you believed on him or her and recognized the effort they’ve done. These statements addresses, â€Å"She needs to see you’re â€Å"in her corner† –they’re to listen, provide support and guidance, and seek help for her† (www.proteacher.com, cited by Speer, 2005), giving importance to the student’s homework. Also the assignment is in line with the present lessoning that teacher taught in the class. This reminds the students that homework should be accomplish since its important. References: 1. Newsam, Peter, Guest Essay. Retrieved October 1, 2006. Teaching and Learning. Retrieved from Microsoft Encarta Premium Suite 2005. 2. Speer, Pat, Editor in chief. July 1, 2005. Managing Change Requires Diligence, Homework and Systematic Approach to CEO’s Office. Retrieved October 1, 2006, from htt//www.proteacher.com/cgi-bin/dispitem.cgi? item=36893&norate=up.          Â