Mandatory Nurse-Patient ratios in Pennsylvania Essay

Mandatory Nurse-Patient ratios in Pennsylvania - Essay Example One-half of the nurse staffing committee members should be registered nurses currently delivering direct patient care and the rest of the members may be determined by the hospital administration (ARON, 2013). The committee is authorized by the house bill to consider matters such as competencies of the nurses and patients’ acuity. In addition to nurse-patient ratios, this bill also addresses several other concerns including intensity of care, staff skills mix, availability of support staff in the shift, and the physical environment. Michael and Page (2010) state that nurse staff shortage or understaffing has been a major issue leading to medical negligence, clinical errors, and poor quality healthcare (p.102). To illustrate, a study published in 2002 found that surgery patients in hospitals with high nurse-patient ratios are at 31% increased risk of mortality. Similarly, a report released by the Agency for Healthcare Research and Quality indicated that improvement in nurse-patient ratios can decrease rescue failures and hospital stays. A research work published in the American Journal of Public Health in 2005 (as cited in Conis, 2009) suggested that an improved nurse-patient ratio of 1:4 could save up to 72,000 lives a year. Long working schedules, inflexible work shifts, and work overload often force professional nurses to consider leaving the profession. A recent study by Okrent (2012) indicated that roughly 45% of the nurses planned to make major career changes over the next three years. It is dreadful to no te that a significant percent of the current nursing workforce considers professions outside nursing. This adverse situation justifies the need of implementing a nursing policy that would better regulate nurse staffing ratios in the country and thereby contribute to staff satisfaction. Statistical evidences suggest that hospitals incur huge nurse turnover

The Black Death Essay -- essays research papers

The Black Death   Ã‚  Ã‚  Ã‚  Ã‚  Considered one of the worst natural disasters in world history, the Black Death came through Europe in 1347 A.D. It ravaged cities and town, causing a death to the masses, and no one was considered safe. The Plague is any epidemic scourge or calamity for which remedies are difficult to find, and according to the encyclopedia, plague is a common term for a disease of rodents that occasionally cause severe human infection. Named for the black spots that appeared on the victims’ skin, the original disease originated from Oriental Rat Fleas and black rats. It first infected Mongol armies and traders in Asia, and then began moving west with them as they traveled. There was no natural immunity to the disease, and standards of public health and personal hygiene were nearly nonexistent. It is believed that if people had not fled to nearby cities in hopes of escaping the plague, it might not have ever spread like it did. In the end, it passed through Italy, France, England, Germany, Denmark, Sweden, Poland, Finland, and even up to the island of Greenland. City dwellers were hit the hardest due to the fact of crowded streets and the lack of sanitation. Up until the mid-15th century, recurrent epidemics prevented the recovery of Europe’s population to pre-plague levels. The Black Death was an important turning point for the history of Europe. This time was â€Å"the beginning of the end of the medieval period and the start of a social transformation of the continent.† The social and economic impacts of the plague were so huge, economics, politics and the European society would never be the same again.   Ã‚  Ã‚  Ã‚  Ã‚  The plague took on three different forms, each with its own unique way of killing. The most common, bubonic, was considered the mildest form, with a mortality rate of thirty to seventy-five percent. A person with this would be seen with enlarged lymph nodes in the neck, arm and groin regions, with headaches, nausea, body aches, and a high fever. The pneumonic plague was the second most commonly seen form of the Black Death. Only five percent of its victim’s survived, infecting the lungs, causing a person to cough and vomit blood. The least common form, but most deadly, with a one hundred percent death rate was the septicemic plague. Even today, if a person were to come up with this form of the... ...omes fell, resulting in the piles of accounts which survived the period of the Black Death. Many villages and hamlets were deserted and never inhabited again. Feudalism seemed to end with the coming of the Black Death, and many believe the two are directly related. Feudalism is known as the system of service in return for a grant of land, burdening the peasant with many obligations to his lord. The payments involved in feudalism were to be paid upon entering any land holdings, marriage, death, or any other occasions by which the individual lord and peasant agree. The plague seemed to speed up this process by dramatically reducing the number of peasants, and communication accelerated the matter.   Ã‚  Ã‚  Ã‚  Ã‚  Landlords tried their best to keep a cap on the rising wages and changing social ambitions of the peasants, but there was too much chaos in the system at the time. Lords and peasants were both looking for the highest wages they could possibly take. Because of this, no matter who you were before the plague hit Europe, anyone who survived the plague, additional wealth from the rise in wages and accumulated holdings of land hold by plague victims was in store.

The novel The Bread Givers by Anzia Yezierska Analysis

The novel The Bread Givers by Anzia Yezierska tells about a traditional Jewish family immigrating to America and the problems that they face. In the book, Father, Reb Smolinsky, is bothersome and irritating instead of helping his wife and daughters in maintaining the household. His hypocrisy was very cruel. He married his daughters to men who they loved did not love. Lastly, Father was negligent to his daughter Sara. Although a reader can draw sympathy towards him because he is naive and does not know how things work in the ‘New World', he shows that he is very mean and cruel throughout the story. Reb Smolinsky was a contemptible individual. First of all, Father's hypocrisy was cruel and cold. For example, when his daughter, Sara, came to visit the family and her sick mother, after she completed her college education he scolded her. â€Å"A lot from it. She's only good to the world and not her father. Will she hand me her wages from school like a dutiful daughter should? † (page 248) This was Father's response to her success. Sara could not even afford to buy good clothing in college. She starved herself just to pay the tuition and rent. There is no way she could have sent her father money. When the doctor arrives to the home later to check on Sara's sick mother Father introduces his daughters to him. He boasts about Sara becoming a teacher. He says that she takes after himself and that he paid for all of her education. Another example of his hypocrisy is when Father wanted to become some one greater, a businessman. He took the money he got from his son-in-laws and bought a store. When the Smolinsky family found out that the store was a fake setup and that all their money was squandered, they yelled at Father. Mother grabbed Father by the front of his coat trying to shake him out of his calmness. Mother then said, â€Å"Now that the girls are married and no wages coming in, what shall we live on? † (page 124) This was Mothers reaction to the disaster. Eventually the whole family forgave Father for what they saw was a grave blunder. When Sara left home and wanted to become something greater instead of supporting her Father financially for life, he disowned her. He thought she was wasting her time and money on classes and she should put her money into helping the family. Father also wanted Sara to marry Max Goldstein, but she refused to. In his opinion, she had committed several serious errors. Throughout the rest of the story he did not apologize to her for his abusive treatment, yet his family forgave him. Reb is a hypocrite who makes his family feel servile. Another way in which Reb Smolinsky makes readers feel contempt is by marrying his daughters to people who are rich, and not to people who his daughters truly loved. He did this for his own gain and not for the good of his daughters. For instance, his daughter Mashah was in love with a pianist by the name of Jacob Novak. Father did not like Jacob because Jacob's father did not allow him to visit Mashah before and after one of his important symphonies. In this way Father thought of him as a deserter and did not like him. He would not allow her to see him and marriage was out of the question. Instead, Father got a diamond dealer named Moe Mirsky to marry Mashah. After the marriage Mashah came home one night and told her family that Moe was a fake. He worked at a diamond jewelry shop and borrowed some jewelry to show off. He had now lost that job and had no money. â€Å"Empty-head! Where were your brains? Didn't you go out with the man a whole month before you were married? Couldn't you see he was a swindler and a crook when you talked to him? † This was Father's reaction. He blamed the whole situation on Mashah although he had arranged the marriage. Father only married Mashah to him so he could get some money; there was no true love between them. Father also made his daughter Bessie marry someone she did not love. He made her marry a fish peddler by the name of Zalmon. Zalmon had a good amount of money that father wanted. Zalmon was in his late 50's and had six small children. The children were to become a great burden on Bessie. Father's greed landed his daughters in dreadful relationships. Lastly, instead of supporting his daughter Sara throughout her schooling Father outcasted her. Sara Smolinsky ran away from home due to Father's constant persecution. Sara started to attend school with her own hard earned money. She really needed support emotionally and wished Father came to visit. One night Father came to visit her and scolded her. He told her that she was wasting her time and nothing would amount to her classes. He spat angry words in her face and disowned her. He did this all because Sara refused Max Goldstein, a potential suitor for her picked by Father. Most parents of that time and today would never do such a thing. The responsibility of parents is to raise their children, teach them right from wrong, educate them, and support them emotionally and financially. Father did not do all of this. He might have told her right from wrong and taught her about the Torah, but did so in a very narrow-minded sense. Sara suffered for her father's self-centeredness and irresponsibility. Reb Smolinsky makes readers feel he is an evil individual. His unethical and disturbing actions would send him directly to jail today. Father treated his family to the point where it became disgusting. He married his daughters to abusive and unconcerned men. He scrutinized every error his family made, but said nothing when he, himself committed a wrong. He was also ignorant of his parental responsibilities. Reb Smolinsky can therefore be classified as a contemptible character.

Analysis Of Walt Disney s The Happiest Place On Earth

Allie Burden Mrs. Abbe English 6 1 May 2015 The Man, The Myth, The Legend A man by the name of Walt Disney, is the ideal symbol of an American hero. Disney is known to bring inspiration and imagination into many of his productions. Disneyland, the happiest place on earth, was built by Disney in the late forties. As the founder of Walt Disney Company, and a producer, he has collected a record of fifty- nine nominations as an Academy Award winner, winning thirty-two awards, and still holding the record. At sixty-five, Disney died of lung cancer, leaving behind the Florida theme park to not be completed by him, more known as Disney World. Every hero faces three challenging stages in his or her life, and for Walt disney, he will be introduced in his ordinary world, achieve a goal, and follow a path that is not always direct or clear. Every hero is introduced in an ordinary world, which is to become a dazzling ending. Disney was born in Chicago, on December fifth, 1901. As a boy, he has always showed much devotion to art and what was involve in achieve a master piece. Then went on to be a student at the Chicago Art Institute, expecting to make a life through his drawings. He had many opportunities to show off his abilities as being a cartoonist, just as he took on the challenge of being the newspaper cartoonist at Chicago Art Institute. Once he was done with school Disney joined World War 1, then once discharged he moved to Kansas trying to find a job in film productions andShow MoreRelatedWalt Disney : The Organization Background Essay1881 Words   |  8 PagesThe Walt Disney Comapany The Organization Background The Walt Disney Company, allong with its partners and branches, is a entertaiment and media corporation that targets all types of families all over the world. Divided in five segments: media networks, parks and resorts, studio entertainment, consumer products and interactive media. 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