ShantanuT01/DACTYL-Pretraining huggingface dataset:
As a nurse, one is usually faced with a variety of situations which is either interesting or not; where one is required to develop a system to accommodate the varied kinds of behaviors from their clients. More precisely, being a nurse one should be in a position to understand various individuals’ behaviors and help them; even though some may possess anti-social behaviors. From my case with Job; his behavior was quite challenging as he was not cooperative in giving out information regarding their state of health. As it happened, Job’s behavior of not being ready to expose his problems to me as a nurse was quite a challenging situation; especially considering the fact that for any health practitioner to help him they should be well versant with the ailment a patient is suffering from. From this perspective, therefore, Job’s behavior was challenging to me because I would not be able to know how to help him; based on the reason that any practitioner would not be capable of knowing the therapy to be used on him. Further, as it happens one of the worst things discouraged during the provision of health services is the inability of the voluntary information from a patient; as this helps the nurse in making the choice of the therapy to be administered to the client with regard to their medical history. From my interaction with Job, he kept challenging me as he showed no interest in the services that I was offering him; which made me feel greatly discouraged. Another behavior that was seriously challenging me as the nurse in charge of Job; was his negligence to the advice I was giving him so that he could be of help in improving his state of health. Additionally, as it has been revealed, Job often became bored and non-interested in the conversation I had with him as well as with other officers during the course of being given advice
Both Medicaid and Medicare are government-sponsored healthcare programs for the disabled, uninsured, and the poor. Medicaid is a social protection or social welfare program, whereas Medicare is a social insurance program. President Lyndon B. Johnson approved amendments to the Social Security Act in 1965, which established these programs (Voort, 2017). As of November 2019, Medicaid covered about 65 million people, while Medicare covered 58 million (US Census Bureau, 2019). Medicare is a three-part system that includes a hospital that covers all inpatient treatments, medical coverage for outpatients, and pharmaceutical coverage for prescription medications. Patients must pay for some medication prescription due to a cost coverage gap. Although the prescription is covered by government insurance, individuals may pay fees to meet drug bills in some cases (Lee et al., 2019). There is always a set price for inpatients, which is paid as an admission or reception fee. Although the federal government covers the patients, the patient must cover a percentage of the cost in some cases. Because of the benefits it provides, the Social Security program in the United States should stay effective. Despite its flaws, it is nevertheless necessary to continue with the program. Even though many people think of social security as a retirement program, it also provides life insurance to the elderly and protects the disabled. In 2019, over 90% of Americans who worked in a covered area and were between the age of 21 and 64 had active social security coverage against disability (US Census Bureau, 2019). The cost of living continues to rise daily. Benefits under the social security program, on the other hand, are guaranteed to keep pace with rising living costs. Taking advantage of the perks, a low-wage worker retiring at 65 will receive over half of his pre-retirement earnings in 2020 (Lee et al., 2019). The potential of social security to lift older people out of poverty is the best example of its value. According to statistics, by the end of 2018, about 1.8 million families were lifted out of poverty by social security benefits (Lee et al., 2019). As a result, the social security program should be preserved because the benefits outnumber the drawbacks.
The avalanche at the Tunnel Creek was a major disaster resulting in several casualties. The notable characteristic of the event is that the involved individuals were experienced skiers with vast experience of backcountry skiing, including numerous runs on-site. The following case study analyzes the case of Tunnel Creek avalanche to identify the factors responsible for the event, evaluate the role of group norms on participants’ behavior, and determine whether the introduction of psychological safety would influence the outcome. The first thing that needs to be taken into account in the analysis of the case is the combination of environmental conditions. As was noted in the case, Tunnel Creek had an impressive record of major avalanches, including those ending with multiple casualties. Even more importantly, the conditions before the event featured a combination of unfavorable factors for the backcountry skiers. Specifically, the ice layer formed on the snow surface, followed by the cold temperature for several days, contributed to the formation of what is known as surface hoar. This layer creates major instabilities in the snow surface. The surface hoar was then covered with more than 20 inches of new snow, which preserved the surface hoar intact. The result was the layer of unconsolidated snow on top of a weak layer consolidated by surface hoar – conditions are considered highly risky. Another factor worth mentioning is that increasing the risk is the timing of the event – the relatively high temperature of the day allowed for the consolidation of snow, which could be avoided by starting earlier. It is also notable that the team did not conduct precautionary measures that are relatively common among backcountry skiers – for instance, they did not assess avalanche conditions by digging a snow pit. Finally, the sheer number of participants is a huge risk factor – the group consisting of sixteen members that set off simultaneously is much more likely to trigger the avalanche. At this point, it is worth mentioning that all of the identified factors are well-established knowledge among skiers and would be expected to be acknowledged by the team in question, especially about their experience and skill in the area. However, it can be argued that instead, the latter served as aggravating factors and led to a decreased sense of safety and riskier behavior. The first component that likely contributed to the disaster was the fact that the group sought the high-risk setting. The primary reason for such counterintuitive b
Introduction Trade unions or workers unions are employees’ organizations that bring the employees together for common objectives that relates to the improvements of various aspects of their work. The unions can be viewed as a collective media through which workers air their grievances. These unions are normally legally recognized and their existence provided for by the constitution of a country. State employee unions are unions formed by or for workers who are employed by state government in public sectors. These could include unions for state employees such as the police officers, teachers, nurses and other workers in the public sector. This paper seeks to discuss state unions in Wisconsin. The paper will examine the existence of state unions in Wisconsin, their activities and nature of operations, their challenges in the quest to achieve their objectives and the kind of treatment that the state unions receive from government. The paper will also look at the state’s budget with respect to state union issues with the aim of identifying the motive of the state regarding the unions as well as the nature of relationships between state unions and states. A comparative of the unions in Wisconsin will be made with those in other states. History of Trade Unions in Wisconsin The state of Wisconsin is recognized for its high living standards and developments. Services provided by the state such as education, health services and water among others are of high quality. Other elements such as scenery have also been developed by the state. It is, however, notable that state unions have played a fundamental role in shaping the nature of the state of Wisconsin. The effectiveness of labor organizations in the state came to its affectivity following struggles and sacrifices that were made by workers to establish a ground for initializing change in their work environment and even beyond. The history of trade unions in Wisconsin dates back to the nineteenth century. By the year 1865, trade unions had started being formed in the state. A trade union was for example formed in the very year of 1865. In the year 1867, another workers’ union was formed by shoe makers. This particular union developed to about fifty thousand members in the region of Milwaukee. One of the first impacts of trade unions in the state of Wisconsin was felt in the year 1886 when workers mobilized themselves to halt industrial operations in an attempt to air their grievances in a process that was seen as workers’ protest in the whole nation. The then action by the nation to counter the workers’ protests by use of military force culminated into formation of an organized movement for workers’ interests. Movement
A new kind of gold rush changed the lives of Americans at the end of the 19th century. It was a mixture of the mystical belief in the power of money among ordinary people, and the cynical use of resources by speculators, the so-called ‘confident men.’ It was also a time when new values and roles of men and women appeared. This paper aims to describe the challenges and concerns of people living in various class positions in the gilded age. In theory, anyone could become a ‘confident man,’ but in fact, enrichment on the purchase and sale of stocks, bonds, and futures required individual start-up capital. Therefore, the entrance to Wall Street was closed to the American populace (Lears 55). Wherein, the time of the stock market emergence was the time of the ongoing “carnival,” where the mystical power of money transferred to miraculous products and medicines and compelling advertisements (Lears 56). In contrast to the mass madness, the Protestant concept of a hard-working ‘self-made man’ appeared. The railroad stock market crashed in 1873, bringing five years of terrible depression. Thousands of men remained unemployed; the rest faced severe wage cuts. This situation provoked hostility towards the recently worshiped capitalists, who supposedly possessed the secrets of turning one dollar into a hundred, and arose sympathy for the industrial market ‘giants’ (Lears 57). The most prominent ‘giants’ from the upper class were Andrew Carnegie, the owner of Carnegie Steel, and Rockefellers, who owned Standard Oil (Lears 61). However, the bloom of industry did not bring prosperity to the lower classes, since the capital of industrialists was built on low wages and long working hours. However, the ‘giants’ and their approach to capital appreciation became a role model for middle-class men. Carnegie was more broker than industrialist, while Rockefeller Jr. became a model of restraint, frugality, and stubborn progress towards the settled goals (Lears 64). In books on capital-building, the concept of ideal man implied ‘self-possession’ or the ability to resist the passion for instant enrichment, and frugality. Relationships in Victorian families of the time were uneasy as the family was a place of rest from market-driven behavior, a place for the expression of the real feelings and a podium for status demonstration (Lears 65). Wives from middle classes had to protect their husbands from gambling and lottery; no less expensive were the costs of fashionable outfits. The obsession with stylish clothing became an indicator of transition to a fluid and mobile society. American society was infected with the idea of quick enrichment through the proper self-presentation. Moreover, the purpose of consumption has changed – now its meaning became “multiple, idiosyncratic, and personal” (Lears 66). The phenomenon of downtown also appeared in the 1890s, when women from the upper and middle classes started to spend their free time in the city center shopping and dining in the cafes (Lears 67). In this way, the commercial culture of fashionable consumption began to manifest itself more openly. Expensive clothing and leisure indicated not the status, but the desire
Healthcare is an incredibly essential field that requires medical workers to strictly follow the rules and guidelines in order to provide patients with the highest quality and safety. At the same time, this field is also known for having numerous errors that appear due to various reasons and can be avoided if enough effort is put in. In my place of work, it is also impossible to prevent some mistakes, especially during this global pandemic that worsens the shortage of specialists and nurses or reduces their ability to be attentive and careful (Letourneau, 2020). In this reflective paper, I will talk about two errors that have recently happened in my workplace, analyze their causes, and discuss how governmental organizations can contribute to the fastest solution. Overall, the two following situations occurred because of the same significant issue – an increased shortage of nurses in the US. This problem has a rather severe effect on working nurses’ conditions and negatively impacts patient care (College for the People, 2020), which becomes evident from the examples further. The first error that happened in my place of work was when a patient was transferred to a long-term care facility without a nurse doing the last assessment, including checking the vital signs. On their way, the patient quickly deteriorated and was taken back to the hospital. Unfortunately, it was too late, and the patient passed away in the healthcare facility. This situation happened due to the lack of staff nurses, which, in turn, can cause another problem – the increased workload of medical workers (College for the People, 2020). The latter resulted in the second error in my workplace when a nurse mixed up the information. They provided the wrong facility address, and the patient was not transported to the necessary healthcare place. In my workplace, we use the TeamSTEPPS strategy to enhance patient safety and performance. One of the rules is to monitor the situation and try to make sure that the received information is valid and relevant (Agency for Healthcare Research and Quality, 2020). Unfortunately, when there is a lack of working nurses together with a vast number of patients, it becomes incredibly challenging to be careful and avoid mistakes and confusion. The situations discussed above also fall under the Red Rules that require thorough examination and assessment of patients before any severe actions are taken and also oblige nurses to comply with clear regulations for the transportation of patients. Consequently, the seriousness of the issue requires substantial efforts from the authorities. A number of governmental agencies and organizations admit the need for an effective solution and try to offer different initiatives that can eliminate the causes and the issue itself. For example, some causes of the shortage of nurses are the lack of well-educated specialists and the unwillingness of the youth to consider nursing as a valuable and promising profession. To address these factors, AHRQ offers training grants, supports healthcare research, and commits vast amounts of money to nu
Most people consider Arabs to lack the capacity for scientific development. The majority considers the west to be behind all the technological progress, while in reality, all nations, including Arabs, have contributed to the progress. For instance, Muslim scholars of the Golden Age facilitated advancements in mathematics, astronomy, medicine, and other branches of science. However, European imperialists of the colonial era presented foreigners as people that need their support and guidance in order to survive. The prejudice that is present today is the result of policies promoted by European imperialists. This paper will provide an overview of the issue in the context of Islam and Arabs. In modern contexts, Islam and the Arab world are seen as systems not compatible with the notion of progress and development. Such opinions have existed since the times of Enlightenment. For instance, major French thinkers of those ages believed people outside of Europe to be “barbarians” and nations that needed education and guidance from European imperialists (Tricoire, 2017). The accuracy of these assessments is not undisputed because they were subjective in nature. The position of Islam and the Arab nations today can be considered a result of European colonialism (Bader et al., 2011). Therefore, the adverse perception of Muslims is merely a manifestation of imperialists’ activities centuries ago. Islam is one of the most ill-perceived ideologies in contemporary society. In some contexts, this religion is viewed as being equal to terrorism, and science is thought to be incompatible with Islamic principles (Bhutto et al., 2020). Among other issues is the fact that Islam is believed to be against democratic principles (Von Sikorski et al., 2017). While the religion has restrictions regarding dressing and that the majority of Arab states abide by these rules, it is fallacious to consider it to favor terrorism or be against democratic principles. Unfortunately, due to media framing, Arabs and other Muslims must experience such public attitudes toward them. It is a common misconception that religion and science are contradictory. There are people who believe that Arabs have struggled with scientific progress and development because of practicing Islam (Bhutto et al., 2020). However, it is significant to indicate that Islamic teachings put emphasis on the need to acquire and foster any knowledge that would be beneficial to humans (Bhutto et al., 2020). Early Muslim scholars contributed to mathematics, astronomy, and medicine. There are also examples of contemporary Muslim scientists, but whose names are rarely discussed by the global media. Such marginalization has played a critical role in forming the adverse public perception of Arabs and Islam. Another typical attitude toward the Arab world is that the culture and religion of Arabs are not compatible with democracy. The media often focuses on how Muslim women dress and manipulates the public without discussing the privileges that women in Arab countries have. In reality, Islam is based on justice and equality between people despite differences in race, skin
Defining Issues in Terms of Competition, Technology, Community Service, Funding, and Workforce So far, the Orange Door Health Center was considered a non-profit organization offering health care to under-insured people with low incomes in Minnesota. However, the situation has recently been changed. In particular, Filipovitch (2006) presents the case of the clinic transformation from a voluntary run center to a paid clinic. The shifts to be made should touch upon different levels of the hospital organization, including managerial approaches, staff development and training, and technological advances. In this respect, the non-profit center should integrate paid staff which is followed by certain changes in the sphere of human resource management. At this point, the managers should define accurately the working hours, shifts, and introduce perspectives for creating a strong retention nurse culture. Introducing a new management information system evolved from a paper recording system is imperative for meeting the challenges of transformation. Approaches to patient treatment should also be altered due to the staff network development. The environmental factors have a great influence on hospital organization because sustaining competition is possible only in case of the hospital readiness to the organizational change. Indicating Specific Examples of the Issue Funding and resources allocation is presented as the major problem at the hospital because it predetermines the success of restructure of the nurse department. Despite the fact that the services are monitored by volunteers, there are financial issues to be managed, including bills for equipment, money spent on medication, etc. In this respect, the transformation should be consistent and multidimensional to ensure a proper re-organization because both external and internal environmental factors should be considered (Kovner et al., 2006). In addition to financial shifts, alteration should also be introduced to the technological basis and culture of nurse retention. Certainly, volunteer system also presupposed effective retention techniques since employees worked at their will. However, to keep abreast of the competition challenges along with other profit hospital, these aspects must be reconsidered as well. Providing a Rational from Peer-Reviewed Literature As it has been previously mentioned, human resource management system should undergo change to be able to confront the competitive environment. However, significant changes should also touch upon information management system because it directly influences the quality of patient therapy, as well as delivery of health care services. In this regard, “the integration of performance improvement models and techniques from industry into health care has been accelerated” because nurse professionals should possess background knowledge about social and cultural peculiarities of both patients and nurses” (Hall et al., 2008
Introduction Aim of the study The purpose of study is find out the extent to which effective communication drives employee motivation. It intends to gauge employees’ perceptions and views whether absence of clear means and ways of communication ways causes demotivation. It will investigate the current internal communication channels and means of how managers communicate within an organisational setting. It aims to determine the links between motivation and manager communication. In addition this study aims to examine the positive impact of internal communication on employee motivation and performance. It explores the problems and the challenges of poor communication faced by employees within an organisational setting of a clothing company. It seeks to find out the extent to which good internal communication channels act as a motivating factor. This study aims to provide recommendations on how employee motivation can be enhanced through effective internal communication, which, in turn, benefits the company and helps ensure its sustainability and performance. Statement of the problem This study aims to address several problems observed by the researcher as a previous employee at Noor clothing company due to inadequate internal communication by the management. Employees relied on what was known as ‘Radio trottoir,’ a French term for rumours and ‘whispering’ as a means of communication. In addition, the lack of clear communicationis likely to create a degree of uncertainty and stress and could lead to demotivation and employee turnover.Many studies suggest that underperforming employees fail to achieve their full potential due to inadequate communication skills. The management at Noor Clothing Company appears to underestimate communication skills resulting in missed opportunities to engage employee and create a happy workplace environment. There is a lack of coordination between different departments due to the absence of clear and consistent communication means and practices. In addition, many employees are experiencing: demotivation due mainly to cultural and organisational issues related to the diverse communication styles. This study contends that the role of management and leadership is critical in ensuring a transparent internal communication process. An overview of key literature There is extensive research which focuses on examining t