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belgian thesis Gravity plays a critical role in many natural phenomena and technological processes ranging from human development, biological and addiction chemical reactions to database mechanical aspects, such as the deployment of antennas on spacecraft. Thesis Television! Microgravity research can lead to an increased insight in many natural phenomena and contribute to writing a plethora of technological improvements. The Drop Your Thesis! (DYT) programme gives university students, from bachelor to thesis television PhD level, the opportunity to perform scientific or technological research in such microgravity conditions. The gravity levels that are obtained in ZARM Drop tower experiments are as low as 10 -6 g and last either 4.74 seconds (when the drop tower is used in writing a job essay drop mode) or about 9 seconds (when catapult mode is used). This is the same level that is thesis about attained for experiments on the International Space Station, and is enough for a multitude of aqa religious papers 2011 scientific research opportunities. As a direct result of the research conducted during previous DYT campaigns, students have presented their results in many theses, at international conferences and/or published papers in renowned scientific journals. The ZARM Drop Tower is about 146 metres high. The experiment is integrated into a capsule and released from 120 meters height in a near vacuum providing approximately 4.74 seconds microgravity. Essay Of King! There is a relatively fast turnaround time between experiment launches and thesis television addiction this allows multiple experiment runs during the campaign and significantly simplifies troubleshooting. As of 2007, a catapult launch mode is also possible, in which the experiment capsule is launched from the shylock villain bottom of the tower.
This essentially extends the about duration of microgravity to 9.3 seconds. At the end of the experiment the capsule is decelerated rapidly to 50g. This setup allows for a wide range of microgravity experiments to be performed in the Drop Tower. Gcse Past Papers! With the Drop Your Thesis! programme, ESA provides university students with the chance to addiction perform experimental research in facilities not usually accessible to are the of an argumentative students. T he programme usually opens a call for thesis about, proposals once a year in essays on how and win every summer, which then stays open for at thesis addiction, least two months.
During this time, students, together with their endorsing professors, are encouraged to submit their proposals for experiments in the ZARM Drop Tower. The experiments proposals may cover various disciplines which will be selected based on scientific and technological merit by a team of writing a job scientists and experts in television that field. Up to essay two teams will be selected and asked to develop their experiment within 6 months of being selected after which they will be granted access to the ZARM Drop Tower for two weeks resulting in thesis about addiction 5 launch opportunities. A team typically consists of 2 to 4 students. Writing! After the campaign is over, the results will need to be processed and documented. A more detailed timeline can be found here. DYT is about television a great opportunity for students to conduct their experiments in microgravity conditions. Moreover, their research results can be published in papers and journals and can also be presented at international conferences. Are you interested in participating in aqa religious gcse past papers the next Drop Your Thesis! campaign? Please check the links on about television the left side of this page, under Application , and see how you can propose an experiment.
Currently 5 out of 5 Stars. 1 2 3 4 5 Rating: 4.8 /5 ( 14 votes cast) Thank you for rating! You have already rated this page, you can only rate it once! Your rating has been changed, thanks for rating! Your chance to spin or drop your thesis! 13 December 2013 Are you a university student who dreams of using a world-class gravitational facility for experiments? If yes then ESA’s Education Office wants to hear from you. All you have to decide is whether you want to go heavy or light.
In other words: hypergra. ESA is looking for students to Drop their Thesis! 30 September 2013 Dropping your experiment from a height of 146-metres and letting it fall to the ground without a parachute may not seem like the best thing to do. Yet for some university students it will assist their thesis and ESA is determined to help. A shaky student experiment successfully completed in microgravity 19 November 2013 The fifth Drop Your Thesis! campaign reached a successful conclusion on 15 November, when the Fall of Fame team completed their microgravity investigation into what are the essential elements of an essay the formation of stripes in thesis television granular material. Apply and 'drop' your experiment in 2013 01 October 2012 European students are invited to resume submit their proposals on microgravity experiments for the 2013 Drop Your Thesis! campaign using the Zarm drop tower in Bremen, Germany. Proposals can be submitted until 11 February 2013. Drop your Thesis! completes its 2012 campaign 11 December 2012 Our understanding of sandstorms, avalanches and even the rings of Saturn should receive a boost thanks to ESA’s 2012 Drop Your Thesis! programme.
By repeatedly dropping a container of small rods, students have collected unprecedented observations of television addiction t. Student team selected for 'Drop Your Thesis!' 2012 17 April 2012 The GAGa DropT team has been selected to shylock essay develop and perform their microgravity experiment during ESA’s 4th 'Drop Your Thesis' campaign. 'Drop Your Thesis!' 2011 campaign successfully concluded 15 November 2011 The third 'Drop Your Thesis' campaign, sponsored by ESA's Education Office, has been concluded successfully at the ZARM drop tower in Bremen, Germany. Thesis About Television Addiction! Student team selected for essay lear, 'Drop Your Thesis!' 2011 11 May 2010 The FallingRoots team has been selected to develop and perform their microgravity experiment during ESA’s 3rd 'Drop Your Thesis' campaign. 'Drop Your Thesis!' 2010 campaign completed 02 November 2010 The second ESA 'Drop Your Thesis!' campaign has recently been completed at addiction, the ZARM microgravity facility in Bremen, Germany. Student team selected for 'Drop Your Thesis!' 2010 11 May 2010 The BubJet team has been selected to develop and perform their microgravity experiment during ESA’s 2nd 'Drop Your Thesis' campaign.
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Nichols, The Loves of Plants and Animals: Romantic Science and the Pleasures of Nature Note: All the hyperlinks in the following text take the reader to an off-site web site called A Romantic Natural History , produced by the author, and hosted at Dickinson College. [O]ur intellectual sympathies [rest] with . . . the miseries, or with the joys, of our fellow creatures. - Erasmus Darwin, Zoonomia (1794) When Wordsworth notes his faith that every flower / Enjoys the television addiction air it breathes, or when Keats describes an unseen nightingale pouring forth its soul abroad / In such an shylock, ecstasy, we may be inclined to about classify these lyrical claims as Romantic hyperbole, rhetorically suspect forms of anthropomorphism, overly sentimental and poetically overblown.
Likewise, when Wordsworth's heart fills with pleasure at the sight of daffodils, or when Blake says How do you know but ev'ry Bird that cuts the airy way, / Is an immense world of delight, we may think that the poet is protesting too little or offering too much credit to the natural world for what is, in critical essay of king lear fact, a strictly human emotion. In this essay I will examine Romantic claims about pleasure in the natural world and pleasure derived from the addiction natural world in terms of the science of the century before Darwin's On the Origin of Species , particularly the science of animate nature, the belief that all living things (and perhaps even nonliving things) were connected by a force that could be described, at least partly, in terms of the natural ability to please or to be pleased. I will conclude with a reflection on connections between the essay of king method of observational science in the Romantic period, the writing of poetry, and the sources of about addiction pleasure. Pleasure in the natural world is aqa religious past papers 2011 a concept that links Romantic poetry and Romantic science in significant ways. Pleasure located in thesis about the nonhuman world and pleasure taken by humans in the natural world are concepts that co-mingle in a whole range or Romantic metaphors and rhetorical practices, anthropocentric and otherwise. In fact, the apparent anthropocentrism of much eighteenth- and essays on how to argue every time early nineteenth-century scientific and poetic thinking turns out to be much more centered in the nonhuman world than we might think. This essay will link discussions of plant and animal pleasure in the works of Erasmus Darwin, and in Georges Louis Leclerc, Comte de Buffon (often by way of Oliver Goldsmith, who introduced many of Buffon's ideas to a British audience) with the use of thesis television pleasure in resume poems by Wordsworth, Coleridge, Shelley, and Keats. This link between the poetic and the scientific in thesis about Romantic natural history also reveals aspects of our current cultural sense of the interrelatedness of human and nonhuman nature. Where does Romantic talk about the villain heart filling with pleasure like dancing daffodils or a bird being described as a world of delight come from? It comes, to cite one obvious source, from an otherwise hard-nosed medical practitioner and experimental scientist like Erasmus Darwin.
Here is Darwin, in one of his characteristic (and often controversial) descriptions of the love life of plants: Hence on green leaves the sexual Pleasures dwell, And Loves and television Beauties crowd the papers 2011 blossom's bell; The wakeful Anther in his silken bed. O'er the about addiction pleas'd Stigma bows his waxen head; With meeting lips, and mingling smiles, they sup. Ambrosial dew-drops from the nectar'd cup; Or buoy'd in air the plumy Lover springs, And seeks his panting bride on Hymen-wings. ( Temple of Nature , II, 263-70)
Darwin was roundly criticized, as had been Linnaeus before him, for this tendency to sexualize the life of plants. 1 For Darwin, however, these erotic descriptions of plant love (and even plant lust) were an analogue for human sexuality and an accurate description of the way flowers actually worked. Indeed, almost all of Darwin's claims about plant sexuality were based on direct observation. Database? He often expanded his poetic rhapsodies on television, the sex life of plants with prose footnotes that also ascribe a wide range of intentionality and emotion to the plant kingdom: The vegetable passion of love is agreeably seen in the flower of the parnassia, in which the males alternately approach and recede from the female; and in the flower of nigella, or devil in the bush, in which the tall females bend down to their dwarf husbands. But I was this morning surprised to observe . . . the manifest adultery of several females of the essays on how time plant Collinsonia, who had bent themselves into contact with the about television males of other flowers of the same plant in essay their vicinity, neglectful of their own (Economy of Vegetation, IV, p. 121 n.). Claims like these about plant life consistently suggest that willfulness, intention, and about addiction pleasure all extend - albeit in diminished forms - from humans to animals to plants, and even beyond. More important for essay, my argument than Darwin's specific descriptions of the sexual life of plants are his views, most clearly summarized in the poetry and footnotes of The Temple of Nature (1803) about natural pleasures. Thesis? In this work, Darwin clearly describes pleasure in any one part of essays on how time animate creation as an aspect of pleasure extending through the thesis about television addiction whole of the terrestrial biosphere: From the innumerable births of the larger insects, and the spontaneous productions of the microscopic ones, every part of essay organic matter from the recrements of dead vegetable or animal bodies, on or near the about television addiction surface of the earth, becomes again presently re-animated; which by increasing the essays on how and win number and quantity of living organisms, though many of them exist but for a short time, adds to thesis about television the sum total of terrestrial happiness ( Temple , 189 n.).
Pleasure in the entire biotic realm is increased not only by shylock villain essay, the prolific reproduction of about insects (the word means small creatures to Darwin) and microscopic organisms but by the death and organic regeneration of larger creatures: The sum total of the happiness of essay organized nature is probably increased rather than diminished, when one large old animal dies, and is converted into many thousand young ones; which are produced or supported with their numerous progeny by the same organic matter ( Temple , 190-91 n.). Darwin also notes that the Pythagorean belief in thesis about the transmigration of souls derives merely from the organic and a job perpetual transmigration of matter from one body to another, of all vegetables and thesis television animals, during their lives, as well as after their deaths (191 n.). This chemical and resume database organic movement of elements through the bodies of living creatures leads, over eons, to a unified and complete system of television addiction morality and benevolence, as all creatures thus became related to each other (192 n.) in terms of the matter that composes them. What Darwin calls the felicity of organic life, is a function of the happiness and misery of [all] organic beings; this felicity, he says, depends ultimately, on the actions of the organs of sense and on the fibres which perform locomotion (194 n.). Every living thing, Darwin concludes, is subject to immediate sources of pains and pleasures, the encouragement or avoidance of which might increase the sum total of organic happiness (194-95 n.). Aqa Religious Gcse Past? Pain and pleasure, he goes on to argue, are a function of the expansion and contraction of nerve and muscles fibers of thesis television sensation, organic elements which exist in all living things, albeit in 2011 a variety of forms and intensities.
All emotional responses - pleasure, pain, happiness, sadness - are thus based solely on the motion of material parts of each life form. Finally, and thesis about addiction perhaps most dramatically, Darwin's understanding of geology leads him to conclude that the planet itself is a record of the pleasures of earlier ages of writing essay animate beings: Not only the vast calcerous provinces . . . and also whatever rests upon them . . . clay, marl, sand, and coal . . . About Television Addiction? gave the pleasure of life to the animals and vegetables, which formed them; and thus constitute monuments of the past happiness of these organized beings. Studies Gcse? But as those remains of former life are not again totally decomposed . . . they supply more copious food to the successions of new animal or vegetable beings on their surface . . . . and about television hence the quantity or number of organized bodies, and their improvement in size, as well as their happiness, has been continually increasing, along with the solid parts of the globe ( Temple , 195-96 n.). More dry land over eons, more living things century upon century, more happiness produced from millennium to millennium. At this point, Darwin breaks down the boundary between organic and inorganic as part of his wider economy of nature, what we might now call his ecology.
Material processes, compounds, and to argue and win elements—which he always describes in fundamentally chemical terms (clay, sand, coal, heat, oxygen, hydrogen, carbon, phosphorus)—compose, decompose, and re-compose, first into thesis about inorganic, then into organic, and ultimately into animate creatures, including human beings. Darwin also argues that the plant and animal kingdoms are connected by the possibility of writing essay sensation. In Zoonomia , he describes Vegetable Animation: The fibres of the television addiction vegetable world, as well as those of the animal, are excitable into a variety of writing essay motions by irritations of external objects. This appears particularly in the mimosa or sensitive plant, whose leaves contract on the slightest injury (I, 73). 2 But the fibres responsible for sensation are also related to thesis about addiction pleasure: when pleasure or pain affect the essays and win animal system, many of its motions both muscular and sensual are brought into action . . . Thesis About? The general tendency of critical of king lear these motion is to arrest [i.e. stabilize] and to possess the thesis pleasure, or to dislodge or avoid the pain (I, 31). The conclusion Darwin draws is obvious: the individuals of the vegetable world may be considered as inferior or less perfect animals (I, 73). The belief that sensation might spread through all of animate creation was widely discussed in Europe and America throughout the eighteenth century by natural scientists, natural theologians, and poets, among others. As Christoph Irmscher has written recently, this was an age that ascribed sensitivity, even souls, to plants (31). Database? But as Erasmus Darwin suggested, the thesis point was not merely that plants might have souls, but that souls might turn out to be nothing more than complex combinations of material (i.e. muscular, nervous, electro-chemical) motions. John Bartram, writing to Benjamin Rush, noted that there was much to be learned about resume, sensation in plants, even though many animals were already known to be endowed with most of our [that is, human] faculties pashions . . . intelect [sic] (690).
Georges Louis Leclerc, Comte de Buffon, describes many of the thesis about television addiction animals he catalogues in terms of human passions and intellect. Buffon's marmot delights in on how to argue time the regions of ice and snow (121). His elephant is susceptible of about gratitude, and essays on how to argue and win time capable of strong attachment (152) and loves the society of his equals (153). Addiction? If vindictive, the pachyderm is no less grateful (159). Numerous writers were willing to extend pleasure even into the realm of lower life forms. A 1792 compilation by several natural historians of insects includes comments such as the following: each insect, no matter how small or seemingly insignificant, is adapted for procuring its particular pleasures (2); indeed, every insect, like every creature, was formed for itself, and each allowed to seize as great a quantity of happiness from the universal stock . . . each was formed to make the happiness of each (6). The butterfly, to enjoy life, needs no other food but the dews of heaven (75) and it is impossible to express the fond attachment which the working ants shew to their rising progeny (125). Animals, of course, had been connected to writing a job essay humans sensation and emotional response since ancient history: loyal dogs, sagacious elephants, wily foxes, diligent ants.
What was new by 1790 was the sense that these were not just rhetorical comparisons of television behavior between human and animal realms, but that such observationally supported comparisons reflected a deeper - and past 2011 organic - unity of about television addiction all living things. Eighteenth-century talk about emotion and aqa religious studies gcse 2011 sensation in about television lower life forms was also related to an underlying philosophical monism, well articulated by Goethe. In the Experiment as Mediator between Subject and Object (1792) Goethe offers a holistic critique of living Nature that was designed to counter the of king lear fragmentary quality of empirical science: Nothing happens in living Nature that does not bear some relation to the whole. The empirical evidence may seem quite isolated, we may view our experiments as mere isolated facts, but this is thesis television addiction not to say that they are, in fact, isolated. The question is: how can we find the connection between these phenomena, these events (80). Likewise, Goethe is willing to include joy and critical lear pain among the thesis about categories that are applicable to any organism: Basic characteristics of an individual organism: to divide, to unite, to merge into the universal, to abide in the particular, to transform itself, to define itself, and, as living things tend to appear under a thousand conditions, to arise and database vanish, to solidify and melt, to freeze and flow, to expand and thesis about television contract . . Essays To Argue And Win Time? . . Genesis and decay, creation and destruction, birth and about television addiction death, joy and pain, all are interwoven with equal effect and weight; thus even the database most isolated event always presents itself as an image and metaphor for the most universal (52). So while observational science is suggesting that expansion, contraction, attraction and repulsion of tiny particles are physical properties of all living (and perhaps nonliving) things, the metaphysic of thesis about addiction Romantic science argues that characteristics found in one part of nature are likely to on how and win time exist throughout the entire natural system, albeit in differing - reduced or expanded - forms. Oliver Goldsmith, whose A History of the Earth and Animated Nature was drawn largely from about television addiction, Buffon and other European naturalists, restrains himself from extending sensation into the realm of the inorganic, but he too indicates how widespread was the belief in time common elements pervading the thesis television germ plasm, a unity behind the essay lear dazzling variety that characterized the animate world. He says that the prevalence of thesis about invisible living creatures, animals and plants too small to see, has led some late philosophers into resume database an opinion, that all nature was animated, that every, even the most inert mass of thesis addiction matter, was endued with life and shylock villain sensation, but wanted organs to make those sensations perceptible to the observer. (IV, 322). The link between human and animal pleasure thus reaches well into the plant kingdom by the 1790s, producing a view well summarized by Buffon himself: it is impossible to finish our short review of nature [over 30 volumes!] without observing the wonderful harmony and connection that subsists between all the different branches (178).
Pleasure described in one part of nature reflects the possibility, indeed the likelihood, of pleasure spread throughout all of nature. Now let us consider a poet like Percy Shelley, who can load every rift of his imagery with ore derived from the natural science of his age, often in thesis television addiction ways that precisely link human and nonhuman feelings. In one of the best known examples of this tendency - taken from Ode to the West Wind - Shelley imagines plants beneath the sea in sympathy with plants on land: The sea-blooms and the oozy woods which wear / The sapless foliage of the ocean, know / Thy voice [the wind's], and suddenly grow gray with fear, / And tremble and despoil themselves (ll. Studies Papers? 39-42). Shelley adds a footnote to thesis about television addiction these lines that sounds as though it could have come directly from Erasmus Darwin: the phenomenon alluded to villain essay . . . is well known to naturalists. The vegetation at thesis about addiction the bottom of the sea, of essays on how to argue every time rivers, and about television of lakes, sympathizes with that of the land in the change of seasons (577). Essay Of King? Shelley's science here may be wrong, but his imaginative insight links with the emerging science of his own time to produce an idea that is surely correct: organic activity beneath the waves has important - Shelley says sympathetic; we might now say ecological - connections to thesis about television addiction events on the land. Similarly, Shelley's sky-lark sings with shrill delight (l.
20) while his sensitive plant (mimosa) is described as having once trembled and panted with bliss (l. 9). Shelley's sensitive plant derives directly from Erasmus Darwin's reflections on essay, the mimosa as a strange bridge between the plant and thesis about television animal kingdoms. Are The Essential Elements Of An Essay? Yet Shelley goes beyond the mere ascription of thesis about addiction sensation to the plant, suggesting a direct connection between this plant and critical lear certain sorts of human emotion (of course, his real subject in the poem is clearly a sensitive poet like himself). Television Addiction? The affinity of plants for resume, other plants, and the image of plants as analogous to thesis about television addiction forms of attraction throughout the material universe, reaches an apotheosis in lines from essay, Shelley's botanical poem. These flowers. Shone smiling to Heaven, and every one.
Shared joy in the light of the gentle sun; For each one was interpenetrated. With the light and the odour its neighbor shed. Like young lovers whom youth and love make dear. Wrapped and filled by their mutual atmosphere. Of course, the suggestion that aspects of the entirety of nature might be analogous to human nature is as old as poetry itself. What is about new in a poet like Shelley is the sense of database how an emotion like pleasure can organically link humans with the nonhuman world.
In a rarely discussed poem entitled The Birth of Pleasure, Shelley is explicit about the central role of pleasure, even at the dawn of creation: At the creation of the about television addiction Earth / Pleasure, that divinest birth, / From the soil of heaven did rise, / Wrapped in sweet wild melodies (584). Consider, from this perspective, Shelley's cloud, whose nourishing water offers sustenance to thirsting flowers and aqa religious gcse past provides shade for about television, delicate leaves in their noonday dreams (ll. 1,4). In this proto-ecological vision of the villain essay hydrological cycle (I pass through the pores of the thesis about television oceans and shores; / I change, but I cannot die [ll. 74-75]), Shelley elaborates electrical attractions between ground and clouds - only recently described by Benjamin Franklin and by Shelley's own science teacher Adam Walker (from Syon House Academy and Eton) - as a kind of love between earth and sky. He also says that the moist Earth is laughing below (l.
72) as the cloud brings various forms of pleasure to villain each part of this natural cycle. Even a satiric and imaginative flight of fancy like The Witch of Atlas is shot through with precise details drawn from the natural science of Shelley's time, and linked to powerful sympathy between the natural and the human realms: Vipers kill, though dead (l. Addiction? 2), a young kitten may leap and database play as grown cats do, / Till its claws come (ll. 6-7) and Mary Shelley's gentle hand would not crush the silken winged fly (l. 9). The may-fly dies almost before it is born, and even the swan's song in the sun evokes a smile as serene as Mary's (stanza ii). Wordsworth, in a famous passage from The Prelude , links a similarly scientific form of observation to a pleasure that is essential to the very definition of the thesis poetic. Wordsworth, however, sees this link in much more psychological terms than Shelley: To unorganic natures I transferred / My own enjoyments, or, the power of truth / Coming in revelation, I conversed / With things that really are (1805, II, 410-13).Wordsworth sees this interaction as more than merely a symbolic representation of his inner states in critical essay of king lear the outer world. Rather, he links feelings of thesis pleasure in on how every time himself directly to thesis television emotions that he ascribes to the rest of the past world: From Nature and her overflowing soul / I had received so much that all my thoughts / Were steeped in feeling (II, 416-18). This is not, however, just watered down, Wordsworthian pantheism: his 1805 description of the unity of natural process owe as much to the natural science of the era as it does to his own emerging theology:
I felt the sentiment of being spread. O'er all that moves . . . O'er all that leaps, and runs, and shouts, and sings, Or beats the gladsome air, o'er all that glides. Beneath the wave, yea, in the wave itself. spacerspacerspacer. . . in all things. I saw one life, and thesis about television felt that it was joy. (II, 420-21, 425-27, 429-30)
A passage like this reflects the natural history of Wordsworth's time while also connecting his emotional (and poetic) power to similar powers that he attributes to essay the plants and animals around him. His daffodils are only the most famous example of this recurrent tendency: A Poet could not but be gay / In such a laughing company (ll. 9-10) leading to, And then my heart with pleasure fills / And dances with the Daffodils (ll. 17-18). We should recall that Wordsworth's image derives not only from his own observation, but also from Dorothy Wordsworth's journal text. Thesis Television? Dorothy's recollection sounds initially like that of a natural historian: The hawthorns are black and green, the database birches here and there greenish but there is yet more of purple to be seen on the twigs . . . a few primroses by the roadside, wood-sorrel flower, the thesis about television anemone, scentless violets, strawberries, and essays on how every that starry yellow flower which Mrs. C. calls pile wort. When we were in the woods beyond Gowbarrow park we saw a few daffodils close to the water side (109).
Then, in an important transitional sentence, Dorothy reveals her fancy going to work on thesis television, these objects of nature: We fancied that the are the lake had floated the seeds ashore and thesis about addiction that the little colony had so sprung up. But as we went along there were more and yet more and at are the argumentative last under the addiction boughs of the trees, we saw that there was a long belt of them [the end we did not see (erased)] along the shore, about the breadth of a country turnpike road (109). Only at this moment does Dorothy launch into the poetic possibility that these flowers can be more closely linked to human emotions than we might think, even as she gives up on formal grammar and database syntax: I never saw daffodils so beautiful they grew among the mossy stones about and about them, some rested their heads upon these stones as on a pillow for thesis about television, weariness and the rest tossed and reeled and danced and seemed as if they verily laughed with the wind that blew upon them over the lake, they looked so gay ever glancing ever changing (109, 15 April 1802). An earlier passage from Dorothy's journal reveals a similar connection of wind-caused motion, animation, and writing the link between human emotion and the natural world. The scene takes place during a winter wind on Grasmere Lake. I quote the passage in thesis television its entirely because it so clearly reveals the rhetorical movement from inanimate images (wind on the water), to animate images (peacock's tail, they made it all alive), to humanized emotion applied to aqa religious past a flower (let it live if it can): We amused ourselves for a long time in watching the Breezes some as if they came from the bottom of the lake spread in a circle, brushing along the surface of the water, and thesis about growing more delicate, as it were thinner and of a paler colour till they died away. Others spread out like a peacock's tail, and some went right forward this way and that in all directions.
The lake was still where these breezes were not, but they made it all alive. I found a strawberry blossom in a rock. The little slender flower had more courage than the green leaves, for they were but half expanded and half grown, but the blossom was spread full out. I uprooted it rashly, and I felt as if I had been committing an outrage, so I planted it again. It will have but a stormy life of it, but let it live if it can (82-3, 31 January 1802). Dorothy's sudden emotional response to a flower here reminds us of her brother's pantheistic reaction to his own impulsive destruction of database nature in Nutting: I felt a sense of television pain when I beheld / The silent trees and the intruding sky - / Then, dearest Maiden . . . with gentle hand / Touch, - for there is critical essay of king lear a Spirit in the woods (ll. 50-52, 53-54).
A manuscript text from 1798 reveals just how far William is about addiction willing to critical go in linking his own sentiments about the nonhuman world to the natural science of his time, a science that could associate all animate and inanimate objects into a naturalistic unity: There is an active principle alive in all things; In all things, in all natures, in the flowers. And in the trees, in every pebbly stone. That paves the thesis about television brooks, the stationary rocks, The moving water and the invisible air.
All beings have their properties which spread. Beyond themselves, a power by aqa religious studies gcse past, which they make. Some other being conscious of their life. Coleridge understands this connection between pleasure within the self and pleasure taken from the external world, although he describes the link more dispassionately and more ambiguously than even Wordsworth. We might call Coleridge's version of this phenomenon transference: that is, our own emotions can be transferred onto nature for thesis addiction, psychological reasons. Here is Coleridge's clearest example: A child scolding a flower in the words in which he had been himself scolded and whipped, is poetry - passion past with pleasure ( Animae Poetae 10). The child transfers his own enjoyments, and what are the essential argumentative miseries, out onto the objects of nature that surround him. For Coleridge, in To Nature: It may indeed be phantasy, when I / Essay to draw from thesis about addiction, all created things / Deep, heartfelt, inward joy that closely clings (ll.1-3).
But we should remember that this is the same poet who longs passionately for what we might now call a unified ecosystem (all of animated nature), a unity in Nature that he describes as a strange music of mind identified with joy: O! the one Life within us and abroad, Which meets all motion and becomes its soul, A light in sound, a sound-like power in light, Rhythm in essays to argue and win time all thought, and joyance every where. (The Eolian Harp, ll.
26-29) Coleridge connects romantic science to the pleasures of nature in precisely the ways I have been describing. His wild goat looks at the cataract in awe (On a Cataract, l.18). The ox in Recantation may be described in Coleridge's footnote as a symbol for addiction, the French Revolution, but the animal is nevertheless presented in terms of its naturalized emotions: The ox was glad, as well he might, / Thought the green meadow no bad sight / And frisk'd, - to database shew his huge delight (ll. 9-11). Likewise, the thesis addiction sympathetic creature described fraternally in To a Young Ass (I hail thee Brother [l.26]) has a moping head, (ms. 1794), and the poet asks if its sad heart thrill'd with filial pain (l. 13). Coleridge's most famous image in this regard is perhaps the aqa religious studies gcse papers transformed description of the sea-snakes in The Rime of the Ancient Mariner. Within the space of television addiction fifty lines of this nature-anthem, the thousand thousand slimy things (l. Of King? 238) crawling on the surface of the ocean are re-imagined by the mariner as O happy living things! (l.
282). Coleridge is also honest enough to admit, however, in The Nightingale, that it is television addiction often merely the poet who fills all things with himself and makes all gentle sounds, including the song of the nightingale, tell back the tale / Of his own sorrow (ll. Shylock Villain Essay? 19-21). The joy we feel within ourselves often seems to be reflected back on us by the natural world beyond us. Then again, as the always ambivalent Coleridge might say, maybe not; perhaps our feelings belong only to us. Notice how a poetic natural historian, the polymath Oliver Goldsmith, links human pleasure to animal pleasure in ways comparable to Coleridge.
In the section of Animated Nature devoted to birds, Goldsmith says: we now come to a beautiful and loquacious race of animals, that embellish our forests, amuse our walks, and exclude solitude from out most shady retirements. From these man has nothing to thesis addiction fear; their pleasures, their desires, and even their animosities, only serve to enliven the shylock general picture of Nature, and give harmony to meditation (III, 3). Within a few pages, when Goldsmith claims that the return of spring is the thesis about television beginning of pleasure (III, 14), he is similarly eliding the distinction between human and nonhuman pleasures. But Goldsmith also reminds us that the pleasure provided by what are the essential elements of an argumentative, nature is not always here for our benefit. In this vernal season filled with pleasures, he continues, the delightful concert of the grove, which is much admired by man, is no way studied for thesis, his [human] amusement: it is usually the call of the what are the essay male to the female, his efforts to soothe her during times of thesis incubation; or it is a challenge between two males for the affections of some common favourite (III, 14). Elements Essay? Lest we mistake the about addiction birds as singing a song for resume, our benefit, Goldsmith reminds us that bird-song is about bird pleasure in mothering or in copulation, not about the desires of poetic or scientific humans. Finally, let us consider Keats. Television Addiction? In On the Grasshopper and Cricket, Keats's grasshopper is as full of the pleasures of life as Goldsmith or Erasmus Darwin could have ever imagined: He takes the lead / In summer luxury; he has never done / With his delights, for when tired out what elements of an essay, with fun / He rests at ease beneath some pleasant weed (ll. About Addiction? 5-8). Or, from Sleep and aqa religious papers 2011 Poetry: What is about addiction more soothing than the pretty hummer / That stays one moment in an open flower / And buzzes cheerily from bower to bower? (ll. 2-5) and, a myrtle, fairer than / E'er grew in Paphos, from the bitter weeds / Lifts its sweet head into the air (ll.
248-50). By now we should appreciate that these are not merely hyperbolic flights of imaginative fancy. This is Keats describing the gcse natural world as he understands it. My suggestion is born out by an intertextual reference in Miriam Allott's note to the wailful choir of small gnats mourning in To Autumn. The lines echo the 1817 entomology written by William Kirby and William Spence: tribes of Tipulidae (usually, but improperly called gnats) assemble . . . and form themselves into choirs, that alternately rise and fall . . . These little creatures may be seen at all seasons, amusing themselves with their choral dances (653). The naturalistic rigor of Keats's own approach is confirmed in the opening of his nightingale poem, when a pleasure so sweet as to be painful derives from another organic being (a bird) and somehow echoes a unity in life, past and present. Thesis Television Addiction? The speaker's heart aches.
He is at once drowsy and numb. He is drunk on an emotion as powerful as that produced by a natural intoxicant (hemlock). We should think back at lear this point to Erasmus Darwin, who describes a chemical affinity between us and the opium poppy (dull opiate [l. 3]) that can transport us out of our ordinary pleasure into pleasures of a different, but no less powerful, kind ( Botanic Garden , Loves of the Plants, II, 57 n.). How might these flowers produce such powerful emotional and thesis addiction narcotic affects unless there was some organic sympathy - Darwin says a chemical affinity - between us and essay lear these plants. Keats is happy in an almost excruciating way (too happy in thine happiness [l.6]), but this intensity reveals a pleasure that is ordinary for this bird. The bird's happy lot makes the television addiction poet's lot in life seem somehow diminished. What would a human give, Keats implies, to sing with such full-throated ease [l. 10].
Having heard this bird singing, human mortality appears to be much less of shylock villain essay a problem to thesis addiction the observant poet. My point is that there is nothing sentimental here, nothing overstated or hyperbolic. Aqa Religious? From such a naturalistic perspective, there is also no death wish in this poem (Now more than ever seems it rich to die [l. 55]). Television Addiction? The poet's final claim is simple.
Having heard such a song, and having felt organically connected to essay of king such a fellow creature, physical death now seems like less of a curse. Death now feels like part of thesis addiction something greater, even if that greater something is organic and material, like a bird. The bird's song dies away as the writing essay poet's voice will soon die away: literally. Organic life expressed through song (a bird's or a poet's) is, we should add, the one thing that most clearly distinguishes both this bird and thesis about television addiction this poet from the critical Cold pastoral of the Grecian urn. Keats's human pleasure taken from this bird reminds us that science can also be linked to pleasure in a way that connects with the writing of thesis about television addiction poetry.
John Herschel, the nineteenth-century astronomer, described the great sources of delight that might be derived from the study of natural sciences (Richardson, Emerson 123). Critical Essay Of King Lear? Likewise, Goldsmith justified his popularizing version of natural history - first published in 1774 and television addiction running to over twenty editions during the nineteenth century - in terms of its ability to provide pleasure: Natural History, considered in its utmost extent, comprehends two objects. First, that of discovering, ascertaining, and naming, all the to argue every time various productions of Nature. Secondly, that of television describing the properties, manners, and database relations, which they bear to about us, and to each other. The first, which is the most difficult part of this science, is systematical, dry, mechanical, and incomplete. The second is more amusing, exhibits new pictures to the imagination, and improves our relish for are the of an argumentative, existence, by widening the about prospect of nature around us. Both, however, are necessary to those who would understand this pleasing science in its utmost extent. . . From seeing and observing the thing itself, he is most naturally led to speculate on its uses, its delights, or its inconveniences (I, iii).
So science is pleasing to on how to argue every time the observer or to the participant, nature possesses its own delights, and the elements of thesis nature can provide delight to the natural scientist and to his readers. A related analogy is offered by Ralph Waldo Emerson, another poet-naturalist who often invokes connections like those I have been tracing. Here is Emerson, in aqa religious gcse papers his Notebooks , describing how language and nature, linked through metaphor, produce pleasure in the observer's imagination: The metamorphosis of Nature shows itself in nothing more than this, that there is no word in our language that cannot become typical of Nature by giving it emphasis. The world is a Dancer; it is a Rosary; it is a Torrent; it is a Boat; a Mist; a Spider's Snare; it is thesis about what you will; and the metaphor will hold, and a job it will give the imagination keen pleasure. Swifter than light the world converts itself into that thing you name, and all things find their right place under this new and thesis television addiction capricious classification (6:18). Critical Essay Lear? Classification, which Emerson links with naming, is itself a metaphoric activity that can provide pleasure, as many naturalists - poetic and otherwise - have argued. We classify living things based on their body parts (mammalia), their legs (insects have six), or their sex organs (usually stamens and pistils in the eighteenth and about addiction nineteenth centuries), but the critical lear principle is always metaphoric: what seems like something else, what looks like something else, what reminds us of thesis television something, or someone, else. The pleasure in this activity derives partly from the observation of likeness. I see that my love is like a red, red rose, and my sudden sense of what are the elements argumentative essay similarity gives me pleasure. I see that a spider is like a lobster but not like a jellyfish. Thesis About Addiction? I see that a lion is more like a lamb than it is like a lammergeyer (bird).
In all of these cases, the perception of similarity leads the essays and win every time observer to be attracted by the objects being observed. Pleasure results when I see two apparently dissimilar things as suddenly more closely connected than I had previously realized. About Television Addiction? The result might be science: oh look, that lobster reminds me of a spider. I should describe this spider anatomically and physiologically. Or the result might be poetry: oh, look, the moon dim glimmering behind the window pane reminds me of a night from my childhood. I should write a poem. Coleridge, from whom I take my moon image, also understands that poetry gives most pleasure when only generally and not perfectly understood ( Anima Poetae 5). This sentiment of Coleridge's is also true for aqa religious studies gcse 2011, much of nature as described in the eighteenth and nineteenth centuries; it is thesis television addiction only generally and not perfectly understood.
But that may be a good thing for Romantic poetry and Romantic natural history: the less we understand the more fascinated we can be. Aqa Religious Past Papers 2011? In this regard consider Emerson again: The instincts of the ant are very unimportant considered as the ant's; but the moment a ray of relation is seen to extend from it to man, and the little drudge is seen to about be a monitor, a little body with a mighty heart, then all its habits, even that said to be recently observed, that it never sleeps, become sublime ( Nature 36). This sense of the value of things that are not understood helps to a job explain the precipitous decline in nature poetry during the early Modernist years of the television twentieth century (Edward Thomas is the exception), when science seemed for a time to have explained away the mysteries of biological process. By the middle of the essays on how twentieth century, however, when ecology and biochemistry were both being revealed to be much more complex than had previously been imagined, a flurry of nature poetry and nature writing began again. Onno Oerlemans has recently written that Romantic depictions of animals force us to thesis about television addiction acknowledge that animals are a kind of life in writing essay nature that is at once much like our own, and which is yet different from it, not capable of being reduced to merely human designs or desires (4). Thesis Addiction? I would like to extend his argument beyond animals to all of animate creation. Oerlemans criticizes anthropocentric forms of criticism that produce only anthropocentric readings of Romantic writers. He argues, instead, that Romantic representations of animals make us recognize the writing wider boundaries of life.
Such an argument is not just politically correct eco-criticism. On the contrary, it suggests that the Romantic writers can help us toward a sense of lives beyond our own lives, a sense of other beings and other forms of life that we did not culturally construct and that do not merely reflect our personal points of view. I should add that we do not need a Judeo-Christian concept of deity or ethics to make such a nonhuman world work. My sympathy for living things can be based, as many eighteenth-century thinkers would remind us, on my internal constitution, on my organic relation to the innumerable forms of life around me. About Television Addiction? 3. Let me end with Erasmus Darwin, grandfather of the man who would put all this talk about studies gcse papers, pleasure to rest for thesis about television, a century or so, but only until we realized that pleasure, like love, might be a process of brains and organic molecules rather than a process of minds or souls.
Here is Erasmus Darwin linking you and resume me intimately to ants (which he calls emmets) and worms: With ceaseless change, how restless atoms pass, From life to about television addiction life, a transmigrating mass; How the same organs, which to day compose. The poisonous henbane, or the fragrant rose, May, with to morrow's sun, new forms compile, Frown in the Hero, in the Beauty smile. Whence drew the enlighten'd Sage, the moral plan, [That] man should ever be the friend of man; Should eye with tenderness all living forms,
His brother-emmets, and his sister-worms. ( Temple of Nature , IV, 419-28) A world full of animate creatures described in terms of resume their ability to feel pleasure or bestow pleasure on other parts of nature. A world of living things bound together by forces that act and react on all of them in thesis about television addiction similar ways. A biological world shot through with the possibility of essay pleasing or being pleased, at once interrelated and interdependent. Not such a bad idea after all. Bartram, John. The Correspondence of John Bartram, 1734-1777 . Thesis Television? Ed. Edmund Berkeley and Dorothy S. Berkeley.
Gainesville: U of Florida P, 1992. Blake, William. Complete Writings . Ed. Geoffrey Keynes. Essay? Oxford: Oxford UP, 1989 . Buffon, Georges Louis Leclerc, Comte de. The System of Natural History . Thesis Television Addiction? Ed.
R.. Morison. A Job Essay? Edinburgh, 1791. ---. The Natural History of Insects , compiled from Swammerdam, Brookes, Goldsmith. 1792 [bound together with Buffon, System, 1791]. Coleridge, Samuel Taylor. Poetical Works . Ed.
E. H. Coleridge. Oxford: Oxford UP, 1973 . ---. Thesis Television Addiction? Anima Poetae . Ed. Critical Of King? E. H. Coleridge. About Television Addiction? London: Heinemann, 1895. Darwin, Erasmus. The Botanic Garden; a Poem, in Two Parts: Part I. The economy of vegetation. Part II.
The loves of the plants. With philosophical notes. New York: T. Of King? J. Swords, 1807 [2nd American edition]. ---. The Temple of Nature; or, The origin of society. A poem, with philosophical notes . Baltimore: Bonsal Niles, 1804 [London, 1803]. ---.
Zoonomia ; or The laws of organic life . About Addiction? 2 vols. Boston: Thomas and Andrews, 1809 [3rd American edition]. Emerson, Ralph Waldo. The Journals and what are the essential elements of an argumentative Miscellaneous Notebooks . Ed. William H. Gilman et al. 8 vols.
Cambridge, Belknap Press of Harvard University Press, 1960-70. ---. About Addiction? Nature . Intro. Jaroslav Pelican. Boston: Beacon P, 1985. Feyerabend, Paul.
Conquest of Abundance: A Tale of Abstraction versus the Richness of Being. Chicago: U of Chicago P, 1999. Goethe, J. W. von. Goethe on Science . Are The Essential Essay? Ed. Jeremy Naydler. Addiction? Edinburgh: Floris Books, 1996. Goldsmith, Oliver.
A History of the Earth and Animated Nature . 4 vols. Philadelphia: Mathew Carey, 1795. Irmscher, Christoph. The Poetics of Natural History: From John Bartram to William James . New Brunswick: Rutgers UP, 1999. Keats, John. The Complete Poems . Ed. Miriam Allott. London: Longman, 1975. Critical? Lindroth, Sten. The Two Faces of Linnaeus.
Linnaeus: The Man and His Work . Ed. Tore Frangsmyr. Thesis? Berkeley: U of California P, 1983. Oerlemans, Onno Dag. 'The Meanest Thing that Feels': Anthropomorphizing Animals in critical essay lear Romanticism, Mosaic 27/1, 1-32. Richardson, Robert. Emerson: The Mind on Fire . Berkeley : U of California P, 1995.
Shelley, Percy Bysshe. Poetical Works . Thesis Addiction? Ed. Thomas Hutchinson, corr. G. M Matthews. Oxford: Oxford UP, 1970. Stearn, William T. Linnaean Classification, Nomenclature, and Method. The Compleat Naturalist: A Life of Linnaeus . By Wilfrid Blunt. New York: Viking, 1971. Appendix. Wordsworth, Dorothy.
Journals of Dorothy Wordsworth . Ed. Mary Moorman. Oxford: Oxford UP, 1971. Wordsworth, William. The Oxford Authors . Gcse Past Papers 2011? Ed. Thesis About Television Addiction? Stephen Gill. Oxford: Oxford UP, 1984. ---. The Prelude: 1799, 1805, 1850 . Essays Every Time? Ed. Jonathan Wordsworth, M. H. Abrams, and Stephen Gill.
New York: Norton, 1979. 1Linnaeus's [sexual system of classification] amused some of his contemporaries but scandalized others . . . 'To tell you that nothing could equal the gross prurience of Linnaeus's mind is perfectly needless,' wrote the Rev. Samuel Goodenough, late Bishop of Carlisle, to that devoted Linnaean scholar J. E. Smith in January 1808: 'A literal translation of the thesis about television first principles of writing a job essay Linnaean botany is enough to shock female modesty' (Stearn 245). As late as 1820, Goethe worried that women and children should not be exposed to the dogma of sexuality in botanical studies (Stern 245). See also Lindroth, who says of television addiction Linnaeus: How close he stands to traditional wedding poetry in the admired opening to the dissertation on the nuptials of flowers . . . Critical Of King? The same applies to the actual message of the work, the description of copulation, the nuptials of flowers in matchless bridal beds. With his hot sensuousness the young Linnaeus was as though obsessed with love, the mysterious drive that kept all living things in motion (10). 2Darwin discusses sensitive plants at great length. He notes that many vegetables, during the night, do not seem to respire, but to television addiction sleep like the a job dormant animals and insects in winter. This appears from the mimosa and thesis television many other plants closing the upper sides of their leaves together in essays on how to argue every time their sleep ( Botanic Garden , Economy of Vegetation, IV, 127 n.). He also classifies the mimosa in terms of its polygamous behavior: Mimosa. The sensitive plant.
Of the class Polygamy, one house. Naturalists have not explained the immediate cause of the collapsing of the sensitive plant ( Botanic Garden , Loves of the about television Plants, I, 29 n.). He also comments on a recent plant lately brought over from the marshes of America that is even more remarkable: In the Dionaea Muscipula there is a still more wonderful contrivance to present the depredation of insects; the leaves are armed with long teeth, like the antennae of insects, and studies papers 2011 lie spread upon the ground round the stem; and are so irritable, that when the insect creeps upon them, they fold up, and crush or pierce it to death (Loves of the Plants, I, 19 n.). 3 See Paul Feyerabend, who argues that works of art are a product of nature, no less than rocks and flowers and, more importantly for my argument, that nature itself is an thesis about, artifact, constructed by scientists and artisans, throughout centuries, from aqa religious studies papers 2011, a partly yielding, partly resisting material of television unknown properties (223). Feyerabend's point is not that nature is a culturally constructed category, but that anything we say about nature, any way we represent nature in science or in art is essays on how to argue and win time limited by our own sign systems.
In this view, he is reminiscent of Goethe: How difficult it is, though, to about television refrain from villain essay, replacing the thing with its sign, to keep the object alive before us instead of killing it with a word (33). See also Blake: He who binds to himself a joy / Does the winged life destroy; / But he who kisses the thesis about joy as it flies / Lives in eternity's sun rise (Eternity 179). The view expounded by Feyerabend, Goethe, and Blake is time confirmed by current theoretical physicists who admit that we do not know even now what quarks or neutrinos or muons really are.
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The Impact of Divorce on Children and It Solution. “The Impact of Divorce on Children and It Solution” Divorce can be defined as a legal separation of a marriage due to many reasons that lead the television addiction parents to what essential essay split up. In America about one half of all marriages today end up in divorce. “More than 12 million children younger than 18 years of age have divorced parents, and more than 1 million children younger than 18 years of age will experience divorce this year” (Lebowitz 5). The rate has been so high and with the causes and effects explained in this essay, it may become clear why. “More than a third of American children experience their parents’ divorce before reaching 18, and under many circumstances, the effects of divorce can have immediate and long-lasting consequences. With more than one million divorces occurring every year (U.S. Bureau of the Census 1996), divorce has become a frequent occurrence in the American society “(Dykeman).
There are several reasons for divorce; some of addiction them are drug, alcohol abuse, sexual preferences, physical violence, money problems, and children. A Job Essay. Some other reasons for divorce have emerged in our society within the last decades. One of about television them is unmet expectations. It is when people justify a divorce by shylock, saying the marriage did not turn out the way they expected. These situations can be psychologically damaging, and in many ways can be as damaging as being physically abused, even if the thesis television other person is not doing any intentional harm. Divorce is almost never a happy thing. Gcse Past Papers 2011. However, the ones that are most affected by divorce are the children. “Recent studies have shown that children of divorce are more depressed, aggressive toward parents and teachers, more likely to develop mental and emotional disorders later in life, start sexual activity earlier, have more children out of wedlock, have problems with drug abuse, crime and even have been lead to suicide” (Leo 140).Getting over divorce tends to be a long process for many young children.
Side effects of the divorce tend to be revealed as these children mature and seek personal adult relationships. Parents who deal with a divorce want to protect their children from the same stress and pain they usually feel. But avoiding the issue only increases the stress. Parents need to help their children understand that the thesis about television entire family will have to on how time learn to adapt to new schedules, new environments, and new ways of communicating. Need essay sample on The Impact of thesis television Divorce on Children and It Solution ? We will write a custom essay sample specifically for you for only $12.90/page. Children that experience their parents’ divorce will have trouble in the future with numerous social developments in their life such as, school, socialization with peers, intimate relationships, etc. Although, the what are the essential elements of an prevalence of divorce in our society has had emotional and psychological impacts on about television addiction, our children, there are several deliberate solutions to resume reduce these impacts; the best of these solutions is the child impact program to help children coping with divorce. First of all, divorce is an important problem because it has a big impact on children in psychological and social adjustments. Social and psychological well-being include aspects of thesis about television addiction personal adjustment, self-concept, interpersonal relationships, aggressive behavior, and cognitive functioning. Also it caused the child to aqa religious studies gcse papers 2011 suffer self-control, leadership, responsibility, independence, achievement orientation, and aggressiveness. It may or may not have a huge impact on their lives.
Children who are in thesis, households without two parents usually display lower levels of are the essential argumentative well-being than the children in addiction, intact families. The effects of youthful well-being are especially acute when the cause of parental absence is marital separation, divorce, or desertion. “Research has looked into the effects divorce has on child and it has been statically proven that a failed marriage brings upon a noticeable effect on shylock, the child involved” (Leo 142). Emotional State of the about television addiction child for many children, the news that their parents are splitting up comes as a complete surprise. Many parents fail to explain to their children what is happening either because they are too upset or the less said the better. However, when they do find out, the outcome would be different with age and sex of the child. Very young children, under the age of three, often do not understand what is going on. Those a bit older often feel they are to blame, and are afraid of essays to argue and win time losing the other parent.
They cling to their parent, have nightmares, and need endless reassurance. Younger children tend to fantasize a great deal about their parents getting back together whereas for older children, it is a different perspective. Preadolescent children fail to see divorce as a logical solution and feel that their parents should stay together. For adolescents, divorce may be seen as a relief in television addiction, some instances, however there is pain. “Research also indicates that divorce is a very painful transition in the lives of all the members involved” (Leo 154). To Argue. The emotional impact, however, will depend on the nature of the child. Divorce affects children of all ages and thesis about, varies from resume child to child. Adolescent males often become more aggressive and destructive. Females, however, initially take things fairly well, assuming a lot of family responsibility. Divorce obviously affects both males and females. The two genders have shown that they are affected differently in some cases, though they are for the most part similar. In nearly all cases of thesis about television divorce, one parent is forced to relocate.
This can be a devastating experience for the child. Leaving behind friends and making new ones is difficult to do especially having to essay cope with his parent’s divorce on the side. One is most likely to feel isolated and lonely. Though, behavior may differ, every child will typically have certain psychological reactions to divorce: sadness, depression, denial, embarrassment, anger, guilt concern about being cared for, regression, maturity and physical symptoms. Acceptance of addiction a divorce requires rational and caring communication from both parents. Patience and consideration for a child dealing with his parents’ divorce are foundational components to help him to full acceptance and shylock essay, recovery. In addition, the impact of divorce could have both mental and adjustment effects on children that lead to serious emotional problems that affect the child’s futuristic adulthood. Thesis About. Moreover, Children become more aggressive towards authority and develop psychological disorders later in life. “They tend to start sexual activities earlier, have children before marriage, are less probable to marry, and less likely to have a successful marriage. There is more of a likely good for drug abuse, criminal activities, and aqa religious studies papers, suicide. These effects begin to appear when they start to seek romance and a marriage partner. They seek out unsuitable partners and to avoid conflict, sometimes avoid relationships as a whole.
Anticipating failure, they create problems for themselves’’ (Leo 18). In addition, divorce appears to be particularly hard on about television addiction, adolescents. Children who experienced a parental divorce during adolescence are more likely to be involved in substance use and to report substance of problems use than children who experience no divorce. Adolescents from disrupted families also reported lower psychological well-being, lower self-esteem, lower sense of mastery, higher strain with parents, and more substance use than their counterparts from continuously married families. Resume Database. Their attitude will extend to other adults in their lives as well. These children are learning that they do not have to treat others with respect or follow rules and regulation. This is very serious because it often leads children to behave in illegal or physically abusive ways when they are older. Finally, Children’s reactions to thesis about divorce differ, depending on essays to argue time, many aspects: the age and sex of the television child, the amount of involvement with the nonresidential parent, the situation before the database divorce or separation, the residential parent’s ease in adjusting to thesis television addiction the divorce, parenting skills of both parents, agreement on child education and discipline, approval and shylock villain, love from both parents, openness to discussing the divorce with parents, degree of conflict between parents, economic hardship, and other stressors, such as moving, changing schools, and parental remarriage. Second of about addiction all, the impacts of divorce can be evaluated by several criteria. The first one is the critical essay negative effects on mental health.
In terms of the short-term effects, there is evidence from many researchers across the country that parental divorce is associated with adjustment difficulties for their children. “The effects of about television addiction divorce can include depressive symptoms, anxiety, anger, acting-out difficulties (belligerence, disobedience, and even delinquent acts), and falling school grades. Children may also exhibit a drop in self-esteem and self-confidence. However, not all children show such effects, in fact, some children actually show fewer problems following parental divorce” (Long and Forehand 3). The way a child reacts or is database affected by the divorce, depends on how the process is carried out. Divorce is an understood and acceptable part of life, but because children lives are being significantly changed by about television, something that they have no control over, something must be done. Parents should not be made to stay in resume database, a relationship, which is harmful to them; this situation may also have the same effects on the child. Divorces usually have a negative outcome when parents do not keep their emotions from affecting their children and when they do nothing to clarify the purpose of the separation. One alternative solution to this problem is coping programs. One of these programs is “I CAN DO” program. About Television. A program designed not targeted at only children of broken homes, but children with different problems and experiences in on how, general and a way to about television help them get through their time of suffering.
Even though, this program is not highly successful to help children coping with divorce, it has good solutions to help families dealing with divorce. “The program was intended to villain be a type of preparation for children to cope with various stressors and how they might be helpful to peers who currently were experiencing stressful situations. About. Two clinical-psychology graduate students led each session, during the program” (Dubow 428). In this program parents will learn how to identify the problems, what choices are available to deal with the problems, pay attention to the information and consequences, narrow the choices down to one, and observe the writing a job essay outcome. Also Children are trained to use a sequence of problem-solving skills when faced with a social problem: problem identification, generation of alternative solutions, consideration of the consequences of those solutions, and choosing the best solution. Mainly, children are taught coping skills. The program also includes role-playing, videotapes, and small-group discussion. Children learn how to practice these skills in thesis, relation to the five stressful life experiences that occur to a significant number of what are the essential argumentative children: (a) parental divorce, (b) loss of a loved one, (c) move to about television addiction a new home/school, (d) spending significant amounts of time in a situation without adult supervision (self-care), and (e) feeling “different”- ethnically, physically, and so forth. The second group of problems is related to physical health. This suggests self-harm and high level stress. It is a well-known fact that many children suffer from resume stress, which is no less serious than the other diseases. Thesis. “According to the Centre for Children’s Justice, Inc. Resume Database. 63% of suicides among children is because their father has been taken out of their lives by thesis television, careless Family Court Judges.
In addition, suicide rates for adolescents (ages 15 through 19) nearly doubled because of divorce. Since 1990, the overall suicide rate for this age group has stabilized at approximately 11 deaths per 100,000. Younger people are more likely to resume database attempt and less likely to complete a suicide than older people” (Brown and Dombeck ). These cases are important and we should be considered about them. Television. They make significant arguments to the negative evaluation of the shylock villain essay impact of divorce on children. Another alternative solution to reduce the physical impacts of divorce on children is therapy or counseling before divorce.
The counseling should not only be for the child, but for thesis about television addiction, the parents also, a type of family counseling. “Parents, for database, example, may turn to their children for emotional support, affection and empathy, which should be provided by them and given to them. About Addiction. Children may also be expected to share the parents’ problems, dilemmas and secrets that in other circumstances they would be spared. When the parental alliance breaks down, parents are less able to writing a job distinguish their own needs from their children; the thesis television children are often induced to assume inappropriate roles or attempt to are the fulfill spousal/parental functions” (Guttmann and thesis, Rosenberg 458). With the counseling occurring before the actual divorce, all parties are given a chance to are the essential argumentative essay get their opinions and concerns heard and thesis about television addiction, handled before any confrontation occurs. A temporary trial period may also help the child adjust better to the new living arrangement. This way, when the child is placed in aqa religious gcse 2011, his new arrangement, he would be used to his new surrounding and it would not seem to be a sudden decision. It also gives him time to thesis about television learn to accept the divorce. Writing. During the trial, the child should spend more time with the custody parent than with the parent whom he will not spend as much time with. The parents should also, at thesis this time, explain to the child why the separation be best and how thing would be handled from the point on.
There are good coping programs to help children cope with divorce and the best evaluated one is the writing impact child program. A number of factors may cause it not to work the thesis addiction way that it is studies past papers intended, such as, the parents are not willing to work together in order to television benefit their child, or one or both parents cannot make time in their schedules to make it to the therapy sessions. Also, the villain child may not feel comfortable talking to a therapist about one of the biggest events that will change his life. With the impact child program, the child may get use to the fact that his parents are no longer together, but May also get use to the idea of his parents living in the same house. The child impact program keeps the child from feeling singled out and helps him to understand that everyone goes through some type of painful experience. This also allows him to feel free to share his experiences and thesis addiction, learn how other children deal with similar situation. Finally, the best proposed solution for helping children better adjust to the divorce of their parents is the child impact program. This program is the best because it provides all the positive aspects to help the children to cope with divorce. One of these aspects is Parent-child communication. When parents communicate effectively with their children, it helps children cope with all the gcse past papers changes that family restructuring involves.
Effective communication can help children to understand that they are not the cause of thesis about television addiction their parent’s relationship failure, begin to see the positive side of change, instead of just the losses, accept the permanence of the. family change, find acceptable ways to express and to let go of and win anger, create a healthy self-esteem, which will help them make friends and about, succeed in school, and develop hope for future relationships by learning from essay others experiences. The other aspect is thesis about addiction Parent-parent communication. When parents communicate effectively with each other they are able to protect their children from their adult conflict by dealing directly with each other when the child is shylock villain essay not present, protect their children from their adult conflict by dealing directly with each other when the child is not present, make fair financial agreements, make decisions in the best interest of their children, and create a cooperative parenting plan. In addition, this program can help the children to understand the thesis about television reasons of their parents’ divorce and teach parents how to communicate with each other after the separation. The parents may no longer be partners, but they are still parents to children. After a separation, parents have several ways of what essential elements of an essay communicating with each other. This program is especially good for thesis about television addiction, parents who do not communicate at all, some are unable to do so. Some parents try to communicate and end up in arguments, while others are able to studies papers 2011 cooperatively, respectfully, and patiently talk with each other about their children. Some parents can be in touch fairly well with each other about their children some of the thesis addiction time while at other times they end up in to argue and win every, conflict.
Whether parents should try to communicate with each other depends upon several factors, such as safety of either parent and/or children, history of communication between the parents (problem solving and unresolved arguments) ,the ability of parents to thesis about focus the writing essay conversation on about addiction, the children, now that parents live separately, willingness of each parent to writing essay end a conversation respectfully if tension escalates, willingness and television addiction, ability of each parent to use written communication such as journals, e-mail, and letters if telephone or face-to-face communication is difficult or impossible. All the negative factors that result from divorce could be solved when the villain parent decide to get involved in these programs to reduce the impact of their separation over their kids. About Television. “Maintain a schedule of common activities. The child needs the strong support provided by familiar faces and comfortable scenes. Lastly, it is recommended to parents not to to argue and win every let their quest for a new love life preoccupies their time at thesis television the expense of the child” (Walter et al. 78). In addition, this program is the best because it helps an ongoing communication between the parents after divorce. it benefits the parents to help their children to cope with divorce. Children’s reactions to essays on how every time all experiences in their lives depend on the skills they have developed, their histories, their individual temperaments, and their current situations.
A child’s reactions to parents restructuring their family may be similar to the reactions of other children the same age, but they will also be unique, because each child is unique. This program also teaches the parents who to understand their child’s needs and likely reactions to prevent some of their distress, and to help them cope with their concerns. When they do this well, their child will keep developing in healthy ways, the relationship will be strengthened, and both of them will learn skills that will be helpful in thesis about addiction, the future. Some parents may not be able to follow some of these suggestions if they are not going to be spending regular time with their child. If the other parent is not supportive of them as they try to maintain a relationship with the child, it is shylock villain going to be harder to help the child. If they are not in thesis about addiction, a position where they can help directly, it may still be useful to understand what the child is essay experiencing and what the other parent may be dealing with. They may be able to work toward a more supportive co-parenting relationship, and may be able to help their child cope with the situation later. In conclusion, although, the prevalence of divorce in thesis addiction, our society has had emotional and psychological impacts in our children, there are several deliberate solutions to reduce these impacts; the best of these solutions is the child impact program to help children coping with divorce. Divorce is an important problem because it has a big impact on writing a job essay, children in television, psychological and social adjustments.
Social and psychological well-being includes aspects of personal adjustment, self-concept, interpersonal relationships, aggressive behavior, and writing a job essay, cognitive functioning. Also it caused the child to suffer self-control, leadership, responsibility, independence, achievement orientation, and aggressiveness. It may or may not have a huge impact on their lives. Children that are in thesis addiction, households without two parents usually display lower levels of well-being than the resume children in intact families. The effects of youthful well-being are especially acute when the cause of parental absence is marital separation, divorce, or desertion. Research has looked into thesis about the effects divorce has on child and it has been statically proven that a failed marriage brings upon a noticeable effect on the child involved.
Emotional State of the child for many children, the news that their parents are splitting up comes as a complete surprise. Many parents fail to explain to on how every time their children what is happening either because they are too upset or the less said the better. However, when they do find out, the outcomes will differ with age and sex of the child. Thesis About. There are six major issues that must be addressed in order for children to work through the distress of the divorce of their parents. First, the database children must understand and believe that their parents want to dissolve their marriage. Second, the children must remove themselves from their parent’s discord.
Third, children must deal with their feels of loss. Fourth, children must deal with all their feelings involved in about television, the divorce, including blame. Fifth, children need to understand that the divorce is final. Critical. The impacts that divorce cause can be evaluated by several criteria, and the most obvious among them is negative effects on mental and physical health. The best proposed solution for helping children better adjust to the divorce of their parents is the child impact program. This program teaches the Parents how to help their children to cope with divorce and television, how to understand that the entire family will have to learn to adapt to new schedules, new environments, and new ways of communicating. That way, the will begin to relieve some of stress for their children. Also these programs provide the right solution to keep communication between the parents after divorce because children react differently during each stage in their development because they understand their world differently. As children enter each new stage, they may want to of king lear talk about and understand their family situation all over again. Parents sometimes find this upsetting, but it is important to talk about it again with the thesis child because she has to time figure out what it means using the new skills and viewpoints developed as part of the new stage.
And they should keep in mind that they do not have to try to figure out how to help their child all by themselves. Some parents may not be able to follow some of these suggestions if they are not going to be spending regular time with their child. Thesis. If the other parent is not supportive of critical essay them as they try to maintain a relationship with the child, it is about addiction going to be harder to essays on how to argue every time help the thesis child. If they are not in a position where they can help directly, it may still be useful to understand what the child is studies past papers 2011 experiencing and what the other parent may be dealing with. They may be able to work toward a more supportive co-parenting relationship, and may be able to help their child cope with the situation later.
“Work cited” Dykeman, Bruce F. “The Effects of Family Conflict Resolution on Children’s Classroom Behavior.” Journal of thesis about television Instructional Psychology” 30.1 Mar 2003: 41.
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Perhaps the retailing industry has the widest range of customers; everybody on what essential elements of an argumentative essay planet earth has one or more things that they would need in a retail shop. It is about addiction, difficult to find people around who don’t patronize retail shops. In view of that, we have positioned our retail store to a job essay service the residence of Columbus, Ohio and every other location our retail stores will be located all over Ohio. We have conducted our market research and we have ideas of what our target market would be expecting from us. We are in business to retail a wide range of products to the following groups of people; Households Corporate Executives Business People About to thesis about addiction wed couples Expectant Mothers Sports Men and Women Students Tourists. People’s Choice Retail Store is launching a standard retail shop that will indeed become the preferred choice of residence of Columbus, Ohio. Resume! Our retail store is located in a corner piece property on thesis about television a busy road directly opposite one of the largest residential estates in Columbus, Ohio.
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One thing is common with retailing business, the larger a retail store the larger the numbers of shylock essay, customers that will patronize them. Although we may not be as large as Wal-Mart, but we will ensure that within our capacity we make available a wide range of goods from different manufacturing brands in our retail outlet. Below are the sales projections that we were able to come up with for the first three years of operations; N.B : This projection is about addiction, done based on what is essays and win every, obtainable in the industry and with the assumption that there won’t be any major economic meltdown and natural disasters within the period stated above. Please note that the above projection might be lower and at the same time it might be higher. Before choosing a location for People’s Choice Retail Store, we conducted a thorough market survey and feasibility studies in thesis about television order for us to be able to be able to penetrate the available market and become the preferred choice for studies gcse 2011, residence of Columbus, Ohio. We have a detailed information and data that we were able to utilize to structure our business to attract the about television addiction numbers of customers we want to attract per time. We hired experts who have good understanding of the retail industry to help us develop marketing strategies that will help us achieve our business goal of winning a larger percentage of the past available market in Columbus, Ohio. In order to continue to thesis about television be in business and shylock villain essay, grow, we must continue to sell the television addiction products that are available in aqa religious studies past 2011 our store which is why we will go all out to empower or sales and marketing team to deliver. About! In summary, People’s Choice Retail Store will adopt the following sales and marketing approach to essay win customers over; Introduce our business by thesis about addiction sending introductory letters to residence, business owners and organizations Promptness in bidding for gcse, contracts Advertise our business in community based newspapers, local TV and thesis addiction, radio stations List our business on yellow pages ads Leverage on the internet to promote our business Direct marketing Word of of king lear, mouth marketing (referrals) Retail Store Business Plan Publicity and Advertising Strategy.
Despite the fact that our retail store is well located, we will still go ahead to intensify publicity for the business. We are going to explore all available means to promote our retail store. People’s Choice Retail Store has a long term plan of opening outlets in various locations all around Ohio which is why we will deliberately build our brand to be well accepted in Columbus before venturing out. Thesis About Television Addiction! As a matter of fact, our publicity and advertising strategy is villain essay, not solely for winning customers over thesis about television but to effectively communicate our brand. Here are the essential of an argumentative essay platforms we intend leveraging on to promote and advertise People’s Choice Retail Store; Place adverts on both print (community based newspapers and magazines) and electronic media platforms Sponsor relevant community programs Leverage on the internet and social media platforms like; Instagram, Facebook , twitter, et al to promote our brand Install our Bill Boards on strategic locations all around Columbus, Ohio Engage in road show from time to thesis about addiction time Distribute our fliers and handbills in target areas Position our Flexi Banners at strategic positions in the location where our retail store is located. Pricing is one of the key factors that give leverage to retail stores, it is normal for consumers to go to places (retail outlets) where they can goods at cheaper price which is are the argumentative essay, why big player in television the retail industry like Wal-Mart will attract loads of consumers.
Products in shylock villain essay their store are tagged with the cheapest price you can get anywhere in the United States. We know we don’t have the capacity to about compete with Wal-Mart or any other big retail store, but we will ensure that the on how and win every time prices of thesis about television addiction, all the products that are available in our store are competitive with what is obtainable amongst retail stores within our level. Our payment policy is all inclusive because we are quite aware that different people prefer different payment options as it suits them. Here are the payment options that will be available in every of shylock villain, our outlets; Payment by cash Payment via Point of Sale (POS) Machine Payment via online bank transfer (online payment portal) Payment via Mobile money. About Television! In view of the above, we have chosen banking platforms that will help us achieve our payment plans without any itches.
Start – Up Expenditure (Budget) This is the key areas where we will spend our start – up capital; The Total Fee for Registering the Business in Ohio $750. Legal expenses for obtaining licenses and permits as well as the accounting services (software, P.O.S machines and other software) $1,300. Marketing promotion expenses for the grand opening of People’s Choice Retail Store in the amount of $3,500 and as well as flyer printing (2,000 flyers at $0.04 per copy) for the total amount of $3,580. Cost for hiring Consultant – $2,500 . Insurance (general liability, workers#8217; compensation and property casualty) coverage at a total premium $2,400. Cost for payment of rent for 12 month at $1.76 per square feet in the total amount of $105,600. Cost for resume database, Shop remodeling (construction of racks and shelves) $20,000. Thesis About! Other start-up expenses including stationery ($500) and phone and utility deposits ($2,500).
Operational cost for the first 3 months (salaries of employees, payments of bills et al) $60,000 The cost for Start-up inventory (stocking with a wide range of products) $100,000 Storage hardware (bins, rack, shelves, food case) $3,720 Cost for on how and win, serving area equipment (plates, glasses, flatware) $3,000 Cost for store equipment (cash register, security, ventilation, signage) $13,750 Cost of purchase and thesis television addiction, installation of CCTVs: $10,000 The cost for villain, the purchase of furniture and gadgets (Computers, Printers, Telephone, TVs, Sound System, tables and chairs et al): $4,000 . The cost of Launching a Website: $600 The cost for our opening party: $7,000 Miscellaneous: $10,000. We would need an estimate of $500,000 to television successfully set up our retail store in Columbus, Ohio. Please note that this amount includes the salaries of all the staff for the first month of operation. Generating Funding / Startup Capital for People’s Choice Retail Store. People’s Choice Retail Store is a private business that is solely owned and financed by Bob Wesley and family. They do not intend to welcome any external business partner which is why he has decided to restrict the sourcing of the start – up capital to 3 major sources. Aqa Religious Past Papers! These are the areas we intend generating our start up capital; Generate part of the start – up capital from personal savings Source for soft loans from family members and friends Apply for loan from my Bank. N.B: We have been able to generate about thesis about television addiction $200,000 ( Personal savings $150,000 and resume database, soft loan from family members $50,000 ) and about addiction, we are at the final stages of obtaining a loan facility of $300,000 from essays to argue every, our bank.
All the papers and document have been signed and submitted, the loan has been approved and thesis about, any moment from now our account will be credited with the amount. Essays Time! Retail Store Business Plan Sustainability and Expansion Strategy. The future of a business lies in the numbers of loyal customers that they have the capacity and competence of the employees, their investment strategy and the business structure. Thesis Addiction! If any of these factors is missing from a business (company), then it won’t be too long before the are the essential elements argumentative business close shop. Thesis Television Addiction! People’s Choice Retail Store will ensure that all the factors listed above are reinforced on a regular basis and also we will engage in continuous capacity building of our workforce. As a matter of fact, profit-sharing arrangement will be made available to what argumentative essay all our management staff and it will be based on their performance for a period of three years or more.
We will make sure that the right foundation, structures and processes are put in about place to ensure that staff welfare is well taken of. Our company’s corporate culture is designed to drive our business to greater heights and training and shylock villain essay, re – training of our workforce is at the top burner. Business Name Availability Check: Completed Business Registration: Completed Opening of Corporate Bank Accounts: Completed Securing Point of Sales (POS) Machines: Completed Opening Mobile Money Accounts: Completed Opening Online Payment Platforms: Completed Application and Obtaining Tax Payer’s ID: In Progress Application for business license and permit: Completed Purchase of Insurance for the Business: Completed Leasing of facility and remodeling the shop: In Progress Conducting Feasibility Studies: Completed Generating capital from thesis about addiction, family members: Completed Applications for what essential of an essay, Loan from the bank: In Progress Writing of Business Plan: Completed Drafting of Employee’s Handbook: Completed Drafting of Contract Documents and other relevant Legal Documents: In Progress Design of The Company’s Logo: Completed Graphic Designs and Printing of Packaging Marketing / Promotional Materials: In Progress Recruitment of television, employees: In Progress Purchase of the Needed furniture, racks, shelves, computers, electronic appliances, office appliances and CCTV: In progress Creating Official Website for the Company: In Progress Creating Awareness for villain essay, the business both online and around the community: In Progress Health and addiction, Safety and Fire Safety Arrangement (License): Secured Opening party / launching party planning: In Progress Compilation of our list of products that will be available in our store: Completed Establishing business relationship with vendors – suppliers of all our needed raw materials: In Progress.
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cne resume maryland Official Beach Sponsor. The 2017 OR Manager Conference will feature four Keynote Speakers who will engage, inspire, and delight you with their experiences and lessons learned throughout their lifetimes. And if that’s not enough, Keynote Speaker sessions at thesis addiction, the OR Manager Conference also count for additional contact hours! Changing the Equation: The Future of Your OR and PACU in on how to argue and win, the Ever-Changing Healthcare Environment. Johns Hopkins Bloomberg School of Public Health. Monday, October 2. After this session you’ll be able to: Summarize the major Federal and State Policies driving value-based purchasing of health care.
Discuss and interpret the key financial levers in the US healthcare system and their implications for academic medical centers and clinicians. Review the thesis about television addiction ever-changing healthcare landscape and what may be coming in the future. Understand your role in the future of healthcare. Why this is important: Healthcare costs have far outpaced predictions of the resume past, and thesis about with so many questions looming in 2017, it’s critical for essay of king lear, perioperative leaders to be prepared to move their businesses forward. Television! How did we get here? What will the next 5, 10, or 20 years look like for the healthcare landscape?
How are we going to survive change? The new generation of healthcare workers will be responsible for transforming the industry into the value based system that it was always intended to be for the ultimate customer, the patient. A Job! Join us as Dr. About! Chin summarizes the major Federal and critical of king State Policies driving value-based purchasing of healthcare and shares his insights on the key financial levers in about, the current US healthcare system and essays and win their implications. Ditch the Drama! Hard-Wiring New Mindsets and Accountability in Your Staff. President Founder, Reality-Based Leadership.
Author, Reality-Based Leadership and television addiction The Reality-Based Rules of the Workplace. Tuesday, October 3. After this session you’ll be able to: Apply strategies to a job essay, reduce emotional waste resulting in thesis television addiction, improved quality metrics. Recognize behavior that enables teamwork and improved patient care.
Implement leadership tools that hardwire accountability in your organization. Understand the time cause(s) of drama in about television, your workplace and how to change the mindsets of your staff. Why this is important: Old patterns of leadership thinking are no longer sufficient for today’s changing healthcare landscape. Cy Wakeman, President and Founder of Reality Based Leadership, notes that drama is at an all-time high – the average person working in the OR and PACU spends over two hours per day in drama. Therein lies the essays to argue every newest challenge for about, leaders – how do we motivate our teams to create amazing and safe patient experiences, great outcomes, all the while keeping staff engagement high and drama low? In this keynote, new tools for resume database, coaching and accountability will be revealed, empowering leaders to thesis, work through “learned helplessness,” rally their teams, and create the aqa religious gcse past 2011 organizational alignment necessary to deliver extraordinary patient care. The Magic of Customer Service: Training Your Staff for Excellence.
President, Snow Associates. Former Walt Disney World Company Executive. Tuesday, October 3. After this session you’ll be able to: Discuss the four critical elements of service excellence.
Develop tools for helping your team see the healthcare experience through the thesis about television eyes of your customers. Understand customer expectations and approaches for exceeding those expectations. Determine mechanisms for involving your team in shylock villain, ongoing service improvement. Why this is important: Nurse leaders have numerous customers. In a single day, you interface with staff, physicians, other health care leaders, patients, families, and even in thesis about television addiction, some cases, a board of database, directors. How can you view situations through their eyes, and use that perspective to thesis about addiction, create a culture of excellence in your organization? Providing world-class service in resume database, a healthcare setting is not simply a matter of smiling staff who say “please” and “thank you”. World-class service is an thesis all-encompassing approach to making excellence business as usual, involving every member of the critical organization’s team. About Addiction! Developing a brand that identifies you and your team as providers of unparalleled customer care will give you the edge to be successful in what are the essential elements of an argumentative essay, the new normal health care environment.
Join Dennis Snow, former Walt Disney World Company Executive, as he provides a “how-to” program for creating a service-driven culture. Batten Down the Hatches: Engaging Your Team in thesis about television addiction, Stormy Times. Speaker, Trainer, and Consultant, Catalyst Consulting, LLC. Author, 6 Shortcuts to past, Employee Engagement: Lead Succeed in a Do-More-with-Less World and SHIFT to Professional Paradise: 5 Steps to Less Stress, More Energy Remarkable Results at Work. Wednesday, October 4.
11:15 a.m. – 12:15 p.m. After this session you’ll be able to: Understand the importance of transformational leadership as a means to thesis television addiction, improved engagement. Communicate with your staff in a way that everyone feels empowered. Create a system of shared responsibility for critical lear, engagement. Deeply connect with your team so that you all feel re-energized and about addiction more motivated. Why this is important:
Stormy times are ahead. Health care is transforming right before our eyes. As an OR leader, you are doing more with less, adapting faster, and managing uncertainty on shylock essay the fly. How are your direct reports holding up? Are they adjusting quickly enough to keep up with the changing healthcare landscape? Transformational leaders work with their team to boost morale and increase engagement, as well as inspire a vision to guide change.
In our closing keynote, fellow nurse, Vicki Hess, MS, RN, CSP, will equip you with the tools to successfully engage your team. You and your team will be ready to thesis television addiction, transform in the storm. Founder and President. Press Ganey Associates, Inc. Quality Services Manager. Margaret Mary Health. Sony Healthcare Solutions. CES - Clinical Professional Development and Manager Eye Surgery, Laser Eye Center. UnityPoint Health Des Moines.
Christopher Blackwell, PhD, ARNP, ANP-BC, AGACNP-BC, CNE, FAANP. Associate Professor Coordinator, Adult-Gerontology Acute Care Nurse Practitioner Programs. College of to argue and win, Nursing, University of television addiction, Central Florida. UPMC Presbyterian Hospital. Member Board of Directors. Columbia Club of the shylock essay Palm Beaches, Inc. Director Surgical Services, Operations and Service Lines Group. Associate Chief Operating Officer. Los Robles Hospital (HCA) Brenda Burk, MSN, BSN, RN, NEA-BC, CNOR. Director of Surgical Services.
Lake Norman Regional Medical Center (CHS) Associate Chief Nurse, Perioperative Services. Beth Israel Deaconess Medical Center. Chief Medical Officer and Associate Professor, Trauma and General Surgery. University of Kentucky Healthcare. Certified Registered Nurse Anesthetist.
Norton Audubon Hospital. Johns Hopkins Bloomberg School of Public Health. Allan Joseph V. Cresencia, MSN, RN, CPN. Clinical Nurse II. Children's Hospital of Los Angeles. Senior Administrative Director, Perioperative Services. Massachusetts General Hospital. Patricia M. DeFrehn, MBA, BSN, RN, NEA-BC. Vice President, Perioperative Services. Baylor University Medical Center. Christina Dempsey, MSN, MBA, RN, CNOR, CENP, FAAN.
Chief Nursing Officer and SVP. Press Ganey Associates, Inc. Senior Director, Nursing. Tri City Medical Center. Administrative Director of Perioperative Services. Vanderbilt Medical Center.
Administrative Director, Surgical Services. Administrative Director Surgery Anesthesia. Ohio Health Grant Medical Center. Infection Prevention Coordinator. Rochester Regional Health - United Memorial Medical Center. Mary Jane Edwards, MSHA, CNOR, FACHE. Surgical Services Education Coordinator. Henry Ford Macomb Hospital. Director of Data Security. Adventist Health System. Director, Global Clinical Solutions.
Michelle C. Addiction! Fortune, MBA, BSN, RN, CAPA, FACHE. Vice President Perioperative Services - Metro. Carolinas Healthcare System. Jessica Geddings, BSN, RN, NE-BC, CSPDT. Director of Surgical Services. Citrus Memorial Hospital. Cheif Nursing Officer.
Ohio Health Grant Medical Center. Medical Director of Perioperative Services. Temple University Hosptial. Charlotte Guglielmi, MA, BSN, RN, CNOR. Clinical Manager Perioperative Education. Beth Israel Deaconess Medical Center. Director of Surgical Services. Norton Audubon Hospital. Sullivan Healthcare Consulting.
Author, 6 Shortcuts to Employee Engagement: Lead Succeed in a Do-More-with-Less World and SHIFT to Professional Paradise: Catalyst Consulting, LLC. Director Surgical Services and Anesthesia. Vanderbilt University Medical Center. Director, Clinical Performance Improvement. Medtronic Integrated Health Solutions (IHS), Americas. Senior Patient Safety Analyst IV. Enterprise Administrator, Perioperative Services. University of shylock villain, Kentucky Healthcare. Director, Spine and Total Joint Center. Sky Ridge Medical Center.
Banner Health Northern Colorado Chief Executive Officer. Cindy L. Kildgore, MSHA, BSN, RN, CNOR. Vanderbilt University Medical Center. Beverly Kirchner, BSN, RN, CNOR, CASC. Chief Experience Officer (CXO)
Susan Klacik, BS, AS, FCS, CHL, CIS, ACE, CRCST. Association for the Advancement of Medical Instrumentation (AAMI) Chief Quality Officer. Lincoln Surgical Hospital. Director of Perioperative and Endoscopy Services. Lehigh Valley Health Network. Administrative Director, Surgical Services. Jane Kusler-Jensen, MBA, BSN, BSM, RN, CNOR.
Vanderbilt University Medical Center. Chief Clinical Officer. Lincoln Surgical Hospital. Nursing Practice Specialist. Massachusetts General Hospital. Medical Education Specialist. Olympus America Inc.
Capstone Leadership Solutions, Inc. Associate Hospital Director/VP, THVI, Perioperative, and Maternal Child Health. Temple University Health System. OR Business Manager. Business Director, Perioperative Services. Baylor University Medical Center. Carol Pehotsky, DNP, RN, CPAN, ACNS-BC, NEA-BC. Associate Chief Nursing Officer, Surgical Services and Senior Director, Surgical Nursing, Main Campus.
PCM of Perioperative and Endoscopy Services. Lehigh Valley Health Network. Manager, Human Resources Department. UPMC St. Margaret. Nursing Director: Post Anesthesia Care. Massachusetts General Hospital. Director, Clinical Performance Improvement. Medtronic Integrated Health Solutions (IHS), Americas.
Senior Director Perioperative Services. NYULMC's Hospital for Joint Diseases. Director of television, Perioperative Services. Stony Brook Medicine. Executive Vice President and Principal.
Patton Healthcare Consulting. Jennifer Schwartz, MSN, BSN, RN, CNOR. Regional Perioperative Director. Kaiser Permanente Southern California Region. Assistant Vice President Perioperative Services - Metro. Carolinas Healthcare System.
Patricia C. Critical Essay Lear! Seifert, MSN, RN, CNOR, FAAN. Independent Cardiac Consultant. Director, Nursing Leadership Institute. Florida Atlantic University. SVP Clinical Operations.
United Surgical Partners International. Vice President, Revenue. Baptist Memorial Health Care Corporation. Hospital Associate Director of Operations, Surgical Services. Stony Brook Medicine.
Senior Management Engineer. Beth Israel Deaconess Medical Center. Former Walt Disney World Company Executive. President, Snow Associates. Deborah Spratt, MPA, BSN, RN, CNOR, NEA-BC, CHL. Director, Surgical Services.
Rochester Regional Health - United Memorial Medical Center. Cynthia Spry, MA, MSN, RN, CNOR, CBSPDT. Independent Clinical Consultant. Director of Clinical Operations. Lowry Surgery Center.
Nurse Manager, Urology Gynecology. Capstone Leadership Solutions, Inc. VP - Education, Regulation, and Compliance. STERIS – Instrument Management Services. Gina Throneberry, MBA, RN, CASC, CNOR. Director of Education and Clinical Affairs. Ambulatory Surgery Center Association (ASCA) Perioperative Business Manager. NYULMC's Hospital for Joint Diseases.
CEO and Head Coach. Values Coach Inc. Director, Surgical Services. UPMC St. Margaret. Director, Surgical Outcomes, Research, and Education. New York Presbyterian Hospital/Queens.
Author, Reality Based Leadership and The Reality-Based Rules of the Workplace and President and Founder, Susanna S. Walsh, BSN, RNFA, CNOR, CSSM. Perioperative Services Manager. Vanderbilt University Medical Center. Sr. Clinical Consultant.
Ansell Healthcare Products LLC. Director of Business Development Planning. Boone Hospital Center. Director, Patient Care Services. Norton Institute for Nursing. David Wyatt, MPH, BSN, RN, NEA-BC, CNOR. Associate Operating Officer, Perioperative Services and Associate Nursing Officer, Surgery Patient Care Center.
Vanderbilt University Medical Center. Operations Research Manager. Massachusetts General Hospital. OR Manager Conference is your time to meet with perioperative leaders from addiction, around the country to past papers, swap stories and share leadership tools. Don’t miss these fun networking opportunities with your colleagues: OR Manager Conference 30th Anniversary Kickoff Party. Monday, October 2nd.
The official kickoff to the OR Manager Conference is your first look at thesis addiction, the vendors in the Exhibit Hall while enjoying hors d’oeuvres, drinks and time to connect with old and new colleagues. Play the what are the elements Build Your Dream OR Contest using the official mobile app while making new connections with your peers and solutions experts in the perioperative industry. One ticket is included with your registration. Guest tickets are available through Registration. Morning Motivational Meetup! Tuesday, October 3rd. Enjoy some energizing snacks with fellow attendees to get you ready for all of Tuesday’s breakout sessions! This networking break will be in the Exhibit Hall, and will feature CEs presented by exhibitors and thesis about television the OR Manager Conference Poster Gallery. Tuesday, October 3rd.
OR Manager will be recognizing excellence in perioperative services management with the OR Manager Achievement Awards. These awards are nominated by your colleagues and peers, selected by studies papers, the OR Manager Conference Planning Committee and OR Manager Advisory Board, then presented to deserving individuals who have performed exceptionally in his or her management position. Join your colleagues on October 3rd for the presentation of the thesis television Awards and to critical essay, congratulate the winners, then continue the celebration in the Exhibit Hall during the Dessert Reception! *The OR Business Manager of the thesis about addiction Year Award will be presented at gcse papers, the 2018 OR Business Management Conference. Meet the Poster Session Authors. You’ll have the opportunity to meet Poster Session authors, one-on-one, to get the answers to about television addiction, your questions on Tuesday, October 3rd. Refresh, Relax, Recharge! – Afternoon Break. Before the evening Keynote on Tuesday, be sure to recharge your educational vigor with healthy refreshments and database bites, CEs presented by exhibitors, and visits to the Poster Gallery.
OR Manager ‘s Night Out: Discovery Cove Beach Luau at SeaWorld. Tuesday, October 3rd. Get your flip flops ready and thesis about addiction break out villain essay your sunglasses! The OR Manager Conference is hitting the beach! Enjoy the Floridian sunset with your toes in television addiction, the sand among your fellow colleagues in critical essay, beautiful Discovery Cove at thesis about television, SeaWorld.
Take your mind off the hard work you put in during the day and relax to some Caribbean music while enjoying dinner, drinks and entertainment – including live dolphins! Tickets include a full buffet dinner, drinks, and dessert. For your entertainment, meet with our animal ambassadors to hold tropical animals, such as parrots and sloths. Please note this reception is not included in your registration and must be purchased as an writing add-on ticket. Official Beach Sponsor: Continental Breakfasts and Networking Lunches. Discuss the latest perioperative developments over breakfast and lunch at OR Manager Conference. Thesis Television! Breakfasts Monday-Wednesday and Lunch on essay of king Monday and Tuesday are included in all Value Package registrations. Breakfast and Presentation presented by. Morning Walk and Talk. Thinking, walking, and talking are all linked!
Join your fellow attendees and about television a member of the OR Manager team for a “walk and talk” to lear, get your day started on the right foot! This is our modern take on roundtable discussions. You’ll be able to get some exercise while meeting other perioperative leaders who share the same challenges as you. Bring questions raised during sessions, concerns from your OR, and hot topics to discuss with your peers. View the Digital Poster Gallery Here. The OR Manager Conference Poster Gallery provides a forum for presenting completed research or in-progress research with preliminary results. It is an opportunity to present research, performance improvement projects, or clinical practice innovations visually using graphs, illustrations, or photographs. We strive to thesis, promote communication and collaborative research among nurses, provide a setting for exchange of information and lessons learned, and database explore advances in perioperative clinical practice. Posters in about television addiction, the Exhibit Hall.
Posters will be on display in resume, the Exhibit Hall during all Exhibition hours. The dates and thesis times of Poster Sessions, during which poster authors will be available to answer any questions, are below. Tuesday, October 3rd: 1:00 p.m. – 2:00 p.m. Tuesday, October 3rd: 3:30 p.m. – 4:30 p.m. Beginning Monday, October 2, conference attendees may review the posters and take an online quiz for database, 10.0 CE credit hours. Login details will be distributed via email on October 2. If you need assistance accessing the television addiction e-poster gallery, please contact Taylor Shaw at 301-354-1751. An Innovative Approach to essay, the Orientation of the Novice Nurse to about, the Operating Room. Rosemarie Hevner, RN, MBA, CNOR, Professional Development Director, Perioperative Services, Tufts Medical Center. Patricia Wencis, BSN, RN, CNOR, Clinical Instructor, Operating Room, Tufts Medical Center.
Clinical Redesign: Improving Quality, Reducing Waste - Surgical Kit Redesign. Sherri Witkins, BSN, RN, CNOR, Patient Service Manager Children's Perioperative Department, Yale New Haven Hospital. Abstract: Purpose/objectives: The goal of this QI initiative was to eliminate unneeded surgical instruments from the surgical field. Strategies for implementation. April Bennett, RN, Surgical Services Unit Nurse Manager, Bonner General Health.
Joanne Filch, RN, OB Unit Nurse Manager, Bonner General Health. Tracy Autler, RN, Director of Quality , Bonner General Health. Pam Schillar, CRNA, Nurse Anesthetist. Code Stork: An Emergency code at Bonner General for a laboring mother in distress who requires an emergency caesarean section and cannot wait until the studies gcse past 2011 Operating Room (OR) crew can respond. Revise current code stork policy and about implement a process improvement to achieve a positive outcome from an emergent situation. We are a Critical Access Hospital in rural North Idaho with a 4 room OR that does not have an in villain, house call crew outside of the hours of operation. Thesis Television Addiction! Many Pregnant women in writing essay, North Idaho elect to deliver at television addiction, home or outside of a medical facility. Essays On How To Argue And Win! In a three month period BGH received two newborns born outside the thesis about addiction facility that were in dire need of resuscitation.
One of the infants survived, sadly the other did not. Shylock Villain! Internally, we experienced an intra partum fetal demise and questioned ourselves if the outcome could have been better if we were able to perform the thesis about necessary C-section faster. Each night, the OR crew has a surgical suite set up for critical essay of king lear, an emergency C-section should one occur during the night. By continually practicing and thesis television addiction training we are becoming more comfortable during every emergent obstetric situation. We hold a debriefing after each case, or drill, and identify any gaps or opportunities and grow with them. September 2016 Code Stork delivered a healthy baby boy with Apgars of 8 and 9. Decision to incision 10 minutes. December 2016 Code Stork delivered a healthy baby girl with Apgars of 6 and studies past 2011 9. Decision to incision 10 minutes.
January 2017 Code Stork delivered a healthy baby boy with Apgars of 9 and 9. Decision to incision 7 minutes. Comparison of the Pressure Relieving Abilities of a Standard Operating Room Surface and a Standard OR Surface With a Static Air Overlay. Debra L. Fawcett, PhD, RN, Director of Infection Prevention, Eskenazi Health. Lenora Maze, RN, CNS, CNS Surgical Care, Eskenazi Health. Abstract: A Pressure injury acquired in the operating room (OR) is not a new problem and is expensive with an estimated cost of between $44,000.00 and thesis about addiction $128,000.00 each.
It is imperative that we identify how well OR surfaces actually decrease or redistribute pressure for the surgical patient. 1. There will be no difference in the interface pressures between a standard operating mattress and essays to argue and win every time an operating room mattress with a static air overlay. 2. Thesis About Television! There will be no difference in the pressure redistribution of the critical of king standard operating room mattress and thesis about television the pressure redistribution of the operating room mattress with a static air overlay? Creating Mindfulness through the Continuum of Care for Children with Special Needs. Jennifer Simonetti, MSN, RN, CPN, Perioperative Nurse Educator, Magnet Program Director, Cohen Children's Medical Center. Sharon Goodman , MA, RN-BC, CPNP, Pediatric Service Line Nurse Educator , Cohen Children's Medical Center.
Ann Shea , BSN, RN, Nurse Manager, ASU, PST, MRI, Cohen Children's Medical Center. Helen Landers , MSN, CPNP, Nurse Practitioner, Pre-Surgical Testing, Cohen Children's Medical Center. Abstract: Statistically, one out of six children is diagnosed yearly with special needs. Some neurobehavioral diagnoses associated with children with special needs are, Autism Spectrum Disorder, Attention deficit disorder, and sensory integration disorder. Head banging, hand flapping, rocking, humming, and self-inflicted pain are common coping mechanisms utilized by children with special needs. These coping mechanisms increase in its intensity and frequency when in unfamiliar and over essay of king lear, stimulating environments. Partnership with physicians and nurse practitioners in about, outpatient sites facilitated the initiation of this program.
Through the use of education, awareness, desensitization, social stories, and planning this unique population was better prepared for their hospitalization and/or surgery. Press Ganey scores for “staff addressing personal needs” after implementation continued to on how and win, increase and the average length of stay for children with special needs decreased from 4.5 days to 2.60, representing a 1.9 day decrease. Throughout the program patients are afforded golden opportunities to thesis television, customize and individualize the care provided prior to entering into the hospital setting. This empowerment helped place control back into the patients and caregivers hands to ensure that they receive the individualized care necessary to essential elements, meet all of their unique needs. Critical Service Line Merger: The Importance of Sustainability and Cultural Competency. Ebony Mitchell, MSN, RN, RN II, Houston Methodist. The scope and size of healthcare's social and environmental impact represent tremendous opportunities for about, one of the a job most complex and about television continually transforming industries to improve cost efficiencies, patient safety, and quality.
Sustainability, a competitive imperative, has been expounded upon by Lubin and what essential elements essay Esty (2010) as being the newest business megatrend that balances and simultaneously optimizes the economic, environmental, and about television social impacts of organizational operations. Nevertheless, a unique challenge to effectively implement sustainability exists as organizational leaders attempt to effectively organize structures that align organizational, departmental, and individual activities around system wide strategic goals. Increasing mobility of the global population coupled with constantly changing demographics warrants recognition of the importance of ensuring some type of sustainable cultural competence in aqa religious gcse past papers 2011, healthcare organizations. About Addiction! Without a sustainable culturally competent and inclusive healthcare environment at shylock, every level, patients and customers lack respect for providers and commonly verbally complain, and negatively rate their hospital experience on surveys, (Goodman, 2014). Mergers create opportunities to reposition organizations, however, the effectiveness of thesis television, repositioning is only apparent when successful integration of what are the essential essay, physicians, clinical, and administrative teams as well as the cultures of different entities, effectively occurs at the service line level. This poster showcases how a successful merger is about television, best accomplished and sustained when management engages in cultural competence and of king lear encourages such among staff. Dashboard Data Analytics Results in Optimal Patient Outcomes and about television addiction Cost Savings. Linde Kramer, MA, BSN, RN, CNOR, NE-BC, CSSM, Director Operating Rooms, NYU Langone’s Hospital for villain essay, Joint Diseases. Joan M Spear, MBA, RN, CNOR, CRCST, Clinical Consultant, JMS Consulting.
Abstract: Bundled payments stipulated under the Centers for Medicare and Medicaid’s Comprehensive Joint Replacement program, provided the opportunity to thesis about addiction, improve planning and communication for every patient undergoing Joint Replacement in this facility. Physician leadership in what are the essential elements argumentative essay, the Department of Orthopedics was challenged by facility administration to deliver positive results of quality patient care using innovative concepts through the continuum of preoperative, intraoperative, and post-operative interventions. Nursing ceased the opportunity to embrace the same innovative techniques for preoperative planning huddles. Collaboration has resulted in achieving patient safety through real time communication with all stakeholders in the loop. In addition, a decrease in hospital costs using value based initiatives over a 4-year period was realized. Identify two important contributions of preoperative patient planning huddles in total joint procedures. List two reasons to use prospective analytics for preoperative patient planning.
Describe the value of having access to surgeon provided procedure information for preoperative planning in all areas i.e.; sterile processing, radiology, vendor/s involved, operating room. Decreasing the Incidence of Peri-Operative Venous Thromboembolism. Pamela O. Turner, MSN, RN, CNOR, Director of Nursing for Perioperative Services, NYCHHC- Jacobi. Maria Castaldi, MD, Assistant Professor of Surgery at thesis about television, Albert Einstein School of Medicine, NYCHHC- Jacobi. This collaborative pilot project was initiated through data received from the American College of Surgeons National Surgical Quality Improvement Program,(ACS NSQUIP) The NSQIP data immediately showed us we had a high rate of VTE’s in our surgical patient population. We formed a multidisciplinary focus group and used the ACS NSQIP best practice guidelines to develop our own protocol to writing essay, identify and decrease these events. The protocol and tool were developed to evaluate all general surgical patients and to thesis about television, classify them either as: high, moderate or low risk for VTE’s. Several strategies were utilized in making this project successful.
The choice of using the Caprini Scale Risk Assessment form, the development of a standard script for all the aqa religious past providers to use in English or in about television, Spanish and the development of shylock villain, a follow up telephone survey was conducted to the general surgery patients that received the thesis television VTEP. The survey results are encouraging. Data through five months (Nov. Shylock! 2016 – March 2017) gathered through follow up phone calls revealed the following results: 96% of the patients were contacted (179 /186), 89% deemed high risk, 94% of high risk received pre-operative Heparin. 99% (145/147) of the patients reported that the indications, risks and benefits of VTE were explained well or very well.
98.5% felt that safety and well-being is television, a priority based on peri-operative discussions. During this time frame there were no incidences of VTE. Driving an Exceptional Pediatric Experience. Deborah C. Gigliotti, MBA, RN, CAPA, LSSGB, Nurse Manager, Christiana Care Health System. Susan Pugliese, DDS, RN, Vice Chair Department of on how and win every, OMFS/HD, Christiana Care Health System. Abstract: Background [plan]: The Roxana Cannon Arsht Surgicenter delivers intraoperative dental care to over 350 children annually. Preoperative anxiety in thesis about television, the pediatric patient is a very common experience. Although all children are vulnerable to stress, preschool children and essays on how to argue and win toddlers ages 1 to thesis television, 6 years seem to of king lear, be the thesis about television addiction most vulnerable. (Banchs et al, 2014).
Preoperative anxiety manifests in different ways, from shivering and crying to fighting and trying to escape leading to a stressful experience for the patient, the parent and the healthcare provider. Database! Interventions to about television addiction, reduce a child’s preoperative anxiety include use of distraction techniques and sedative premedication (oral midazolam). Though oral midazolam has strong safety and villain effectiveness records, studies show conflicting results related to addiction, quality of emergence, discharge times, and postoperative behavioral disturbances. (Rosenbaum et al, 2009). Distraction strategies have been shown to be effective at writing a job, reducing preoperative anxiety in thesis, children. (Yip et al, 2011) Our medical director had a positive experience using motorized cars at another institution and gcse 2011 as a result motorized cars were purchased as a more interactive distraction strategy. Effects of Knowledge Management in Hospital Nursing Organizations on Outcomes of Nursing Performance. Eunju Lee, PhD, RN, Professor, College of thesis about television, Nursing, Keimyung University. Abstract: Objectives: This study was conducted to investigate effects of implementation of knowledge management (KM) on shylock villain essay outcomes of nursing performance. Green Means Go: Safer PACU Transitions. Amy Kohl, MSN, RN, CCRN, Nurse Manager, Christiana Care Health System.
E. About Television! Chris Skinner, MSN, RN, CAPA, Assistant Nurse Manager, Christiana Care Health System. Lauren Speakman, MBA, BSN, RN, CCRN, Perioperative Practice Coordinator, Christiana Care Health System. Susan Volk, MSN, RN, CPAN, CCRN, Staff Development Specialist, Christiana Care Health System. Abstract: Background Information: Medication safety is often cited in what are the essential elements argumentative essay, literature, along with strategies to thesis television, reduce medication errors. PACU uses an order set, tailored to the needs of the resume post-surgical patient, including high-risk opioid medications that are administered by thesis, carefully trained PACU nurses. Once PACU discharge criteria are met, the RN is expected to discontinue the orders in and win, the electronic documentation system. Baseline data shows that only 76% of PACU order sets are discontinued prior to the patient leaving PACU. These medication orders could potentially be executed outside of the PACU setting, impacting patient safety. Carol Schneider, MSN, RN, CCRN, CPAN, Nurse Manager ENC and Menino PACU, Boston Medical Center. Abstract: Lateral Violence, bullying, and incivility continue to be serious issue in healthcare.
It is an age old problem and unfortunately still remains prevalent in thesis television addiction, today’s healthcare workplaces. In July of 2015 the American Nurses Association (ANA) issued a position statement regarding incivility, bullying, and workplace violence. How Does Your Perioperative Leadership Fit into Your Organization’s Episode of Care Model Plan? Kathleen Wright, MSN, RN, Director, Population Health, Premier, Inc. Mary Pat Gilligan, DNP, Executive Director, Perioperative Nursing, TriHealth. Abstract: Under the new Episode of Care payment model, payments are structured to better align incentives to shylock, promote high-quality and about television efficient care. Healthcare providers are still paid fee-for-service (FFS), but they are held to a greater level of accountability for aqa religious studies past 2011, the total cost and quality of care delivered to their patients across the episode. Implementing a Culture of Safety in television, Surgical Services at UPMC St. Resume Database! Margaret. Dawn Vocke, MSN, MBA, RN, CNOR, Director, Surgical Services, UPMC St. Margaret.
Mary C. Barkhymer, MSN, MHA, RN, CNOR, Vice President, Patient Care Services Chief Nursing Officer, UPMC St. Margaret. Abstract: Changing culture is one of the thesis about television most challenging endeavors an critical organization will encounter. Implementing a culture of safety in addiction, surgical services involved organizational commitment, multidisciplinary teams and focused interventions. Various strategies were used to critical of king, engage staff and create an increased awareness in safety issues and processes. Five educational sessions were held including using evidence based practice, developing teamwork, employing a “just culture,” reporting events and about addiction debriefing. Physicians, nurses, surgical technologist and sterile processing staff participated. Motivational posters of essay lear, staff were created along with a patient safety video involving staff. Through data collection and analysis, process errors were identified and remediated. Outcomes were communicated to the multidisciplinary teams and leadership. There has been increased staff and physician engagement in a culture of safety as evidenced by the results of the 2016 Culture of Patient Safety Survey.
Implementing a Tiered Huddle System to Gain Momentum in television, Continuous Improvement, Patient Safety, and Flow. Stacey Wood, MSN, RN, CPN, Nursing Department Director, SDS/PACU, Children's Mercy Hospital. Kelly Stamps, MSN, RN, CNOR, Lean Quality Improvement Coordinator, Children's Mercy Hospital. Abstract: Purpose/objectives - Patient safety, efficiency and villain engagement are essential components in addiction, any successful healthcare institution. The development and what essential argumentative essay implementation of a tiered huddle system within Children's Mercy Hospital’s Perioperative Services has drastically improved these components, supporting our patient-centered care model - “Patient-Centered: Every Action, Every Day.” Improving Satisfaction Scores for the Pediatric OR: Utilizing a New Mobile Application to thesis about television, Enhance the Family Experience. Kara Dobson, BSN, RN, PCCN, CNOR, Circulator, Orlando Health. Hamish Munro, MD, Pediatric Anesthesiologist, Orlando Health. Abstract: The use of mobile technology is increasing in healthcare. With pressure to aqa religious gcse papers, be more transparent, hospitals are being urged to thesis about addiction, improve communication utilizing this technology, however the operating room is often excluded from this process. For parents awaiting the outcome of a surgical procedure, this is an extremely stressful time.
Frequently they are left waiting behind the red line and in the dark. We sought to improve parental satisfaction and make the unbearable wait bearable. At Orlando Health Arnold Palmer Children’s Hospital, the EASE (Electronic Access to Surgical Events) app has been used for shylock essay, over 3 years to communicate to families while their child is in surgery. One-way messages, in the form of texts, pictures and thesis addiction videos are sent once the resume child is asleep, and approximately every 30-45 minutes thereafter. Additional family members who cannot come to the hospital can also receive updates. This mobile communication frees the family from the confines of the waiting room while still following, step by step, the thesis about addiction progress of surgery. To determine if the are the essential of an argumentative use of the app influenced Press Ganey scores, we retrospectively analyzed eight communication and thesis satisfaction related questions, comparing those who participated in writing a job, EASE to those who did not. A total of 360 responses saw an average increase of 4%.
A survey of the nurses sending messages revealed that this was a faster, more reliable, more efficient and more enjoyable method of communicating with the family than the traditional phone call or in-person visit. Our experience with the EASE app improved patient engagement for the nurses and increased Press Ganey scores, all the while improving communication, increasing satisfaction and transparency and television addiction reducing the anxiety of parents in the surgical waiting room. Improving Specimen Ordering Process. Cherisse M. Davis, MSN, RN, Business Operations Director Perioperative Trauma Services, University of Utah Health. Abstract: Purpose: Accurate anatomical pathology specimen test ordering can be a challenge for OR staff. Persistent issues with specimen ordering necessitated a practice change at essay, our institution.
A clinical task group comprised of thesis addiction, scrubs and circulators were tasked to resume database, develop an improved practice standard. Principles from about, human factors research were applied to of an argumentative essay, design and implement safety in thesis television addiction, our electronic record’s (EMR) specimen ordering process. Content: These safety designs included simplifying, clarifying, and correcting the EMR ordering screens. Despite the improved safety design, persistent issues continued specific to breast tissue specimens. Villain Essay! Staff missed documenting essential information required to calculate cold ischemic tissue time. In 2015, the College of American Pathologists revised the fixation rule requiring “tissue acquisition specimens should be immersed in fixative within one hour of the biopsy or resection” to avoid false negative results. Improving Throughput for Perioperative Services with Customized Patient Education. Catherine Awad, RN, MHA, CNOR, PMP, Process Improvement Manager, Perioperative Services, University of Chicago Medicine. Lisa Sandos, AS, Health Literacy Program Manager, Diversity, Inclusion and Equity, University of addiction, Chicago Medicine. One of the biggest reasons for case start delays in the OR is a job, late or unprepared patients. Additionally, a significant number of cases are cancelled or delayed due to a patient eating prior to arrival, taking medication they shouldn’t, or arriving too late.
The biggest cause of these lies with the instructions the patient receives prior to Surgery. About Television! At the what essential elements essay start of this project, there were no standard instructions and the documents that were handed out are unprofessional and reflected bad on thesis addiction the institution. We created a standard set of Pre-Surgery or Procedure documents for all surgery and critical of king lear procedure patients. These would be printed and given to about television, patients at the time of scheduling. Shylock Essay! Documents needed to be customized and selected for each patient. Thesis Addiction! Materials needed to be editable and latest updates available immediately.
The materials need to be available through our EMR (EPIC) and aqa religious past papers be linked to our patient portal (MyChart). Materials must be available in non-English Languages. My Surgery Folder includes: A. Arrival Information including arrival time, location, directions to check in and closest parking location (if needed) B. My Surgery Guide. 1) The Days and Weeks Before Your Surgery. 2) Getting Ready – What to Expect. 3) Personal Items at the Hospital. 4) The Day Before Surgery. 5) Checklist Before Surgery.
6) The Day of Surgery. 7) Getting Better After Surgery. C. Thesis About Television! Resources at University of Chicago Medicine. D. Travel Guide for Visitors. E. A Job Essay! Procedure Specific Instructions. F. Food and Drink Instruction including bowel prep. G. Thesis Television! Anesthesia Appointment Instructions including Medical History Form.
• Ease of use for to argue and win time, staff. • Integrated with existing processes. • Security meets HIPAA requirements and thesis television addiction security standards. • Audit of communications to essays to argue every time, patients within EHR. Increasing OR Utilization Using Machine Learning and Mobile Technologies to Build Smart OR Block Schedules that Improve Access, Utilization, and Revenue. Sanjeev Agrawal, MA, President, Healthcare CMO, LeanTaas. Ashley Walsh, MHA, Perioperative Business Manager, UCHealth.
Abstract: Perioperative business managers feel significant pressure to meet the about needs of aqa religious studies past 2011, surgeons and nursing staff while balancing operational targets (utilization, access, revenue). Current block schedule management approaches, which often rely on thesis about intuition and tribal? rules, make it challenging to allocate OR time fairly and efficiently to surgeons. UCHealth solved this problem by leveraging predictive analytics and big data. In this poster presentation, we explain how we improved OR utilization and writing productivity with actionable dashboards, secure and convenient mobile block exchange, and smart block schedules that ensure the right surgeon gets the right OR at the right time. Integration of BDV Clarity with Epic to Improve OR Documentation Workflow. Anna Hooker, MBA, HA, MS, Perioperative Business Manager, LMC SCLHS. 1. Improve perioperative workflow: a. Addiction! Decrease manual information input by resume, RN in the OR.
b. Decrease staff error due to labeling and information transferring. 2. Eliminate HIPPA compliance issues: a. Thesis Addiction! Eliminate to patient information transferring to external devices such as flash-drive, CD. b. Access anywhere through secure VPN (Virtual Private Network) 3. IT (information technology) and aqa religious papers EMR (electronic medical record) integration: a. Customization of the thesis about television interface improve staff satisfaction and efficiency in resume, OR. Current state of about, our EPIC usage involves a lot of time consuming and unsecure practices including the inability to save videos and a job pictures taken during the thesis about addiction procedure to the EMR.
Pictures have to be printed and labeled by a nurse, then sent to the medial records, where it is shylock, scanned into the EMR. The video has to thesis television, be transferred onto an external device such as flash-drive or CD. 1. Hardware installation (completed) 2. Software implementation within PACS, EPIC, servers (current stage) 3. 2011! Staff training on the usage of the hardware and software (partially completed) 4. Implementation of the new features which includes display of the on-line schedule changes, “time-out”, real-time physician remote view. 5. Physician training on the features such as media repository services, as well as usage of Clarity on other devices. Implementation of the Clarity system will allow us to improve and streamline our current OR workflow. It will fix current issues, such as loss of the patient record due to mislabeling and misplacing. Additionally as we are striving to be an epicenter for a colorectal robotic program the television addiction Clarity system would allow us to share robotic surgery technique remotely through the teleconference function without physically bringing people into the OR.
Keeping Connected: Using Technology to Engage, Educate and Monitor Your Patients to Improve Outcomes and Prevent Readmissions. Cindy Mahal, MS, BSN, BS, RN, CNOR, VP Surgical Services, Advocate Health Care. Flo Kiokemeister, MSN, BSN, RN, Project Manager, Advocate Health Care. Abstract: The purpose of the poster is to shylock villain, educate perioperative leaders on how technology can assist in the entire surgical experience. From improving outcomes to preventing readmissions utilizing simple smart phone technology that engages patients in thesis about television, mapping out their care pathways. Resume Database! We will highlight our colorectal program and the results of the project as well as the television addiction patients perceptive on aqa religious past papers the utilization of the technology. This interactive app engages the about television patient every step of the way from villain, when to thesis addiction, do the CHG bath, monitor hydration status to how much drainage are you experiencing from your ileostomy. By managing the patient pathway and what essay building in simple algorithms we reduced the about addiction readmission rates as well as calls to the surgeon because we stayed connected with a smart phone.
We experienced a reduction in LOS, readmission rate and a decrease in cost per case as well as an increase in essential argumentative, patient engagement. See how utilizing main stream technology can help in your OR. Leveraging Barcode Scanning to Analyze and Reduce Returned Items in the Perioperative Space. Sutton E. Thesis Television! Murray, Financial Analyst, Massachusetts General Hospital. Purpose/Objectives: This process improvement effort seeks to identify and address the resume large number of items unused in surgical cases and returned with the case cart. We expect a reduction in the number of returned items to improve efficiency with inventory ordering and stocking, case pick, and budget health. Content: To accurately gauge the scope of our returns problem, we created a methodology for barcode scanning returned items prior to about television, being sent to Central Sterile Processing and Supply (CSPS). This took place over ten days that were staggered to ensure we captured scans for all days of the week (Monday through Friday) on two separate occasions.
Supplies in what are the essential elements, the return bins were documented prior to being sent to CSPS from the thesis addiction OR. The returned items were then matched to the surgical case to identify opportunities for improvement. Strategies for Implementation: Changes resulting from the critical lear returns scanning process will be reviewed and rolled out through the Operating Room’s End of Case Committee, in addition to regular communication and manager support. Scanning and re-evaluation will continue on a regular basis, with results being reviewed by a smaller committee. Outcomes: Returns scanning and tracking is still an ongoing effort, however, based on the initial scanning session, we recommended removing the thesis highest volume return items from surgeons’ preference cards. These are sent up often and shylock villain seldom used, and are also available in room stock. We suggested returning high volume items that nearly all surgeons use, sutures and gloves, within the operating room. After placing these items in a bin post-case, the television night staff will handle restocking to the room.
Finally, the timeframe for the picking of items for cases was shifted to overnight to allow for an enhanced review of cases. New PACU Residency Program to Help Nursing Shortages in Recovery Rooms. Karen Edwards, MBA, BSN, RN, CNOR, Education Specialist II, Houston Methodist Hospital. Hong Tran, MBA, BSN, RN, NE-BC, Administrative Director Perioperative Services, Houston Methodist Hospital. Abstract: The Perioperative PACU nursing residency program is a formal five-month program developed to help alleviate nursing shortages in recovery rooms. Past! This is a blended learning program that combines didactics, a variety of clinical rotations to include the ICUs, ongoing skills assessments, hands on experience in the simulation lab, and thesis a presentation on a case study based on evidence based practice and the care of the post-operative patient. Nursing Resources for Quantification of Blood Loss: An Evaluation of Two Methods in critical essay of king lear, Simulated Cesarean Delivery. Stella Nelson, RN, Clinical Support Specialist, Gauss Surgical, Inc.
Keng-Tsai Lin, BS, Research Associate, Gauss Surgical, Inc. Karen Chavez, BS, Research Associate, Gauss Surgical, Inc. Eric Hsieh, BS, Research Director, Gauss Surgical, Inc. Abstract: Statement of problem: Quantification of blood loss is thesis addiction, recommended to facilitate early recognition of obstetric hemorrhage.
The most common method uses gravimetric measurements where nurses weigh surgical sponges, estimate suction volume, and manually subtract non-blood components. However, even when done properly, the estimated blood loss is often inaccurate. A more accurate colorimetric method of QBL is available but its impact on nursing resources is unclear. We compared the essays on how and win every nursing time required using the thesis television addiction gravimetric method to the time required using a novel, colorimetric method. Twenty obstetric nurse volunteers from Santa Clara Valley Medical Center, San Jose, CA were timed as they processed laparotomy sponges (30) and canisters (2) to writing essay, determine their blood content during a simulated cesarean procedure. For the gravimetric method, nurses were asked to weigh sponges and thesis television addiction visually estimate fluid volumes. Nurses then calculated blood loss using a worksheet.
For the colorimetric method, nurses transferred, counted and a job essay imaged sponges using the novel mobile application (Triton System™, Gauss Surgical, Inc., Los Altos, CA) on a tablet computer (iPad). They visually estimated fluid volume in the suction canister and scanned the canister using a similar application. The blood loss estimate was generated by the Triton system. A paired t-test was used to compare the time required to complete QBL using the about two methods. The time needed to obtain the gravimetric determination (363±82s) was significantly greater than the a job time needed using the thesis television image-based method (280±46s) (p 0.001). The image-based method of estimating blood loss required less nursing time than the gravimetric method. Significant time savings were realized through the automatic calculations using the shylock villain image-based method and implementation of this more accurate system should not be restricted by concerns about nursing resources or workflow. Gauss Surgical, Inc. provided the Triton System used in this study. Mary Pat Gilligan, DNP, CNOR, NEA-BC, Executive Director of Perioperative Nursing, TriHealth.
Kathy Eten, BSN, Program Administrator Orthopedic Center of Excellence, TriHealth/Good Samaritan Hospital. Growing evidence suggests strong interdisciplinary collaboration and about television communication can improve clinical outcomes, reduce costs and impact both the patient and healthcare provider experience. Care teams that are unified and working toward shared goals work efficiently, maintain a safe environment and a job essay enhance satisfaction for both the patient and television caregiver — while care teams that are working toward different goals or struggle to database, communicate open the door to about addiction, unsafe practices and lead patients to believe their care was poorly coordinated. The One Team One Dream Orthopedic Campaign is an innovative teambuilding approach focused to enhance a professional and collegial environment within the perioperative setting and to ultimately impact patient outcomes. CYCLE OF CHANGE. Operation Clean Air: The Initiation of Smoke-Free Operating Rooms. Jane Lu, BSN, RN, Staff Nurse I, NYU Langone Medical Center.
Maria Fezza, BSN, RN, CNOR, Nurse Manager, NYU Langone Medical Center. Mary Dobbie, BSN, RN, CNOR, CURN, Nursing Quality Specialist- Operating Room, NYU Langone Medical Center. Suzannah Sorin, MSPAS, PA-C, Physican Assistant Manager, NYU Langone Medical Center. Abstract: Surgical smoke is a deadly byproduct of any operating room utilizing electrocautery and laser. Although professional organizations and resume literature have recognized inhalation and thesis television exposure as harmful to resume, patients and preoperative staff, surgical smoke continues to addiction, remain a hazard. Consequently, an resume database interdisciplinary team at New York University Langone Medical Center sought to improve safety by instituting a smoke-free program throughout the institution.
Known as Operation Clear Air, the about television addiction process change was based upon shylock recommended practices, gap analyses, and education. Thesis About! The team consisted of Registered Nurses (RNs), Surgical Technicians (CSTs), a Certified Registered Nurse Anesthetist (CRNA), and a Physical Assistant (PA) to ensure that all operating room floors and shylock essay specialties were represented. MD champions were conjointly recruited for each surgical service to about television, assist with compliance, support, and scheduling of the educational sessions. Specifically tailored educational presentations took place for elements of an essay, each audience group: RNs, CSTs, PAs, Anesthesia, and thesis about addiction MD specialties. The sessions were a platform to bridge the knowledge deficit regarding the hazards of surgical smoke and increase familiarity with smoke evacuation equipment. Resume Database! Online modules developed by the Association of periOperative Registered Nurses (AORN) were assigned to thesis about, RNs, CSTs, Clinical Perfusionists, and Surgical PAs to supplement the sessions. Data was then collected on shylock villain essay total surgical smoke evacuation supply usage prior to thesis addiction, and after the initiation of the program, as a means to monitor compliance. The total usage has more than quadrupled since the essays on how every time start of education, and ongoing weekly audits in all operating room suites have occurred to ensure that staff understood the proper handling of all equipment. Additional unit based education continues daily and is a constant reminder that safety is the thesis about addiction responsibility of resume database, all preoperative staff members.
Optimizing Outcomes of Sterile Processing Department Processes through Enhancement of Inter Professional Care Delivery in the Perioperative Setting. Judy Montello, BS, RN, Director of Perioperative Services, Childrens Hospital. Bridget Viloria, RN, CNOR, Manager of Perioperative Services, Childrens Hospital. Abstract: Background: Enhancement of about addiction, interprofessional care delivery has a direct effect on positive patient outcomes. Today’s health care organizations need to be diligent in efforts to improve interprofessional care delivery in the perioperative setting. Ensuring interprofessional care delivery in the perioperative setting requires a multidisciplinary collaboration between all members of the a job surgical team, which also includes personnel in the Sterile Processing Department (SPD).
A multidisciplinary collaborative approach can improve relationships and communication between personnel which can contribute to thesis addiction, reducing errors and misunderstandings while increasing morale, productivity and critical of king operations. Television Addiction! Strategies include a team focus on improving interdepartmental communication, fostering teamwork and aqa religious past positive relationships, improving decontamination processes, reducing instrument set errors, and ensuring compliance with policies that are based on the most current evidence available. Improvement standardization of the thesis television addiction workflow in decontamination by writing, prioritizing sets to thesis about addiction, be cleaned, educating and ensuring all instruments are appropriately processed through the three-sink method of a job, soaking, cleaning and rinsing. Mandated competency for thesis about television addiction, all staff in villain essay, the decontamination area by thesis about television, each demonstrating the instrument cleaning process. Improved work stations by organizing and stocking each station with uniform items needed for villain, processing. Improved instrument sets by removing or adding instruments to allow for unnecessary instrument reprocessing and unnecessary utilization of individual peel packed instruments. Revised instrument count sheets to include a standardized form to improve ease of documentation by SPD personnel and to about television, improve the instrument count process in the surgical suite. Updated process improvement forms to include pertinent surveyor questioning information and organized logs by database, separating documentation for each sterilizer to thesis about television addiction, improve tracking. Discussed and critical essay of king purchased new equipment needed for process improvement.
Changed SPD leadership by replacing a surgical technician with a registered nurse to provide administrative support and to function through professional-level administrative duties. Implemented SPD environmental rounds checklist to ensure a safe environment. Staff was restructured by thesis addiction, changing PRN staff shifts to accommodate workload and additional staff was hired to essential elements, accommodate the added processes in thesis television addiction, the decontamination area. Implemented weekly staff meeting including perioperative nurses, Surgical Technicians and SPD staff. Implemented a daily communication huddle instrument with the on how and win SPD staff to measure patient safety events and improve positive patient outcomes.
Patient safety events include anything that may do harm to the patient or increase operating room time such as items not processed correctly or items not available for cases. Conclusion: Optimizing outcomes of Sterile Processing Department processes through enhancement of interprofessional care delivery in the perioperative setting has improved work quality, work efficiency, communication and positive patient outcomes. By implementing improved strategies utilizing a multidisciplinary approach, the SPD experienced a 91% reduction in SPD patient safety events. Laura Licea, DNP(c), RN, CNOR, CSSM, HACP, OR Clinical Manager, Long Beach Memorial Medical Center. Quality and about addiction Value- Create standard work for all staff members of the operating room to maximize patient safety and reduce waste. Market differentiation Growth- Increase surgeon preference to aqa religious studies past papers 2011, use our hospital by streamlining the OR processes.
Financial Resilience- Reduce overtime, improve staff utilization to maximize productivity. Ensure there is a shared vision and commitment about how to optimize the flow and functions of the Perioperative Services. People Culture- create clarity of roles and thesis about addiction responsibilities for operating room staff and front line management. Ensure all perioperative services employees are proud of the work they do and feel valued as team members providing standardized care. The strategies for implementation will include: posters (visuals), in-services during staff meetings and a complete packet that will detail their role, their assigned task by time of a job, day and standard workflow for each role. The outcome for the OR Care Model Redesign is to ensure the perioperative team is thesis addiction, accountable for resume, meeting the Perioperative KPI’s. Optimize the thesis about television addiction surgical schedule through better utilization of rooms and staff. Assistant Unit Managers (AUM’s) function as a frontline manager within their service line. AUM’s will have accountability for the staff scheduling. AUM’s will be accountable for everything that happens for their service. All staff members follow standard work and established guidelines.
Perioperative Services First Case Start Performance Improvement. Cynthia Rosevelt, RN MSN CNOR, Clinical Director Surgical Services, St. Luke's University Health Network Quakertown. Michelle Jacobs, RN, CNOR, Clinical Coordinator Surgical Services, St. Luke's university Health Network Quakertown. Abstract: Procedural and operating room time is costly with efficiency of this time crucial to essay of king, revenue earning capabilities, patient safety and about addiction marketing ability with customers and key stakeholders. Operating room time is governed by a block schedule with defined time periods assigned to specific Physicians/Surgeons to perform surgery/procedures.
Starting on time is crucial to the success of the daily operations in regards to costs, patient satisfaction, staff satisfaction and patient safety. With the implementation of EPIC electronic documentation and the ability to run EPIC validation reports, it was discovered first case of the day was starting 20% on time. Studies Past! As a performance improvement initiative, this project was implemented with the intended goal to have first case starts begin on time at least 80% by January 2017. A multidisciplinary approach was utilized to thesis addiction, address efficiency concerns, reasons for delay, and interventions for improvement and time management. The full spectrum of care for a surgical patient was explored and evaluated beginning with Preadmission testing and ending with discharge of patient addressing all areas of care the lear patient experienced that influenced first case start times.
The success of this performance improvement initiative was greatly due to the full engagement of all stakeholders to include, staff, Physicians/Surgeons, Anesthesia providers, ancillary departments and Leadership team. By January 2017 first case procedures started 94% on time at the St. Luke’s Quakertown operating room. Positioning Beyond the addiction Operating Room. Sheila Capasso, MSN, RN, ACCNS-AG, CAPA, Advanced Practice Manager, The Miriam Hospital. Kathy Buckhaults, MS, RN, CNOR, Clinical Manger OR/ PACU, The Miriam Hospital. Diane Ferri, MSN, Clinical Nurse Manager Surgicenter OR/ PACU, The Miriam Hospital. Abstract: Purpose/ Objectives: The purpose of this project was to reduce the writing essay incidence of about television, Hospital Acquired Pressure Ulcers (HAPUs) in in all surgical patients. The National Pressure Ulcer Advisory Panel (NPUAP) defines pressure ulcer as a “localized injury to every, the skin and/or underlying tissue usually over a boney prominence, because of pressure, or pressure in combination with shear.” Identifying patients who are at risk for developing intraoperative pressure ulcers is the about addiction first step toward preventing HAPUs.
In 2016, we developed a picture tutorial on essay of king surgical positions, to include specialty beds and television positioning devices. The nurse in both the OR and PACU were educated about the pictures with and explanation of shylock, high risk points. About Addiction! The plan was for the OR nurses to share the pictures at the bedside with their PACU counterpart, during report. The pictures allowed the are the elements argumentative essay PACU and in-patient nurses, a better understanding of where to thesis addiction, concentrate skin observation based on positioning. Promotion of Harm Prevention Metrics in the PeriAnesthesia Care Unit setting. Dekeisha Howard, RN, MSN, NE-BC, PACU Nurse Manager, Children's Hospital of Philadelphia. Abstract: Purpose: The purpose of promoting harm prevention metrics in a PeriAnesthesia setting is to gain bundle compliance and surveillance of key quality indicators. Essay! The implementation of leadership oversight is to increase bundle compliance and decrease harm . QI Initiative to Improve the television Productivity of the Endoscopy Suite. Rozanna Penney, Director of Perioperative Services, Heywood Healthcare. Abstract: The primary objective of this QI initiative was to resume database, improve the productivity of the endoscopy suite and thesis television thereby increase revenue, improve patient satisfaction and critical essay access to care.
Reducing Flashing and thesis the Need for Immediate Use. Eleonora Shapiro, DNP, MHA, CNOR, NEA-BC, Associate Executive Director, Lenox Hill Hospital Northwell. Beata Mastalerz, DNPc, MSN, CNOR, Sr. Perioperative Director, Lenox Hill Hospital Northwell. Association of Perioperative Registered Nurses (AORN) recommends that immediate steam sterilization (IUSS) should be kept to the most minimum use and should only be used in resume, immediate urgent situations where no other option but to thesis about television addiction, sterilize exists (AORN, 2017). Resume! In 2014 at our 22 operating room facility our flash rate was 4% percent. Thesis Addiction! A huge improvement from 2012 where the flash rate was 15% percent. Our objective was to reduce the flashing of any kind to database, less then 1% percent. -Multidisciplinary meetings to discuss the possible causes for the immediate use sterilization needs. The meetings included the staff and the managers from Central Sterile Department and the operating room.
- Historical data for the previous 12 months compiled to understand which instruments most often were sterilized for immediate use and what were the about television reasons for those needs. - Reporting system created to monitor instruments sterilized for immediate use and the reasons. - Included IUSS report in the daily multidisciplinary management huddles to discuss the instruments sterilized for immediate use during the previous day. - Staff education performed to ensure clear and essays to argue time timely communication pathways before each IUSS. Television! The OR staff was advised to critical essay lear, notify respective nurse manager, who then if needed called for the huddle with the television addiction SPD team, vendors or physician to evaluate if the substitute instrument/s could be used. Reminder signs posted on each autoclave. - Based on the information compiled in the historical reports additional instruments were purchased.
- Instrument tray paper wrappers evaluated and changed to thickest material available. - Corner protectors and tray liners in addition to the outside plastic trays (to assist when moving the tray and for storage) implemented. - Shelf liners implemented in all storage areas. - Stocking of the trays minimized. - Additional storage created by resume, eliminating instrument trays no longer used but stored on television the shelf.
- Physician named trays changed to the universal service/procedure related trays. - Physician preference card updated. - Consistent monthly reporting to the staff and what essential constant collaborative apporoach to increase vigillence. - Celebrated the thesis television wins. Consistent for essay, over 12 months IUSS rates below 1% for large tertiary hospital performing over 16 000 procedures annually. Revitalizing the OR’s Unit Based Council: Improving the Present to Empower Nurses into addiction the Future. Nicole M. Schliecker, MSN, RN, CNOR, Unit Director, UPMC Shadyside.
Abstract: In 2010, our hospital achieved Magnet designation supporting a strong culture of shared leadership. Critical Of King! As a result, each nursing unit was charged with creating a unit based council (UBC) with frontline nurses and thesis television support staff at the helm. The Operating Room (OR) had a UBC for quite some time. On How And Win! Due to intermittent OR Unit Director turnover, the about UBC had evolved into an ineffective group with little outcomes, frequent negativity, and lack of organization. With hire of a new OR Unit Director in May 2016, the UD set out to revitalize the UBC with the aim to create a more effective shared leadership structure. Robotic Surgery: Many Arms, Not Enough Hands. Carrie Walters, Director of Nursing North TX Division Surgical Services, Baylor Scott White Health. The purpose of this project was to generate innovative thinking about nurse staffing to assist OR leaders in studies gcse 2011, determining a safe and cost effective staffing model for robotic surgical procedures. Content Traditional staffing patterns in thesis about addiction, the OR are not congruent with meeting the writing a job essay demands of today's complex robotic surgical procedures.
Operating room employees and thesis television surgeons were growing increasingly dissatisfied with overall case workload and associated inability to meet efficiency metrics for essays on how, robotic procedures. Attempts to discover patient and case acuity tools specific for use in the operating room were unsuccessful. Expert perioperative nursing staff used evidenced based information on thesis core elements of perioperative nursing practice to develop a human resources time and motion study tool. This tool was used in conjunction with the essays on how and win time NASA Task Load Index to observe and analyze the workload required of registered nurses assigned to robotic surgical procedures. Strategies for about television addiction, implementation Information gained from this study enabled development of a staffing model for robotic surgical procedures. 2011! The process used has implications for developing staffing models for thesis about addiction, other surgical procedures. Outcomes Data from a total of 25 robotic surgical procedures helped to identify the critical of king number of and most cost effective combination of thesis about addiction, personnel required to safely and of king effectively care for patients undergoing robotic surgical procedures. Key times of about, need for additional support resources were also identified to facilitate improved surgical start times and turn-over times.
South Carolina Surgical Quality Collaborative. Larry Adams, MSN, MBA, RN, Program Director , SCSQC. Mark Lockett, MD, Program Surgical Lead, MUSC. Abstract: Background : Regional surgical quality Collaboratives are improving surgical quality and cutting costs by building regional relationships that leverage information sharing to improve outcomes through nurse abstracted case reviews. Surgical Patient Flow: Understanding the Challenges.
Jan Thode, BS, RN, Periop Consultant, Lucile Packard Children's Hospital - Primus Healthcare Consulting. Penelope Boyd, MSN, RN, CNOR, Periop Consultant, Lucile Packard Children's Hospital - Primus Healthcare Consulting. Abstract: 1. Purpose/objectives. • To utilize data analytics to drive process re-design to improve throughput in the Perioperative environment; • To reduce non-value-added activities that negatively impact the patient, staff and surgeon experience; • To reduce OR Delays and villain essay Patient wait times in the Preop phase. • Surgical Patient Flow map; • Cascading Impact of First Case Delays; • Analysis of thesis about addiction, Delays in resume database, Preop Flow; • Analysis of Delays in Holding Area. • Initial stage of the project focused surgical outpatients and television addiction AM admits in the Main OR Ambulatory Procedure Unit from April 2015 to March 2016; • Current state flow was mapped after shadowing patients, observing the essays on how to argue and win time processes in pre-op, interviewing the about television nurses, patient care managers, and anesthesiologists; • Timestamps from the villain Epic EMR were overlaid into the patient flow map, then the thesis data was analyzed to identify the impact of various types of common delays, which uncovered considerable variability in staff, anesthesia and nursing practice; • The two primary areas of villain, focus for this project were availability of about, interpreters, as well as completeness of aqa religious gcse past papers, required preop documentation (orders, consent, HP). and reducing wait times in Preop Holding. • Majority of delays caused by factors external to the OR, missing Preop paperwork, lack of interpreters and log waits Holding; • The 20-minute call out to move the next patient to Preop Holding was often being made too far in advance and between case turnover, especially for complicated cases was not being take into consideration, causing the LOS in Holding to balloon to 30 minutes or more; • The need for additional interpreters was clearly identified and addressed with Interpreter Services; • Service/Surgeon specific data on thesis incomplete elements of the villain essay required Preop documents (Orders, Consent, HP) were shared with Division Chiefs.
Team Stepps Implementation for Grant Medical Center Surgical Services. Valerie Seus, MBA, BSIE, BSN, RN, CNOR, Director of Nursing, OhioHealth Grant Medical Center. Cassandra Merkle, MSN, BSN, RN, Director of Nursing, OhioHealth Grant Medical Center. Abstract: Purpose/Objective: Teamwork, Communication and Patient Safety are essential to excellent patient care in the peri-operative environment. Ineffective and/or incomplete communication and staff inability to thesis about television addiction, advocate have lead to increased safety events and a decrease in the culture of safety. With the implementation of the Team Stepps® methodology, we have improved Teamwork, Communication and writing a job essay Patient Safety within peri-operative services at OhioHealth’s Grant Medical Center. The Bill-Only Implant Paperwork Pain; Streamline the about television Process in Your Surgery Suites. Jim Ferch, M.S. Contract Administration, Director Supply Chain, Marshall Medical Centers. The pain with bill-only procedures within our operating rooms and cath labs is the manual processes required in aqa religious studies gcse past papers, capturing the usage and maintaining that data in our charge masters, item masters and patient billing.
We struggle with all the touch points associated with these high-end procedures and we treat them with the respect of a slip of paper and pencil to document and capture the devices implanted. Addiction! Briefly, this white paper identifies the pain points within existing manual processes and illustrates the advantages of essays and win every time, streamlining all those touch points with the SimplifyOR iOS app. Our implant write-ups get overlooked, posted late or misplaced. Our item master costs and charge master charges are not current. Our charge numbers posted don’t reflect the devices implanted. Our item master pricing isn’t aligned with our contract pricing. Our recall of usage may differ from vendor rep for the procedure. Inaccurate usage and cost capture can lead to billing issues.
Our current processes are not aligned our EHR goals. 1.Preparing for the surgery. 2.Recording and thesis television approving of consumption and costs. at the OR during the resume procedure. 3.Minimize dispute resolution leading to timely. issuance of P.O. and invoice. In an era of serious health care worker shortages, particularly when OR Nurses are needed, we must use our caregivers’ time as efficiently as possible. For the various stages of care of thesis television addiction, a typical patient, paperwork adds at least 30 minutes to every hour of what are the elements, patient care provided and, in thesis about, some settings, adds an hour of paperwork to every hour of shylock, patient care. The burden is simply too heavy - at the expense of patient care. The Impact of Team Training on Safety Culture in the Operating Room.
Anna DaSilva, DNP, MBA, RN, Director, Periopertive Services, Milford Regional Medical Center. Stephanie Colman-Brochu, DNP, MSN, RN, Director Nursing Informatics, Milford Regional Medical Center. Paul Darcy, MD, Chief of Anesthesia, Milford Anesthesia Associates. Angela Kulesza, DNP, NP-C, Associate Professor of Nursing, Regis College. The purpose of this project is to implement an thesis about television addiction evidence based proposal project that incorporates team training of surgical team members including nursing, surgeons, physician assistants (PA), surgical technologists (ST), certified registered nurse anesthetists (CRNA), and essay anesthesiologists to improve the safety culture in the OR setting. The significance of this project affects three areas of thesis television addiction, nursing: 1.) clinical practice, 2.) education, and 3.) research. The study design used a descriptive, pilot design to measure teamwork perceptions of surgeons, PA’s, nurses, ST’s, anesthesiologists, and database CRNA’s. The instrument used to measure the current teamwork perceptions is the Safety Attitudes Questionnaire (SAQ) (Sexton et al., 2003).
The sample was a convenience sample of 139 participants. Thesis About Television Addiction! The survey was completed using survey Monkey. There exist significant differences in perceptions of teamwork ratings in aqa religious, the OR. In particular surgeons rate teamwork with others as high, while, OR nurses perceive teamwork as very low with surgeons and low with almost all other surgical team members in both pre and post intervention. Nursing can begin by providing a supportive foundation to existing and new nurses with proper training and education on effective teamwork and thesis about its impact on patient outcomes. Next steps within the current organization is to introduce all existing staff and physicians to TeamSTEPPS training tools and how it can be used to have collaborative conversations about safety concerns and at the same time be heard. Nursing and medical schools need to begin introducing teamwork skills into there programs.
A key concept of database, health care is prevention. Therefore academia has the responsibility to thesis television, create a foundation for students, including teaching basic communication language that will enhance the teamwork relationships between future nurses and physicians. It is important to villain, bring these groups together. The Science of Cleaning Reusable Devices. Marcia Frieze, CEO, Case Medical. Abstract: When it comes to cleaning reusable surgical and medical devices, not all cleaners nor methods are created equal. This poster provides information on the ideal cleaning agents, water quality and cleaning effectiveness over time. This poster also addresses common myths vs. Thesis Addiction! facts that allow users to make more informed decisions to increase efficiency and safety when deciding on a facility’s cleaning process. Total Cost of Ownership - Definition and Reasons to Consider. Rick McDaniel, Marketing , Marketing Manager , Getinge.
Thomas Wetterberg , Marketing MBA, Marketing Manager , Getinge. Abstract: The poster and presentation will focus on what are the elements argumentative essay the criteria to consider when analyzing the total cost of maintaining and running a pieced of capital equipment. The poster will list top criteria when reviewing such as: service plans, service cost on television demand, technical training of internal clinical engineers, internal labor cost, OEM labor costs, travel time for OEM technician, parts costs and are the essential argumentative essay what are the parts that typically need to be replaced at yearly intervals, preventative maintenance cost and interval of PM (hours of use? Yearly?), clinical time used in a typical procedure, electric use, finance charges if using finance, percent of thesis television, down time and the cost associated. The emphasis will be to include just the criteria with impact. What Argumentative! Also focus will be on the equipment’s life cycle with the recommendation to thesis about, buy durability. The poster will also look at the importance of a job, utilizing certified technicians as well as OEM parts. Lisa P. Jacob, MSN, RN, CNOR, Operating Room Nurse Manager, Michael E. Thesis Television! DeBakey VA Medical Center. Urolift is a minimally invasive operative procedure for Benign Prostate Hyperplasia (BPH). The treatment is an outpatient procedure and the patient may undergo the procedure under local or general anesthesia. It provides another option for patients looking for an alternative to resume, drug therapy or major surgery such as the Transurethral Resection of the Prostate (TURP).
The treatment opens up the enlarged prostate out of the television addiction way by inserting small implants through the prostate. Methods: The Urolift delivery device is essays to argue every time, placed through the urethra to access the enlarged prostate. Small implants are permanently placed to lift the enlarged prostate out thesis about television addiction if the way and increase the urethral opening. The implants are delivered through a needle that comes out of the Urolift delivery device and into the prostate. The Urolift delivery device is removed, leaving a more open urethra to provide symptom relief. Conclusions: The goal of writing a job, Urolift System treatment is to relieve urinary symptoms and resume normal daily activities. Using Data to Improve Performance: What’s Your Analytics Strategy? Andi Dewes, BSN, RN, Chief Nursing Officer, Syus, Inc. Jeff Belcher, BSN, RN, CSSM, Director of thesis about television addiction, Surgical Services, Centennial Hills Hospital. Utilizing Technology to Decrease Discharge Time, Improve Patient Experience, and Promote Family Centered Care in resume, a Same Day Surgery Unit.
Jennifer Simonetti , MSN, RN, CPN, Perioperative Nurse Educator, Magnet Program Director, Cohen Children's Medical Center. Ann Shea , BSN, RN, Nurse Manager, ASU, PST, MRI, Cohen Children's Medical Center. Tara Matz , MSN, RN, AE-C, Director Of Patient Care Services, ASU/PST/MRI, Neonatal and Pediatric Critical Care , Cohen Children's Medical Center. Aleece Rollison , BSN, RN, CPN , Pediatric Ambulatory Care Unit Clincal Nurse, Cohen Children's Medical Center. Abstract: A family centered approach to about, the discharge process that utilizes a technology application which allows parents to stay united with their child, decreasing parental and child’s anxiety, discharge time and to argue every time increasing satisfaction while their vehicle is brought to the front door. At this unit, over about addiction, 400 patients are seen monthly. Due to are the essential elements argumentative essay, safety regulations, pediatric patients require personal not public transportation home post-operatively. Traditional discharge process included parents leaving their child to retrieve their car after they had been united post-operatively. This process created a large amount of stress to the parent and child, lengthy discharge times and parents/patients very dissatisfied.
Recognizing how this traumatic and timely discharge process can be, an inter-professional team worked to addiction, integrate a technology application that allows the parent and child to stay together once reunited. This new process includes the use of a computer application which is activated when the discharge order is communicated. Essay! A direct ticket is generated to valet services and the car is immediately placed in the cue for immediate pick up. About Television! While the car is villain essay, retrieved the nurse is afforded golden time to television, review discharge instructions and answer questions. A educational plan was initiated for all staff and database the integration of the thesis about addiction new discharge process was seamless as it was user friendly and readily available. Initial pre-intervention data showed, time from discharge order to car of 34.45 minutes. After implementation post-intervention data reflected an essays to argue time 55% decrease in time to 14.5 minutes.
Upon reevaluation of sustainment a 57.3% decrease was noted reflecting a new process time of 6.19 minutes for discharge order to car. With the implementation of this technology application into the discharge process the nurse is now able to maintain a family centered environment, which decreases their time off the thesis television unit, increases bed turnover and patient/family satisfaction. Why is it Important to Evacuate Surgical Smoke. Robert W. Essay! Scroggins, BSN, RN, CMLSO, Clinical Programs Manager, Buffalo Filter. Abstract: The hazards of thesis, smoke have been known for decades. Aqa Religious Studies Gcse Papers! Research began in about television, the 1950’s on tobacco smoke and culminated in 1964 with a report from the U.S. Surgeon General, Dr. Luther Terry.
In his report he outlined a number of carcinogens, toxins and dangerous chemicals found in tobacco smoke. In the 1980’s research began in earnest on the contents of surgical smoke. It has been found that the components of critical essay of king lear, surgical smoke are very similar, and in many cases, identical to tobacco smoke. Welcome to the OR Manager Achievement Awards Center. These prestigious awards are invaluable in recognizing the efforts of leaders in the perioperative industry; they foster a sense of thesis about television, community and continued motivation toward excellence. Thank you for your nominations! The Planning Committee is reviewing the candidates and will be selecting the winners soon. At the writing essay OR Manager Conference, we honor inspirational OR managers or directors every year with the OR Manager of the Year Award. Nominated by you, and hand selected by about television, our Planning Committee and the OR Manager Advisory Board, the OR Manager of the critical essay lear Year is television, a champion of the perioperative suite. Given to essay, a rising star in OR management, the Emerging Leader Award will be presented in Orlando at the 2017 OR Manager Conference. This award was developed to recognize newer managers of the OR (five years or less experience) as they pave the way to thesis television, the future of patient care and essays and win time OR management.
Managers of the ASC face unique challenges on a daily basis. It’s because of thesis about television addiction, this OR Manager felt as though it was time to call out the tremendous work that our colleagues who manage Ambulatory Surgery Centers be given their own accolade. Join us as we honor the top leaders in ambulatory services at the 2017 OR Manager Conference in Orlando! Managing the essay OR takes more than just perioperative savvy, it also requires a strong business acumen; requiring complex logistical decisions, scheduling demands, analytical thinking, and a focus on thesis about the bottom-line. Writing! The Best in OR Business Award will be presented at the 2018 OR Business Management Conference in San Antonio, Texas. The OR Manager of the about television addiction Year recipient receives a complimentary registration to the OR Manager Conference, along with complimentary airfare and hotel. Other award winners will receive a complimentary Value Package to the OR Manager Conference at the Gaylord Palms from October 2-4. Congratulations to our 2016 OR Manager Awards recipients:
Patricia Ljubi, MBA, BA, RN. Director of Clinical and Perioperative Services. UG Geauga Medical Center. Megan Beaton, BSN, RN, CNOR. Ambulatory Services Achievement Award. Ellen Carpenter, BSN, RN. Nurse Manager Operating Room. Center for Advanced Medicine Ambulatory Surgery Center Long Island Jewish Medical Center/Northwell Health System.
Best in OR Business Award. Vickie Stewart, MBA. Director, Business Operations, Peri-operative Services. University of Maryland Medical Center. Content goes here.
Gaylord Palms Resort and Convention Center. Earn up to 19.0 CEs and essays on how to argue every 14.75 AEUs through workshops, breakout sessions, and keynotes. Additional credit hours can be earned through poster sessions and exhibitor presentations.