The help movie essay
Relationship Essay Topics
Wednesday, August 26, 2020
The Pros and Cons of Affirmative Action Essay -- Pro Con Essays
à à à à à Affirmative activity has been the subject of discussion for a long time. It has been questionable in light of the fact that it has been supposed to be a type of converse separation. This paper will talk about the reason behind governmental policy regarding minorities in society, just as, its different qualities and shortcomings. Likewise, this paper will take a gander at the accompanying issues encompassing governmental policy regarding minorities in society, for example, the inadequacy fantasy ( are organizations recruiting less qualified individuals?), the effect on business (what has changed in the work place?), the effect on ladies (how have their lives changed?) and the effect on business law (what archives back up governmental policy regarding minorities in society?). Finally, a conversation of governmental policy regarding minorities in society on a global scale, and what worldwide records need to state about the theme. The motivation behind this paper is to unc over all the issues, and afterward offer an informed expression of whether governmental policy regarding minorities in society is a beneficial action or if there is a superior arrangement. à â â â â à à à à à Affirmative activity or constructive segregation can be characterized as giving preferences to individuals of a minority bunch who are believed to have generally been victimized. This comprises of special access to instruction, work, human services, or social government assistance. In work, governmental policy regarding minorities in society may likewise be known as business value. Governmental policy regarding minorities in society necessitates that establishments increment recruiting and advancement of up-and-comers of ordered gatherings. (Rubenfeld, 1997, p. 429) à â â â â à à à à à The reason ofAffirmative Action is a straightforward one, it exists to even the odds, in a manner of speaking, in the regions of recruiting and school affirmations dependent on qualities that normally incorporate race, sex, or potentially ethnicity. A specific minority gathering or sex might be underrepresented in a field, frequently work or the scholarly world, in principle due to past or continuous victimization individuals from the gathering. In such a condition, one way of thinking keeps up that except if this gathering is solidly assisted with accomplishing an increasingly generous portrayal, it will experience issues picking up the minimum amount and acknowledgment in that job, regardless of whether obvious oppression the gathering is killed. Therefore, more exertion must be made to enlist people from that foundation, train them, and lower the passageway prerequisites for them. (Goldman, 1976, p. 179) Proponents of governmental policy regarding minorities in soci ety contend that governmental policy regarding minorities in society is the most ideal approach to corre... ...of Management Journal, Vol. 40, No. 3, 603-625. Holzer, Harry J.& David Neumark. (Jan. 2000) What Does Affirmative Action Do? Modern and Labor Relations Review, Vol. 53, No. 2, 240-271. Holzer, Harry J.& David Neumark. (Sept. 2000) Assessing Affirmative Action Journal of Economic Literature, Vol. 38, No. 3, 483-568. Leonard, Jonathan S. (1989) Women and Affirmative Action The Journal of Economic Perspectives, Vol. 3, No. 1, 61-75. Lockheed, Marlaine. (1998) International Perspectives on Affirmative Action during the 1990s Educational Researcher, Vol. 27, No. 9, 6-7. Loeb, Jane W, Marianne A. Ferber and Helen M. Lowry. (1978) The Effectiveness of Affirmative Action for Women The Journal of Higher Education, Vol. 49, à à à à à No. 3, 218-230. Nacoste, Rupert W. (1987) Affirmative Action in American Politics: Strength or Weakness? Political Behavior, Vol. 9, No. 4, 291-304. Reed, Rodney J. (1983) Affirmative Action in Higher Education: Is It Necessary? The Journal of Negro Education, Vol. 52, No. 3, Persistent and Emergent à à à à à Legal Issues in Education: 1983 Yearbook, 332-349. Rubenfeld, Jed. (1997) Affirmative Action The Yale Law Journal, Vol. 107, No. 2, 427-472.
Saturday, August 22, 2020
The Houpu Herbal Essay Example | Topics and Well Written Essays - 1000 words
The Houpu Herbal - Essay Example The bark, houpu, however, has an increasingly catholic application in customary Chinese medication and various mischievous definitions are made of it to treat lung issue like hacks and asthma and intestinal ones like diseases and fits. Additionally, the houpu structures a significant part of meds focusing on stomach swellings and edema (Dharmananda, Undated). The dynamic segments of the bloom buds need alkaloids and none have been found to date while aromatics with their decongestant properties like monoterpenes and sesquiterpenes have been copiously apparent (Dharmananda, Undated). Interestingly, the bark, houpu, has an increasingly composite nature and contains various carbon mixes. The charming aroma is credited to two arrangements of non-alkaloids - the somewhat scented biphenols magnolol and honokiol and the unequivocally scented triterpene eudesmol (Dharmananda, Undated). These last biphenols and triterpene - magnolol, honokiol and eudesmol - are the fundamental restorative constituents from the bark houpu. Magnolol (2-11%), honokiol (0.3-4.6%) and eudesmol (>1%) fluctuate from species to species and furthermore from district to locale. Current pharmacological examinations have uncovered that these three constituents have the accompanying properties - 1) anxiolytic impacts; 2) capacities to improve steroid creation by the adrenal cortex; 3) capacities to hinder microbes and growths; 4) cancer prevention agent impacts; 5) capacities to decrease aggravation and agony; 6) capacities to lighten seizures; and 7) dynamic counteracting impacts against organoph osphoric pesticides (Dharmananda, Undated). The bark huopu likewise contains a few alkaloids - benzylisoquinoline ones, for example, magnoflorine, magnocurarine and salicifoline. Of these, the most inexhaustible is magnocurarine at >0.2% of the business bark material (Dharmananda, Undated). Other follow alkaloids are oxuoshinsunine, anonaine and michelabine. These alkaloids are not accepted to make part in the pharmacological move of the bark however it is accepted that they do have incomplete jobs in its antispasmodic impacts (Dharmananda, Undated). In spite of the fact that it is settled among pharmacologists that the three fundamental alkaloids are basic to this species there is fluctuating report of different alkaloids distinguished in follow amounts in the equivalent or diverse sub-species. In this manner, Rowe and Conner, 1979, report that, beside the three previously mentioned primary alkaloids, certain magnolia sub-species likewise contain different alkaloids, for example, D-O-methylarmepavine in the stem. Likewise, the sub-species obvious in the Southern pieces of the US contains hints of anolobine, N-nornuciferine, liridenine and candicine (Rowe and Conner, 1979). There is likewise report of the Southern magnolia sub-species containing the glycosides magnolidin, magnolenin and magnosidin (Rowe and Conner, 1979). Customary Chinese Viewpoint: One old style clinical content from China 'Shen nong ben cao jing' (Chinese Medical Classics, Pregadio, Undated) records houpo as a 'third class cure' (Forrest, 1995). This is on the grounds that however the alkaloid magnocurarine is valuable in minute amounts it is harmful in bigger portions and demonstrates contraindicative for pregnant ladies. Conversely, the bloom buds' concentrate is recorded in a similar book as a first class cure and endorsed for ladies, including pregnant ones (Forrest, 1995).
Tuesday, August 18, 2020
Fall Travel
Fall Travel This is my last week in the office before I hit the road to come see some of you guys. I have mixed feelings about recruitment travel I like the recruitment, not the travel. Im looking forward to the school visits and the big regional info sessions. Im not looking forward to the endless sea of rental cars, maps, airports, hotel rooms, and fast food. Generally this fits the pattern of every trip Ive ever taken happy once Im there, but hate getting there. :-) No worries though by the time I see any of you, Ill be so relieved to have made it there in one piece that Ill be in a great mood! This fall will bring me to Connecticut (central mtg in Hartford on 9/19), New York (central mtg in Westchester County on 9/20), Pennsylvania (central mtg in Philly on 9/25), and New Jersey (central mtgs in East Brunswick on 9/27 and in Hackensack on 9/28). In the middle of that I head down to Tampa for the NACAC Conference, where Matt and I will be presenting these blogs and encouraging other colleges and universities to join us in demystifying the admissions process. Were hoping that lots of other schools will begin blog programs so that you can get real and honest perspectives from staff and students at every school that interests you. Some of you have written to ask about the regional info sessions (we call them central meetings) and how much overlap there is with the on-campus info sessions. On campus, your info session is followed by a campus tour, so we can take for granted that youre going to see MIT. When were on the road, we cant make that assumption, so we try to bring the feel of the campus to you. We use short videos and lots of photos throughout the presentation to supplement the information, but the basic information is the same. If youve visited MIT, attended the info session here, and taken the campus tour, youll find much of the actual content to be somewhat repetitive. This doesnt mean you shouldnt come youll still get to meet the alumni interviewers for your area (ECs) and ask questions, etc. But if youve already visited campus and youre choosing between this info session and (as one reader asked) your upper level math class at a community college, dont miss the class. Those of you who havent visited campus, however BE THERE! These regional info sessions are designed specifically for you. Ill definitely blog from the road whenever I can find a wifi connection. And if Im coming to a city near you, see you soon!
Sunday, May 24, 2020
Sleep Habits And Academic Performance - 2225 Words
Sleep Habits and Academic Performance Johnny Christopherson University of South Dakota Literature Review Many factors such as self-concept, moods and sleepiness influence the academic performance and motivation of college students. Research collections and recent data have suggested that sleep is very important and beneficial for memory, comprehension, attention, and academic success. This data has uncovered a noticeable relationship between amount and quality of sleep with learning abilities and resulting academic performance. Sleep deprivation can result in sleepiness and impaired neurocognitive and psychomotor performance (AlDabal and BaHammam, 2011). With higher demands being placed on academic performance, students may begin to develop poor sleep and nap patterns, which may in turn negatively impact their school performance. Often students may not even notice that they are on a skewed sleeping pattern or feeling sleep deprived. Sleep is a very important factor to a humanââ¬â¢s well-being, health and behavior. A personââ¬â¢s ability to complete tasks and to remain mentally sharp and focused depends on the amount of sleep to avoid being sleep deprived. The history of sleep research as been traced back to as early as the 19th century. According to a recent National Sleep Foundationââ¬â¢s Sleep in America Poll, U.S. adults sleep about seven hours every night, a decrease of about two hours per night since the 19th century (Nation Sleep Foundation, 2005). And according toShow MoreRelatedFactors That Affect The Academic Performance Of College Students Essay976 Words à |à 4 Pagesfactors that affect the academic performance of college students. Some of these factors include family, personal habits, attitude, and social activities. Another important factor is the sleeping habits of the student. Sleeping is one of the most significant basic need that humans need. It is a biological necessity that plays a n important role in each individualââ¬â¢s health. Sleep is not only important for health, but it is also important for learning and cognitive performance, such as enhancing memoryRead MoreEffects Of Sleep Deprivation On Academic Performance1557 Words à |à 7 PagesEffect of Sleep Deprivation on Academic Performance Less sleep causes less focus on academic performance. Sleep deprivation is a problem when it comes to academic performance; therefore students should learn how to manage their time and get enough sleep. Many have argued and many others agreed that sleep deprivation does have a big effect on the performance of students in school. For those who don t agree probably think that sleep deprivation has nothing to do with the bad performance of studentsRead MoreSleep Can Improve Learning And Memory Essay1362 Words à |à 6 PagesAbstract Sleep can improve learning and memory. However whether the length and type of sleep whether this correlates to academic performance is unclear. Therefore the aim of the proposed experiment is to research whether length and type of sleep experienced correlates with academic performance It is hypothesised that longer sleep with more Non-REM sleep will correlate with higher academic performance. Participants will be randomly selected 1st year psychology students taking a mandatory 100 levelRead MoreComparing Academic Performance And Class Start Times Between Morning, Day, And Night Classes1530 Words à |à 7 PagesExamining Differences in Academic Performance and Class Start Times between Morning, Day, and Night Classes within WVU university students Academic achievement among university students is a primary goal amongst the student body for obvious reasons. Generally, a studentââ¬â¢s performance reflects how successful they will be within their courses and produces their overall grade point average, GPA. Although a studentââ¬â¢s academic achievement can be determined in many ways, GPA is a primary tool used to measureRead MoreDoes Limited Duration Of Sleep Affect Academic Performance?1673 Words à |à 7 Pagesduration of sleep affect academic performance? Academic performance is utilized worldwide in order to determine an individualââ¬â¢s career success and in some instances intelligence. The United States utilizes academic performance as an indicator of character and potential; often individuals are defined by how well they perform in academic areas. The United States measures academic performance through grade point averages, exam results and standardized tests. The education system is based on academic performance;Read MoreSleep Deprivation And Academic Performance1430 Words à |à 6 PagesSleep Deprivation and Academic Performance in Adolescents Sleep deprivation is an increasing issue with adolescents. Statistics show that 60% of high schoolers report extreme daytime sleepiness. 20% to 33% of those high schools report falling asleep in class at least once during the week. Daytime sleepiness is only a small issue about sleep deprivation in students. Sleep deprivation negatively impacts school performance adolescent students because it interferes with brain development, create moodRead MoreThe Connection Between Sleep And One Specific Kind Of Performance1358 Words à |à 6 Pagesconnection between sleep and one specific kind of performance, which is academic performance, among university students. This chapter framework the methodology that can be practical to attain the goal and objectives of the research study. Therefore, suitable preparation and thorough analysis are compulsory in planning the methodology procedure to get the expected result. A self-report questionnaire was utilized in this research study to measure sleep -related variables and educational performance, of universityRead MoreDoes Lower Grade Point Average Equate to Poor Health? Essay639 Words à |à 3 PagesTrockel, Barnes and Egget (2000) they hypothesized that poor health behaviors would be greater amongst those with low grade point averages. The predictors of the correlation study were: exercise, eating, sleep habits, mood states, perceived stress, time management, social support, spiritual habits, number of hours worked per week, gender and age. The outcome variable was the studentsââ¬â¢ grade point averages. The goal of the study was to see which health behavior affected grade point averages the mostRead MoreSleep Quality And Academic Performance Essay1510 Words à |à 7 Pagesfirst fundamental routine of sleep changes dramatically. College students rarely find themselves getting about eight hours of sleep every day. Thus started the idea of how a studentââ¬â¢s academic performance can be affected by the amount of sleep t hey get. The research article, ââ¬Å"Sleep Quality and Academic Performance in University Students: A Wake-Up Call for College Psychologistsâ⬠written by Steven P. Gilbert and Cameron C. Weaver, represents the perfect study on how sleep quality and quantity can affectRead MoreSleep Quality And Academic Performance890 Words à |à 4 Pages Sleep Quality Affecting College Studentââ¬â¢s Academic Performance Sleep is one of the few necessities that are needed for humans to function and overall survive. People, generally adults, fail to realize the need for sleep when they are constantly working around the clock. This sort of deficiency leads to a common sleep disorder called sleep deprivation. Sleep deprivation can affect teens and working adults but is seen predominately among college students. College students are succumbed to dedicating
Wednesday, May 13, 2020
SINCLAIR Surname Meaning and Origin
Taken from the hermit St. Clare or St. Clere, Sinclair is a derivation of the St. Claire surname, from the Latin clarus, meaning pure, renowned, illustrious. It was often bestowed as a habitational surname for someone from one of several places named for the dedication of their churches to St. Clarus, such asà Saint-Clair-sur-Elle in Manche, Normandy, France. SINCLAIR is the 79th most popular surname in Scotland. Surname Origin:à Scottish, English Alternate Surname Spellings:à SINCLAIRE, SINCLAR, ST CLAIR, SINKLER, SENCLAR, SENCLERà Famous People with the Surname SINCLAIR Upton Sinclair - American novelist and social crusaderClive Sinclair - British entrepreneur and inventorMalcolm Sinclair - Swedish nobleman whoseà assassination eventually sparked the Russo-Swedish War of 1741ââ¬â1743 Genealogy Resources for the Surname SINCLAIR Common Scottish Surnames Their MeaningsUncover the meaning of your Scottish last name with this free guide to Scottish surnames meanings and origins. Clan SinclairLearn about the history of Clan Sinclair on this website of the Clan Chief and explore links to websites of the Clan Associations. Sinclair Family Genealogy ForumSearch or browse past posts in this genealogy forum dedicated to researchers of the Sinclair surname. Sinclair Family Crest - Its Not What You ThinkContrary to what you may hear, there is no such thing as a Sinclair family crest or coat of arms for the Sinclair surname.à Coats of arms are granted to individuals, not families, and may rightfully be used only by the uninterrupted male line descendants of the person to whom the coat of arms was originally granted. FamilySearch - SINCLAIR GenealogyExplore over 830,000 historical records and lineage-linked family trees posted for the Sinclair surname and its variations on the free FamilySearch website, hosted by the Church of Jesus Christ of Latter-day Saints. SINCLAIR Surname Family Mailing ListsRootsWeb hosts a free mailing lists for researchers of the Sinclair surname. DistantCousin.com - SINCLAIR Genealogy Family HistoryExplore free databases and genealogy links for the last name Sinclair. The Sinclair Genealogy and Family Tree PageBrowse genealogy records and links to genealogical and historical records for individuals with the popular last name Sinclair from the website of Genealogy Today. ----------------------- References: Surname Meanings Origins Cottle, Basil.à Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967. Dorward, David.à Scottish Surnames. Collins Celtic (Pocket edition), 1998. Fucilla, Joseph.à Our Italian Surnames. Genealogical Publishing Company, 2003. Hanks, Patrick and Flavia Hodges.à A Dictionary of Surnames. Oxford University Press, 1989. Hanks, Patrick.à Dictionary of American Family Names. Oxford University Press, 2003. Reaney, P.H.à A Dictionary of English Surnames. Oxford University Press, 1997. Smith, Elsdon C.à American Surnames. Genealogical Publishing Company, 1997. Back toGlossary of Surname Meanings Origins
Wednesday, May 6, 2020
The Effective Literary Form of Foreshadowing Free Essays
Oââ¬â¢Connor effectively uses the literary device of foreshadowing to create an atmosphere of suspense for a family that is doomed. There are several hints that point to the fate of the family in both the overall theme of a world of change and chaos and in specific lines from the text. Death and doom are frequently discussed and certain descriptive phrases, as early as the first sentence lead a reader to believe that doom is impending. We will write a custom essay sample on The Effective Literary Form of Foreshadowing or any similar topic only for you Order Now Specifically the grandmother and her choices and her description of choices all contribute to the foreshadowing. Her choice of dress and her reasons given for that is one example, as is the cat she chooses to bring and the animalââ¬â¢s role in the final event that leads to the death of the family. The Grandmotherââ¬â¢s choice to take the dirt road and her mistake of direction is the final example of the foreshadowing that can be contributed to the readerââ¬â¢s sense of an almost inevitable and negative end. Firstly, the Grandmother does not wish to go on the trip, but agrees to go with certain pretenses. She refuses to leave her beloved cat at home while the family goes on their trip. The cat, ââ¬Å"Pitty Singâ⬠, is hidden in a basket as the Grandmother fears that the cat may die. Oââ¬â¢Connor writes, ââ¬Å"she was afraid he might brush against one of the gas burners and accidentally asphyxiate himself. Her son, Bailey didnââ¬â¢t like to arrive at a motel with a catâ⬠(1135-1136). Her mention of both death and the inconvenience that bringing the cat would impose on the family shows both foreshadowing and irony, as the cat does cause an accident and inconveniences the family in the worst way. Both the concealed cat displayed by Oââ¬â¢Connor as the Grandmotherââ¬â¢s disregard for her familyââ¬â¢s wishes and her lost sense of direction, as well contribute to the danger that the family is placed in. The dirt road that the Grandmother advises the family to go down is explained in detail in an ominous manner and the plot turns even more ominous as she realizes that she has the wrong road. Oââ¬â¢Connor writes regarding the character that a horrible thought came to herâ⬠¦ her eyes dilated and her feet jumped upâ⬠¦ the instant the valise moved, the newspaper top she had over the basket rose with a snarl and Pitty Sing, the cat, sprang onto Baileyââ¬â¢s shoulder (1140). This incident does lead to a car accident on this abandoned, old road. Therefore, both the choice to bring the fateful animal and the choice to take the family in a wrong direction, sends a message of a foreshadowed and foreshortened future for the family. Finally, at the beginning of the story, when the cat is introduced into the plot, the Grandmotherââ¬â¢s deception and dress are detailed. The foreshadowing of her outfit and accessories point to the fact that she has designed herself for death, in case that it comes. Her collars and cuffs were white organdy trimmed with lace and at her neckline she had pinned a purple spray of cloth violets containing a sachet. In case of an accident, anyone seeing her dead on the highway would know at once she was a lady (1136). It should be noted that the idea or phrase of the word accident or accidental is used frequently in the story to show foreshadowing. In the citation with the cat and the uproar, there follows an automobile accident, where after the children scream several times both on pages 1140 and 1141, ââ¬Å"Weââ¬â¢ve had an ACCIDENT! â⬠. The foreshadowing of the usage of accident is only paralleled by the actions leading to the familyââ¬â¢s doom. In conclusion, Oââ¬â¢Connor effectively uses examples of foreshadowing in ââ¬Å"A Good Man is Hard to Findâ⬠. Three of these examples illustrate this in the previous paragraphs and all tie in together to help the reader and literary critic understand that the story has deeper meaning and context than one may originally think. The frequent reference to accident or fear that something may happen accidentally all contribute to the undertones and overtones of death, deception, and doom in a world of change and chaos. How to cite The Effective Literary Form of Foreshadowing, Papers
Tuesday, May 5, 2020
Nursing The High Quality Health Care
Question: Discuss about the Nursing for The High Quality Health Care? Answer: The present assignment defines the safe level of staffing and gives an explanation of the reason staffing level comes up as an issue. The assignment also puts up a discussion on the extent to which the concerned organisations and government are successful in handling the matter of staffing levels. It also has a focus on the belief in the National Health Service (NHS) and further takes into account the policy delivered by other institutions. Nurses' role in developing and formulating polices and their impact on the safety of patients is also discussed. In the end, policy evaluation is undertaken along with the analysis of Francis report and the influence on patients as a result of policy implementation. Safe staffing level refers to the practice where the level is sufficient for handling the environment of huge health burden, and patients are delivered care by certified nurses. According to the Nursing and Midwifery Council appropriate staffing level is required for the best possible health care services. The importance of safe staffing lies in that it has the potential of making an impact on the safety of the patients as nursing staffing gives care for these people in a suitable manner. Insufficient staffing has, therefore, a negative impact on patient (RCN, 2010). As per the Francis Report, failure recorded in Mid Staffordshire NHS Foundation Trust can be attributed to chronic nursing staffing shortage, having a negative influence on the care delivered to the patients admitted to the health care setting. Griffiths (2014) emphasised that ensuring the presence of adequate staffing in health care settings has a direct effect on the reduction of medication and medical errors, a decrea se of falls, mortality rate, infections and increase of patient satisfaction. This is in alignment with what the American Nurses Association (2014) states in this relation. According to the association, the decrease in nurse fatigue, improvement of nurse retention, the decrease in nurse burnout, enhancement of job satisfaction are all related to the prevalence of sufficient nursing staffing. In the context of all the discussion above, the problem of insufficient nursing staffing was addressed by the government to construct policies like the NICE guidelines (2014), Hard Truths (2014) and the Berwick Keogh (2013). All these made a desirable response to the Francis Report Enquiry on the poor quality of care delivered at the Mid Staffs and hed out a helping hand for tackling the issue of staffing levels for improving provisions of healthcare (Department of Health, 2013). Buse et als (2012) states that Royal College of Nursing (RCN) is a policy driver that had the aim of providing a strong and supportive framework in order to fulfil the targets of productivity and achieve efficiency for intended improvement of care quality and reduction of health costs in a suitable manner (Royal College of Nursing, 2013). Moreover, the report from RCN (2013) provides support to the recommendations regarding improvement of nursing staffing levels by responding to 290 Robert Francis recommendations and mentioning that a separate sector must be present for ensuring that no such failures are repeated in the future like the incidence of Mid Staffordshire (Royal College of Nursing, 2013). RCN (2013) adds to the subject by suggesting that the NHS must out the focus on care that is solely patient-centered. The burden of having a promising health cares service is therefore on the NHS employers for giving nursing staff the suitable support, resources and time or delivering the care worth mentioning with good ambition. On the contrary to Francis Report, 2013, David Cameron, the Prime Minister consulted a lead healthcare expert Professor Don Berwick to look into the matter of enlisting out the needs of the health care system that would reduce the harm to the patients to zero (NHS Employers, 2013). It was emphasised that NHS must take an initiative for making health care more safe to the patients and enabling a culture oriented care system that has full dedication on carrying out learning and improvement and strives in a continuous manner to reduce harm made to the patients that can be easily avoided. This was contradicted by RCN (2012) and Thungjaroenkul (2007) who said tha t there are instances of failures showed by NHS where the patients were not given safe care practices due to the fact that a minority of the NHS organisations could not be financially sustainable and, therefore, had to compromise on nursing staffing. The result was unsafe care quality and insufficient provisions of health care. Keogh (2013) mentioned that the NHS Director had the responsibility of giving justifications for the failings of the 14 trusts in England accountable for around 13000 additional deaths in the last ten years. As per the report of the The Sunday Telegraph (2007), a section of the patients having access to NHS are no longer having the faith they used to have on NHS and are choosing to go abroad for health care services. The reason for discriminating out NHS is long waiting lists and increased risk of infection. However, people not being able to afford to travel abroad for health care or not willing to do so remain on the long waiting list of the NHS in the United Kingdom. Jeremy Hunt, the Health Secretary, has ordered tightening up on NHS spending as an initiative to control the finances in order to reduce wastage. He was recorded stating that cut down of costs can be achieved by not recruiting agency staff while bringing improvements in frontline patient care. This step ensures to spiral down the staff bill that has the costing of 3.3 billion pounds per year. Moreover, new rules will make sure that agencies not present on the authorised framework are not used and will control the total spe nding for each trust functioning under NHS in cases of financial difficulties (DH, 2015 Kleebauer, 2015). In addition, the functioning of agency staff has witnessed rise to 3.3 billion pounds from a mere 1.8 billion pounds in three years in order to help out in nursing staffing. This drives the government to bring changes in the recruitment of the hospitals by recruiting more permanent staffs on the basis that there are evidence on better staffing refining the patient care (DH, 2015 Kleebauer, 2015). The main priority of the formulation of policies in the Francis Report was laid upon working together with the aim of ensuring that patients are kept first in the priority list while taking any decisions in professional conduct. Jeremy Hunt from Hard Truths' supports that patient must come before all other aspects taken up by NHS professionals. This takes into account staffs, patients, their families, carers, professionals and communities outside and inside the NHS. Needs of the patients and the community also comes before the boundaries of the health care organisation (Department of Health, 2014). On the contrary, Thungjaroenkul et al. (2007) reports that nine out of ten health care settings are not succeeding in meeting the set targets of delivering safe levels of patient care by nurses, the reason accountable to nursing. The author also reports that nurses are under immense pressure for caring for their patients in various adverse situations that have a negative impact on the overall care. It implies that increase in a number of nurses increases the satisfaction of the patients that can conversely translate to imply that decrease in nurse number reduces patient satisfaction. In matters of patient care, the Francis Inquiry recommends that NHS must take initiatives for improving care. It also states that the case of Mid Staffordshire was a result of insufficient staffing leading to patient negligence, falls, high rate of mortality. The guidelines put forward by National Institute of Health NICE (2014) has a section on the significance of safe staffing in wards with the aim of ensuring that all get the care they are worthy of. It is mentioned in the guideline that there is no particular ratio of nurses and patient that is applicable to the health care setting across the globe. This implies that each unit must address the safety of the patients by determining the requirements of the patients. Keogh (2014) agrees that patient safety is breached when there are insufficient nursing staffing and improper training of the professionals to deliver care. Nurses must not be considered as archetypical leaders (George et al 2014). However, they are pivotal in the health care delivery. This draws a conclusion that nurses must be given constant support and encouragement to have a major role in bringing about clinical innovation and changes. Nurses experiencing the greater extent of empowerments have more chances of engaging in the innovative behaviour (DH, 2008). The Productive Ward (PW) programme is a strategy put in place for empowering nurses with information and skills for governing care (NHSI, 2011; White et al. 2014). The module-based program is for enabling nursing staff to give more time to direct patient care by bringing improvements in processes and environment. This is in congruency with enhancing staff and developing the quality of care (Armitage et al. 2011, Lennard, 2012). For fulfilling the aim, the program requires to meet the QIPP challenge and align the interventions with clinically driven decisions (DH, 2008). Safe Staffing Alliance has stated that ration of nurses to the patient must be not more than one is to eight in order to maintain the safe level. This is the minimum acceptable level as nurses taking care of more than eight patients at a time increases risk of death and unsafe incidences (Safe Staffing Alliance, 2013; Hughes, 2014). Gregory (2013) and Patterson (2011) reported that nurses were working in settings where there is a nursing shortage suffer from job dissatisfaction and has high patient caseloads and experience more burnout. Moreover, nurse disillusion leads to compromise in values and standards. Both Keogh (2013) and Patterson (2011) concluded that nursing staffing shortfall makes it tough for professionals to practice excellent care delivery. Keogh (2013) agreed with the above writer and elaborated that understaffing leads to a decline of presentism, thereby leaving few staff ready to work. This results in pressure on the nurses and they are forced to leave the jobs tha t lead to their exhaustion and burnout. The valuable experience they have are lost from the system, and this results in a skill gap that is difficult to fulfil. Service impairment is the ultimate result. Unison (2013) gives an opinion in this regard that effective skill mix has a pivotal role in addition to safe levels of staffing. Thus, health care organisations must have the suitable balance of nursing staff for proper care delivery (Unison, 2013). Improper staffing within the NHS has a deep impact on the safety of patients as complexities of nursing staffing is the main factor. Eleven hospitals were taken under consideration for special measures since most of them failed to deliver patient care and Jeremy Hunt, the Health Secretary, said that after the analysis of the 14 trusts, high death were reported. The problems entrenched in the health care system and gave rise to tough actions being taken up. The problems identified by Jeremy encompassed the fact that patients are constantly being neglected due to poor leadership and staffing issues (Tingle, 2013; Keogh, 2014). It was supported by Tingle (2013) and Keogh (2014) reporting on a nation wide Unison survey undertaken on 3000 nurses that 65% nurses think patient care is being neglected as the result of the situation where nurses do not get adequate time to take care of a patient. This lack of time was confirmed from the same study when 45% of the participants stated that they had to give care to more than eight patients at a time in spite of the recommendation to have a nurse and patient ratio of 1:4. The response of Unison was that they had the knowledge about nurses feeling the priority of minimum staffing and felt that the aspect is fundamental to care quality and patient safety. It also emphasised that it aims to ensure nurses have the opportunity to deliver compassionate and safe care to the best of their ability and contribute to care provision that is valued by all (Unison 2015). The Francis Report (2013) has being empowering nurses to react when they are facing issues in nursing staffing. If such reports are not made, there are risks of having poor quality care and the result might be high mortality rate. Nurses, in any case, want to deliver best possible care and want others to do the same too. However, there lies a concern that nurses are speaking out their views may be harried and face bullying. The Guardian highlighted that a section of the staff raise concerns about the unsafe level of staffing but actions were nor taken up. The Francis report identified that safe staffing issues are addressed by the government and they are trying to ensure that issues are sorted out fast so that reduction of patient harm can be reduced (Campbell, 2013). NICE (2014) put forward new guidelines and in that it has stated that patients have the right to receive the best possible care regardless of the day time, week and type of clinical need. Ford (2014) and Keogh (2014) highlighted that there is a necessity to have red flag' events. A red flag means that a system for management of critical staffing levels is initiated. Definition of such events can be put in place locally. However, there would be setbacks like users of services not allocated with significant aspects of supervision. The red flags would highlight the presence of danger in the wards in relation to insufficient staffing. Nurses would be alerted to take actions and ensure that care is not compromised. Moreover, the red flags help in ensuring that efficient and safe levels of staffing are present for rendering services. This response on patient care comes as the aftermath of Mid Staff scandal (Nice, 2014; Hughes, 2014). Unison (2013) states that measures are to be taken for introducing patient safety measures. This is a paramount aspect in health care settings. This brings the need of staffs in the healthcare setting to flag up situations they feel are danger for patient safety, and the organisations must provide constant support to these staffs. This can be done by forcing them to maintain good guidelines for practice and lead to maintenance of quality services. However, the nurses may be forced to cut corners. For example, nurses under pressure and having no time to record patient information in a correct manner can give the delegate tasks to other nurses who have the proper training (Unison, 2015). Unison (2015) expected that the results of 2015 survey would be more positive and have more significant improvements since the government claims that it has brought the increase in nursing numbers as per the guidance of safe staffing levels of NICE. The Francis Report and Berwick recommendations state to improve staffing levels. However, when Unison puts forward a comparison fo the surveys of the previous years, it is evident that no improvements have been made in relation to safe staffing as many nurses till continue to care for more than eight patients at a time. This leads to harm to the patients. Unison, therefore, states that it wants staffing levels to be improved and minimum patient to nurse ration to be identified. There is also the necessity to have red flag events raised by the nurses as per the NICE guidelines. This also puts forward the need of reviewing the guidelines of NICE. This review would assess the compliance with effectiveness and recommendations of red flag even ts (Unison, 2015). The Royal College of Nursing has been accepting a number of suggestions in the Francis Report. The reaction of the government is that developments are to be made for improving staffing levels by the strengthening the staff planning and regulatory processes. The development of appliances and staffing-level standards is a chance to ensure that evidence-based practice is undertaken. The CQC's standards are to be abided by in this regard, and this would manage the health care system. Moreover, this must have a clear picture of both the public and the contributors on what the scenario of staffing levels are, skill mix and patient and nurse ratio. The RCN puts composition of many personal organising resources in a strong position that aids in the invention of the nursing appliances (RCN, 2013). As per the policy statement, the foundation for bringing changes has been kept along the recommendations of Robert Francis. The observations of the CQC would be established on a more simple position, and this brings the necessity to take up durable actions to address inadequate staffing level and reduction in quality of care (Tinlge, 2013). Moreover, the CQC observations would make an appeal to the providers and would consolidate the basic qualities that will be prosecutable and will reflect the vital requirements of a central quality service. In conclusion, the present writing is an attempt to explore policy drivers and influence of nursing staffing levels on care quality within the NHS. It has established the facts that negative influence is associated with improper staffing levels on the experiences of the patient and nurses. In relation with impact on patient care, it has been shown that nurses have a tendency to work under pressure because of having to take care of eight patients at a time. Insufficient staffing levels lead to stressed nurses, burnouts, medication errors, high staff turnover and loss of interest. In relation to patient safety, it has been stated that inadequate staffing levels result in negligence of patients and poor quality of care. Such incidences of patient care are evidenced by the scandal of Mid Staffordshire NHS Foundation Trust identified by the Francis Report (2013). The report drove the government to set out policies for staffing levels. The care given to Mid Staffordshire was not up to the standard, and it led to high mortality rate, pressure scores, falls and infections. As mentioned that policies have been ensuring patient care, productive methods are to be used for empowering the nurses. The assignment also states that patient has lost faith in the NHS. The government needs to ensure that staffing levels are maintained in all NHS hospitals for delivering the high quality health care.
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