Monday, September 23, 2019
Teaching and Learning Approaches and Strategies in STEM Education Research Paper
Teaching and Learning Approaches and Strategies in STEM Education - Research Paper Example The author further points out that it separates from other subjects with an objective of increasing the interests of students in one particular field. Over the years, schools in the United States have recorded a minimal number of students enrolled to take courses in STEM education. The educational trend is visible from the lower level education institutions. From high school, the situation becomes worse as students tend to drop their participation in the STEM subjects. In college and universities the number of graduates in science and technical subject has also decreased significantly. From the trend, the state realized there is a gap in the modern educational system. For instance, the job market becomes unbalanced since the number of students with business skills outmatches the numbers of students with science and technical skills. This attributes to issue such as shortage of health care workers. For this reason, the state created a STEM education system that increases the awareness of science and technical awareness among students (Asghar et.al, 2012). However, the educations system could not be of importance if the studentsââ¬â¢ attitude towards the subject was not altered. Venville, Rennie & Wallace (2004) are of the assumption that the negative perception of the students towards science and technical subjects minimized their participation. For this reason, the STEM education system should develop a way that the studentsââ¬â¢ perception could be changed. One major requirement was to change the approach used in the curriculum. The curriculum on STEM subjects was not interesting enough to capture the attention of students. Economics and Statistics Administration (2011) points out that the learning approaches used in STEM subjects aim at increasing the interest of students. Tutors were also not provided with the required expertise to explore the fun parts of STEM subjects. Another hindrance to effective learning of
Sunday, September 22, 2019
Choosing hardware and input devices Essay Example for Free
Choosing hardware and input devices Essay Microsoft Publisher Microsoft Word Paint Internet Explorer This table shows all the applications I used to complete my coursework Name of Application Price Main Functions Advantages Disadvantages Microsoft Publisher i 49. 99 The main function of Microsoft publisher is to create websites, documents, cards, almost everything ETC. It is easy to create these kinds of things with Microsoft publisher. It is very easy to create websites cards etc. It takes a very long time to install on the computer. It runs in a very fast speed so it doesnt need time to load up. It can be very confusing and you need to know how to use it. It has so many design options, about over 1,000 professionally designed templates. You cant make very precise layouts because it doesnt have the precise tools. Microsoft Word i 49. 99 The main function of Microsoft office word is to create and also edit text, graphics in letters, reports, and web pages and also email messages. For this it has different functions like formatting text into different styles and formatting the font. Data can be imported from a spreadsheet to this so that a mail merge can be created. It is quite difficult to store data like Microsoft Access. If you get any mistakes it can be corrected so easily. Not everyone will be able to purchase it because it costs too much. The work can be saved so that it could be done at another time. If people start relying on the spell checker they might lose their spelling skills. Internet Explorer You dont need to purchase it because it is already installed on the operating software. The main function is that people have wide access to the information the want. The other function is that they can communicate, do a bit of shopping, and it can also be used for entertainment. Doesnt need to be purchased because its already installed on the operating software. Some information can be biased and inaccurate. Used for a lot of things E. G. Communication, shopping, gaming E. T. C Surfing the internet too much, can be addictive. It can be accessed by anyone in the world. Illegal sites always occur even if youre surfing the web carefully. Paint You dont need to purchase it because it is already installed on the operating software. The main function is to create drawings and to display scanned photos. The other function is to create pictures and diagrams. Doesnt need to be purchased because its already installed on the operating software. It cant store information in a table like Microsoft Access. You can draw logos, pictures E. T. C Older versions of it cannot open files that are from a newer version. It has a special image function which allows you to edit or change photos. It cannot type in text in different forms like Microsoft Office Word. Alternatives This table show the alternatives of the table above Name of Application Alternative Application The way it works Advantages Disadvantage Difference it would make if I used it Microsoft Publisher Adobe Dreamweaver The main function of Adobe Dreamweaver is to create mainly websites but other things can be made such as cards, magazines etc. Websites can be made much more accurately and much more precise than Microsoft word. It is much more expensive than Microsoft word so it cant be purchased by everyone. The main difference it makes is that I would be able to work more accurately and create better websites. However it is more complicated than Microsoft publisher so it will be hard to use. Website designers can make changes to the design of a website simply by editing the Dream Weaver template files. It is much more complicated than Microsoft word so itll be hard to use. Simple and complex websites can be designed using a point and click method. It takes much longer to install. Microsoft Word Open Office Writer The main function of is to create and edit text, reports, and web pages and email messages. For this it has different functions like formatting text into different styles. The wizard makes it easier for new beginners to use. The wizards appear too much which is distractible. The main difference is that I would be able to create and edit text, reports, web ages and email messages easier and much more accurate. It can connect to any existing database. It is less popular than Microsoft Office Access so not many people use it. You dont have do buy this but you can get it for free. For some people this could be hard to use because of the extra functions. Internet Explorer Mozilla Firefox The main function is that people have wide access to the information the want. The other function is that they can communicate, do a bit of shopping, and it can also be used for entertainment. It is much quicker and faster than internet explorer. It is not supported by a small proportion of web sites. The main difference is that I would be able to gather information and surf the net much quicker than internet explorer. It has more security on it because it doesnt let pop ups through at all. With Mozilla Firefox some websites do not display properly. It has more design and looks better than Internet Explorer. Fire fox has to be bought separately if it is to be installed in the computer. Paint Paint. net It works in the same way as paint. But this has extra special features and they work by having a user interface which can automatically know something new directly. There are different versions for different operating softwares. People could get wrong versions and so they wouldnt work and they would have to buy new ones. The main difference is that I will be able to get help from the online forums If I did not no how to use it. Also if I make a mistake and I realise after a bit, then I will be able to go to that mistake because there is unlimited undos. It has online forums which makes it easy for members to get help from users. Some people wont understand it because it looks very complicated. There is an unlimited amount of pressing undo. It doesnt come supplied with computers from before so you have to buy it. Microsoft Publisher It is used for creating mainly websites. Microsoft Word It is used for typing in any kind of information. Internet Explorer It is used for getting information. Ismail Bismillah Paint It is used for creating pictures, drawings, logo E. T. C Input These are the input devices I used to make my work easy. Device Speed Errors that can be made Way to correct errors Keyboard The speed of the keyboard is measured in form of words per minute. It depends if you are a fast typist or a slow one. Many errors can be done whilst typing. For example, when youre typing very quickly, you can press the wrong key which will change the spelling of a word. Also when youre typing numbers you can make mistakes. E. g. if you want to type in 786 and your in a rush you can make mistakes like pressing the wrong numbers. (768) The way to correct these errors is to type a lot and you will get use to it so much that you wont get any mistakes. Another easier method is to click on tools then click on spelling and grammar. This will show you all the mistakes and you can easily correct it later. Mouse The speed of the mouse also is measured in the similar way. (Clicks per minute) It depends if you are fast or slow on using the mouse. Many errors can also be made whilst using the mouse. The main error that can be made is that when you are in a rush, you can easily click on something wrong which will take you to a different place. Also the mouse can easily slip when youre moving it. The way to correct these errors is to use a mouse pad which is especially designed/made for mice. Another way to correct this error is to use the mouse a bit slower and not in a rush. Scanner The speed of the scanner depends on how much data is being scanned. It also depends on what type of scanner it is. Errors can be made using the scanner as well. The main error that can be made is that the paper can be put the wrong way (upside down). Also the paper can sometimes be inserted half way inside. The way to correct these errors is to check carefully which way the paper should be put in. Also the paper should be put in straight and not bent. Keyboard I detected errors in my work by using the spelling and grammar checker to check any spelling mistakes and any punctuation mistakes. To correct the errors in my work I would use the proof reader to correct mistakes that are done in my work. To prevent errors from happening, I typed a bit slower and much more carefully and I carried on looking at the screen to see if there were any mistakes I made. Mouse I detected errors in my work by checking manually if I made any clicking mistakes. To correct the errors in my work I would check manually and make sure that I would click the right thing if something unwanted had been clicked by going back and clicking the right thing. To prevent errors from happening in my work I would make sure that I would buy a mouse pad so that the mouse doesnt slip and so the wrong thing doesnt be clicked. Scanner I detected errors in my work by checking manually if all the information has been scanned and also that it is the right way round but not upside down. To correct the errors in my work I would check manually and make sure that if the data is scanned upside down than I would delete that data and I would than scan the data again by moving the data on the scanner the other way round. To prevent errors from happening in my work I would make sure that the data is the right way round in the first place and also make sure that no part of it is covered up. Effects of Inaccurate Data Inaccurate data will affect the system in many ways. Data Effect Way it can be prevented Spelling mistakes (website). If spelling mistakes are made then wrong information might be given out and also the customers will think this agency is not a professional one. To prevent this I spell checker can be used. I can also tell someone to go through it and look at my mistakes. Hyperlinks not linked correctly If hyperlinks are not linked properly then the business will become low because when you click on the link itll send you somewhere else or not take you anywhere. This can be prevented by checking the hyperlinks properly and making sure there are no mistakes. Also makes sure checking takes place before advertising. Not changing the colour of hyperlinks If hyperlinks do not change colour then the customer will not no which site he has been to so he will go on that website repeatedly. The way this can be sorted out is that when a customer clicks on the hyper link then it should change colour so the customer does not go on it repeatedly. The best way to stop all the problems is to keep on checking if you have made mistakes. This way all your mistakes will be sorted out. And there wont be any inaccurate data Validation Validation is to make sure that data which is being entered should be reasonable and allowable meaning that it is something possible but it doesnt have to be correct. There are a few different types of validations to help reduce the number of errors made by a user: Type check, range check, picture or format check, check digit, field length checks etc. Verification The validation can be used to make sure that when a user types data in the computer and if there are any errors made in the typing then they are reduced. For example if a database was going to be made with mistakes like if a 1993 date of birth was typed and was not true, the computer will not take it as an error if was programmed to let in anything between 1990 and1994. So the results would be incorrect and full of mistakes. This could also be known as Garbage In, Garbage out (GIGO). So that is why validations are important to help make sure that the user knows if there are any errors that have been made when typing data into the computer but it does not help in telling if the data is true or false. Output This table shows the outputs I used. Device Type The way it works Advantages Disadvantages Best place to use it Printers Laser A mirror reflects a beam of laser, and then lays them. A toner is then sprayed onto it. A paper is now pressed onto the toner and is slightly heated so that it sticks firmly on the paper. It prints out very quickly compared to ink-jet and dot-matrix printers It is the most expensive printer especially the colour lasers. The best place to use this laser printer is an office because an office requires a large amount of papers printed in small amount of time and with less noise as possible. It prints out very fast compared to ink-jet and dot-matrix printers Because it is so big it takes up more space than ink-jet printers. It has a high quality compared to ink-jet and dot-matrix printers It is very expensive to repair because of the complex parts inside.
Saturday, September 21, 2019
Understanding Child and Young Person Development Essay Example for Free
Understanding Child and Young Person Development Essay 1.Fill in the development chart located at the back of this workbook :- â⬠¢An explanation of the sequence and rate of each aspect of development from birth to 19 years. â⬠¢An explanation of the difference between :- â⬠¢The sequence of and rate of development. â⬠¢Why this difference is important. See separate developments stages chart. Read more: Explain how children and young peoples development is influenced by a range of external factors essay 2.Write an explanation of how children and young peopleââ¬â¢s development is influenced by :- â⬠¢A range of external factors. â⬠¢A range of personal factors. â⬠¢An explanation of how current practice is influenced by:- â⬠¢Theories of development. â⬠¢Frameworks to support development A range of external and personal factors that influences development There are many different factors that affect childrenââ¬â¢s development. These include: Gender, health, family, environment, psychological, behavioural and social and economic. Gender There is a lot of discrimination about gender and what people expect that gender to be associated with and be doing. For example people would discriminate a boy in thinking they would want to play with cars and some parents wouldnââ¬â¢t want their son to be playing with ââ¬Ëgirl toysââ¬â¢ for example dolls. This can impact a childââ¬â¢s emotional development as they may get upset if they canââ¬â¢t play with certain toys. Boys are usually stereotyped into being encouraged to play ball games this is because they tend to have more co-ordination. The negative impacts of this are that you would end up having girls and boys playing at different ends of the nursery. Although the positive impacts of this are that it will encourage eye foot co-ordination whilst playing ball games. This can help develop a boyââ¬â¢s physical development ââ¬â gross motor skills. Girls tend to have better fine manipulative skills from playing with beads etc. This can help develop their physical development ââ¬â fine motor skills. Health Children with serious illnesses and genetic diseases tend to look and act different to other children and they pick up on this fact. This may affect them joining in with certain activities as they may be incapable to do it for example if they are physically unable to do P.E they wonââ¬â¢t take part. They may also lack in socialisation skills and may not be able to make friends as easy as many other children. Some children may not want to play with them as they look and act differently to them self. If their illness or disease means they need time of school to visit the hospital and if they are simply not well enough to come in this will mean they will miss out on a lot of education and socialising with other children. Family Depending on what type of family a child comes from can have a big impact on how developed they are in most areas of development. For example a child from a better well off family may have more resources at home and have a better environment to learn in from home. With a big family a child would have lots of support and would always have someone to be able to read with them and help them with homework sheets and practice writing. This can have a big help in their intellectual development as they have always got support they need and help from the whole family. They can also develop their social development from coming from a big family as they are used to be around a lot of people and have been encouraged too interact with other children and adults. There are many different types of families. These are: Extended family an extended family is a family with other relations for example uncles, aunties and grandparents. This could benefit your childââ¬â¢s intellectual development as t hey will have lots of support and help from extended family for example aunties and uncles. They will always have someone to encourage them to try and succeed in crawling, walking etc. Drawbacks of this are that the house may be crowded and extended family like grandparents may end up looking after ill siblings. They may also have different parenting ideas and this can affect a childââ¬â¢s emotional and intellectual development as theyââ¬â¢re being told to do two different things. Nomadic family ââ¬â a nomadic family is a family who travel around and donââ¬â¢t stay in one place for a long amount of time. This could effect their intellectual and social development as they would never get used to one school and because of all the moving around different schools would have their curriculum set out differently so they may have already done the subject in a previous school. Single parent family ââ¬â a single parent family is when your parentââ¬â¢s arenââ¬â¢t together anymore or you donââ¬â¢t know one of your parents and you live at home with one parent. This may affect your childââ¬â¢s social development as they wouldnââ¬â¢t have a mother or father role model in their life and may find it hard to adjust with some situations as theyââ¬â¢ve been brought up by one parent and so may have missed out on interaction with a male or female figure. If one parent had left recently in their life this may have affected them emotionally and would struggle in their development for a while until they got more used to them not being there anymore. Nuclear family ââ¬â a nuclear family is 2 parents living with their 2 children. This can benefit a childââ¬â¢s intellectual development as they will have 2 supporting parents who are still together and siblings who can develop all areas of development faster than they would usual develop. An example being ââ¬â with an older sibling they can encourage your child to do things for themselves and develop socially from always being around them. Re-constituted family a re-constituted family is when parents have split up and re married so a child has a step mom and dad. This may affect their development as the spilt of the parents may have affected them emotionally and their development may be slowed down. They also may not like their new step mom and dad which could cause lots of problems and they wonââ¬â¢t want to visit them anymore. This may affect their emotional development as they may be worried about having to go and see them and so wonââ¬â¢t be concentrated on work which could affect them intellectually. There are also positive impacts of this though because with step family they will have a lot more support and will always have someone to read to them. This will encourage their intellectual development. The role and responsibilities of the parents is to care for their child and look after them. Provide them with shelter, warmth, food and love so they are emotionally developed. These factors are all important for your childââ¬â¢s physical needs as they need warmth and food to keep them going and growing. Their physical needs need to be met before any other stage of development can take place. Environment Housing is very important as where a child lives can affect majorly how well developed they are. If a child lives in a bigger house then they have more space and most probably their own room. This gives them their own space and gives them time alone to concentrate and relax in, this can help their emotional development as if they ever had a tantrum or was angry or upset they would have their own room to go and calm down in. Having a big house could also mean they therefore have a big garden and this plays a massive part in developing your child physically and socially. This is because having their own outdoor space and being able to run around whenever they like will help them develop physically. They are also able to have friends round to play in the garden; this will help them develop socially. Where as if a child lives in a small house they might have to share a room and this would affect their intellectual development not being able to do some work on their own and have somewhere they can concentrate. They might not have a garden and this would affect their physical development in not being able to run around in their own garden. It would also affect their social as they wouldnââ¬â¢t be able to have friends back to come and play in the garden. Although positive impacts of having a small house and no garden are that they would be out a lot more and would have a lot of fresh air and socialising with friends at a near by park. Where a child lives does affect their development because by living near town they are able to meet friends and socialise and also most importantly be able to get to the library and other useful facilities easily. This therefore benefits their intellectual and social development as they are able to get to the library and be around books and maybe even hire new ones out. They are able to go places easily with their family and socialise, maybe even meet up with their friend and their family and go out somewhere nice in the town for example a coffee shop or restaurant. A positive impact of living in a rural area is that there is less pollution and more space for pets and fresh air. Psychological Children find it really easy to make strong attachments to carers or teachers whom they spend quite a lot of time with, this can affect their emotional development as they may refuse to do things without that certain carer being there. If this is not stopped at an early stage it may be long-lasting and this could cause problems when arriving and leaving them. Children are very capable of making multiple attachments to other people at their nursery or just people they see often and their emotional well being is catered for which in most cases is. Parents play a massive role in a childââ¬â¢s life; factors that may affect their emotional and social development are homosexual parents and lone parents because these children may lack in role models and may have been brought up with different moral values. Security in a childââ¬â¢s environment is very important because itââ¬â¢s what makes the child feel safe and secure in their own environment with their family. Children often feel the need to attention seek for example: a child 6 years old who is a lonely child finds out his mother is pregnant and decides to start playing up acting younger than he actually is to get the attention he wants and needs of his mother that heââ¬â¢s so used to. Children suffer a lot from nightmares and this is all psychological and normally about a lack of understanding of something or a fear of something unusual. This could affect their intellectual development as they may be scared often and therefore not be able to concentrate on more important things. Night terrors play a big part in affecting a childââ¬â¢s intellectual development as if they have a fear or are very tired they are not going to be able to concentrate on their work as they have not sleep. Parentââ¬â¢s need to be very careful what they are letting their children watch on television as there are lots of adult programs that a child wonââ¬â¢t understand and may have night terrors about or try to repeat it themselves. Children need to be comforted when they get settled down and after a night terror because they are very sensitive and need to feel loved and comforted by their parents. This can help their emotional development. With a large family or family with siblings there is always rivalry and jealously among each other especially if thereââ¬â¢s a new baby and this can affect their emotional development as they are competing who can do better. Positive impacts about having siblings is they can help younger siblings read and encourage them to be able to do things for them self. Parentââ¬â¢s can never compare their child to other children as it can make them feel inadequate and not good about themselves. When thereââ¬â¢s a new baby in the family its best to keep their older siblings involved with the entire babyââ¬â¢s routine so they donââ¬â¢t feel left out and can help out and feel needed and grown up about helping out. This will build their confidence up and they will want to experiment more doing new things and this will help their intellectual and social development. A childââ¬â¢s fears appear very real to them and sometimes older siblings feel the need to tell them stories which will scare them and which they wonââ¬â¢t understand which doesnââ¬â¢t help a childââ¬â¢s emotional development and it could become a repeated thing which they have a fear of and may not want to go to bed. This could cause them to be very tired and may struggle getting up, it may also affect their intellectual development as when a child is tired they are not as capable as taking part in simple activities. Behavioural There are lots of factors which pay a big part on how a child behaves. Living conditions ââ¬â if a child lives in a big house they have lots of space to play in but if a child lives in a small house they wonââ¬â¢t be able to let out all their energy and so may let it out in anger. They will also be deprived from socialising with their friends who will affect their social development. Rest and sleep ââ¬â every child needs their rest and sleep, itââ¬â¢s important for the brain and body to relax and be ready for the busy day ahead. So when deprived of rest and sleep they will be unable to work properly and so wonââ¬â¢t be developing to the standard they should as they will be tired. This will affect their intellectual development. Diet ââ¬â if a child consists of a very unhealthy diet of sweets and e numbers they will be very hyper active and this will cause very bad behaviour. This could impact their intellectual development as they may not be able to concentrate a t nursery or home and so wonââ¬â¢t be learning or taking part in anything new. This will also impact on their social development as while at nursery if they misbehave and choose not to join other children may not want to play with them or be friends with them because of their behaviour. General health ââ¬â if a child is mentally ill they may get frustrated if they canââ¬â¢t do something and this can cause bad behaviour. Some children with mental illnesses need a 1 to 1 support carer to help control their behaviour. This could help their intellectual development and social as theyââ¬â¢re learning more and spending more 1 to 1 time with adults and learning about how you should act around children. Lifestyle ââ¬â a childââ¬â¢s lifestyle and things that are going on around them play a big part on how they choose to act. An example of this is imitating bad behaviour at nursery because they are getting more attention than that certain child. This can affect their social development as other children may not want to get involved or play with them if they are misbehaving. Children often lie to get their own way and to get attention, other children then copy thinking that its right to blame it on other people and get them out of trouble. Children who lack se lf confidence tend to be the children who misbehave and donââ¬â¢t have respect for others this could be from the way theyââ¬â¢ve been brought up. This affects their social development as other children who they arenââ¬â¢t very nice to are not going to want to play with them. Children like to feel superior to others and show this by changing their behaviour when in situations so they can get their own way and so their in control of the situation. This could affect other childrenââ¬â¢s social development as they may be blamed for things they havenââ¬â¢t done and may not want to be played with. They donââ¬â¢t care about any one elseââ¬â¢s point of view, as long as they are right. Lying can cause lots of problems though as it can cause violence and effect their behaviour. This may affect their intellectual development as they may not want to take part in some activities. It also encourages others to do the same which isnââ¬â¢t very good as their intellectual development is being affected too then. Children have lots of different ways of showing aggression some of these are through violence, not listening, putting others down, disrespect, shouting or talking very loudly, biting hitting and throwing things and frowning and moaning. This impact a childââ¬â¢s social development as other children may not want to play with them. When a child is angry they are immediately not aloud to join in with the activity and they are therefore missing out on learning. Most children when behaving badly are doing it to get attention, attention seeking. Some children lie so they can get what they want, others just refuse to do the work and answer back. Itââ¬â¢s all linked to the childââ¬â¢s insecurity so if they know someone is watching them they will deliberately play up for the attention. This affects a childââ¬â¢s intellectual development as most the time they would rather get attention than do any work at all. Social and economic In families who are in poverty, social exclusion or unemployed they find it hard to stay focused on their own and their childrenââ¬â¢s health and hygiene and sometimes might not be able to feed the children or wash them. This affects a childââ¬â¢s emotional development and well being as if they are not looked after properly and given all the love and care they need they wonââ¬â¢t develop properly. They may also have problems at nursery and school as other children may not want to associate or play with them, this would impact on their social development. The social class that a child comes from can have a direct impact on their development, if they have come from a lower social class they may not be able to afford resources that the child needs for their intellectual development and will have no spare time to read with the child or even play. Lots of families are unemployed and this comes with many disadvantages as it could affect their health and expectations to others arou nd them. Depending on where you can afford live could affect what school your child goes to and can get into, this could affect their intellectual development as they may not be able to get into a good school that youââ¬â¢d possibly have to pay for to get into. In a lower social class they may not be able to afford holidays or after school clubs/hobbies for example swimming and horse riding, this could affect their social development. Parentââ¬â¢s who have to work long hours may neglect their children quite a lot without even noticing, all children need to be shown lots of love and care to help their emotional development and bonding. Families in a higher social class may be able to send their children to educational games, sports and clubs which will help their physical and intellectual development. They would also be able to afford family holidays in which they could spend a lot of time with their parentââ¬â¢s and other children which will help their social development. Theories of development. Current practice and knowledge of development is influenced by different theories, an example of a couple of different theories are below: Cognitive Jean Piaget Piagetââ¬â¢s research suggests there are three basic elements to a childââ¬â¢s development, these stages include: 1.Schemas ââ¬â is the building blocks of knowledge children develop to help them problem solve 2.There are transitions a child may go through to, these processes help a child to move from one stage to another, the equilibrium, assimilation and accommodation 3.He then suggests there are four stages of learning the Sensorimotor, preoperational, concrete operational and the formal operational stage Piaget suggests the transition stages happen at different ages which are at 18months, 7 years and 11 or 12 years, he suggests that at these ages a child is more capable or learning new things and until that age they are not able to learn these new areas until they reach this age. He believes a child will learn at these stages from doing and trying things hands on. This is where there the foundation of the curriculum has come from. Lev Vygotsky Vygotsky takes a similar stance to Piaget whereby he suggests children learn from doing and trying thingss and being hands on. However he also believes it is important for the children to socialise with other children of different ages and adults as well as ensure children play and be active to help learn new things Humanist Abraham Maslow Manlowââ¬â¢s theory produced a hierarchy of needs, he suggests a child must be met to help the child develop and if these needs are not met the child might not meet there potential. Therefore when working with children we must consider the hierarch of needs to help the child meet there needs and in turn this will help them develop. Factors such as food, warmth, are cared for, encouragement and respect is some of the criteria Manslow says a child needs. It could be said a child centred approach follows Manslows theory. Social Learning/ Behaviourist Albert Bandhura Banduras theory suggests children learn from others, through copying and observing how others act, play and behave. Therefore saying it is vital a child has a positive role model to learn from. Burrhus Frederic Skinner Skinners theory looks at behaviour and how operant conditioning (reinforcement) which says that a childââ¬â¢s behaviour can be altered through reinforcement. He found that positive reinforcement such as praise when a child receives positive reinforcement they are likely to repeat the behaviour. Skinner found that if you respond to negative behaviour they are more likely to repeat the behaviour because they are getting attention but instead ignoring the behaviour of having a time out is more likely to prevent the child behaving negatively in that way again. Psychological Sigmund Freud Freuds theory suggests that you unconscious will communicate there thinking when they do something. For example when a child lies they will smile or put their hand over their mouths as if they are trying to hide the lie Frameworks to support development See EYMP 1 question 1 for information on the EYFS framework the main framework to support development. See CYP Core 3.6 question 6 for information on other frameworks to support development including the Common Assessment Framework (CAF) and the childrenââ¬â¢s services core assessment. 3.Explain how to monitor children and young peopleââ¬â¢s development using different methods. You may find it helpful to use work products to illustrate your answer e.g. child observations assessments frameworks. From observing children and young people you can determine how they are developing and whether they are behind for their age, observations will help identify this to help put measures in place to aid in there development. Through observations you can identify childrenââ¬â¢s strengths and weaknesses and therefore plan to help develop their weaknesses and build on their strengths. They will also identify the childââ¬â¢s likes and dislikes so activities can plan planned to expand their interests and doing something they like doing they are more likely to develop at a quicker rate than doing something they dislike as they wonââ¬â¢t be as interested in the activity. Observations will also help us pass on information to parents to the childââ¬â¢s progress and update the childââ¬â¢s profiles and learning journeys. Child profiles and learning journeys are a good way to evidence the childââ¬â¢s development and monitor how they are developing. Also asking the parents about their thoughts on the childââ¬â¢s development at home Also see EYMP 1 question 1 for information on the EYFS framework which must be used to monitor, assess the childââ¬â¢s development and look at moving their development to the next stage. 4.Explain the reasons why children and young peopleââ¬â¢s development may not follow the expected pattern. There are many reasons why a childââ¬â¢s development may not follow the expected pattern. These include a range of external and personal factors that influences development sees question two of this assignment for more information about these factors and why they might impact on the development as this question explains the social, economic, lifestyle, health, gender, psychological, behaviour and environmental factors that could mean a childââ¬â¢s development may not follow the expected pattern. A childââ¬â¢s development may be at the expected level for their physical and social development but may be below the expected level of development in communication. So a child may not be behind in all areas. A child may catch up with some support or it may just take them a little time to catch up and do it by themselves, others may not be able to due to physical or learning disabilities or emotional damage. Factors that may mean a childââ¬â¢s development may not follow the expected pattern include: â⬠¢The range of external and personal factors that influences development described in Question 2 of this assignment â⬠¢Cultural beliefs, traditions and having English as a second language â⬠¢A child not being stimulated and socialised â⬠¢Over protective children â⬠¢An older sibling in the family who does everything for the child and even speaks for them â⬠¢Learning disabilities including dyspraxia and dyslexia 5.Explain how disability may affect development. See CYP Core 3.7 for part of this answer. There are different types of disabilities that may affect development these include physical or learning disabilities. This may mean a childââ¬â¢s development is delayed in all areas or just one or some of the areas of developments. This could be because of the disability, because the setting is not experienced or set up to cope with the disability and/or because the child is subjected to discrimination this in turn may mean the child will not settle into the setting, feel different and lower their self-esteem and confidence. As a consequence of this there development may be affected. The disability may make cause delays in development as they physically canââ¬â¢t do something or there brain does not process information as it should, therefore sometimes there is little to do to ensure they are developing as you would expect a child too, however there is always something that could be done to stimulate the child physically and mentally even if it will not help them develop furth er. For example physiotherapy for a child in a wheelchair to get them moving and/or reading to a child functioning at a far lower ability such as cerebral palsy. For example if a child has dyspraxia they brain processes things differently and often they are immature and fine it difficult to decide what to do and in working out how to do it. They may also struggle with language and think about things differently. Therefore a child may struggle in understanding questions and activities, socialising, communicating what they are thinking and affect their development. All of these things can affect the childââ¬â¢s developments. If dyspraxia is diagnosed earlier there is a chance you can minimise a childââ¬â¢s development being delayed too much as measures can be put in place to help them be accepted by others and other methods of learning could be used to reduce the delay in development. A physical disability could be the child is paralysed and confined to a wheelchair; therefore making some of the common physical activities done in setting would be difficult for the child in a wheelchair which could mean a delay in physical development. The setting should think of inclusive physical activates for everybody to join in. A child in a wheelchair may feel different, labelled, and not accepted therefore can become withdrawn and not engaging in activities therefore all areas if there development may be affected. However if the child does fit, they may thrive in other development areas such as communication, social skills and fine motor skills but may find the gross motor skills difficult or due to the disability may not be able to certain physical motions such as kicking. 6.Explain how different types of interventions can promote positive outcomes for children and young people where development is not following the expected pattern. See assignment EYMP 5 questions 5 and 6 in particular as well as information in the following assignments:, CYP Core 3.3 question 23, CYP Core 3.7 question 4, 8, EYMP 4 question 5. 7.Show an analysis that explains the importance of early identification of speech, language and communication delays and disorders and the potential risks of late recognition. See assignment EYMP 5 question 3 for this answer as well as CYP Core 3.7. 8.Explain how multiagency teams work together to support speech, language and communication. See EYMP 5 question 4, EYMP 1 question 7 and CYP Core 3.6 questions 1 and 2 and CYP Core 3.5. The majority of services who work in a multi agency approach work together in the same way for better outcomes for the child whether this be to support speech, language and communication or to support children in need with issues of neglect. Therefore the above assignments cross referenced are relevant to speech language and communication. 9.Explain how play and activities are used to support the development of speech, language and communication Supporting the development and speech of language and communication is important to help the children learn how to communicate in different ways, pronounce words correctly and widen their vocabulary. An effective way of doing this with children is through play and activities and they encourage children to get involved as children enjoy playing and participating in activities especially if they are made fun. Play and activities usually involves more than one person whether this be a child/children and/or adults this will get the child to socialise with others to improve their social skills and in turn help improve their speech, language and communication. Play and activities i would do with children to support their development include: â⬠¢Role play this encourages imagination and using descriptive words and communicating with others and helps with listening skills and taking it in turn to speak â⬠¢Music time ââ¬â this helps them learn songs whilst doing movements and understanding what things mean such as ââ¬Ëwind the bobbin upââ¬â¢ gets the children to point to the windows, doors and clap their hands. â⬠¢Free play ââ¬â gets children to talk to others; ask for help, have conversations with other children and it helps them hear others talk. â⬠¢Afterschool time play ââ¬â When the school children come to the setting for afterschool care they love to play with the children of early years age and the younger children respond really well to this and young can see them developing when they are with them. This play helps the younger children with their speech and how to construct sentences â⬠¢Book use of books and flash cards to read and match words to pictures, to teach children sentences, listening skills, recognise words, repeat words and enhance their vocabulary â⬠¢Vocabulary Teaching children colours, shapes, words and doing this as part of an activity and getting them to repeat the words and i would use the different words throughout all activities to help them remembers. This could be an activity such as an arts and crafts activity or through puzzles. Activities will make it fun and the children are more likely to participate and learn. â⬠¢I give the children praise and make time to listen to them and encourage them to communicate. If they pronounce something wrong i do not tell them they are saying it wrong as i donââ¬â¢t want to knock their confidence but instead i just say the word after them correctly so they can hear how it should be said. 10.An explanation of how different types of transitions can affect children and young peopleââ¬â¢s development. See EYMP 5 question 5 and verbally in CYP Core 3.2 If the transition is a positive experience for the child they are more likely to settle in, be confident and therefore like being there which in turn will help them thrive in there development. Often when a child starts at a new setting it will take them a while to settle in as it can be a very stressful time for them this can often me there may be a slight delay in there development at the stage they are at or they regress and go backwards. However this is often short lived and when they settle into the setting they soon catch up. On some occasions they take longer to catch up or need extra support to help their development. Also when moving setting the children in the new setting may be at a different stage of development and of different ages therefore if a child or other children are behind in a particular area of development, this could have an impact on other children. This also works the other way round as the children may be ahead in development and encourage others around them to develop in areas at a quicker rate as they will learn from them. 11.Evaluate the effect on children and young people having positive relationships during periods of transitions. See assignment CYP Core 3.7 question 8, CYP Core 3.5 question 2 Positive relationships help reduce stress, help them feel more comfortable and stable. During the transition period the child will meet there key worker and spend time with them to help build up a bond with them so when starting at the setting they feel more secure and as the key worker will know the childââ¬â¢s likes and dislikes and will therefore when starting at the setting they will be doing things like which will help reduce stress and help settle them in. This in turn which reduce the risk of the childââ¬â¢s development suffering. With the parents/carers permission I help children with the transition from my setting to pre-school and/or school, to ensure the transition is smooth for the child and they form positive relationships I arrange with the setting to visit with the child a couple of times and meet there key worker to help prepare them for the transition. I also ensure that I am aware of the new settings routines so I can help them prepare the child for them.
Friday, September 20, 2019
Entrepreneurship And Its Wide Range Of Meanings Commerce Essay
Entrepreneurship And Its Wide Range Of Meanings Commerce Essay Entrepreneurship has a wide range of meanings. On the other hand an entrepreneur is a person who has a very high aptitude who pioneers change, possessing characteristics found in only a very small fraction of the population. Other definition, anyone who wants to work him or herself is considered to be an entrepreneur. The word entrepreneur is originated from the French entreprendre, which means to undertake. In business context, it means to start a business. The dictionary presents the definition of an entrepreneur as who organizes, manages, and assumes the risks of a business or enterprise. In the Schumpeters view of entrepreneurship who is an Austrian economist Joseph Schumpeters definition of entrepreneurship places an emphasis on innovation as the new product, new production methods, new markets, new forms of organization. Furthermore, wealth is created when such innovation result in new demand. From his point of view, One can define the function of the entrepreneur as one of combining various input factors in an innovative manner to generate the value of customer with the home that this value will exceed the cost of the input factors, thus it can generate the superior returns that result in the creation of wealth. In the context of, Entrepreneurship vs. Small business many people use the terms entrepreneur and small business owner synonymously. While they may have much in common, there are significant differences between the entrepreneurial venture and the small business. Entrepreneurial ventures are different from small businesses in these ways such as the Amount of wealth creationà which means, rather than simply generating an income stream that replaces traditional employment, a successful entrepreneurial venture creates substantial wealth, typically in excess of several million dollars of profit. Speed of wealth creationà which means, while a successful small business can generate several million dollars of profit over a lifetime, entrepreneurial wealth creation often is rapid, for example, within 5 years. Riskà which means, the risk of an entrepreneurial venture must be high or otherwise, with the incentive of sure profits many entrepreneurs would be pursuing the idea and the opport unity no longer would exist. Innovation which means entrepreneurship often involves substantial innovation beyond what a small business might exhibit. This innovation gives the venture the competitive advantage that results in wealth creation. The innovation may be in the product or service itself, or in the business processes used to deliver it. Background of the study / Problem statement. In discussing the challenges that entrepreneur face in this 21 st century, it is more helpful to divide them according to their age category or enterprise status. There are divided to 3 categories which is pre-entrepreneurs. This means, this being a probationer or transitional stage, the key challenge facing pre-entrepreneurs who are just starting out in life on their own is choosing what they want to do. White and Kenyon (2000) as warn that there is a danger in selling enterprise as the best option for everyone and forgetting that successful enterprise development begins with the initiative coming from young people themselves especially. Besides that, the challenges in facing the pre-entrepreneurs and potential entrepreneurs among them are the promotion of awareness of various career options and possibilities to start up a business. Young entrepreneurs especially womens in this category largely require awareness and understanding of what an enterprise is and what it takes to own and manage a business so that they can consider themselves as self-employment as a career option. As an entrepreneur they should decide whether explore further, or to start their own business, the second step is the provision of practical support services such as training, advice, access to finance. To start up a business for pre-entrepreneur it is likely to involve the few stages like, the Formative Stage which means, it is related to the various factors including environmental factors that can also influence the development to become an entrepreneur. At this stage, it is important to encourage young entrepreneur to acquire appropriate entrepreneurial skills, motivations, attitudes, attributes, behaviors, and values. Second stage is the, the Developmental Stage, which it is related more specific learning and targeted skill development that would prepare an individual to move to start-up a business venture. These are learning skills and strategic skills. Learning skills it is related to the ability of a person to acquire information, knowledge, and experience from the world around them that is relevant to their entrepreneurial success. And strategic skills relates to how a person sees the world around them, envisions what is desirable, and identifies entrepreneurial opportunitie s in the world around them. And the third stage is the Start-up Stage. In this stage it refers to the specific skills that are relevant for a successful entrepreneur who is looking to advance an entrepreneurial venture to a period of growth and expansion. These are tactical skills for start-up. Tactical skills are important to conceptualizing a business, developing a business plan and establishing a business. The start-up stage also requires access to credit or finance for youth entrepreneurs. Besides that there is also few types of entrepreneurs which is the Budding entrepreneurs. These is for the young people who are just starting to run their own business. The challenge facing these young person is to increase the rate of survival and success in new businesses .This also means that budding entrepreneurs have a different set of needs from those of pre-entrepreneurs and potential entrepreneurs. They also need to manage the expansion of their businesses, and this make theier needs are largely revolve around by learning and knowing the ,Tactical skills for Growth, these are skills that are important to move a business into a period of growth. They include business management, management of business finances, time management, stress management , improving sales, managing and reducing costs , marketing, recruitment by able to employ the right person at the right place, and risk management. Next is the Emergent entrepreneur, where the needs of emergent entrepreneurs who are aged 26 years and above and different from those of lower categories of youth proprietors. Many of the emergent entrepreneurs, especially those operating in low income markets, are likely to be running enterprises that are not growing, with only very few graduating to the formal sector. The major challenge facing these young adults is to transform their small business into commercial and competitive businesses. By doing that, they need to have few skill which involve the Tactical skills for Growth and transformation. By using these skills it recognizes the certain skills which are important for the entrepreneur to have, while others can employ. From the survey, I have found that these skills can be divided into two which is the skills one should have where it involves the interpersonal and team building and also involve leadership. Next is the skills one can employ, means is is more to specialized marketing, record keeping, and information management. Research objectives / Scope of studies. From the research that we are finding which is on the Challenges of Women Entrepreneurs in Malaysia, is that we have found that in the 16 countries in Malaysia, most of the women entrepreneur came up from their own family business, where they took over from their parents or family. Some of the women entrepreneur also came up by doing small business like becoming a florist, bakery shops, and so on. Most of the entrepreneurs are educated and some are average having a SPM cert. Some women came up by having degree in Entrepreneurship progrmmes by scoring well and they somehow learnt about business by education. Compare to men, the challenges for women to come up as an entrepreneur is very hard because of many factors. For example, they family itself, they dun give support to them to open up a business and if it is a man the family would always give them way because he is man and they are the lead of the family. Whereas, women are mostly known as housewife in Malaysia. To become and entre preneur financial crisis might also occurs when a person dont have a business or any income background before for them to apply a loan in bank and so on. It is hard for them to start up a business without any modal in their hands. And next is, some womens who comes from an average family at times are lack with useful information to start up a business and how to manage a business. This could also be a challenge for them to try in a business. Some womans are also weak, by making a decision where before this they are more dependent to their husbands and it is hard for them now to make a decision in a big matters like bringing up the business to a level higher than before and so on. To examine these problems, research can be conducted by researches to find out the factors that are holding back the woman to becoming successful entrepreneurs. For example, the factors as said above it could be family factors or back ground, education level, and level of information about opening up a business for their future benefit. And it could also be , where women are afraid to make a decision in a matter or either they are not the risk taking persons. And the culture of certain individual could also be the factors. To identify the culture factors, we can see it in the Indian family especially, where some of the parents dont like the girls in the family doing big jobs like taking care of the shops or either they sometimes get married in the early age. This matter always happens in the low average family, this could also be the challenges or factors affecting the Malaysia entrepreneurs. Some of the woman is affected by the inner value of them also, where it is in born with them since small where the soft side of the women . For example, if there is a problem or issue occurs in a business, they dont know how to habdle it and they might give up easily without even making or coming up with a concrete reasons or decisions. To overcome all this problems , womens should start to learnt the meaning of business by starting or trying to start with small business like selling groceries, flowers, tit bits, cloths and so on. By learning with the small business, they could learnt about business how it works and when there is a problem occurs they know how to faced it. Some womens who are knowledgeable in this filed they some came up very fast for example there is few women entrepreneurs of small business nowadays. This could motivate many others to become an entrepreneurs.
Thursday, September 19, 2019
A Magical Forest Essay -- Papers
A Magical Forest The sun is high above me and I walk into the forest in front of me, which I hear calling me. I hear birds chirping and twittering, singing a song. This makes me wonder about birds and where their songs come from. How ancient the song I am hearing really is. As I take a step into the forest, I notice at first the trees, stretching high above the ground, as if in competition with one another, to see who will reach the sky first. Their roots are long and strong, going deep under the ground, indicating that they have lived in the area for a long time, for centuries. As I look up, I notice first their leaves. Although they are green, they have a tinge of gold reflected in the sun making them bright and radiating their light around the forest. Looking down the tree, in the day of the forest, I can see a faint glow. I see that the colour of their thick, soft trunks is different from the common tree. They are silver, reminding me of the winter cold. The scent in the air is of the soil and the trees, and the flowers that grow in the fields and seep in from around the forest. The elfin, unusual flowers that grow within the forest can also be smelt. There is a pure scent in the air. Never smelt by a human in today's day and age, as there is too much pollution and chemicals in the air. I feel tempted to walk up to the tree and feel it. As I reach out my hand and stroke the trunk, I realize that it feels smooth as if I had been stroking a baby's cheek. The feeling is beautiful and relaxing. As I look down, I see flowers that I have never seen before. They have unusual colours, never seen before; taking on extraordinar... ...strength of love to enfold you. A love that will last within your heart and make you experience even the devils love. The whole feel of the changes in the forest and what I saw and smelt makes the experience rare and unique, and heavenly to feel. The taste that is left in your mouth from a fruit off one of those trees is sweet and warms up your insides leaving you happy and content. It fills you up and is a good replacement for both food and drink. If you walk into the forest in distress, you walk out of the forest in peace. As you enter the forest, you enter a morning of gold. As the night embraces the forest, you see a night of silver. That is where I wish to go. There, where all living beings are in peace and provide love for each other, like the stars that shine vibrantly in the sky, cheerful and welcoming. A Magical Forest Essay -- Papers A Magical Forest The sun is high above me and I walk into the forest in front of me, which I hear calling me. I hear birds chirping and twittering, singing a song. This makes me wonder about birds and where their songs come from. How ancient the song I am hearing really is. As I take a step into the forest, I notice at first the trees, stretching high above the ground, as if in competition with one another, to see who will reach the sky first. Their roots are long and strong, going deep under the ground, indicating that they have lived in the area for a long time, for centuries. As I look up, I notice first their leaves. Although they are green, they have a tinge of gold reflected in the sun making them bright and radiating their light around the forest. Looking down the tree, in the day of the forest, I can see a faint glow. I see that the colour of their thick, soft trunks is different from the common tree. They are silver, reminding me of the winter cold. The scent in the air is of the soil and the trees, and the flowers that grow in the fields and seep in from around the forest. The elfin, unusual flowers that grow within the forest can also be smelt. There is a pure scent in the air. Never smelt by a human in today's day and age, as there is too much pollution and chemicals in the air. I feel tempted to walk up to the tree and feel it. As I reach out my hand and stroke the trunk, I realize that it feels smooth as if I had been stroking a baby's cheek. The feeling is beautiful and relaxing. As I look down, I see flowers that I have never seen before. They have unusual colours, never seen before; taking on extraordinar... ...strength of love to enfold you. A love that will last within your heart and make you experience even the devils love. The whole feel of the changes in the forest and what I saw and smelt makes the experience rare and unique, and heavenly to feel. The taste that is left in your mouth from a fruit off one of those trees is sweet and warms up your insides leaving you happy and content. It fills you up and is a good replacement for both food and drink. If you walk into the forest in distress, you walk out of the forest in peace. As you enter the forest, you enter a morning of gold. As the night embraces the forest, you see a night of silver. That is where I wish to go. There, where all living beings are in peace and provide love for each other, like the stars that shine vibrantly in the sky, cheerful and welcoming.
Wednesday, September 18, 2019
The Effectiveness Of The Opening To Hamlet Essay example -- essays res
Hamlet is launched extremely well because there is no long drawn out introduction to the plot. The story begins almost immediately with a brief yet concise 5-scene Act entailing the state of affairs within the Court of Denmark. Each scene contributes to the overall exposition significantly and Act 1 effectively captures the interest of the audience, introduces the key characters, establishes the conflicts and creates and maintains the dominant atmosphere of the play. In Act 1 ââ¬â Scene 1, the audience is instantly shocked into interest by the exchange of short, sharp speeches between the very nervous sentries of the castle. What follows is the audienceââ¬â¢s discovery of the frequenting appearance of a Ghost and the sentriesââ¬â¢ plans to have Horatio, a scholar, attempt to communicate with it. The setting for this scene is atop a castle, resting upon cliffs high above the ocean. It is midnight, creating a more sinister atmosphere, apt for following story and the medieval time period to which it is set. When the ghost finally appears to Horatio and the others, the audience discovers through their inferences that the ghost has a strong likeness to the late King Hamlet of Denmark. The conversation that follows gives the audience a brief understanding of the current situation in Denmark, involving the details of preparations for war and revelations of conflict with Fortinbras of Norway. Scene 1 therefore serves as part of a good exposition in that it: Captures the interest of the audience with the short stabs of nervous speech between the sentries, It introduces the characters of the Ghost, the sentries (Marcellus, Barnardo, Francesco) and Horatio, It establishes the situation with Fortinbras and the appearances of the mysterious Ghost as points of interest and future conflict, And it contributes through mood and setting to the dominant atmosphere of tragedy within the play. Scene 2 jumps to within the castle, where the court mourning for King Hamlet has seemingly just finished and the newly appointed King Claudius is apparently making his first address to his nobility. During this gallant speech, the audience becomes informed that Claudius has married Hamletââ¬â¢s mother, Gertrude, rather hastily after King Hamletââ¬â¢s death ââ¬â attention is then drawn to Hamlet, still in deep mourning for his father. He drifts into a soliloquy where he contemplates the act of suicide rat... ...escribes how the murder was performed and implies a plan for revenge to Hamlet involving the feigning of insanity. This scene serves as part of a good exposition in that it deeply captures the attention of the audience with the stunning revelations of Claudiusââ¬â¢ deceit and betrayal of his own blood. The conformation that the ghost is Hamletââ¬â¢s father is what first grabs the audienceââ¬â¢s attention. The exposà © that follows ensures their captivation within the plot. The scene establishes the impending conflict that will occur between Hamlet and Claudius later on in the play, due to the light that the ghost has just thrown upon Claudiusââ¬â¢ integrity. The scene contributes to the dominant tragic atmosphere in that there is the realisation that seeing as Hamlet is now on a quest for revenge, there is only one way in which it can end ââ¬â death, which is tragic in itself, but made out to be more so in the play. Act 1 effectively captures the interest of the audience, introduces the key characters, establishes the conflicts and creates and maintains the dominant atmosphere of the play. Each of the 5 scenes contribute significantly to the overall exposition which launches the play extremely well.
Tuesday, September 17, 2019
Periodic Performance Review
Periodic Performance Review A Periodic Performance Review is a compliance evaluation instrument used to assist organizations with their ongoing observation of performance and routine development actions. The PPR is an outlines for constant standards compliance and concentrations on the direction and processes that affect patient safety and care. Noncompliant Trends The Joint Commission medical staff standards defines evaluation standards, the commission pushes hospitals toward unbiased and evidence-based decisions in credentialing and privileging. In this scenario the rules and policies are clearly mapped out, yet they are not being properly followed. The verbal order audit results seem to have no consistency. These standards now outdate a lot of hospital policies and practices prevailing equally internal and external peer review, and call for a comprehensive revision to comply with Joint Commission performance evaluations. The month of March is the highest, while August is the lowest month. The months in between were about the same from eighty-two to eighty-eight. The issue that needs to be address is what took place between March and August. After carefully looking over the charts provided for both 3 & 4-east, there isn't a huge indicator that supports the similarity for falls vs. nursing care hours per patient. November and April were the only two months that a noticeable improvement was made, meaning the nursing hours increased and the falls decreased. Although, the very next month the falls increased drastically, it went from two to eleven falls, while only one hour was increased. Staffing Patterns The safety and quality of patient care is honestly correlated to the size and experience of the staff. These working conditions have deteriorated in this facility because the hospitals have not kept up with the growing demand for medical staff. The Joint Commission along with some state regulations measures some bare minimum level of staffing that all hospitals must meet regardless of the types and severity of patients. Pressure ulcer prevalence vs. nursing care hours was more of a parallel comparison, as the staffing hours increased the pressure ulcer prevalence decreased. While the intensive care unit was very noticeable in relating the falls vs. ours. In September when the nursing hours per patients dropped it was evident that the number of patient falls increased and they came was with VAP vs. hours. The corrective action plan should take this data into consideration to improve the staffing model, to also decrease patient falls which was be shown through this root cause analysis. The hospital requires at least one fire drill per shift per quarter. It seems that only the 1st shift is in compliance. Both the 2nd and 3rd shift have no rhyme or rhythm to how they are conducting the fire drills. This needs to be address immediately by a member of management. Also, a manager or assistant should be required for scheduling the fire drill and must sign off on completion. Moderate Sedation Monthly Audit is overall in the ninety percentile there are still many areas for improvement. Any of the area that was below the ninety marks is an area for opportunity. Such as Mallampati Classification, ASA, Sedation Plan. Reassessment, and oxygen saturation monitored for thirty minutes, all of these area were below ninety percent for all for quarters. Therefore, itââ¬â¢s a trend that needs to be addressed. The number of falls in the 4-East wings is disturbing when itââ¬â¢s put next to the targeted number, this is unacceptable. A substitute process that has the possibility to improve staffing issues and improve payment to hospitals would be to frankly connect the costs and billing for inpatient health care with hospital reimbursement. The action plan needs to provide that appropriate equilibrium and to make sure that the correct nurse is providing the right care to every one of the patients. Staffing Plan There are two sides to the staffing issues. One side would be the nurses point to confirmation linking quality patient care to higher nurse-to-patient staffing ratios. While the other side would be hospital economic teams are being asked to discover ways to improve manage costs in expectation of declining expenditure under health development. The argument is not new. Nursing and financial management have had long debates on how to staff efficiently and make certain the right number/mix of nurses to meet patient needs. An action plan needs to be put into place and monitored extremely closely by a member of management. There is no reason why they actually and targeted number are so off track. A patient care assistant should be there to assist patients with movements, especially for those patients who have a history of falls or injuries. Reviewing the overall hospital falls and injuries I noticed that itââ¬â¢s closer to the targeted number, but there are still many areas for development. The suggestion is that hospital must address conflict of interest when credentialing, privileging and conducting peer reviews of physicians. |
Subscribe to:
Posts (Atom)