Tuesday, August 6, 2019
Love Emerson Transcendentalist
Love Emerson Transcendentalist The broken-hearted can only be mended by love just as only love can change a mans heart; enemies can become friends only through love just as only love can soften the hardest of hearts. In this way, Emerson, as a transcendentalist, portrays love as being a necessity in life; every man wishes, desires, to be loved. For this reason, the world would benefit from showing love to everyone as it causes mankind to care for others, to encourage joy in others. It is something that comes from deep within the soul and if the world experienced more love, humanity would be willing to expand their mind to accept the differences in others. No matter how humans differ from each other, whether by color of skin, religion, or social status, they all deserve love. In ââ¬Å"The Transcendentalist,â⬠Emerson writes that human beings have a ââ¬Å"great wish to be lovedâ⬠(3). Every person wishes to be loved; they want to be desired and cared for. Erich Fromm describes love as the ââ¬Å"only sane and satisfactory answer to the problem of human existence.â⬠If everyone felt loved and also gave that love to everyone else, the world would be crime-free. Hate crimes, thefts, murders, and even suicides would not occur; it would be ridiculous to hurt the ones we love. People would see each other as equalsââ¬âblack, white, brown, red and yellow would be seen all the same as they are loved. There would be no need to prosecute those with different belief systemsââ¬âthe world would be willing to understand them because of the love they share; burglaries would not occur because the affluent would care enough to gi ve those less fortunate the money they needed; there would be no killing because no one wants to kill the ones they love; and there would be no suicides because they would be lovedââ¬âand to be loved is a feeling that suppresses all depressed and melancholy feelings. Without love, the existence of humanity would be pointless, as ââ¬Å"a life without loveâ⬠(Emerson 4) is ââ¬Å"an activity without an aimâ⬠(Emerson 4). Old or young, poor or rich, all mankind deserves to be loved. Love pours out from our spirits causing others to feel the happiness we bestow upon them. However this love only works if we love everyone and accept their differences. ââ¬Å"When it [the soul] flows through his affection, it is loveâ⬠(Over-soul 2). If the world allowed their souls to show, love would flow and affections would be shown. However, we cannot allow ourselves to get caught up with the differences of others but accept them for who they are. Emerson writes, ââ¬Å"if you can love me for what I am, we shall be the happierâ⬠(Self-Reliance 6). If the world loved everyone for whom they are, color and religion pushed aside, happiness would come forth, bringing about even more feelings of affection. The world needs this love because everyone should have the opportunity to feel loved and to feel joy. If we let this love flow from within us, we have allowed others to be shown the love we feel for them. This causes them to feel pleasure at being loved, and makes them fo rget about their race and their religion. Without love humanity is nothing; we feel nothing and care about nothing. Even though in the world, there is love, it is important to show our love to others; we need to increase the amount of love in the world so that others feel accepted and welcomed. Transcendentalists believe in individuality and originalityââ¬âinstead of treating others differently because everyone else does, the world needs to rise above and love them just as they love themselves. This way we can treat everyone with the same respect and give them the love they deserve; the love that every man desires. Through love, we can change the world.
Monday, August 5, 2019
Analysis of the Public Health User Fee Reforms in Malawi
Analysis of the Public Health User Fee Reforms in Malawi RESEARCH PROPOSAL Research title: The political economy analysis of the implementation of public health user fee reforms in Malawi. BACKGROUND AND BRIEF LITERATURE REVIEW The economic crises of the 1970s and 80s led many countries to undergo structural reforms that called for reduced public expenditure for basic services. The reforms resulted in the introduction of cost sharing on the part of beneficiaries (Lucas 1988). In several countries, user fees were imposed as a means to address recurrent costs problems and an extra source of revenue for previously ââ¬Å"undervaluedâ⬠services of professional providers. Countries responded differently to the introduction of user charges depending on domestic political risk and institutional capacity to efficiently administer the fees. With the reforms, public financing of health declined in many countries, and in some cases, private service providers seized the opportunity to fill the gap (Romer, 1986). Although the involvement of private service providers helped to meet demand for those able to pay, it limited access of the poor to the same services due to the prohibitive costs. Over the past ten years, research on economic growth has demonstrated that human capital is a powerful force in the development process (Becker 1990). In consequence, a sustained increase in this form of capital is crucial for poverty reduction in low-income countries and for an ever rising standard of living. Health is one of the commonly used proxies for human capital an unobservable magnitude or force that is part and parcel of human beings (Schultz 1960). Developing countries are struggling to improve the lives of people living in both rural and urban areas. The big challenge in these countries is lack of resources and problems in allocating the scarce resources. Various governments have prioritized different sectors depending on the needs and demands of the people. Some have prioritized primary education and agriculture while others have prioritized mining and health sector. Developing countries have come up with different interventions purposed to cushion people and be able to manage the risk. Some interventions have taken the form of subsidy while others have taken the form of user fee exemption to mention but two (Schultz 1961). These interventions sometimes are driven by politics, that is why for one to effectively intervene needs to understand the interplay of politics and economics in the developing countries. Depending on policy makers, some would prefer to implement subsidy programmes while others would have user fees exemption or both. User fees are charges one pays at the point of use. The stated interventions are good for the people but to the larger extent over burden the already struggling economy of the developing countries, (Litvack et al 1993). Consequently, government sectors suffer due to being underfunded which has resulted to poor service delivery defeating the whole purpose of subsidy or user fee exemption. Some countries, thus, they have resorted to meet the deficit through the introduction of user fees. For example, in respective of health for all, Malawi government offers free public health services to everyone in the country (ibid). Through observation, the public health services in Malawi particularly those in bordering districts such as Mchinji, Nsanje, Mwanza and Mulanje face very stiff competition on health resources because the hospitals in these districts serve even those from the neighboring countries such as Zambia and Mozambique. Currently with the growing population, government is failing to meet the demand of the free public health services which is manifested through the lack of medical resources in the hospitals. Lack of resources might be because the government has a limited tax base to finance the public health services. For instance, in Daily Times of 18th August, 2014 carried a story that Kamuzu central hospital had suspended all the booked surgeries because the hospital had no medical resources required to carry out operations in the theaters. Burns unit department also suffered the same. In such circumstances the introduction of user fee in public hospitals becomes not an option but a necessity. The user fees may therefore, help in three aspects within health service sector: improving efficiency by moderating demand, containing cost, and mobilize more funds for health care than existing sources provided PROBLEM STATEMENT The aim of free public health services in Malawi was to bring equality and equity in accessing health services. It has been argued that with user fees in accessing public health services, the poor people could be disadvantaged. Axiomatically, healthy people make healthy nation and participate actively in the development activities. Defeating the aim of free public health services, it is the same poor people who are now struggling while the better off and even politicians use the private hospitals. Every person has got the right to good quality health, but the poor people in Malawi are now voiceless and spend painfully on the services that were meant to be free. The situation begs a question that are the public services in Malawi really free at all when a person is told to buy aspirin tablets in private hospitals or pharmacies while the public hospitals have given the medicine to undeserving individuals such as those coming from other neighboring countries e.g. Mozambique just because public hospitals in Malawi are free. Poor people are also voiceless and lack responsibility on the hospital resources for it is given to them for free. Hospital workers have been frustrated because their working environment is not conducive since they are forced to work even when they do not have resources and are sometimes frustrated due late or nor payment at all for the extra hours rendered. Provision of quality health services is one of the social indicators of development. However, looking at the persistent resource shortages in the public health sector, Malawi as a country is far behind the expectation. Optionally, national policy makers in some countries such as Kenya and Mozambique thought to enlarge government revenue base through the introduction and implementation of user fee with an aim of improving services, for example, by improving drug availability and the general quality of health care and extending public health coverage. Therefore, the current study aims at undertaking the political economy analysis of the implementation of public health user fee reforms in Malawi. The study will be guided by the following sampled questions: What are the challenges towards the implementation of public health user fees in Malawi? What is the reaction of policy makers towards public health user fee implementation? Is user fee good option to finance public hospitals Can Malawi manage to embrace user fee policy (in terms of attitudes, willingness and capacity) How much is raised from the paying ward in the central hospitals, are the services different from the non-paying ward? If they are different, how do they differ? And how is money used. Has it brought any change? What are the problems that public hospitals meet? OBJECTIVES Main objective: to undertake the political economy analysis of the implementation of public health user fee reforms in Malawi. SPECIFIC OBJECTIVES Exploring the historical discourse of public health user fee in Malawi. Determining the reasons of government failure to introduce and implement user fee in public hospitals. Analysing how people have been deprived of good health services through free public health services in Malawi. Comparing the challenges in managing the resources faced in the CHAM hospitals and public hospitals. Analysing stakeholdersââ¬â¢ attitude, willingness and ability to embrace public health user fee implementation policy. HYPOTHESIS Poor quality of public health services can motivate public willingness to pay towards some improvement of the services Inadequate funding leads to poor public health services in Malawi Malawians are deprived of quality public health services through free public health services. User fee reform in public health services can lead to efficiency and equity in public health resources in public hospitals. Politicians wish to introduce public health user fee reform but are deterred by the fear of losing popularity METHODOLOGY STUDY DESIGN AND METHODS The study will mainly use qualitative descriptive and analytical cross sectional approach. Objective 1 and 2 on public health user fee trend and government failure to introduce and implement the same respectively will use qualitative descriptive approach. Whilst objectives 3-5 on analysis of peopleââ¬â¢s deprivation of good health, comparison of challenges in managing resources and analysis of stakeholderââ¬â¢s attitudes respectively will employ qualitative analytical approach. STUDY SETTTING The study will take place in Malawi, population n of people; the ministry of health headquarters in Lilongwe, Malawiââ¬â¢s four central hospitals, n number of district hospitals n community hospitals and n health centers. There are also CHAM facilities, private hospitals and NGOs (both local and international) that support health system. The study will focus in all central hospitals because they provide tertiary management care. The ministry of health, because it is the headquarters, some selected CHAM facilities in four regions and few selected NGOs in Malawi. TARGET POPULATION Objective 1-2 will target key informants at the headquarters and in the central hospitals and the reviews of available literature in Malawi. Objective 3 will target the discharged patients in the central hospitals and some community around the selected hospitals. Objective 4 will target the health workers in CHAM and central hospitals. Objective 5 will focus on key informants in NGOs which work with health sector. SAMPLING STRATEGY Since the study will employ qualitative design, hence, participants will be selected purposively. DATA COLLECTION PROCESS Before data collection, consent will be obtained from the ministry of health head-quarters and all in-charges of the facilities where the study is going to take place. The research will be explained to the participants to seek their informed consent. Data collection tools will be pre-tested, these will include interview guide for 1) discharged patients to find out any deprivation of their care, 2) health care workers to assess the challenges in resources 3) key informants to analyse their attitudes. And checklist to assess challenges faced by health care workers and patients deprivation of care. ETHICAL CONSIDERATION In carrying out the proposed research, the concept of research ethics will not be ignored. All people involved in this research will have to give consent. No one is going to participate against his or her will but the research would prefer to have full participation from the participants and not partial. Attention will be deployed to make sure that peopleââ¬â¢s rights are not violated through this research. Participants will be told the aim of the research and everything crucial so that they should be able to give informed consent. Participantsââ¬â¢ identity will not be revealed in the data presentation and analysis. However, upon request, some participants predominantly NGOs will have the copy of the research findings. DATA MANAGEMENT Data will be transcribed from Chichewa to English then themes will be developed from which quantitative data will be analysed while quantitative part will be managed by SPSS. Data will be kept confidential unless strict measures are taken to access the same. PRESENTATION OF DATA The data will be presented through quotes and where necessary tables and graphs will be used for the part of quantitative. THEORETICAL FRAMEWORK The nature of the research demands SIDAââ¬â¢s Power Analysis framework. The introduction and implementation of public health user fee involves power of various stakeholders who have different powers of influence. The research then aims to analyse and gauge how much power Do these stakeholders have towards the introduction and implementation of user fees in public health services, (Shaw RP et al, 1995). SIDAââ¬â¢s power analysis focuses on understanding structural factors impeding poverty reduction as well as incentives and disincentives for pro-poor development. Thus, health sector is a hub to development of which the poor have to be targeted. SIDA power analysis tool also serves to stimulate thinking about processes of change in terms of what can be done about formal and informal power relations, power structures and the actors contributing to it. The framework seeks to either deepen knowledge, facilitate dialogue, foster influence or feed into policy developing and programming of which in this case will be the introduction and implementation of user fee in public hospitals (Shaw RP et al, 1995). In the same vein, political economy analysis also looks at the interaction of formal and informal institutions. The collected data will also be subjected to the critical analysis under the interaction of informal and formal institutions (ibid). 8.0 JUSTIFICATION OF THE RESEARCH The current research is of paramount importance to the people of Malawi. The study will facilitate the improvement of public health services throughout Malawi. The big problem in the health sector is inadequate resources, consequently, the research is purported to carry out analysis of how public health user fee can be an alternative to financing public hospitals. The improvement in public health services entails healthy people who can actively participate in development activities. The success in the implementation public health user fee will help not to over burden the government because public health hospitals will be able to meet some needs through user fee, hence, the government will be able use the part of budget allocated to the health sector in other sectors of priority. The study will provide an insight of development health sector and bring satisfaction to people especially those who use public health services. The study assumes that if the public health user fee reform is implemented, people will access the services of higher quality compared to the current situation in which patients are told to buy the prescribed medication in the private pharmacy because hospitals have no medicine. In this then, the implementation of user fee reduces the cost of accessing public health services in Malawi. No country can develop if the health services are poor. The vitality of the current study cannot be over emphasized, if it will be well done, Malawi as a country will register good health and social development. REFERENCES Becker, Gary (1991). A Treatise on the Family. Cambridge, Massachusetts, Harvard University Press. Lucas, Robert, E. (1988). On the Mechanics of Economic Development. Journal of Monetary Economics 22(1): 3-42. Pritchett, Lant and Lawrence H. Summers (1996). Wealthier is Healthier. The Journal of Human Resources XXX(4): 841-68. Schultz, Theodore W (1960). Human Capital Formation by Education, Journal of Political Economy 68(6): 571-83. Schultz, Theodore W (1963). The Economic Value of Education. New York: Columbia University Press. Schultz, Theodore W (1961). Investing in Human Capital. The American Economic Review 51(1): 1-17. Romer, Paul (1986). Increasing Returns and Long Run Growth. Journal of Political Economy 94. Shaw RP, Griffin C. (1995), SIDA power analysis Washington DC: World Bank Sophie Witter (2010) Mapping user fees for health care in high-mortality countries: evidence from a recent survey ; HLSP institute Audibert M, Mathonnat J. 2000. Cost recovery in Mauritania: initial lessons. Health Policy Plan: Chawla M, Ellis RP. 2000. The impact of financing and quality changes on healthcare demand in Niger. Health Policy Plan: 76-84. Lucy Gilson ()The Lessons of User Fee Experience in Africa Center for Health Policy, Department of Community Health, University of Witwatersrand, South Africa, and Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, United Kingdom. Litvack J, Bodart C. ( 1993) User fees plus quality equals improved access to health care: results of a field experiment in Cameroon. Social Science and Medicine. Mbugua JK, Bloom GH, Segall MM (1995). Impact of user charges on vulnerable groups: the case of Kibwezi in rural Kenya. Social Science and Medicine. Moses S, Manji F, Bradley JE, Nagelkerke NJ, Malisa MA, Plummer FA (1992). Impact of user fees on attendance at a referral centre for sexually transmitted diseases in Kenya. Lancet
Sunday, August 4, 2019
The Pain of Growing Up Essay -- Personal Narrative, essay about myself
My family and I all stood in a circle on the second story of a parking garage, dreading the moment that was to come, but hiding our true feelings for the time. It was time for us to leave my brother by himself at college, and let him begin his individual adult life. We had known about this day for weeks. I often joked with my brother about it, telling him how great it would be to finally get him out of the house so I could take his room. Sometimes, we would start to grow sad about his leaving, but then reassure ourselves that we would still see plenty of each other, if not too much. That superficial thought had remained in my mind all the way until that tearful moment when it was finally time to say goodbye. As I stood in that cold parking lot, staring at my sibling, all my previous notions of college were smashed. I had always viewed it as a sort of extended summer camp. You go there for a while and you have fun doing whatever you do at college and when you come back at the end, it is great to see your family again, and you say goodbye to all your camp friends and h...
Saturday, August 3, 2019
Adaptation of Renewable Energy Essay -- Renewable Energy
Renewable energy is generated from natural resources such as sunlight, wind, rain, tides, and geothermal heat. On October 5, 2010 the U.S. Department of the Interior (DOI) approved the first sizeable solar energy plants to be built in California which will be divided into two developments totaling 6,800 acres of public land. This project is estimated to last 30 years while generating almost 1,000 new jobs. The solar energy technology that will be used in Californiaââ¬â¢s Imperial County is called the sterling energy systems SunCatcher technology. It will require 28,360 solar dishes and will produce approximately 709 megawatts which will provide electricity to 212,700 to 531,750 homes. The second project is called the Chevron Lucerne Valley Solar Project and will use solar photovoltaic technology in San Bernardino County using 40,500 solar panels, producing 45 megawatts, and powering 13,500 to 33,750 homes. Another project planned for the San Bernardino County will use parabolic m irrors and create 250 megawatts of power. There are several solar power projects still awaiting DOI approval, such as a 1000 megawatt blythe solar power project consisting of a parabolic trough facility. This is slated to be the worldââ¬â¢s biggest solar power plant. Companies who work on renewable energy projects receive credits from The American Recovery and Reinvestment Act. ( EERE Network News) More countries are putting the transformation of solar power into electricity high on their ââ¬Å"political agendaâ⬠(Solar Energy). In America, less than one percent of electrical use is powered from solar energy. European countries however, are eager to use solar power and promote that by making utility companies purchase expensive solar power at a fixed cost. The leadin... ...will decrease as it has slowly started to do. There are many countries in the world that was to cut down on the amount of carbon dioxide that is released into the air and the more countries that get on board with that then they sooner the world will start switching over. There is still a long way to go before renewable energy can become the dominant energy source. Works Cited EERE Network News. Interior Department Approves First Solar Energy Projects on Public Land. 08 10 2010. 13 12 2010 . Fife, Mike. "Solar Power." Solar Power Reliability and Balance-of-System Designs 14 10 2010. Pebbles, Victoria. "Siting Wind Farms in the Great Lakes Region: Policy Summary and Analysis." Siting Wind Farms in the Great Lakes Region: Policy Summary and Analysis 15 10 2010. "Solar Energy." Solar Energy. New York: New York Times, 1 4 2010.
Friday, August 2, 2019
An Increased Understanding of Neurobiology :: Neurobiology Biology Health Essays
An Increased Understanding of Neurobiology It is a beautiful day outside, the person you care about just told you they feel the same way, you paid all your bills and still have money left over, and you finished all your work on time, yet you are still in a very crabby mood. Or, it is an awful day out, you just failed an exam, you have a ton of work to finish in too little time, and you were just dumped, still you have a feeling of well-being that you cannot change. We have all been there, our emotions seem to have a mind of their own and we do not know why we are feeling what we are feeling. Philosophers, psychologists, and science fiction writers have been debating the usefulness of emotions for centuries, still we continue to experience them and deal with them as part of our existence as human beings. Neurobiologists have preferred to take the tactic of looking at emotions as something we experience, thus something that should be studied. This tactic has led to some interesting evidence in terms of the usefulness of emotion in our everyday life. Some have found that experiencing the variety of feelings that we do might help in our ability to remember things and in learning about the world around us. If it is the case that emotional information does help us when we remember things and learn, then how do emotions work in the brain? There have been found to be some key structures, each playing a role in the way we experience emotions and what kind of moods are experienced. Still, with all of this information, we still have emotions that we cannot explain given our everyday experience. The increased understanding of neurobiology that we have can be used to explain why we feel what we do, even when the external world cannot. It had long been thought that any research into emotion was a waste of good research efforts. There were many reasons for this, but primarily the idea was that emotions were not scientific enough for science. As time and methods have changed, so has that attitude and now emotions are looked at with slightly more respect and less apprehension about their not being rational. (1) This change in attitude has led to people finding that emotions might actually lead to somewhat useful things. An Increased Understanding of Neurobiology :: Neurobiology Biology Health Essays An Increased Understanding of Neurobiology It is a beautiful day outside, the person you care about just told you they feel the same way, you paid all your bills and still have money left over, and you finished all your work on time, yet you are still in a very crabby mood. Or, it is an awful day out, you just failed an exam, you have a ton of work to finish in too little time, and you were just dumped, still you have a feeling of well-being that you cannot change. We have all been there, our emotions seem to have a mind of their own and we do not know why we are feeling what we are feeling. Philosophers, psychologists, and science fiction writers have been debating the usefulness of emotions for centuries, still we continue to experience them and deal with them as part of our existence as human beings. Neurobiologists have preferred to take the tactic of looking at emotions as something we experience, thus something that should be studied. This tactic has led to some interesting evidence in terms of the usefulness of emotion in our everyday life. Some have found that experiencing the variety of feelings that we do might help in our ability to remember things and in learning about the world around us. If it is the case that emotional information does help us when we remember things and learn, then how do emotions work in the brain? There have been found to be some key structures, each playing a role in the way we experience emotions and what kind of moods are experienced. Still, with all of this information, we still have emotions that we cannot explain given our everyday experience. The increased understanding of neurobiology that we have can be used to explain why we feel what we do, even when the external world cannot. It had long been thought that any research into emotion was a waste of good research efforts. There were many reasons for this, but primarily the idea was that emotions were not scientific enough for science. As time and methods have changed, so has that attitude and now emotions are looked at with slightly more respect and less apprehension about their not being rational. (1) This change in attitude has led to people finding that emotions might actually lead to somewhat useful things.
Thursday, August 1, 2019
Adoption of new technology systems Essay
à à à à à à Health can be described as the state of physical or emotional well-being without necessarily the absence of a disease or any given ailments. Electronic Health Record, thereby, covers a wide scope in ensuring the electronic procedures through which the factors that lead to the health of individuals are ensured. This indicates that this practice involves the incorporation of technology such as the use of computers to ensure its implementation. à à à à à à In this research paper, therefore, one ought to undertake the role of a head nurse, and carry out the programs that will ensure the use of electronic health records system is incorporated in a facility. In addition, one ought to put his or her base of discussion in line with the Rodgers qualities that lead to the adoption of new technologies, especially in an organizational set up. This can, therefore, be discussed as follows: à à à à à à How to approach the present the Electronic Health Records to the nurses to win their approval à à à à Nurses often play a greater role in ensuring the health care delivery to the patients, who in most cases seek medical attention. This owes to the fact that they put into consideration the patientsââ¬â¢ issues from the moment they are registered to undertake treatment in a given facility. Furthermore, they are the individuals who make sure that the patients get proper and adequate treatment up to when they are discharged from the hospital. à à à à à Therefore, one way of presenting the Electronic Health Records system to them is by critically defining the roles they are to carry out. These run from the registration of the patients, admission procedures as in the case of patientsââ¬â¢ illnesses, writing down of the nursing procedures. Other functions of the nurses include drug admission, dosage and their storage, carrying out of the minor surgeries and dressing of wounds. à à à à à As the Head Nurse in charge, I would clearly outline to the nurses their roles, and how the incorporation of the new electronic health record system would improve their daily activities in the delivery of healthcare. However, despite the advantages that are associated with the new technology, several cases of resistance can be noticed among the nurses. These can be in the whereby they mention that they lack the knowledge and the skills to use the methods and that it may consume their time, and lead t earlier retirement or even retrenchment of their jobs. à à à à à In such a given case, as a head nurse, I will ensure that they have adequate training on the use of the newly adopted system, and assure them that the only time they would be retrenched or dismissed from their duties would be on attainment of the retirement age. Moreover, I will ensure that new goals and objectives are set forth with the introduction of the systems to ensure a quality health delivery service. Furthermore, I would also provide some room for negotiation so that we come up with a system that will be favorable to all. à à à à à Applications as per Rodgerââ¬â¢s theory, in the health facility setup. à à à à à The theory looks into the modes via which individuals can choose to adapt into a new system of technology, basing on the qualities that they possess. These include relative advantage/the benefits, compatibility with the current practices and the values, simplicity, trialability, and the results that are observed (the observable results). The relative advantage à à à à à In order to prepare the nurses for the implementation that is upcoming, I would ensure that the system will lay several benefits that will facilitate in the improvement of the existing one. An explanation that can be given to this is that, initially, the storage of the health records were done in a manual manner. Therefore, a lot of time would be taken to retrieve the information about the patients from the filing area, thereby leading to subsequent delays, and infectivity in the delivery of health care. Moreover, the loss of the files would be easier owing to their inadequate storage and management. à à à à à However, by the incorporation of the new technology, time taken to retrieve the information about the patients would be reduced due to their accessibility and efficient storage. This would in turn lead to faster and efficient treatment. These would also ensure that they are properly diagnosed with the diseases that they suffer from and reduce the excess costs incurred for example in the purchasing of their files. Compatibility with the existing values and practices à à à à à In the health setup, proper values need to be ensured so that the rights of the patients are not infringed on. These can be in line with the Nightingale Promises or laws, as in this case, for the nurses. Practices such as laboratory experiments and the observational routines, for example, recording of temperature, blood pressure tests, post natal and antenatal care too should be considered. As a result, in order for the nurses to adapt to the new systems, they need to understand how the technologies would be implemented as per the values and the practices. Simplicity à à à à à In the facility, several forms of resistance may arise due to the difficulty of the nurses to use the new methods as most of them may be computer illiterate. Therefore, there is need to use the simple models that they can be easily trained on and understand. An example of these may include the data entry forms like the use of Microsoft Office (Word and Excel) basically, before getting to the more complex ones. Others may include the measurements of the temperature and pressure of the patients using equipment that can easily detect the variables from one patient to the next. à à à à à TrialabilityThese can be carried out as part of the training procedures that are given to the nurses. Therefore, they can be granted some extra time to familiarize themselves with the machines, make several trials and mistakes, and eventually come to terms with the proper modes of handlement. Observable results à à à à à à In most cases, these will be evident from the institutions that have successfully installed and used the systems in place, and the progresses that they have made in relation to the admission of an adequate healthcare. Thus, these can be the referral and the national hospitals from where a variety of diseases are handled. The role of nurses as change agents in facilitating the adoption of a new technology à à à à à Nurses aid in the adoption of the new forms of technology by ensuring digitalization in the admission of healthcare. These can be in the form of the mobile clinics that reach far and wide, within and outside the country. Moreover, it gives them a wider scope to classify diseases according to the signs and symptoms thus they can relate to patients through mediums such as webcam or even Skype for those who may not be able to get to the facilities in good time. à à à à à à à These can therefore help to reduce the costs that can be incurred as in the case of distant travels by the patients who are critically ill, for example the aircraft ambulatory modes, and reduce more damages that would be caused to the patients by the use of roads. Additionally, several modes of treatment too can be sought out for by the nurses in line with the researches that they carry out through the internet, thereby improving the lives of individuals. References Archer, N., & Cocosila, M. (2011). A Comparison of Physician Pre-Adoption and Adoption Views on Electronic Health Records in Canadian Medical Practices. Journal of Medical Internet Research, 13(3), 65.Devkota, B., & Devkota, A. (2014). Electronic health records: advantages of use and barriers to adoption. Health Renaissance, 11(3), 78.Mihalko, M. (2011). Cognitive Informatics and Nursing: Considerations for Increasing Electronic Health Records Adoption Rates. Journal of Pediatric Nursing, 26(3), 264-266. Peden, A. H. (2009). Factors affecting adoption of electronic health record (EHR) systems in United States Hospitals. New York: Mac Millan. Rogers, E. M. (1983). Diffusion of innovations (3rd ed.). New York: Free Press ;. Source document Adoption of new technology systems Essay Adoption of new technology systems Introduction à à à à à à Health can be described as the state of physical or emotional well-being without necessarily the absence of a disease or any given ailments. Electronic Health Record, thereby, covers a wide scope in ensuring the electronic procedures through which the factors that lead to the health of individuals are ensured. This indicates that this practice involves the incorporation of technology such as the use of computers to ensure its implementation. à à à à à à In this research paper, therefore, one ought to undertake the role of a head nurse, and carry out the programs that will ensure the use of electronic health records system is incorporated in a facility. In addition, one ought to put his or her base of discussion in line with the Rodgers qualities that lead to the adoption of new technologies, especially in an organizational set up. This can, therefore, be discussed as follows: How to approach the present the Electronic Health Records to the nurses to win their approval à à à à à à Nurses often play a greater role in ensuring the health care delivery to the patients, who in most cases seek medical attention. This owes to the fact that they put into consideration the patientsââ¬â¢ issues from the moment they are registered to undertake treatment in a given facility. Furthermore, they are the individuals who make sure that the patients get proper and adequate treatment up to when they are discharged from the hospital. à à à à à à Therefore, one way of presenting the Electronic Health Records system to them is by critically defining the roles they are to carry out. These run from the registration of the patients, admission procedures as in the case of patientsââ¬â¢ illnesses, writing down of the nursing procedures. Other functions of the nurses include drug admission, dosage and their storage, carrying out of the minor surgeries and dressing of wounds. à à à à à à As the Head Nurse in charge, I would clearly outline to the nurses their roles, and how the incorporation of the new electronic health record system would improve their daily activities in the delivery of healthcare. However, despite the advantages that are associated with the new technology, several cases of resistance can be noticed among the nurses. These can be in the whereby they mention that they lack the knowledge and the skills to use the methods and that it may consume their time, and lead t earlier retirement or even retrenchment of their jobs. à à à à à à In such a given case, as a head nurse, I will ensure that they have adequate training on the use of the newly adopted system, and assure them that the only time they would be retrenched or dismissed from their duties would be on attainment of the retirement age. Moreover, I will ensure that new goals and objectives are set forth with the introduction of the systems to ensure a quality health delivery service. Furthermore, I would also provide some room for negotiation so that we come up with a system that will be favorable to all. Applications as per Rodgerââ¬â¢s theory, in the health facility setup. à à à à à à The theory looks into the modes via which individuals can choose to adapt into a new system of technology, basing on the qualities that they possess. These include relative advantage/the benefits, compatibility with the current practices and the values, simplicity, trialability, and the results that are observed (the observable results). The relative advantage à à à à à à In order to prepare the nurses for the implementation that is upcoming, I would ensure that the system will lay several benefits that will facilitate in the improvement of the existing one. An explanation that can be given to this is that, initially, the storage of the health records were done in a manual manner. Therefore, a lot of time would be taken to retrieve the information about the patients from the filing area, thereby leading to subsequent delays, and infectivity in the delivery of health care. Moreover, the loss of the files would be easier owing to their inadequate storage and management. à à à à à à However, by the incorporation of the new technology, time taken to retrieve the information about the patients would be reduced due to their accessibility and efficient storage. This would in turn lead to faster and efficient treatment. These would also ensure that they are properly diagnosed with the diseases that they suffer from and reduce the excess costs incurred for example in the purchasing of their files. Compatibility with the existing values and practices à à à à à à In the health setup, proper values need to be ensured so that the rights of the patients are not infringed on. These can be in line with the Nightingale Promises or laws, as in this case, for the nurses. Practices such as laboratory experiments and the observational routines, for example, recording of temperature, blood pressure tests, post natal and antenatal care too should be considered. As a result, in order for the nurses to adapt to the new systems, they need to understand how the technologies would be implemented as per the values and the practices. Simplicity à à à à à à In the facility, several forms of resistance may arise due to the difficulty of the nurses to use the new methods as most of them may be computer illiterate. Therefore, there is need to use the simple models that they can be easily trained on and understand. An example of these may include the data entry forms like the use of Microsoft Office (Word and Excel) basically, before getting to the more complex ones. Others may include the measurements of the temperature and pressure of the patients using equipment that can easily detect the variables from one patient to the next. à à à à à à TrialabilityThese can be carried out as part of the training procedures that are given to the nurses. Therefore, they can be granted some extra time to familiarize themselves with the machines, make several trials and mistakes, and eventually come to terms with the proper modes of handlement. Observable results à à à à à à In most cases, these will be evident from the institutions that have successfully installed and used the systems in place, and the progresses that they have made in relation to the admission of an adequate healthcare. Thus, these can be the referral and the national hospitals from where a variety of diseases are handled. The role of nurses as change agents in facilitating the adoption of a new technology à à à à à à Nurses aid in the adoption of the new forms of technology by ensuring digitalization in the admission of healthcare. These can be in the form of the mobile clinics that reach far and wide, within and outside the country. Moreover, it gives them a wider scope to classify diseases according to the signs and symptoms thus they can relate to patients through mediums such as webcam or even Skype for those who may not be able to get to the facilities in good time. à à à à à à These can therefore help to reduce the costs that can be incurred as in the case of distant travels by the patients who are critically ill, for example the aircraft ambulatory modes, and reduce more damages that would be caused to the patients by the use of roads. Additionally, several modes of treatment too can be sought out for by the nurses in line with the researches that they carry out through the internet, thereby improving the lives of individuals. References Archer, N., & Cocosila, M. (2011). A Comparison of Physician Pre-Adoption and Adoption Views on Electronic Health Records in Canadian Medical Practices. Journal of Medical Internet Research, 13(3), 65.Devkota, B., & Devkota, A. (2014). Electronic health records: advantages of use and barriers to adoption. Health Renaissance, 11(3), 78.Mihalko, M. (2011). Cognitive Informatics and Nursing: Considerations for Increasing Electronic Health Records Adoption Rates. Journal of Pediatric Nursing, 26(3), 264-266. Peden, A. H. (2009). Factors affecting adoption of electronic health record (EHR) systems in United States Hospitals. New York: Mac Millan. Rogers, E. M. (1983). Diffusion of innovations (3rd ed.). New York: Free Press ;. Source document
File Management in Unix Essay
When it comes to UNIX systems all user data is organized and stored in files. These files are subsequently organized into a management structure comprising of directories and sub-directories. Much like forest and organizational units when it comes to active directory, UNIX also has the directories and sub-directories organized into a tree-like structure that it calls a file system. UNIX also has three basic types of files. When it comes to security files can be secured through UNIX file permissions as well as access control lists (ACLs). One of the most important things to keep in mind when giving permissions is to establish file and directory ownership. Traditional UNIX file permissions can assign ownership to three classes of users that are: user, group, and others. The user class is usually the file or directory owner, and that is the individual that created the file. The owner of a file can decide who has the right to read the file, or have the ability to write the file; which means they can make changes. This is effective if you had an organization that has five thousand employees and you only wanted four thousand nine-hundred ninety people to have permission to view and/or make changes. Another ability that the owner has is to decide if the file is a command or to execute the file. Groups are where you can put a number of users together to establish permissions. It is an effective way to manage policies for users. The others class is all other users who are not the file owner and are not members of the group. An important thing to note is that the owner of a file can usually assign or modify file permissions. Additionally the root account can change a fileââ¬â¢s ownership to override system policy. In UNIX there are four different types of file permissions. The first permission is read and it designates which users can open and read the contents of a file only, but cannot make any changes. The second is the write permission, and that designates which users can modify the contents of a file or even delete the file. The next file permission that can be given is the execute permission. This permission designates which users can execute the file if it is a program or shell script. Another thing it does is that those individuals with this permission can also run the program with one of the exec system calls. The denied permission designates which users cannot read, write, or execute file. The types of file permissions apply to regular files, and to special file such as devices, sockets, and named pipes (FIFOs). A great way for any business organization to protect their files effective and to ensure that only people that have the need to access the appropriate is information is to apply the few protective measure that was discussed. You can protect the files in a directory by setting restrictive file permission on that directory.
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