Assessment and Accountability in Nursing

Assessment and Accountability in Nursing Mentors have responsibility to assist students to develop their clinical skills and knowledge on placements. As well as developing clinical skills, students also develop their interpersonal skills and as a result of this experience gain maturity. (NMC, 2008) .To determine students have achieved the professional standards or competence, mentors must make assessments while their placement. This is vital to protect the public from unsafe and incompetent practitioners. Assessment is an essential role of a mentor. A good assessment process gives the students valuable feedback, it helps them to identify where they are, highlights, deficits in their learning ,identifies what they need to do and enables them to set realistic future goals.(Danny Walsh 2010). A good assessment process help us to predict future behaviour of the nurse we train. However we can cut down the risks by ensuring that the assessment processes itself meets certain standards and criteria which are considered best practice. Proper assessments of students are essential because, they are the future nurses are responsible for protecting the public in patient care, (Necklin and Kenworthy, 2000:108).Through assessment mentor can identify the strength and weakness, knowledge and practical skill of a student. According to (Walsh 2010) student nurses are assessed for variety of reasons in their clinical practice. Examples of this; to monitor the students’ progress to give feedback, to discover learning needs, to encourage students, to monitor their progress, to assess students level of competence, to assess knowledge, skills and attitudes, to measure the effectiveness of the teaching and to safeguard the patient and protect the public. As students work alongside with mentors, need to encourage students to perform patient care through instructions, guidance and supervision. While they are caring the patients mentors can observe and give feedback, this means while student is learning she is being assessed. Managing the process of assessment and feedback is hugely important. Students fail their placements for a wide range of reasons, but certain key factors can help minimise this happening. The student needs to feel welcomed and wanted to be able to perform into the placement quickly and so get on with meeting their competencies. Duffy (2003) cited several reasons for students failing and the key aspect was the lack of a good mentor/student relationship. Mentors must be meeting with students regularly can identify the problems or deficits the students going through. Learning needs should then be identified and action plan must be put in place. Mentors and assessors have the right and responsibility of making professional judgements about the performance of their student. (ENB and department of Health, 2001).Students needs to be respected while maintaining their professional standards, it is important to recognise the rights and to be supported to succeed in clinical practice. Monitoring progress is about finding the students quality and quantity of learning and any difficulties students may experiencing that can be identified and action plan to be applied. There are different methods of assessment like observation of patient care, questions and answers, reflection, briefing, self assessment peer assessment, testimonies, portfolios.(Stuart 2003). Duffy and Hardicre (2007) identify the reasons of a failing student are lack of insight, lack of interest poor communication or interpersonal skills, personal issues, being over confident. The Nursing and Midwifery Council (NMC2004a) states that nurses are accountable for their own practice. The public has a right to expect competence from the qualified professional in healthcare. With the purpose of assessment as a form of quality control for the healthcare professions, assessors should be able to identify failing students and provide enough support and resources to overcome the difficulties. As Maria was a first year student the initial priority was observations of the patient. At the beginning, I asked the questions about blood pressure ,heart rate(pulse) ,respirations, oxygen saturations ,pain scores etc†¦Then explained to Maria the theory, significant changes and if she notice any changes who to inform, then I demonstrated how to check observations and how to enter in a patient track or observation chart. The procedure was repeated in many situations under supervision which made her confident and also Maria received constructive feedback from other staff. A high level of a motivation and assessment is necessary for learning, (Gipps1994). During mid interview it was identified that student has achieved the skills to do the observations by using dyne map or manually, and also able to understand the significant changes and to report to the staff nurse. The Nursing and Midwifery Council (NMC 2006a) specifies the responsibility and accountability of NMC registrants who supports and make summative assessment decisions are referred to as assessors. As part of summative assessment (Stuart 2003), I arranged final interview with Maria on last day of her placement. I reviewed all her progress and evidences recorded in her practice book. Maria’s portfolio, feedbacks from other colleagues and Maria’s behaviour while her placement in the unit, attitude towards the patients and colleagues, knowledge , skills and performance in order to determine whether, she is fit for practice without supervision. Constructive feedback has an impact not only on the teaching/learning process but also gives messages to students about their effectiveness and self esteem (Gipps1994).Feedback sessions should be designed to help students grow in their clinical skills and professional competence. It is not possible for the named assessor to work with the student on enough occasions to monitor the progress of students with validity and reliability, so that it is important that the mentor seeks the views of other practitioners who have worked with the student. The assessment activities of working alongside the student and observing practice, discussion with the student and examination of the student’s portfolio, discussion with other assessors are done both informally and formally to monitor progress (Phillips et al 2000). Lifelong learning is the term used to refer to the planned or unplanned learning occurs throughout the life ,usually the working life ,of an individual (Hinchliff1998).The mentor is advised not to give all the answers ,which deprive the student of the opportunity of carrying out some of the problem –solving and decision making activities (Stengelhofen1993).These cognitive processes foster deep learning ,and thus help the student extract more meaningful learning through experiences.Dreyfus model (Benner 1989) describes the five levels of proficiency the students pass during their placement .They are novice, advanced beginner competent, proficient and expert .The author believes that this model can be applied in assessing the students in placement area because this will help students to access frequent feedbacks that can help to improve clinical skills and become more self- aware. Every good placement should be gathering feedback from the student’s inorder to improve the student experience and enhance learning opportunities. Accountability involves responsibility, knowledge and being able to justify actions. It is always challenging for mentors to deal with failing student’s .However if planned in advance and strategies in place, it can be overcome without too much pressure on the student .In the mid-interview, if the student is not performing up to the standard it’s important to provide the student more support and inform the personal tutor. It is essential to note that few students unable to meet the criteria whatever the circumstances are, the mentor should act appropriately in order to fail the poor performing students rather than the fail to fail situation which may affect the public (Duffy2007). To succeed in placement assessments and achieve competencies the student cannot afford to leave it until later in the placement .It is the responsibility of the mentor to ensure that they give the student regular reviews and feedback to ensure that they keep on top of meeting their learning objectives (Walsh2010).Mentors needs to evaluate students time to time and it is important to provide constructive feedback .Mentors should focus to create a safe learning environment for the students and it is their accountability. When Maria started placement in my unit I ensure she has done all the mandatory trainings like moving and handling, fire training, health and safety, infection control. If Mentor takes the decision to fail a student, it should not come like a surprise to the student. Students who are not progressing or failing their placement mentors need to identify the learning needs and support them with available resources. Discuss any issues or concerns with the student and inform university tutor, and also make sure student understands the problem.

A History of the Treatment of Insanity Essay examples -- Exploratory E

A History of the Treatment of Insanity Over the course of history, insanity has been subjected to a wide variety of treatments. Attempts to cure the mentally ill or simply relieve "normal" society of the problems caused by insanity have ranged from outright cruelty to higher degrees of humanity in today's society. This paper gives a brief overview of insanity--its believed causes and subsequent treatments--from primitive times up to the nineteenth century. There are two known traditions for diagnosis and treatment of mental illness: spiritual/religious and naturalistic/scientific. According to the spiritual/religious tradition, supernatural forces are the cause of insanity. One of the earliest examples of spiritual/religious treatment is a practice called trephining. Archeaologists have discovered skulls exhibiting this primitive form of psychiatric surgery. Trephining involved chipping holes in a victim's skull to release the evil spirits that were responsible for the person's mental illness. Other ancient peoples attributed insanity to the mischief of demons or the anger of the gods, namely the Chinese, Egyptian, and Hebrew societies. The Greek phisician Hippocrates believed insanity to be rooted in a lack of balance within the body. More specifically, he argued that a balance of four body fluids (or the four humors) was the key to mental health. An excess or deficiency of blood, phlegm, black bile, or yellow bile could lead to psychopathology. Those trained in the Hippocratic tradition were instructed to treat the mentally ill with attempts designed to restore the balance of the bodily fluids. These treatments were called "heroic" because they were drastic and often painful. Among them were bloodletting, purging, an... ...can Institutions for the Insane (AMSAII) was founded in 1844. It later became the American Psychiatric Association (APA). Its purpose is to designate the criteria to diagnose a patient as mentally ill (the current list of criteria is called the DSM-IV) and commit the person to an institution or design a course of treatment suited to the problem. Sources 1. Bankart, C. Peter. Talking Cures: A History of Western and Eastern Psychotherapies. Albany: Brooks/Cole Publishing Company, 1997. 2. Emery, Robert E., and Oltmanns, Thomas F. Abnormal Psychology. New Jersey: Simon & Schuster, 1998. 3. Foucault, Michel. Madness and Civilization: A History of Insanity in the Age of Reason. New York: Pantheon Books, 1965. 4. Rosen,. George. Madness in Society: Chapters in the Historical Sociology of Mental Illness. Chicago: The University of Chicago Press, 1968.

Mca List of All Colleges and Fees Mumbai

Sr. No. | College Code | Name of the College / Institute | Date of the Meeting in which the Samiti Approved Fee Stucturr for Academic Year 2011-12 | Interim Fee Approved by the Samiti for Academic Year 2012-13 | 1| 3012| Veermata Jijabai Technological Institute(VJTI), Matunga,Mumbai| | 27000| 2| 3185| Vivekanand Education Society's Institute of Technology, Chembur, Mumbai| 11/10/2011| 59860| 3| 3161| K.J. Somaiya Institute in Management Studies ; Research, Vidyavihar, Mumbai. | 16/09/2011| 77140| 4| 3173| Deccan Education Society's Navinchandra Mehta Institute of Technology & Development, Dadar, Mumbai (Kirti College)| 16/09/2011| 74250| 5| 3169| Late Bhausaheb Hiray S. S. Trust's Institute of Computer Application, Bandra (E), Mumbai. 16/09/2011| 70000| 6| 3215| Bhartiya Vidya Bhavan's Sardar Patel Institute of Technology , Andheri, Mumbai (Bhavans Andheri)| 13/06/2011 | 85400| 7| 3162| Bharti Vidyapeeth's Institute of Management ; Information Technology, Navi Mumbai| 11/10/2011| 815 50| 8| 3170| NCRD's Sterling Institute of Management Studies, Navi Mumbai | 4/11/2011| 56650| 9| 3146| Jawahar Education Society's Annasaheb Chudaman Patil College of Engineering,Kharghar| 4/11/2011| 62000| 10| 3168| Thakur Institute of Management Studies Career Development Research, Kandivali (E), Mumbai. 16/09/2011| 103500| 11| 3171| Audyogik Shikshan Mandal’s Institute Of Management ; Computer Studies ( IMCOST), Thane| 11/10/2011| 80130| 12| 3147| Saraswati Education Society, Yadavrao Tasagaonkar Institute of Engineering ; Technology, Karjat| 4/11/2011| 75000| 13| 3165| SIES College of Management Studies, Nerul, Navi Mumbai| 11/01/2012| 99480| 14| 3167| Mumbai Education Trust's Institute of Computer Science, Bandra (W), Mumbai. | 11/10/2011| 107525| |

Gilgamesh essays

Gilgamesh essays The Epic of Gilgamesh was written around 2000 B.C. in the Sumerian language. It was written about the historical king of Uruk in Babylonia who lived about 2700 B.C. It was written in cuneiform on clay tablets which were found in the ruins of the library of Ashurbanipal. One of the most important points of the tablets is that they actually name an author. This is extremely rare in the ancient world. The author, Shin-eqi-unninni, is the oldest author that can be named. Gilgamesh was two-thirds god and one-third human and ruled over Sumer oppressively. He was very arrogant and cocky so because of this, the people cry out to the god Anu to help them. In response, he creates theopposite of Gilgamesh; an equal rival. His name is Enkidu and is first seen running naked with wild animals. He is taken in by some shepards who civilize him so that he can walk into the city. Eventually, Gilgamesh and Enkidu battle but the turnout results in a friendship between the two superpowers. Both Enkidu and Gilgamesh begin to weaken and grow lazy living in the city so Gilgamesh decides to embark upon a great adventure by cutting down all the all of the trees in the great Cedar Forest. To do this, however, they need to defeat Humbaba the terrible who is the Guardian of the great Cedar Forest. But, due to Gilgamesh's fatal flaw of arrogance, he doesn't listen to Enkidu's words of wisdom. This flaw is classic of the hero in an epic. The two set off to defeat Humbaba and succeed in doing so. Just before Gilgamesh beheads the demon, Humbaba curses Enkidu by saying that he will die before Gilgamesh and will "not find peace in in this world." After battling a bull and killing it, Enkidu becomes very sick and after suffering for twelve days, he finally dies. Gilgamesh is very disheartened by his "soul mate('s)" death and laments for many days. He begins his journey to find Utnapishtim ...

Sociological Perspectives Essay Example

Sociological Perspectives Essay Example Sociological Perspectives Paper Sociological Perspectives Paper In this assessment I will be identifying three different social groups and explain how their health may differ from the general population; I will also be using sociological perspectives to discuss different patterns and trends of health and illness. Gender- â€Å"Women live longer but suffer from more health problems in their lifetime, and many are specific to the female gender† Agnes Miles, Women, Health and Medicine. According to the stats, women suffer from more health problems during their lifetime, but men die younger due to their lifestyle. More women than men suffer with chronic sickness, 57% mental hospital disturbances are women, 2/3 of the 4 million populations are disabled women and in general women see doctors more frequently than men, also women are more likely to be admitted for: emotional disturbance; neurotic disorder; depression and senile dementia. The reasons for these stats could be that women have demands of looking after other people’s health such as their children, demands of domestic labour, poor employment conditions, exposure to poor housing and greater exposure to poverty. Women also may have a lot of stress to deal with which could make them ill due to their lifestyle. Men however, may have the same amount of illnesses as women but decide not to visit doctors, nurses etc. due to feeling embarrassed, whereas women do. Men have a shorter life expectancy as they are perceived to live a more dangerous lifestyle than women. Their jobs could be more dangerous than women, such as builders, electricians and fire fighters, where their lives could be at risk. Men also ignore illnesses or symptoms due to feeling too embarrassed to go to the doctors. Men are also perceived to drink and smoke more than women and eat the wrong foods which could take a toll on their health. Functionalists would argue that women are ‘shock absorbers’ in the family, and that they provide all the emotional support to the family but no one realises the effect that it may have on the women. Social Class- Lower social class individuals or families, may have worse health due to the circumstances they live in. Evidence suggests that living in poor housing can lead to an increased risk of cardiovascular and respiratory disease as well as to anxiety and depression. Problems such as damp, mould, excess cold and structural defects which increase the risk of an accident also present hazards to health. Lower class people could have decreased health due to the circumstances they live in, these circumstances could be poor housing conditions, which could mean their house could be damp or cold, poor living conditions which could mean the individual or family are unemployed or don’t earn enough money to support their family with food, water, electricity, heat and shelter which would drastically cause problems to their health. Those with low incomes are more likely to suffer from poor mental health and poverty effectively causing or contributing to poor mental health. Observationally, both individual and neighborhood deprivation increase the risk of poor general and mental health. Individuals with mental health problems may have a problem becoming employed as having mental illness has a number of adverse effects on the ability to earn: When unwell, it is more difficult to study and to achieve qualifications. It is more difficult to get a job mental illness carries a heavy social stigma. It is more difficult to hold down a job a person with mental illness may need intermittent and unpredictable time off when the illness needs more intense treatment. Therefore if individuals who live in poverty become ill with physical illness or a mental illness then their chance to become employed would be decreased and their chance to bring themselves out of poverty would be very little. Individuals or families on a low income may also not be able to afford the medical attention they need, therefore if they ever do become ill enough for medical attention or medical advice then they may not be able to afford it. Age- Elderly people may be unhealthier then the rest of the general population simply because of their age. As you get older, your immune system may weaken and the amount of illnesses you get may increase. However, as elderly people have a weakened immune system then they may find it harder to fight off the illness or infection. If elderly people have a trip or fall, then more damage to their body may happen as their bones are weakened, this could lead to serious injury of fatality from a fall. Young child also tend to catch more illnesses then the rest of the general population as their immune system isn’t as strong, however they are more capable to fight off illnesses and infections. Young children also spend a lot of time with other children, therefore infections and diseases spread quickly. Young children also tend to put things in their mouths (such as toys) which could easily be infected and is an easy way for infections to spread.

Reflect on your own experience of change and change management Case Study - 1

Reflect on your own experience of change and change management - Case Study Example At the location where I used to previously work, there existed a lot of disorder especially when it came to organizing reports, which concerned with applications of multiple softwares, given that the interface linking softwares at times created difficulty (Gill, 2002). The challenges that we encountered while using various applications at the same time resulted in the ultimate report seeming to be rather disorganized in some instances. Having gone through such an experience prepared me sufficiently for the challenges in the field, and I learnt numerous lessons that have assisted me ever since. Obviously any new experience presents new impediments in the smooth flow of work since countless alterations have to be enforced for continuity of business as usual. I was impelled to work extra hard in my endeavour to prove my theory of change as the best and only way out of the old fashioned system. Eventually, just as the old saying goes, â€Å"Good things come to those who wait,† my tireless efforts were manifested when the management succumbed and eventually implemented my change theory. The change was not instant. It took quite a while until it began to seem that my efforts were an exercise in futility. Nevertheless I possessed the deep conviction that somehow there ought to be someone in our clientele who would notice the sweeping and impeccable presentation of data in our company. I also had a team that was not demoralised and which had presumably higher hopes than mine considering the fact that my theory of change was foreign to them before I raised it. With time, it was apparent that the company had to change with the times hence i was personally requested to overlook the overhauling of the system in its entirety with the assistance of professionals from other companies and of course my loyal team members. By the end of the overhaul of the system, I had a boosted

Traditional Structured Design Essay Example | Topics and Well Written Essays - 250 words

Traditional Structured Design - Essay Example Based on the available information, directory system is naturally inclined to hierarchy (Zahir & Omran, 2001). The assumption that directory system is naturally inclined to hierarchy is because the directory system offers reliable mechanisms that facilitate effective communication among technical experts. The system is also inclined to hierarchy since it offers comprehensive database for all organisation actors. The availability of reliable and detailed database also ensures that all authorised professionals have access to the available information. The directory system uses reliable agents and technology in transmitting information from the sender to the receiver. The directory system also has various protocols that facilitate effective operations of hierarchical structure in modern institutions. The Peer-to–Peer networking system is less inclined to a hierarchy. The less inclination to the hierarchy of Peer-to-Peer networking system is due to the reality that, the system have decentralised distribution network. The existence of decentralised network hinders effective communication in a hierarchical nature of traditional structured designs. Moreover, instead of having reliable agents to facilitate effective communication, the system actors serve as both the customers and suppliers of resources. The Peer-to-Peer system also lacks the required privacy essential in the communication process. Besides, the system facilitates sharing of information among all interconnected peers (Jayasumana,