Compare the opening sequences of the film Essay

I have chosen to compare the opening sequence of â€Å"Hannibal† with that of the opening of the classic crime thriller â€Å"Reservoir Dogs. To accurately make comparisons of the two openings it is essential that I study the sound, the use of colour, camera work, lighting text and mise en scene. Not only stating what is there but also why. This has been achieved by first connotating and dennotating each opening. I watched both openings numerous times, both in class and at home. This made it possible for me to decisively analyse and then compare the two openings. The opening sequence of â€Å"Hannibal† begins with a black frame and a sound bridge which consists of a conversation between two people, the voices and content of the conversation are unclear but grab the audiences attention as you need to focus to attempt make out what’s going on. There is calming music being played, piano music, very soft as not to take our attention away from the voices but just to create a subdued atmosphere. From the bottom right hand corner of the screen a small box with an image in it approaches at a slow but steady pace. The camera is revolving around the image. The box gradually begins to enlarge and takes over from the black frame. The reasoning for this technique is so that the audience is immediately involved with the scene, instead of the opening scene just being there, a certain amount of suspense and tension is created as the audience wait to see whether their own interpretations are correct. This is an insight into how the rest of the film is going to go. The main themes and plot are not there in black and white instead you, the audience are invited to read between the lines and go along with Agent Clarice and solve the case. The camera then pans across slowly and what unfolds before us is a significant opening into the storyline. The pace and angle of movement of the camera make it perceivable that the audience is in the form of another person entering the room. The sluggishness of the camera gets the audience waiting in anticipation, you are eager to put a face to the two voices that have been heard throughout. The two colours immediately evident through the interior and lighting are a chilling blue and a fierce red. These are extremely relevant, for the reason that blue is the colour associated with Starling throughout the film, representing her loneliness in her search for Hannibal. Red is a symbol of Hannibal, conveying his murderous characteristics and his dangerous ways. The interior is of a very regal house, this is symbolic of Hannibal himself because previously it has been seen that however disturbed he may be he has to some extent a certain degree of class, in terms of choice of music, arts, food (other than flesh). The two characters are the doctor from the hospital Hannibal was once a resident at and the other a victim of Hannibal, an extremely disfigured man. This acts as a re-introduction to Hannibal, and what he is capable of inflicting on his victims. The conversation progresses between the two and the audience are then witness to four close ups in succession, two of which are over the shoulder shots, enabling us to view the others reaction to what has been said to them. The choice of close ups allow the audience to get an understanding of both characters through facial expressions, who they are and what role they have to play in the story. The doctor appears as the good character whereas the victim appears as the bitter evil character this can be defined by their characteristics, posture and context of their conversation. The scene develops further, with the conversation taking a more direct approach to what is to be the climax of the scene, the introduction of the mask. There are a string of mid shots which present us with more background on both characters. The doctor is wearing some sort of professional nurse’s uniform and â€Å"Cardel† is wearing a suit fitted to his mangled body, although suggesting that he has a certain amount of wealth and social status. As the conversation continues there are two more close-ups which coincide with important parts of the conversation. An example of this is when the word â€Å"thousand† is spoken. This could be seen as a symbolic message, representing the extent of pain â€Å"Cardel† has be subjected to or the extent of revenge he wishes to inflict on Hannibal. The scene ends with a close up gradually changing into an enlarged extreme close up of the mask which is to be the artefact of the movie. The mask takes up the entire screen before fading away into the blackness of the original opening shot. The fact that there has been a cycle from black through to black could suggest that the story may be similar in that there is no answer instead an encircling cat and mouse saga. From the first scene the editing has been very smooth and gradual, there appears to be no rush to get the audience to the story, maybe implying that the story will come to the audience. The mask fades out again at no great pace and then â€Å"Hannibal† appears in a red font, as if to bring fear to the audience. The scene commencing is of a more complexed nature there are more shots with the editing being more sharp and severe. There are a chain of short shots, no longer than a few seconds which are all related to Hannibal in some form. The technique used is to convey that all the images have been taken from a security camera, recording the events of the town centre of Italy, which is a bustling constant moving place, no dramatic incidents just people walking through the streets and cars driving through traffic. The shots have been edited to appear faster than real time. This is another link in with the story line, although there may be no overly dramatic sub-plots there are plenty of twists which will keep the audience alert. Flickered in between these shots, are an image of a brain. The shot is so sudden that the audience only just have enough time to be taken aback let alone comprehend the significance, the fact that Hannibal later eats a brain. There use of pigeons are a link to the â€Å"silence of the lambs† when Hannibal describes Clarice as a pigeon and comes in handy when Hannibal’s face is displayed amongst the pigeons for a few seconds. This technique of suspending time is a method used twice in this scene, the other being when the camera focuses briefly on a man who’s appearance is much similar to that of Hannibal, but we are left unsure whether it is him or not. Either way we are again reintroduced to Hannibal as a physical character rather than just a theme. There are many images of flesh, a representation of cannibalism which is a key theme associated with â€Å"Hannibal†. The shot of the pigs links in with the events later in the film, when the hungry pigs are unleashed to destroy Hannibal. This theme has been carried on from the Hannibal trilogy. Police officers are also used signify the factor of crime and deviance used by both Hannibal and fellow FBI agents of Clarice. The opening scene of â€Å"Reservoir Dogs† has a duration of 7 and half minutes which is exceedingly long for an opening. For a good 6 minutes neither the setting, camera angle nor characters change within the first scene. This makes it a relatively easy opening to analyse although there are many artefacts and themes which are relevant to the rest of the film and must be mentioned. The opening shot is a black frame with a voice over of â€Å"Mr Pink† talking about Madonna. The black frame doesn’t last too long and soon we are introduced to the setting which we are to be subjected to for the next 7 minutes. It is a cheap breakfast dinner. Immediately the audience are placed right next to the main table. It is obvious that the dinner is cheap because of the interior the curtains have a corny appearance, the pictures on the wall look inexpensive the lighting is very false and the condiments on the table are plastic. The camera remains the same throughout, endlessly circling, giving the appearance of a shy little boy wandering around the table always focusing on whoever is speaking or making a gesture of importance, rarely giving us a clean shot of their faces but just enough to introduce the audience to the principle characters. The gangsters light cigarettes and drink coffee, the conversation diverges into that of the origins of Madonna’s song â€Å"Like a virgin† and a few other tedious subject come into play. All the way through we are given extensive time to learn about the 8 men all sitting around the table. All the men bar one are dressed up in the stereotypical gangster outfit, a black suit, white shirt and black tie. This is part of mise en scene, introducing us to the concept of a â€Å"crew† of gangsters all together for a reason. Their appearance however stereotypical is very simplistic and that could be what they are expecting of their proposed heist, this later comes out as irony because the heist is far from simple. There is one man who is not in a suit and that is â€Å"Nice Guy Eddie† he is though in another form of stereotypical gangster attire. He is wearing a blue shell suit, opened up enough to show his big gold necklace on top of his hairy chest. This makes him out to be somebody of importance, maybe the â€Å"boss†. The atmosphere is very smoky, which is a sharp contrast on top of the easily wipeable tables and disposable napkins, this could again be a representation of their plans becoming clouded by unforeseen circumstances. After taking in what is before us the audience begin to want reasoning for why eight gangsters are all together in such a cheap establishment, and it is apparent that they want to be inconspicuous, avoid any unwanted attention from the authorities. This builds up a sense of anticipation, there is now a distinct impression that violence is going to rain. There is another key shot that implies a sense of violence and that is when â€Å"Joe† steps up to pay the bill, the camera pans up and we are given a glimpse of his gun. This is the first sign of possible bloodshed, this builds on the previous sense of anticipation.

Quality Nursing Care

NURSING EXAMPLE A Summary of Proposed Research Program for Master of Philosophy Title: The Delivery of Quality Nursing Care: A Grounded Theory Study of the Nurses' Perspective Abstract The purpose of this study is to explore and describe the delivery of quality nursing care from the perspective of practising nurses working in the acute public hospital setting of Western Australia (WA). The study will examine the actions and interactions attributed to quality, and factors identified as enhancing or inhibiting the delivery of quality nursing care. A grounded theory approach is proposed. The sample for the study will be drawn from nurses working in an acute public hospital located in Perth, WA. Data will be collected using semi-structured interviews and some observation. It is estimated that approximately 10-15 interviews will be performed. Theoretical sampling will guide the selection of participants. The significance of this research will be to increase understanding of this complex phenomenon and contribute to efforts aimed at improving and maintaining quality nursing care within the current context of the WA health care system. A substantive theory explaining the process of quality care, focussing on the nurses' perspective, in an acute public hospital setting, will be developed. Implications for practice will be discussed and directions for further research in this area will be provided. Objectives The purpose of this study is to explore and describe the delivery of quality nursing care from the perspective of practising nurses, working in the acute public hospital setting of WA. The study will examine the actions and interactions attributed to quality, and factors identified as enhancing or inhibiting the delivery of quality nursing care. The objectives guiding this proposed study are: 1. To explore and describe nurses' perceptions of the meaning of quality nursing care. 2. To describe nurses' experiences in the delivery of nursing care given to patients in hospital and to compare these with their expectations of quality nursing care. 3. To explore factors identified by nurses as enhancing and as inhibiting quality nursing care. 4. To develop a substantive theory which explains the process used to deliver quality nursing care in an acute public hospital setting, as perceived by nurses. Background The provision of quality patient care is a priority in all health care institutions (Erith-Toth & Spencer, 1991). Formal definitions of what constitutes quality are numerous (Ambler Peters, 1991), as are the approaches used to assess the quality of patient care (Harvey, 1991; MacGuire, 1991). Although much has been written about the phenomenon of quality care, significant variations exist in its interpretation and use, â€Å"unaware or undeterred by the conceptual confusion, quality care continues to be assured, controlled, evaluated and managed in the Health Service today† (Attree, 1993, p. 55). Furthermore, definitions and assessment of quality have rarely considered the reality faced by nurses on a daily basis, in the practice and delivery of quality care. Quality nursing care has been studied from various perspectives using different methods. Much of the research reported in the literature has been quantitative in nature and undertaken in countries other than Australia, pa rticularly North America. Some studies have focussed on the measurement of quality nursing care (Gilloran, McGlew, McKee, Robertson & Wight, 1993; MacGuire, 1991; Pearson, Durant & Punton, 1989; Kitson, 1985), or the meaning of quality nursing care from either the nurses' perspective (Janhonen, 1993; Forchuk ; Kirkpatrick, 1991; Whelan, 1988; Jenkins, 1988) or the patients' perspective (Irurita, 1993; Erith-Toth & Spencer, 1991; Deeny & McCrea, 1991; Rempusheski, Chamberlain, Picard, Ruzanski & Collier, 1988). Other studies have compared the perceptions of quality nursing care from the perspective of nurses and patients (Norman, Redfern, Tomalin & Oliver, 1992; Yonge, 1989; Varholak, 1989; Board, 1988). Of the studies that have explored nurses' perceptions of quality care, two included some elements of the delivery of nursing care (Forchuk ; Kirkpatrick, 1991; Jenkins, 1988). Those studies differ from this proposed study in context, as both were carried out in North America and used health settings other than acute public hospitals. Forchuk ; Kirkpatrick (1991) used survey methods in their study of quality care in a psychiatric facility where nurses indicated that the nursing care they 2 delivered was â€Å"†¦ the best possible under unfavourable conditions† (p8). Barriers to quality nursing care were identified as â€Å"heavy workload and staffing issues† (p8). However, the results of this study are limited by use of a convenience sample and administration of a questionnaire for which reliability and validity were not demonstrated. Jenkins studied quality nursing care in a small hospital in the United States and used a similar design to that proposed for this study. Using the grounded theory method, the characteristics of quality nursing care from the nurses' perspective were found to be â€Å"technical care, adequate time, assessment, observation, teaching, communication, and individualised care†. Some enhancing and inhibiting factors were identified, as well as positive and negative outcomes in the status of the patients. This proposed study is justified in that although the methodology is similar, the study by Jenkins was undertaken in a small hospital, whilst this study will be undertaken in a large acute public hospital. Furthermore, the cultural aspects of this proposed study are different. Another study of quality nursing care was carried out within the context of an acute public hospital setting in WA (Irurita, 1993). This study used grounded theory to explore quality nursing care from the patients' perspective. Patients described different levels of care and suggested that high quality nursing care could not be expected due to intervening conditions such as lack of time, high patient turnover, competing demands on the nurse, lack of consistency and continuity in nurses assigned to their care, ageism, shortage of staff, lack of co-ordination on ward, and communication problems between doctornurse- patients. These findings raise questions requiring further exploration, including the nurses' perspective. A number of factors may determine the quality of care delivered by nurses to patients. A review of the literature by Fitzpatrick, While, and Roberts (1992) identified nursing competence, use of research, communication skills, care management and organisation of workload, provision of health education and health promotion, creative thinking and reflection as elements of high quality patient care. A number of research studies have equated the quality of nursing with the ability of the nurse to exhibit caring behaviours towards their patients. Some of these studies have explored the behaviours identified by nurses (From, 1992; Clarke & Wheeler, 1992; Mangold, 1991; Chipman, 1991; Schaefer & Lucke, 1990; Morrison, 1990; Forrest, 1989; Larson, 1986), while others the behaviours identified by patients (Fosbinder, 1991; Cronin & Harrison, 1988; Brown, 1986; Rieman, 1986; Larson, 1984). Some of the research has compared the views of nurses and patients (Appleton, 1993; Smit & Spoelstra, 1991; Lapsley, 1989; Larson, 1987; Mayer, 1986). Whereas caring has been described as an important component of quality nursing care, exploratory research is lacking in the study of factors which may influence the nurses' ability to exhibit caring behaviours under varying conditions, and what additional factors may be involved in the delivery of quality nursing care. There is evidence in the literature to suggest that although nurses may be capable of providing quality care and know what constitutes quality care, their performance in practice may be affected by factors such as decreased numbers and the resulting reduction in available time, which can prevent the delivery of quality nursing care (Forchuk ; Kirkpatrick, 1991; Hendrickson, Doddato ; Kovner, 1990). A recent survey of 2,488 Australian nurses (Millis ; Tattam, 1994) found that budgetary cuts and management restructuring were having a negative impact on nurses' work environment. Increased workload, reduced standards of care (particularly in the public sector), and a lack of improvement in patient care were also said to be apparent. In WA, hundreds of nurses protested at a rally organised by the Australian Nursing Federation to express concerns about the effects of economic cutbacks in the WA health environment. Specifically, the dismantling of the WA Nurses' Career Structure and the reduction of nursing positions were said to be having a negative effect on the delivery of quality nursing care (Bartley, 1994). Nursing staff in the hospital environment of WA are currently challenged to maintain and improve the quality of care in the face of changing work patterns and moves to promote earlier discharge of hospitalised patients resulting from increasing economic restrictions (Health Observer, 1994). The indication that problems exist in the delivery of quality nursing care in WA warrants closer examination, to discover how nurses deliver quality care and factors which nurses perceive to affect the delivery of quality nursing care in the resent context of acute public hospitals in WA. Increasingly it is recognised that gaps exist between theory and practice (Chine ; Jacobs, 1987; Riley ; Oermann, 1992), an understanding may exist among nurses as to what constitutes quality nursing care, but what actually occurs in practice, under varying conditions, may differ from the recognised standard. Documentation of strategies used by nurses to maintain quality when conditions are adverse are 3 bsent in the literature, as is information indicating what circumstances are favourable to quality care provision and what constitutes the highest quality of nursing care. The suggestion that the delivery of quality nursing care within the public hospital context of WA may be subject to variation and be influenced by different conditions requires further investigation. As stated earlier in this proposal, some research has been performed in other countries on this phenomenon, but few studies have explored quality nursing care from the perspective of practising nurses. The use of the grounded theory method to research the phenomenon of quality nursing care allows exploration in terms of the current time, place and culture and can give new insights into a topic central to the practice of nursing (Chenitz ; Swanson, 1986). Furthermore, the gap between theory and practice may be reduced by a substantive theory developed in this way. Significance The significance of this research will be to increase our understanding of this complex phenomenon and contribute to efforts aimed at improving and maintaining quality nursing care, within the context of the WA health care system. A substantive theory explaining the process of quality nursing care, focussing on the nurses' perspective, in an acute public hospital setting will be developed. Implications for practice will be discussed and directions for further research in this area will be provided. Research Method A qualitative research method is proposed for this study, using the grounded theory approach (Glaser & Strauss, 1967). This method, which has its roots in Symbolic Interactionism, will reveal the reality of the quality ursing for nurses by interpreting data using a systematic set of procedures to develop a theory of the phenomenon, grounded in the findings (Strauss & Corbin, 1990). Sample Selection The sample for the study will be drawn from nurses working in one area of an acute public hospital located in Perth, WA. Initially, a purposive sampling technique will be used to select nurses for interview. Only Registered Nurses with a minimum of six months post registration nursing experience (of which at least three must have been worked in the study area) will be approached. Participants will need to be able to reflect on and be willing to share detailed experiential information about the phenomenon. Volunteers will be sought initially at staff meetings and a contact number will be left on the notice board in each of the ward areas. Further participants will be approached using a theoretical sampling technique where initial analysis of data guides the researcher to subsequent specific data sources (Glaser & Strauss, 1967). When this technique is used, sampling continues until ‘theoretical saturation' occurs. This is recognised by the establishment and denseness of identified categories as well as an absence of new concepts in the data (Strauss & Corbin, 1990). It is estimated that approximately 10-15 participants will be selected for interview, the final number being determined by theoretical saturation. Procedure Data will be collected from nurses through tape-recorded interviews guided by questions reflecting the objectives of the study (Appendix A). A semi-structured interviews technique will be used where, â€Å"use of the interview guide is not rigidly adhered to by the interviewer† (Chenitz & Swanson, 1986, p. 67). In this technique the researcher explores different aspects of the topic in detail using probes such as how, what, where and when. Interviews will take place in mutually agreeable private venues where the risk of interruptions is perceived to be minimal. Basic demographic information will be gathered from participants before the interview commences (Appendix B). The primary source of data will be the transcribed interviews, however, published literature and some observation will be used as additional data sources. The observations will be performed by the researcher (who is regularly assigned to clinical areas) and recorded by field notes. The main objective of these observations will be to verify data obtained by interview. Furthermore, additional aspects may be noted to be included in subsequent interviews. Data Analysis The constant comparative method of data analysis will be used, whereby data are simultaneously collected, coded and analysed, in a way that allows the creativity necessary for the generation of a theory (Glaser & Strauss, 1967). Interviews will be transcribed verbatim on a word processor and organised for 4 analysis using the Ethnograph computer software (Seidel, 1988). This package numbers each line of the interview transcript and allows for segments of the interview to be coded and selected as required. Firstly, interview transcripts will be coded line by line, sentence by sentence, by a process of ‘open coding', to identify and label common themes and categories by asking questions about the content (Strauss & Corbin, 1990). This will be done by extensively reading the data and listening to the tapes. Categories and subcategories will be developed from this, abbreviated and ‘mapped' onto the numbered interview transcript through the Ethnograph. Coded segments from the interviews will be accessed from the computer for ‘Axial Coding'. This involves putting the data back together again in new ways by making connections between the coded categories and subcategories. ‘Memos' and ‘diagrams' will be used throughout the process of analysis. ‘Selective coding' in which the core category is identified, relationships validated and sub-categories expanded, will take place before a ‘conditional matrix' is constructed and a substantive theory developed (Strauss & Corbin, 1990). Reliability and Validity A number of strategies will be employed throughout this study to ensure that he data collection and interpretation accurately reflects the phenomenon. Guba (1981) and LeCompte and Goetz (1982) discuss a number of ways in which reliability and validity issues of qualitative research can be addressed. This study has been designed to incorporate measures to address these issues as follows: †¢ To avoid bias in the data collection and analysis, the researcher (who possesses current personal experience of nursing in a hospital setting) will raise awareness of own preconceptions and bias to the topic by being interviewed by another researcher, using the proposed interview guide. The researcher will avoid imposing these preconceptions on the data collection and analysis. Furthermore, interview transcripts will be reviewed by an independent person to detect the presence of any such bias. A personal diary will also be kept. †¢ Interviews will be transcribed verbatim and transcripts will be checked for accuracy by listening to the tape recording. †¢ The process of data collection and analysis will be clearly described. †¢ During the coding of the data, other researchers will be asked to separately code segments of the transcripts to confirm the categories identified by the researcher. Once the description of the phenomenon is complete, a sample of participants will be approached and asked to validate the description by reading it and seeing if it makes sense in terms of their own experience. Ethical Issues The proposed research will be submitted through the Human Research Ethical Committee at Curtin University of Technology. The study has already been approved for implementation by the Nursing Research and Ethical Review Committee at Sir Charles Gairdner Hospital. Each participant will be informed of the purpose of the study. Participants' personal contribution together with their human rights will be explained and the opportunity to ask questions about the study will be provided. Once the participant is satisfied with the requirements of the study, a consent form will be signed. The consent outlines the purpose of the study, its voluntary nature, the right to withdraw at any time without penalty, as well as providing an assurance that all information provided will be treated in a non-identifiable, confidential manner (Appendix C). The consent form will be signed by the participant and the researcher, and a copy will be kept by each. Participants will be identified on the interview transcript by a numerical number. The identity of the participants will be known only to the researcher who will keep names and workplace details in a secure place, separate to the transcripts (this information will be required if further contact is necessary). In keeping with the requirements of the University, the transcribed interviews and field notes will be kept for a period of five years. Facilities and Resources The majority of expenses related to this project have already been funded by the Nursing Division of Sir Charles Gairdner Hospital. Additional expenses are estimated as follows: Photocopying and paper 5 reams @ $8 $440 5 Inter-Library Loans $200 Audio tapes 5 tapes @ $3 $15 Batteries 6 batteries @ $1 $6 Travel $100 Micro cassette recorder $400 Total: $1 161 Data Storage Data collected will be qualitative in nature and will be stored on a computer while analyses using Ethnograph computer software are completed. The data files will be maintained for five years after which they will be destroyed. Timeline June-August Year 1 Proposal submitted to University Ethics Committee August Year 1-January Year 2 Data collection and analysis February-June Year 2 Writing of final report 6 References Ambler Peters, D. (1991). Measuring quality: Inspection of opportunity. Holistic Nurse Practitioner, 5(3), 1-7. Appleton, C. (1993). The art of nursing: The experience of patients and nurses. Journal of Advanced Nursing, 18, 892-899. Attree, M. (1993). An analysis of the concept â€Å"quality† as it relates to contemporary nursing care. International Journal of Nursing Studies, 30(4), 355-369. Bartley, J. (1994). Hundreds of nurses protest parliament rally huge success. Australian Nursing Federation Newsletter, 10(4), 1-4. Board, R. F. J. (1988). The relationship of expertise to views of quality of nursing care for hospitalized prenatal women. Unpublished PhD Thesis, University of Michigan. (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 1990114296) Brown, L. (1986). The experience of care: patient perspectives. Topics in Clinical Nursing, July, 56-62, Chenitz, C. , ; Swanson, C. (1986). From practice to grounded theory: Qualitative research in nursing. Menlo Park, CA: Addison-Wesley. Chinn, P. L. , ; Jacobs, M. K. (1987). Theory and nursing. The C. V. Mosby Company, USA. Chipman, Y. (1991). Caring: Its meaning and place in the practice of nursing. Journal of Nursing Education, 30(4), 171-175. Clarke, J. B. , ; Wheeler, S. J. (1992). A view of the phenomenon of caring in nursing practice. Journal of Advanced Nursing, 17, 1283-1290. Cronin, S. N. , ; Harrison, B. (1988). Importance of nurse caring behaviours as perceived by patients after myocardial infarction. Heart and Lung, 17(4), 374-380. Deeny, P. , ; McCrea, H. (1991). Stoma care: the patient's perspective. Journal of Advanced Nursing, 16, 39-46. Erith-Toth, P. , & Spencer, M. (1991). A survey of patient perception of quality care. Journal of Enterostomal Therapy Nursing, 18, 122-125. Fitzpatrick, J. M. , While, A. E. , & Roberts, J. D. (1992). The role of the nurse in high quality patient care: a review of the literature. Journal of Advanced Nursing, 17, 1210-1219. Forchuk, C. , & Kirkpatrick, H. (1991). Nurses' perception of quality of care. Canadian Journal of Nursing Administration, September/October, 7-16. Forrest, D. (1989). The experience of caring. Journal of Advanced Nursing, 14, 815-823. Fosbinder, D. M. (1991). Nursing care through the eyes of the patient. DNSc Thesis, University of San Diego (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 1992143848). From, M. A. (1992). The development of a caring nursing student. Abstract from Book of Abstracts, International State of the Science Congress, Washington DC, August, 208. Gilloran, A. J. , McGlew, T. , McKee, K. , Robertson, A. , ; Wight, D. (1993). Measuring the quality of care in psychogeriatric wards. Journal of Advanced Nursing, 18, 269-275. Glaser, B. , ; Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine. Guba, E. S. 1981). Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology Journal, 29, 75-92. Harvey, G. (1991). An evaluation of approaches to assessing the quality of nursing care using (predetermined) quality assurance tools. Journal of Advanced Nursing, 16, 277-286. Health Observer (1994). Silver Chain promotes early discharge. May, 18. Hendrickson, G. and Doddato, T. M. (1989). Setting priorities during the shortage. Nursing Outlook, 37(6), 280-284. Hendrickson, G. , Doddato, T. M. , ; Kovuer, C. T. (1990). How do nurses use their time? Journal of Nursing Administration, 20(3), 31-37. Irurita, V. (1993). From person to patient: Nursing care from the patient's perspective. Unpublished report, Department of Nursing Research, Sir Charles Gairdner Hospital, Perth, WA. Janhonen, S. (1993). Finnish nurse instructors' view of the core of nursing. International Journal of Nursing Studies, 30(2), 157-169. Jenkins, J. B. (1988). Quality in patient care as perceived by nursing care providers. Unpublished PhD Thesis, University of Texas at Austin. (From Combined International Nursing and Allied Health Literature, 1994, Abstract No. 112616) Kitson, A. L. (1986). Indicators of quality in nursing care – an alternative approach. Journal of Advanced Nursing, 11, 133-144. 7 Larson, P. J. (1984). Important nurse caring behaviours perceived by patients with cancer. Oncology Nurses Forum, 11(6), 46-50. Larson, P. J. (1986). Cancer nurses' perceptions of caring. Cancer Nursing, 9(2), 86-91 Larson, P. J. (1987). Comparison of cancer patients' and professional nurses' perceptions of important nurse caring behaviours. Heart and Lung, 16(2), 187-193. Lapsley, J. (1989). The caring nurse: Patient dimensions perceptions and expectations. Unpublished project, Perth, WA. Le Compte, M. D. , & Goetz, J. P. (1982). Problems of reliability and validity in ethnographic research. Review of Educational Research, 52(1), 31-60. MacGuire, J. M. (1991). Quality care assessed: using the Senior Monitor index in three wards for the elderly before and after a change in primary nursing. Journal of Advanced Nursing, 16, 511-520. Mangold, A. M. (1991). Senior nursing students’ and professional nurses’ perceptions of effective caring behaviours: A comparative study. Journal of Nursing Education, 30(3), 134-9. Mayer, D. K. (1986). Cancer patients’ and families perceptions of nursing caring behaviours. Topics in Clinical Nursing, 8(2), 63-69. Millis, G. , & Tattum, A. (1994). ANJ readership survey. The Australian Nursing Journal, 1(6), 14-16. Morrison, P. (1990). The caring attitude in nursing practice: a repertory grid study of trained nurses’ perceptions. Nurse Education Today, 11, 3-12. Norman, I. J. , Redfern, S. J. , Tomalin, D. A. , & Oliver, S. (1992). Developing Flanagann’s critical incident technique to elicit indicators of high and low quality nursing care from patients and their nurses. Journal of Advanced Nursing, 17, 590-600. Pearson, A. , Durant, I. , & Punton, S. 1989). Determining quality in a unit where nursing is the primary intervention. Journal of Advanced Nursing, 14, 269-273. Rempusheski, V. F. , Chamberlain, S. L. , Picard, H. B. , Ruzanski, J. , & Collier, M. (1988). Expected and received care: patient perceptions. Nursing Administrative Quarterly, 12(3), 42-50. Rieman, D. J. (1986). Noncaring and caring in the clinical setting: patientsâ€℠¢ decriptions. Topics in Clinical Nursing, 8(2), 30-36. Riley, D. , & Oermann, M. (1992). Clinical teaching in nursing education (2nd edition). National League for Nursing: New York. Schaefer, K. M. & Lucke, K. T. (1990). Caring – the work of the Clinical Nurse Specialist. Clinical Nurse Specialist, 4(2), 87-92. Seidal, J. V. (1988). The Ethnograph version 3. 0 [computer program]. Corvallis, O. R. Qualis Research Associates. Smit, J. & Spoelstra, S. (1991). Do patients and nurses agree? Caring Magazine, October, 34-36. Strauss, A. , & Corbin, J. (1990). Basics of qualitative research. Graounded theory procedures and techniques. Sage: California. Varholak, D. M. (1989). Experiencing quality nursing care in a long term setting: A patient-nurse perspective. Unpublished manuscript. Columbia University Teachers College. Whelan, J. (1988). Ward sisters' management styles and their effects on nurses' perceptions of quality care. Journal of Advanced Nursing, 13, 125-138. Yonge, O. J. ( 1989). Nurses ‘ and patients' ‘ perceptions of constant care in an acute care psychiatric facility: A descriptive qualitative study. Unpublished PhD Thesis, University of Alberta, Canada. 8 APPENDIX A Interview Guide What does quality nursing care mean to you? How does one ensure that quality nursing care is given? Give examples, in your experience, where you think high quality nursing care was given. Describe an incident). What are some of the most important aspects to consider in the delivery of quality nursing care? Can these be prioritised? What factors (if any) prevent you from achieving the delivery of quality nursing care to your patients (or patients generally)? What factors enable or help in the delivery of quality nursing care? Give examples of where improvement s in nursing care delivery could have been made. How would you rate the quality of care given to patients in your area of work? 9 APPENDIX B Demographic Information 1. Length of time employed at this hospital:_____________ 2. Length of time employed as a nurse:_____________ 3. Length of time employed on present ward:___________ 4. Level: New graduate______ Level 1_____ Level 2______ 5. Part-time______ Full-time______ 6. Initial nursing education: Hospital_________ College/University__________ 7. Year completed__________ 8. Post basic educational achievements: ____________________________________________________ ____________________________________________________ 9. Current studies: ____________________________________________________ ____________________________________________________ 10. Male_______ Female________ 11. Age_________

Peer Pressure Speech Essay

â€Å"He who saves one life it is as though he saves the world†. You make the call, you have control over what you want to do or not do. Do you really want to do it, or are you too scared to stand up for yourself and just say no? You must stand up for yourself, and be confident with your decision. What if you say yes? What if you decide not to stand up for yourself? What if you are not confident? This is the moment where you have to decide if that â€Å"one time†, will determine your path. But you really have to stop and think for a moment. Is what you are doing a complete and true definition of you? Whose life are you really leading? There are two kinds of peer pressure. The Positive kind, and the Negative kind. The positive kind of peer pressure is, being pressured or convinced to do a certain task that you may not have had the confidence to complete or to do yourself. Another kind of positive peer pressure is when friends convince you not to do something that may not have been in your best interest. Negative peer pressure is just what it sounds like—It is when Peers try to make you think that they know what is best for you. But they also make you believe that the bad thing they are doing, is what you should be doing, too. They try to direct you down a path, which is not the correct one. They push for you to have JUST ONE drink. To smoke JUST ONE cigarette†¦. But, the thing that you can do to save yourself is not always the easiest thing to do– saying NO. But just saying no may or may not be the end of the problem. What it means is that you have to be certain and confident with your choice, and have the inner strength to know that you are doing the right thing. Being accepted by people who want you to be a follower, and to go down what may be the wrong path, is being accepted or thinking that you will be accepted by people who are not really your friends. Many people forget what the true definition of friend is. Why are people so willing to give into peer pressure? Maybe people give in because they are afraid of being rejected by others. Maybe they give in because they want to appear grown up. They don’t want to be made fun of; they don’t want to hurt someone’s feelings; they aren’t sure of what they really want; they don’t know how to get out of the situation. We all feel it! We all do it! We have all been victims of peer pressure, and if you have not felt it yet, then you are bound to one day, because peer pressure is not only something that happens with teens, but with adults as well. Even adults feel peer pressure – to have a nicer car, a nicer house, different clothes†¦etc†¦ Unfortunately, negative peer pressure is never going to disappear. There will always be someone who will try to tempt you with something, try to convince you of something, use you for something. While we can’t change other people so easily, what we can change is how we react to negative peer pressure. It takes a lot of courage to stand up and walk away, when other people are doing something that you don’t want to do. It takes leadership to show the right path. It is so hard when â€Å"everyone† is drinking, when â€Å"everyone† is smoking pot, and you aren’t. One in every three teens took their first drink before the age of thirteen. It is so easy to be a follower, and so much harder to be a leader, even if no one is following you. People need to realize that forcing or badgering or humiliating someone into taking a drink, is not being a leader. You don’t know someone’s reasons for not drinking, you don’t know if they are taking medicine that might really affect them if they drink, or if they have a medical condition that would be affected if they drink. So they feel pressured, take a couple of drinks, then get really sick, or get in an accident. Pretty negative right? We have all heard about teen drug use since we were in middle school. We all remember that middle school was a really hard time, as we were trying to be so mature, and were still so young, and were trying to find an identity. Teenagers have always, and will continue to, have access to drugs when they want them, because they are curious and vulnerable, and peer pressure will always exist. The temptation to some how and some way, run away from things in our lives that cause conflicts, can let us become the victims of peer pressure, and drug use. Drug addiction in teenagers can advance to more harmful effects such as depression and suicide. One out of every three kids has been given, offered or sold drugs in High school and Middle School and one in every four of 17 and 18 year olds smoke regularly. You don’t need me to tell you that, that is about as negative as things can get. You have the choice, and you have the control to stand up for yourself. Here’s the thing, you’ll never be able to stop peer pressure. People will always want you to be like them, because they want someone to drag along—it gives them more confidence and strength. But you can only hope that there will be good people out there that will encourage people to do good things, instead of bad. If negative peer pressure was to end, and all we were left with was positive peer pressure, we would be living in a society that would be making great advancements in the right direction. For example, Relay for Life is a very important program that takes place not only in our community but also in communities all over our country. Kids raise money for, and awareness of cancer, by taking part in an all night walk-a-thon. By pressuring our peers to attend such an impressive community event, we are making a gigantic step toward finding a cure for all kinds of cancers. It is events and moments like these, which can change the world. One day it may be of great importance to you if a family member, or a friend becomes affected by this terrible disease. Pressuring your peers to take part in doing good for the world is the greatest form of positive peer pressure and leadership. Now, let’s say that negative peer pressure is allowed, and continues to be a growing problem. Imagine this scenario: You’re at a party, and you see a kid from your school, and it seems as though he is not doing much socially. You approach him, and start harassing him about how he isn’t drinking and that he’s too scared to have a drink. But to show you up, this lonely teen lets down his guard and has one beer, and then another beer, and then another beer, until he’s so drunk its unrecognizable who this person is anymore. You laugh, and walk away, not realizing that this kid who drove there all by himself does not have many friends, and none of them are at the party. The next school day you find out that one of your classmates is dead. He left the party, got in a car, and wrapped himself around a tree, resulting in his tragic death for which not only you but also everyone present at that party is to blame. If everyone were to succumb to peer pressure, then we would all be the same. For example, lets talk about the clothes we wear—if peer pressure said that everyone should wear only clothing from Hollister, then we would all look alike. Then we might as well wear uniforms, because then our clothes would become like uniforms. And if every one lived in the same kind of house, and drove the same kind of car, had the same kind of dog, went to the same places for vacation, it would seem like communist Russia, and not the free country that we live in. Although that is taking it to an extreme, and seems silly, that is precisely what peer pressure is, if there was no one to stand up for themselves. So, are you someone who wants to save a life or someone who wants to sabotage a life? Are you a leader or a follower? If you are a follower, or a life saboteur, do you want to change, and if not, why not? Are you happier making someone else unhappy? Remember, if you change one life, save one life, then it is something that can change the world, one person at a time†¦

Byzantine Empire Essay Example | Topics and Well Written Essays - 2500 words

Byzantine Empire - Essay Example They also had a lot to do with installations and depositions of emperors (Sewter/Psellus 1997). To understand them better, it is important to note that these three Empresses lived at the time following the birth of Christendom, from about 770 to the middle of the second century, when the Roman Empire had its main base and 'headquarters' in Byzantium, a place we now know as Istanbul, in Turkey. It was a strategic place, in a prime position on the coast of the important Mediterranean Sea (Sewter/Psellus 1979). With part of its area firmly in Europe, and the other at the gateway to the Holy Lands (known now as the Middle East) and Asia, this area could dominate in terms of wealth, politics and power. Syria, whose cities of Aleppo, Damascus and Antioch were centers of trade and knowledge, was so close by that the men - and the important women - of this age and time had a lot of resources at their disposal, both in material wealth and in clever advisors, and this enabled them to mark history with their own names in all matters that had to do with culture, the military and without any doubt, the economy. Chronologically, the first of these women, Irene, was a powerful monarch in her own right, and it is an indication of her attitude that she chose to call herself by the masculine term 'Basileus' or Emperor (Garland 1999). After being expelled from the marriage-bed because of hiding icons when the Emperor had banned them, she became involved in a number of conspiracies. Intelligent and wily - probably because of her doubtful social status before she was married - she wielded power from behind the scenes, coming into her full might when she became regent for her son on the death of her husband Leo IV. Her son was to become Constantine VI, but while he was younger, his mother took advantage of the position of regent to enforce her beliefs in Christianity and the Pope. She used her wiles to promote some men and get rid of others. A famous action of hers was the idea of ordaining those who threatened the throne. Being priests disqualified them from being candidates (Sewter/Psellus ibid). No stranger to intrigue, she made her son extremely uncomfortable with her exploits when he came into power. There are several important political events of her time that have Irene's unmistakable signature: she liked underhanded dealings and plots. But, ironically, she became most famous for restoring worship of icons and other religious images. (Garland 1999). This seems to indicate that she felt her power came from her faith and that it absolved her of a lot of unethical or improper dealings. She deposed her own son and had him exiled, after which she ruled in her own right for five years. This grand conspiracy caused deep factions in the Church and the empire court. When she had her son's eyes gouged out, which killed him, people believed the heavens were angry, because the sky darkened for a number of days (Garland 1999). People believed she had enough power to affect more than just politics. She was revered just like a saint after her death, probably because of her political power that restored worship to those who wanted it. She has never been canonized. Irene was ultimately taken off the throne and had

EMBA 560 Executive position week 3 discussion 3 Research Paper

EMBA 560 Executive position week 3 discussion 3 - Research Paper Example The truth is that all businesses will eventually have to face change, and it is a wise and prudent ship’s captain who knows when to cut loose change course. A company which once commanded industry leadership around the world recently declared bankruptcy largely as a result of failure to adapt strategies to the changing environment, or by adapting change too late. The company is Kodak, formerly the world’s leading name in photography equipment and services. Kodak made its business on film photography, and when the first digital camera was invented in 1975 and was first brought to Kodak, the management considered it â€Å"cute† but insignificant because it was filmless (Mui, 2012). The company executives failed to see that the new invention was potentially disruptive and that the company must grab the opportunity of becoming a first comer and laying stakes on the new technology. Had Kodak not stuck solely to film photography in which it had dominated, and made its shift early by buying the rights to the new invention, the company would have been at the forefront of digital photography and imaging at present, instead of filing for bankruptcy protection. The problem with Kodak and the many other businesses that failed due to a misspecification in their strategy is that they are unable to recognize significant environmental shifts and to adjust accordingly to the opportunities brought about by change. Mui, C 2012 â€Å"How Kodak Failed.† Forbes. 18 Jan 2012. Retrieved from http://www.forbes.com/sites/chunkamui/2012/01/18/how-kodak-failed/ 2. Consider the industry where you are currently employed (or the one you would choose to work in if currently unemployed). How does a firm in your industry create competitive advantage in the marketplace? The firms in our industry generally acquire competitive advantage in three ways: by coming up with new innovations; by improving services to the customers; or by lowering prices significantly. The firs t is the best way, where possible, because the medical devices industry is highly technology driven, and new technologies that help save and improve lives will always have strong first-comer advantages. The problem with this choice of competitive strategy is that it is capital intensive because of the extremely high investment in research and development that it requires. Companies which do not have the financial size and strength to weather long periods of product development from laboratory to market is not going to survive this type of an industry. The other firms which cannot quite undertake their own innovations will have to compete on the basis of customer service and/or low price. The giving of deep discounts on good quality products is never a good idea, because it does not properly reward the R&D proponent and may become a demotivator for the research and development of new products. In order to maintain the value of a good product even during tight competition, firms have turned to improved customer management. This is ideal because when the company establishes a long-term relationship with a client that has the prospect of repeated transactions, particularly for institutions and physicians and in the case of patients for the prospect of upgrades, then keeping detailed information on them will help the company target those products that will serve their specific purposes better. That is a value-enhancing service that the company can

South africa Essay Example | Topics and Well Written Essays - 1250 words

South africa - Essay Example The companies’ efforts were however met with government’s counter strategies to maintain the practice of apartheid. Caltex, owned jointly by Texaco and SoCal is one example of foreign company operating in South Africa whose shareholders on many occasions tried hard to pass resolutions that were anti apartheid. This paper seeks to highlight Caltex, its conception in the South African market, its operations and how it affected the growth or downfall of the practice of apartheid. First we consider whether the entry of Caltex in South Africa empowered apartheid. Whether or not the utilitarian benefits of Caltex’s operations stood above the moral rights and justice violations that its presence seemed to propagate. In 1975 Caltex sought to expand its investment in South Africa. The expansion could cost $135 million, increase south Africa’s refining capacity by 11% and it promised a return on interest of about 20% i.e. approximately $27 million annually. In essence, a Return on Interest of $27 million annually, had a strong utilitarian benefit. After all Caltex is a profit making company and profit making is the major focus. However, this expansion would consequently strengthen the economy of the very government that was steadfast at maintaining apartheid as its legal policy. A strong economy meant a strong government and thus widespread apartheid. The commitment that Caltex later showed to the plight of their black employees is another utilitarian benefit that requires consideration. They moved 40% of their black workers to refinery jobs initially held by whites and they moved a total of 29 to the topmost four of the white collar and skilled job categories. Even though most blacks remained in the lower job categories, Caltex had at least shown their commitment to eradicating apartheid. The utilitarian benefits of Caltex presenting better working conditions

Digital Target Audience and Media Influencer Essay

Digital Target Audience and Media Influencer - Essay Example The story is about sharing experiences and giving hope where there is none. In other segments, there are classifieds and news coverage from different parts of the world. The site runs ads on different goods on promotion and hot deals. The site integrates with its social network sites which include Twitter, Google+ and Facebook. Participants engage using these networks on news, trends, gossip and other stories highlighted on the site (Indystar). The content in the site include videos, pictures and graphics. The quality is good and merges those of other news media sites. The site generally carries stories about Indianapolis and other parts of the world. The content is essential for the company that requires tracking its customers throughout their lives and creating customized and effective ads. The online media platform has a wide spectrum of services and products. Better analysis and tracking will provide accurate information on how customers can be served better and their demands satisfied in Indianapolis. This YouTube media channel is a nature exploration platform for those enthusiastic with media. The channel details National Geographic best range of wild habitats including all kinds of wildlife. The channel has is rich with videos describing different habitats in the world, from the Kalahari to Brazil. Videos are high quality presented in HD and involve well-researched documentaries produced by the world’s greatest wild enthusiasts. Documentaries on Wild American Yellowstone Scavengers, Snowy Owls, Hummingbirds, most beautiful and colorful birds, Siberian wolfs and Hippos are informative and explorative. The channels qualify as a good media outlet because it has more than 1862 subscriptions and more than 270,000 views. The channel has social media outlets which let its subscribers follow what is happening (YouTube). Most of the videos uploaded to this channel attract record-breaking views. One of its video  uploads â€Å"Birds of Paradise† has attracted 116,378 views, while another â€Å"Snowy Owl† has over 69,000 views.

Persuasive Letter Essay Example | Topics and Well Written Essays - 750 words

Persuasive Letter - Essay Example Communication Solutions for the last five years and prior work experience at the procurement department at the Cortland County Government offices not only present me as an ideal representative of our organization in the deal, but also opens a new chapter for our customer experience if my application goes through. Basing my application from an internal perspective of the two organizations party to the contract, my conversance with the systems of operation regarding procurement objectives at Cortland County Government and sales objectives at Lintech Communication Solutions will assist me to negotiate the best deal out of the contract. In light of the past circumstances causing revocation of rather lucrative contracts, it can squarely be blamed on the lack of understanding between Lintech Communication Solutions representative and our clients. As past management reports confirm, such failure can be attributed to a poor customer experience based on misunderstanding of the two systems of operation. Having been a part of the two contractual organizations, my representation of Lintech Communication Solutions at the initiation negotiations can guarantee success to this end. The familiarity that I have with the County Government officials is a valuable bargaining beginning for our organization. Besides my strategic advantage with conversance, my recent engagements on behalf of Lintech Communication Solutions have been in contracts of installation of video conferencing equipment for three different county government offices. All of these projects can be rated one of the best for the entire country and Lintech Communication Solutions, since the Federal Government rolled out the video conferencing plan for all government offices. Having taken part in the pilot projects that have had such success presents me as the ideal candidate for yet another successful negotiation for our organization. These deals were allocated to us amid a competitive backdrop crowded by numerous

Social Media Essay Example | Topics and Well Written Essays - 250 words - 3

Social Media - Essay Example On the other hand, companies are able to create pages in these social networking sites, where customers are able to access information, which is significant for mediating marketing. Therefore, social media harnesses and promotes effective communication among customers and the company offering various products. There some of the negative influences of social media to the company, whereby it can make information that the company does not want to reach customers to be viral (Associated press, 2012). Therefore, the company can suffer from negative publicity due to negative reviews from a single customer. For example, a customer may be impatient about delivery of certain foods or services that they have ordered online, and they may result to making negative reviews about the company. In fact, this would result to negative publicity, which makes potential customers lose confidence on the company, however, this problem can be resolved by ensuring that content posted on the company account has been regulated, whereby only the reviews that has been approved can be displayed in order to avoid ruining the company’s

Transformational Change at HTC ECCH Case Study Example | Topics and Well Written Essays - 1250 words

Transformational Change at HTC ECCH - Case Study Example In this paper, examples that analyze change have been investigated with a focus on the period after establishment before going to smartphone manufacturing. This is in support that HTC has made strategic changes as well as a taken paradigm shift. Evolution and revolution in a company can lay its basis on either its size or age. Evolution and revolution both provide phases of growth and crisis. These exist throughout the growth of the company from being a young company to being mature or from being small to being large. Phase 1 is the period of creativity. Here founders have entrepreneurial and technical focus and there is regular communication between employees. The long working hours are rewarded. The crisis here is where the founders need to undertake control in all matters and are skeptical about giving the power to any other person. For example at the start of HTC, the company adopted a five-day workweek that was an unusual step in Taiwan. The employees were also legible to a year -end bonus. The technical and entrepreneurial focus is also seen where Cher Wang’s colleagues bring palm devices for review and that leads them to start working on theirs. Control is evident where Cho and Chou are the sole recruiters of the engineers, which also says a lot about the focus on a technicality. For example in Peter, the employees acknowledge that they had a CEO, who would sit down and take ideas from anyone. As growth continues, there is more specialization as the processes in the company become more established. Communication also becomes formal. In reference to the growth of HTC, meetings are in Chinese but official email communication had to be in English. As the company grew, age and processes became more established. For example, HTC shifted design and much of the manufacturing work from subcontractors. In 1999 in-house manufacturing and design at the MAGIC labs started.

Education of the Middle Ages Essay Example for Free

Education of the Middle Ages Essay Education, as we know it today, did not exist in the Middle Ages. Illiteracy was dominant among the population. Scribes were the exception to the rule. Churches were the main source of knowledge and schooling. Real interest in learning grew along with the development of towns. The towns officials needed to be educated. At the same time a need for legal institutions was created and so started the university phenomenon. Modern education was on its way. There were few schools in the Middle ages, so everyone had limited education. Even the Lord of the Manor was often unable to read or write. Some of the first schools were Cathedral schools. As well as Parish, Monastic, and Palace schools. Here people learned a particular role in society. Naturally the primary job was training the clergy in their professional duties as priests of the Christian people. The bishop was the head of the complex and he had a staff of priest to help him with the several of the diocese. These skills that were taught here were reading, singing of hymns, church law, writing of documents and the performing of Church duties and sacraments. An example of educating for a specific role in life were the Knights who had learn how to fight with various weapons so that they could fight for their king. The common people, however, had no way of being educated other than going a monastic school. However, if they did this, they had to donate their property to the church. The people who went to this school later become monks or nuns. They had to follow three important laws: chastity, obedience, and the law or the lord if not followed they would be thrown out of the monastery. Most monasteries had a rule of silence: monks could not talk which other except for a short period of time. During meals one monk might read passages from the bible while the others mediated. Even though monks lives seem to be so hard it was the best place to go for a good education for anybody from a king to a beggar (Monasteries 488-499). Women took part in monastic life by living in a convent under a direction of an abbess. Known as nuns, they wore simple clothes and wrapped a white cloth called a wimple around their face and neck. They alternated prayer with spinning, weaving, and embroiling items such as tapestries and banners. They also taught needlework and the medicinal use of herbs to daughters of nobles (Couglin A6). Although monks and nuns lived apart from society, they were not completely isolated. Indeed, they played a crucial role in medieval intellectual and social life. Since few people could read or write, the regular clergy preserved ancient and the classical writings. Scribes copied all the books by hand working in a small drafty room with one candle or a small window for light. Illuminated manuscripts decorated with rich colors and intricate pictures indicate that, although the task was done with hard work, it was also lovingly done (Monastaries 499-501). Monasteries and convents provided not only schools for young people, but hospitals for the sick, food for the needy, and a home for travelers who need a place to stay (Monasteries 499-501). Cathedral schools were there to train higher-member of the Church in their professional duties as ministers of the Christian people. The bishop in whose Cathedral complex the school was located needed a group of trained priests to administer the various needs dioceses. The Cathedral school largely emphasized practical skills, effective reading, singing, and knowledge of Church Law, public speaking and the administration of the holy sacraments (Corbishely 28). At first the university was not so much a place as it was a group of scholars organized like a guild for the purpose of learning. Classes were held in rented rooms or churches even in the open air. Books were scarce. In most classes teacher read the text and discussed it, while students took notes on slates or memorized as much information as possible. Classes did, however meet regularly schedule. University rules established the obligations of the students and the teachers toward each other. To qualify as a teacher students had to pass an exam leading to a degree, or a certificate of completion (Cantor 58). By the end of the 1200s universities had spread throughout Europe. Most southern European universities were modeled after the law school at Bologna, Italy, and specialized in law and medicine. Universities in Northern Europe on the contrary, specialized in liberal arts in Theology. These were generally modeled after the University of Paris (Bailey 89). At medieval universities, scholars studied Latin classics and Roman law in depth. They also acquired knowledge from the works of the Greek philosopher Aristotle and from the Islamic scholarship in the sciences. This interest in the physical world eventually led a rise of western science (Schools 291-292). Many church leaders opposed the study of Aristotles works, fearing that his ideas feared the Christian teachings. In contrast some scholars thought that new knowledge could be used ideas. The applied Aristotle philosophy to theological questions and developed a system of thought called scholasticism. This new type of learning emphasized reason as well as the faith in the interpretations of Christian doctrine. Scholastic sought to bring back classical philosophy along side with the teachings of the Church. They believed that knowledge could be integrated into a coherent whole (Schools 295). One scholastic teacher, Peter Aberlard taught theology in Paris during the early 1100s. In his book Sic et Non, he collected statements from the bible writings of early Christian leaders that showed both sides of controversial questions. Abearld then had his students reconcile the difference though logic. In the 1200s the most important scholastic thinker was Thomas Aquinas a brilliant theologian and philosopher who taught philosophy in Naples and France. In his work Summa Theolgica Aquinas claimed that reason was a gift from god that could provide answers to basic philosophical questions. The catholic later accepted and promoted Aquinass way of teaching and thinking (Schools 310). The education of a knight proceeded in a way similar to that of many medieval occupations. At an early age the prospective knight was apprenticed to serve as a page, or attendant, in a knights household. In his teens the page graduated to the status of a squire and received more responsibilities. As a squire the boy tended his knights horses and armor, but he also gained his first battle experience. Several squires were usually apprenticed to a knight at the same time and on the battlefield they might fight as a small band of infantry around their master. Here they acquired the many skills in arms necessary for their profession. To graduate to the status of a knight, a squire usually performed some heroic deed in battle. The squire was welcomed into the order of knights by being dubbed with a sword or slapped in the face by his lord. Afterwards the new knight would receive his fief, or gift of land. As the cult of chivalry developed in the 12th and 13th centuries, knighting ceremonies became more involved. Often they occurred at court, and a knights dubbing might be preceded by a religious vigil in which the knight vowed to uphold Christian and chivalric principles (Davies 12-13). Finally the Renaissance, or rebirth of learning, began in Europe in the 14th century and reached its height in the 15th century. Scholars became more interested in the humanist features that is, the secular or worldly rather than the religious aspects of the Greek and Latin classics. Humanist educators found their models of literary style in the classics. The Renaissance was a particularly powerful force in Italy, most notably in art, literature, and architecture. In literature, the works of such Italian writers as Dante Aleghieri, Petrarch, and Giovanni Boccaccio became especially important (Renaissance 228-229). Humanist educators designed teaching methods to prepare well-rounded, liberally educated persons. Dutch humanist Desiderius Erasmus was particularly influential. Erasmus believed that understanding and conversing about the meaning of literature was more important than memorizing it, as had been required at many of the medieval religious schools. He advised teachers to study such fields as archeology, astronomy, mythology, history, and Scripture (Renaissance 220). The invention of the printing press in the mid-15th century made books more widely available and increased literacy rates. But school attendance did not increase greatly during the Renaissance. Elementary schools educated middle-class children while lower-class children received little, if any, formal schooling. Children of the nobility and upper classes attended humanist secondary schools (Bailey 112). Educational opportunities for women improved slightly during the Renaissance, especially for the upper classes. Some girls from wealthy families attended schools of the royal court or received private lessons at home. The curriculum studied by young women was still based on the belief that only certain subjects, such as art, music, needlework, dancing, and poetry, were suited for females. For working-class girls, especially rural peasants, education was still limited to training in household duties such as cooking and sewing (Couglin, A8). As it shows education the Middle Ages seems to be so diverse and a starting point for modern education. But the reader must always keep in mind only about five percent of the whole population did all of these educational activities.

Differentiated Instruction Essay Example for Free

Differentiated Instruction Essay â€Å"What Is a Differentiated Classroom?† is the title of the first chapter of our course text. Below the title is a quote from Seymour Sarason’s â€Å"The Predictable Failure of Educational Reform.† The quote states: â€Å"A different way to learn is what the kids are calling for †¦.All of them are talking about how our one-size-fits-all delivery system – which mandates that everyone learn the same thing at the same time, no matter what their individual needs – has failed them. This is a powerful statement and one that admittedly paints an accurate picture of much of my teaching style coming into this course – â€Å"a one-size-fits-all delivery system. † My initial reaction to the opening statement was a bit defensive and off-putting. As I continued to read, I was momentarily validated when shortly afterwards I read that teacher’s often ask the question â€Å"How can I possibly divide time, resources and myself so that I am an effective catalyst for maximizing talent in all my students?† There are seemingly just too many needs and variables to reach the masses in a classroom. Teach to the middle seems to be a logical strategy. If we assume the 80-20 rule, we can reach 80% of the students fairly effectively with this methodology. Of the remaining 20 %, some portion of them should be able to glean part of the information. To be sure, I am available and encouraging of questions to assist in understanding. Additionally, I may grade an individual’s work with some reasonable variance. But other than some on-the-fly adjustments I may make to assignments as I see need that is the extent of my differentiation in t he classroom. SEEMS reasonable enough! Or should I say SEEMED reasonable enough!! The remainder of chapter one promptly provided a stern but inspirational slap-in-the-face. It offered a quick but stark contrast to my seemingly logical method of operation. A few of the â€Å"differentiation† concepts highlighted which served as motivation a prompted further reading: †¢Teachers begin where students are, not from the start of a curriculum guide †¢Teachers must be ready to engage students in instruction through different modalities, by appealing to differing interests, and by using varied rates of instruction along with varied degrees of complexity †¢Teachers provide specific ways for each individual to learn as deeply as possible and as quickly as possible, without assuming one student’s road map for learning is identical to anyone else’s. †¢Teachers begin with a clear and solid sense of what constitutes powerful curriculum and engaging instruction. Then they ask what it will take to modify that instruction so that each learner comes away with understandings and skills. †¢It is difficult to achieve a differentiated classroom because there are few examples of them. (Tomlinson, 1999) With these thoughts as an introduction and tapping into my drive for continual improvement the stage was set for the course. Moving forward, I see in retrospect, what chapter one did for peeking my interest in differentiated instruction I believe the rest of the book, the course workbook and the course itself did for laying the foundation towards true implementation. The following are four lesson plans I have developed to begin the process of differentiating lessons for my students. The differentiated concepts utilized are Entry Points, Problem Solving, Sternberg’s 3 Intelligences and Extension Menu’s. These lessons, while unique in their methodologies, all reflect the underlying assumption of Differentiated Instruction (DI). And that assumption, as reflected in a graphic organizer in our course workbook, is that †¦.Differentiation is a response to the learner’s needs using learning profiles, interests and readiness in content, process and product. The first lesson constructed utilizes Howard Gardner’s â€Å"Entry Points† strategy. This lesson is designed to account for the various learning profiles of student’s and is based off of Gardner’s Multiple Intelligences theory. The major tenet of MI theory is that people learn, represent, and utilize knowledge in many different ways. These differences challenge an educational system which assumes that everyone can learn the same materials in the same way and that a uniform, universal measure suffices to educate and test student learning. According  to Gardner, the broad spectrum of studentsand perhaps the society as a wholewould be better served if disciplines could be presented in a number of ways and learning could be accessed through a variety of means.† The Multiple Intelligences postulated in this theory are: †¢Linguistic Intelligence The capacity to use oral and/or written words effectively. †¢Logical-Mathematical Intelligence the ability to effectively use numbers and to reason. †¢Spatial Intelligence the capacity to accurately perceive the visual/spatial world and create internal mental images. †¢Bodily-Kinesthetic Intelligence the ability to skillfully move ones body and to move and manipulate objects. †¢Musical Intelligence a sensitivity to and grasp of the elements of music. †¢Interpersonal Intelligence the capacity to perceive and distinguish moods, intentions, and feelings of others. and using simulations to learn about events, feelings and alternative strategies for behaving. †¢Intrapersonal Intelligence the ability to know ones self and act on the basis of that knowledge. †¢Naturalistic intelligence – the ability to recognize and classify plants, animals, and minerals including a mastery of taxonomies. (The Theory of Multiple Intelligences) Stemming from the MI theory is Gardner’s â€Å"Entry Point† strategy for education. According to this strategy, Gardner proposes student exploration of a given topic through as many as five avenues: Narrational (presenting a story), Logical-Quantitative (using numbers or deduction), Foundational (examining philosophy and vocabulary), Aesthetic (focusing on sensory features), and Experiential (hands-on). (Grants and Research Office) In utilizing the Entry Point strategy in the first lesson plan, students will explore and be introduced to the world of â€Å"new products and services through invention, innovation and discovery† via four of the five entry points listed: Narrational, Logical-Quantitative, Foundational and Aesthetic. The fifth entry point, Experiential, is included in the unit lesson and will be used as a summative experience. The differentiated design of this lesson taps into the multiple learning styles of students through a variety of processes. Teaching Strategies Entry Point Strategies for subject â€Å"New Products†: †¢Narrative: Students browse the internet searching for new products which have recently been introduced to the consumer. Student’s compile a list of their findings as they progress. †¢Logical/Mathmatic: Students gather statistics regarding the sales of a product over the products life cycle. Student’s then incorporate that statistical data into a graph via excel †¢Aesthetic: Students create a collage of new products along with the demographic who would utilize the product †¢Foundational: Entrepreneurship: Students view three of a possible five video clips on the role of Inventors/Innovators/Entrepreneurs and their connection to new products. Discussion to follow †¢Experiential: Field Trip to QVC to view new products as they are being displayed, advertised and sold The second of the four differentiated lessons centers on the essential question of â€Å"What is the Six Step Developmental Process?† The differentiated strategy employed in this lesson is based on Sternberg’s Triarchic Theory of Human Intelligence. I looked forward to putting this lesson together as Sternberg’s theory is one that resonates with me. Coming from the business management world, and being new to the vocation of teaching, I find much of my class instruction project based with a real world â€Å"practical† slant.  Additionally, as a manager in business, one is constantly striving to place the correct people in the correct roles within a company. Hiring’s, training, evaluations, promotions, firings, relocations are all a product of a manager’s evaluation of employees strengths, talents, weaknesses and deficiencies. When evaluating and placing individual’s the criteria often looked at are an employee’s analytical, cre ative and practical skills. This theory strikes me as a perfect correlation between educational/intellectual theory and real world application. A brief summary of Dr. Sternbergs Triarchic Theory of (Successful) Intelligence contends that intelligent behavior arises from a balance between analytical, creative and practical abilities, and that these abilities function collectively to allow individuals to achieve success within particular contexts. Analytical abilities enable the individual to evaluate, analyze, compare and contrast information. Creative abilities generate invention, discovery, and other creative endeavors. Practical abilities tie everything together by allowing individuals to apply what they have learned in the appropriate setting. To be successful in life the individual must make the best use of his or her analytical, creative and practical strengths, while at the same time compensating for weaknesses in any of these areas. This might involve working on improving weak areas to become better adapted to the needs of a particular environment, or choosing to work in an environment that values the individuals particular strengths (Plucker). As applied to the classroom, it is important to provide students with the opportunity to learn based off of their natural and stronger intellectual ability(ies). Too often, education has tried to fit everyone into the â€Å"Analytical† mold. However, it is to be noted, t eachers should also strive to provide the opportunity for students to learn subject material via their weaker intellectual ability as well so as to simultaneously develop intellectual learning abilities as well as a base of knowledge in a particular subject matter. Teaching Strategies Sternberg Based Strategies for lesson â€Å"Developing New Products – The Six Step Process†: †¢Analytical †¢Identify the Six Step Developmental Process in developing a new product. †¢Choose and research one of the product options given and cite how that product progressed through each of the six step process †¢Write a one page summary on your thoughts of the effectiveness of the Six Step Process in the development of the product you chose. Would you have followed the same process or deviated at any point? State why or why not and if you would have deviated state how and why. †¢Creative †¢Identify the Six Step Developmental Process in developing a new product. †¢Describe a fictional product that you would like to see invented †¢Assume the role of an inventor and take your fictional product through the Six Step Developmental Process. Describe the considerations and possible decisions made at each step. †¢Create a model of your product via a picture or prototype †¢Practical †¢Identify the Six Step Developmental Process in developing a new product. †¢Describe a product you use and find valuable in everyday life †¢ Assume you were the inventor/innovator of the product you described, describe some of the considerations and decisions you believe were made at each step of the Six Step Developmental Process. †¢In a presentation, show and demonstrate the product you have chosen and describe some of the elements of the Six Step Developmental Process you believe were critical in its development. The third of the four lesson plans has as its content the â€Å"Marketing Mix.† The essential questions the students are to acquire answers to and achieve understanding for center around the â€Å"Distribution† component of the Marketing Mix. The DI teaching strategy to be utilized in this lesson is that of â€Å"Problem Based Learning.† As with Sternberg’s Triarchic Theory of Learning this particular strategy also resonates strongly with me. Again, coming from the business world, I see great value in a Problem Based Learning approach. It is very often how business gets done. Answers to problems must be contemplated, researched, solutions designed, implemented, evaluated †¦process repeated. Taking both DI approaches a step further, I see that merging Sternberg’s theory with Problem Based Learning (PBL) is a way of maximizing the PBL approach. A quick summarization of PBL: Problem-based learning (PBL) is an approach that challenges students to learn through engagement in a real problem. It is a format that simultaneously develops both problem solving strategies and disciplinary knowledge bases and skills by placing students in the active role of problem-solvers confronted with a situation that simulates the kind of problems they are likely to face as future managers in complex organizations. Problem-based learning is student-centered. PBL makes a fundamental shiftfrom a focus on teaching to a focus on learning. The process is aimed at using the power of authentic problem solving to engage students and enhance their learning and motivation. There are several unique aspects that define the PBL approach: †¢Learning takes place within the contexts of authentic tasks, issues, and problemsthat are aligned with real-world concerns. †¢In a PBL course, students and the instructor become co-learners, co-planners, co-producers, and co-evaluators as they design, implement, and continually refine their curricula. †¢The PBL approach is grounded in solid academic research on learning and on  the best practices that promote it. This approach stimulates students to take responsibility for their own learning, since there are few lectures, no structured sequence of assigned readings, and so on. †¢PBL is unique in that it fosters collaboration among students, stresses the development of problem solving skills within the context of professional practice, promotes effective reasoning and self-directed learning, and is aimed at increasing motivation for life-long learning. (Purser) Below is a diagram located from the University of California, Irvine website. I found it succinct and anticipate it to be very helpful as I move forward in the implementation of Problem Based Learning in my classroom. WHAT: HOW? WHY? Student-centered Experiential Select authentic assignments from the discipline, preferably those that would be relevant and meaningful to student interests. Students are also responsible for locating and evaluating various resources in the field. Relevance is one of the primary student motivators to be a more self-directed learner Inductive Introduce content through the process of problem solving, rather than problem solving after introduction to content. Research indicates that â€Å"deeper† learning takes place when information is introduced within a meaningful context. Builds on/challenges prior learning If the case has some relevance to students, then they are required to call on what they already know or think they know. By focusing on their prior learning, students can test assumptions, prior learning strategies, and facts. The literature suggests that learning takes placewhen there is a conflict between prior learning and new information. Context-specific Choose real or contrived cases and ground the count in the kinds of challenges faced by practitioners in the field. Again, context-specific  information tends to be learned at a deeper level and retained longer. Problems are complex and ambiguous, and require meta-cognition Select actual examples from the â€Å"real life† of the discipline that have no simple answers. Require students to analyze their own problem solving strategies. Requires the ability to use higher order thinking skills such as analysis, synthesis, evaluation, and creation of new knowledge. Creates cognitive conflict Select cases with information that makes simple solutions difficult: while the solution may address one part of a problem, it may create another problem. Challenges prior learning as noted above. The literature suggests that learning takes place when there is a conflict between prior learning and new information. Collaborative Interdependent Have students work in small groups in order to address the presented case By collaborating, students see other kinds of problem solving strategies used, they discuss the case using their collective information, and they need to take responsibility for their own learning, as well as their classmates’. (Gallow) †¢What are the four components of the â€Å"Marketing Mix† and which component deals with the delivery of a product to the consumer market? †¢What are the three methods of distribution†? †¢How does the method of distribution a company selects impact availability to the consumer? Teaching Strategies â€Å"Problem Based Learning† Strategy for lesson on the Marketing Mix component of â€Å"Distribution†: †¢Problem/Scenario: In pairs, â€Å"Marketing Partners† will determine the best methodology to â€Å"DISTRIBUTE† the product assigned to their â€Å"Marketing Firm.† †¢Problems to solve/Questions to answer: †¢What distribution channels does the competitor use? †¢Create in table form your competitors names, distribution channels and relative success of the competitor †¢What distribution options are viable for your company? †¢Create in table form a list of all possible distribution channels for your product as well as the benefits and drawbacks of each channel †¢In email form, compose a letter to your Director of Marketing defining the three levels of distribution intensity (Intensive, Exclusive and Selective) and indicate which level you recommend utilizing and explain why. †¢Based on the distribution intensity strategy you selected, create a data base (excel or word using tables) of at least 10 stores that may be a good fit to carry your product. Database should include the prospects: name, address, phone number, email and a short list of products carried. †¢Create a â€Å"Marketing Proposal Presentation† to deliver to your co-workers (class) which outlines your proposed distribution plan. The fourth lesson plan created and to be implemented as part of my new-and-improved DI Classroom of the future will utilize the strategy of Extension Menus. This lesson, as with the previous lesson, will have as its content the â€Å"Marketing Mix.† However, the focus and essential questions will center on the concept of â€Å"Promotion.† I see the significance and benefits of extension menus as many. Among the value points of extension menus is that they can be created to meet student needs using all three of the discussed vehicles: Learning Profiles, Interest and Readiness. In researching and then summarizing Extension Menus I have summarized the key elements in bullet form: Definition of Extension Menu An extension menu is an array of independent learning activities to provide students with choices for extending or enriching the essential curriculum. Purposes of Extension Menus †¢Enrich or extend the essential curriculum †¢Challenge the abilities of highly able students †¢Provide alternative activities that address the differing abilities, interests, or learning styles of students Advantages of Extension Menus †¢Can be written for any curriculum area †¢Provide rigorous and challenging learning activities for highly able students †¢May be tiered to accommodate all levels of instruction in the classroom †¢Can be used to target specific learning activities for an individual student or group of students †¢Allow student choice as well as challenge †¢Encourage the development of independent thinkers †¢Allow the teacher to monitor students’ choices and behaviors to learn more about their interests, abilities and learning styles †¢Promote student use of higher level thinking skills †¢ Promote flexible grouping in the classroom †¢Allow the teacher to be a facilitator Varied Uses of Extension Menus †¢Follow-up activity after a lesson †¢Culminating activity at the end of a unit †¢Anchoring activity (defined by Carol Ann Tomlinson as, â€Å"meaningful work done individually and silently especially when children first begin a class or when they finish assigned work †¢Learning center for enrichment and/or extension of the curriculum †¢Independent activity for students who have compacted out of specific curricular objectives or who have completed their work (Byrdseed, 2009-1012) Below is an Extension Menu I came across in my research. It will serve as a model moving forward. I thought it appropriate to include as an illustration of excellence. Tic-Tac-Toe Menu Collect Facts or ideas which are important to you. (Knowledge) Teach A lesson about your topic to our class. Include as least one visual aid. (Synthesis) Draw A diagram, map or picture of your topic. (Application) Judge Two different viewpoints about an issue. Explain your decision. (Evaluation) Photograph Videotape, or film part of your presentation. (Synthesis) Demonstrate Something to show what you have learned. (Application) Graph Some part of your study to show how many or how few. (Analysis) Create An original poem, dance, picture, song, or story. (Synthesis) Dramatize Something to show what you have learned. (Synthesis) Survey Others to learn their opinions about some fact, idea, or feature of your study. (Analysis) Forecast How your topic will change in the next 10 years. (Synthesis) Build A model or diorama to illustrate what you have learned. (Application) Create An original game using the facts you have learned. (Synthesis) Memorize And recite a quote or a short list of facts about your topic. (Knowledge) Write An editorial for the student newspaper or draw an editorial cartoon. (Evaluation) Compare Two things from your study. Look for ways they are alike and different. (Analysis) (schoolloop.com) For my first crack at Extension Menus I am offering a choice between three options. The projects assume a given level of â€Å"Readiness† as they are culminating exercises. â€Å"Interest† and â€Å"Learning Profiles† are tapped into as the choices offered are through the mediums of graphics (brochure), audio recordings (radio announcement-recorded or recited) or writings (public relations article). Additionally, the exercises also tap in Sternberg’s Triarchic Theory by meeting â€Å"Creative† and â€Å"Practical† components. †¢What are the four components of the â€Å"Marketing Mix† and which component deals with making the public aware of a business’ products or services? †¢What are the various methods of â€Å"Promotion†? †¢How do promotional activities influence consumers? Teaching Strategies Extension Menus for lesson on the Marketing Mix component of â€Å"Promotions†: Following unit lesson regarding the â€Å"Promotions† aspect of the Marketing Mix, students will be provided the opportunity to select one of three extension projects to demonstrate their knowledge of the subject. The basic nature of each assignment will vary to allow students the opportunity to select a methodology in which they are more inclined. The students will create either an artistic, written or verbal/kinesthetic product. †¢Extension Menu Project An entertainment group has just booked a three week engagement at your cities convention hall. Your marketing firm is one of two firms being considered to promote this event. You have been tasked to provide a sample marketing piece to win the job. Choose one of the following methodologies and create a â€Å"Promotional† piece for this event. Details of the event will be distributed. †¢Tri-fold Brochure: Using â€Å"Word† or a similar program, create a tri-fold brochure which pictures the entertainment groups major events and as well as various features of their business. †¢Public Relations Article: Using †Word,† create an article publicizing the coming of the entertainment group to your city and generate a â€Å"buzz† that will draw attendance to the various events. †¢Radio Announcement: Using a recording program, create a radio advertisement announcing the coming of the entertainment group to your city and highlight several of the main events. Also promote your station’s on-site appearance at one of the events. OR Write your radio announcements and perform them live for the class. As the saying goes †¦.†If you’re not moving forward – you’re moving backwards!† The challenge for us in this course, through classroom instruction, discussion, exercises, text readings and research, is to move forward in our instruction by way of transitioning from traditional methods of instruction to differentiated methods. I came into the course skeptical. I exit via this LEP project as encouraged and inspired. We talked about starting small and moving towards the greater goal. With these lesson plans and the tools acquired during class/research the foundation of a start have been laid. Works Cited (n.d.). Retrieved July Wednesday, 2012, from schoolloop.com: http://pps-pajaro-ca.schoolloop.com/file/1303568322190/1312697332954/8516106516570643153.pdf Byrdseed, I. (2009-1012). Byrdseed. Retrieved July Wednesday, 2012, from Offer Choice with Extension Menus: http://daretodifferentiate.wikispaces.com/file/view/Extension+Menu+directions+9.1.04.pdf Gallow, D. .. (n.d.). University of California, Irvine. Retrieved July Tuesday, 2012, from Problem-Based Learning Faculty Institute: http://www.pbl.uci.edu/whatispbl.html Grants and Research Office. (n.d.). Retrieved July Monday, 2012, from Applying Research to Practice:

The Impact of School-Based Health Promotion

The Impact of School-Based Health Promotion Abstract The purpose of this study is to determine effectiveness and influence of Public health campaigns and health information centers in schools. The impact of the public health promotion in schools required an in depth research in which the aim was to investigate how the public health promotion can affect the lifestyle of children which is a life saving factor and due to which many fatal diseases can be avoided. It started by discussing the background of the topic and then goes onto answer specific research questions. The research methodologies will be used and includes a dedicated portion of findings and analysis. The study will be concluded by providing recommendations and devising solutions to problems. The public health care promotion includes various campaigns with the co-operation of WHO. This research study has concentrated on the most broad diseases particularly basic amongst youths, the schools, are the place such infections are the destined to take an ascent. The adjustments in the medicinal services advancement every now and then will be examined in subtle element. In the last part of the paper, the most convenient methods of public health campaigns will be discussed along with its benefits and its concussion on children’s health. INTRODUCTION This chapter will be presenting an overview of the research project. Specifically, the problem statement will be discusse, the background of the research along with the significance of the study. Furthermore, the research aims and objectives and research questions will also be identified in this very chapter. The primary target of this examination will be on discovering the effect of the general wellbeing advancement in schools among kids; therefore, the problem statement of this study revolves around †The Impact of the school-based Health Promotion on children’s lifestyle† Background The health promotion and security of children is necessary for the glorious fate of the country. The betterment of the young children is a complex endeavor. It obliges the joined endeavors of the establishments alongside the societal segments. The inclusion of parents, family, schools, media, government organizations, human services experts, postsecondary foundations and the youths themselves is very important. They are responsible to give the support by means of environment and open doors for the better development of the children. The adolescence is the period of life in which the social, mental and the physical changes happen from early age to the middle age. The youths are the significant bit of the UK populace. They are experiencing numerous muddled circumstances. The prosperity of young people speaks to the great soundness of the entire populace. Consequently, it is essential for the parents, educators and social insurance experts to grasp the hugeness of pre-adult wellbeing. T here are a few components that require the direction keeping in mind the end goal to mitigate from the lives of youths. These conditions incorporate smoking, substance ill-use, self-destructive endeavors and pregnancy in the high school. Teenagers need the support of the family, teachers and health awareness suppliers in regards to every issue. Peoples way of life and lifestyle has been going through continuous changes, for instance, the life expectancy even in the UK at birth in 1891 was 44-48yrs and 74-80 by 1996 (ONS, 1996). This reflects the blend of a mixed variety of veridical and coordinated essential human services including general health and health promotion. It is fascinating to realize that way of life difficulties – smoking, liquor, high school or eating regimen have been always appraised as most responsible to make individuals health disintegrate basically in heart disease and cancer (Ashton and Seymour, 1993). It is therefore vital to address health promotion and general health mediations identified with changing individual ways of life and behavioral change towards health. Goddard (1995) note that smoking amongst kids (11-15) have been consistently raised i.e from 8% (in 1988) to 12% (in 1994). Since 1986s international union of Child’s health, the idea of health promotion has been set up to ch ange people groups social insurance behavior and practice. As MacBride (2003) says that health promotion alludes to the co-ordinated cooperation of staff and authoritative interests in the boosting of educational, advisory and policy advances relevant to health maintenance and improvement in quality of life (p.3) – in other sense this is basically an endeavors catching both parts of health policy and educational interests. In this context, Katz, D. L., O’Connell (2005) contends that anticipation through instruction, instead of relief, was the most beneficent and efficient course (p.54) From the global point of view, it is imperative to highlight the importance of health promotion report of Lalonde of 1974 ie A New Perspective on the Health of Canadians – this has been considered as a first time the government condemning biomedical medicinal services system, appears to be unseemly to promote individuals health and forestall ailments or disease as he proposes social insurance intercessions ought to be coordinated instead of veridical methodology. He recommends that weakness could be tested by coordinating four components human science; nature; way of life; and the association of health awareness ought to be set up to get enduring change people groups medicinal services learning and practice (Bunton and Macdonald 1982). Since the Alma-Ata statement in 1978 and development of Ottawa Charcher in 1986 and HFA by the year 2000 (WHO, 1985), numerous health advancement activities have been occurred over the world – mainly focused on societal structures (Naidoo and Wills, 1994). In the meantime, a few reports highlight the part of people’s responsibilities and practices for making healthy (DHSS, 1976 ; SHHD, 1977). It is thus critical to perceive – promoting healthy way of life through changing environment variables (Lalonde, 1974), centering public health mediation –more on societal model as opposed to institutional-based social insurance model (McKeown, 1971; Naidoo and Wills, 1994) through support and preparation of individuals at diverse levels or divisions (Ottawa Charter, 1986). The essential argument here is numerous health issues including sicknesses would be overseen or averted if the public assume more greater liability for controlling their own particular healthy ways of life (Department of Health, 1987). School health promotion has been utilized as a global health promotion system as it is inarguably the most supportive platform fot the intiation of children’s healthcare. WHO reports (2014) that 1:2 youngsters are dying of tobacco related diseases, 5% of all fatalities between the ages of 15 and 29 are owing to liquor use, and > 60% of all new HIV infections happened inside of the same age-groups. Furthermore, The social overview of England 2009 reported that youngsters matured 11 to 15 are more inclined to smoke, try liquor or take drugs. WHO (2014) in this way contends that compelling school health promotion would not just be taken as savvy interests in any countries but also enhance education and health of children and their guardians by avoiding the main causes of premature death, disease and other disorders (cardiovascular ailment, tumor, long-term lung diseases, depression, violence, substance ill-use, wounds, malnutritiion, HIV/AIDS/STI and helminth infections). The health reforms are a chance to enhance the procurement of excellent health support for school-age kids yet there is restricted or disperse evidence of school-based health advancement with respect to children’s ways of life. This study along these lines intends to figure out to what degree the school-based health promotion affect in light of youngsters way of life mostly on teenage pregnancy, smoking and alcohol use under the systematic review. Governmental issues and political approaches assume an important part in advancing health and medical professionals have significant influence in the promotion of health. They are seen as agents who identify and advise the students or children for their health benefits. The past records show that absence of information and aptitudes in the territories of general health promotion, variability in general health, no emphasis on populace and no coordinated effort between associations are major factors responsible for ignorance. This can be improved further by understanding the behavior of the related population, as well as their standards and societies and the predominant financial conditions. However, The key points covered in this research and that are the most common problems among youngsters are: †¢Alcohol utilization. †¢Dietary practices. †¢Drug abuse. †¢Hygiene. †¢Depression. †¢Physical action. †¢Teenage pregnancy. †¢Sexual practices. †¢Tobacco utilization. †¢Violence. Health promotion address both essential and auxiliary reasons for a health awareness issue. These battles are significant for the awareness in the overall population and minimizing the spread of issues. At whatever point a social insurance crisis emerges, medicinal services suppliers are in charge of beginning mediations. After the beginning intervention, the health awareness expert assesses the emergency and presents his or her thought to confine such emergency later on. Health promotion models chip away at recognizable proof, history, consequences of a human services issue and have an objective result for the crusade. The UK government has dispatched various health promotion for current health issues. Some of these advancements are for smoke cessation, cancer, child obesity, substance abuse and drinking issues. Case in point, the legislature has reacted to the countrys more than once reported drug issue with a methodology on Decreasing substance abuse among youngsters (Becker, AE, Roberts AL, 2010). The policy highlights the problem by giving statistics of substance abuse related hospital admissions and deaths amongst youngsters. The policy aims to build awareness on harmful impacts of drug abuse on families’ lives, and ultimately compel them to overcome their bad habit. Purpose of the Study This research seeks to look into the general health in school going kids, ranging from 11-15. The significance of this study is to identify the impact of school-based health promSotion in children and the factors that can improve their health and wellbeing through campaigns and other promotions. It seeks to answer whether the public health promotion has created a concussion on the school going children and an insight on what ways the children have been affected. This research work will actually help to investigate the dynamics of public health promotion which is supported by several references and guided by the World Health Organization (WHO). Research Aims Objectives The aims and objectives of any research work facilitate the researcher in finding the most relevant and accurate information and eventually drawing out the conclusion. However, the main aim of this study was to assess the impact of the School-based Health Promotion in children Following are the objectives of this study: To investigate the dynamics of School-based health promotion. To examine the impact of School-based health promotion. To gain an insight into the importance of health promotion especially among adolescents, lack of research in this area and the rate with which the diseases are spreading. To summarize findings and make recommendations. Research Questions The research questions of the study basically narrow down the research and help the researcher to achieve the aims and objectives of the research work. Hence, following are the research questions of this study: How the schools and other institutes are bringing improvement in the promotion of the health campaigns and raising awareness amongst school going children, evaluate under the light of WHO and International health standards? The benefits of raising school-based public health awareness and spaces of improvement in this domain? Evaluate the present statistics and compare with the previous statistics of public health awarensess and present new ideas for campaigns that can help eradicate the most common diseases amongst youngsters? Clarify the role of local government and how can the government help raise the awareness? References Becker, AE, Roberts AL, Perloe AB, Asenaca R, Lauren K, Gilman SE, Striegel-Moore RH. Youth health-risk behavior assessment in Fiji: The reliability of Global School-based Student Health Survey content adapted for ethnic Fijian girls. Ethnicity Health 15(2): 181-197, 2010. http://www.ncbi.nlm.nih.gov/pubmed/20234961. Duncan, C., Jones, K., Moon, G. (1996). Health-related behaviour in context: a multilevel modelling approach.Social Science Medicine,42(6), 817-830. Katz, D. L., O’Connell, M., Yeh, M. C., Nawaz, H., Njike, V., Anderson, L. M., Task Force on Community Preventive Services. (2005). Public health strategies for preventing and controlling overweight and obesity in school and worksite settings.MMWR Recomm Rep,54(2). Kickbusch, I. (2003). The contribution of the World Health Organization to a new public health and health promotion.American journal of public health,93(3), 383-388. Macdonald, G., Bunton, R. (1992). Discipline or disciplines?.Health promotion: Disciplines and diversity, 6. McBride, C. M., Emmons, K. M., Lipkus, I. M. (2003). Understanding the potential of teachable moments: the case of smoking cessation.Health education research,18(2), 156-170. Michell, L., Amos, A. (1997). Girls, pecking order and smoking.Social Science Medicine,44(12), 1861-1869. Naidoo, J., Wills, J. (2000).Health promotion: foundations for practice. Elsevier Health Sciences. St Leger, L. (2001). Schools, health literacy and public health: possibilities and challenges.Health promotion international,16(2), 197-205..