Of Personal Development, Critical Thinking and Enhanced Quality of Care Essay Example for Free

Of Personal Development, Critical Thinking and Enhanced Quality of Care Essay In this reflection paper, I would like to relate some unforeseen events during the course as well as my experience of being assessed. The medical practitioner assigned to me was a consultant of medicine for geriatric patients. The fact that he is not a physiotherapist may be considered an unforeseen occurrence. I did not really expect him to come from a different field. The similarity in language and way of thinking of practitioners from the same field would have facilitated the process. At first, similar to my feelings in collaborating with my nurse classmates, I had the same feeling of hesitation in associating with my DMP. However, as the course progressed, I realized that he could be a very good mentor. He patiently guided me throughout all the pertinent tasks that I had to carry out. I attended the clinic with him at Saint Pancrase Hospital for the morning Clinic, which finished at twelve o’clock, then the Ward round from two o’clock at Saint Pancrase hospital for two hours. I then went to University College London Hospital for My OSCE after four o’clock at the T10 ward. For the last fifteen years I have been working in a community, this is my first time to examine a patient thoroughly in a hospital, not only to examine the patient but also to perform my Objective Structured Clinical Examination (OSCE). Since he wanted to examine me on COPD patient with some complications, he was right that it was hard on me. Yet I did it and enjoyed the experience despite the situation under pressure. It was very long observation from my DMP, which again for long time I did not observe, was indeed a complicated but a true learning experience. I am grateful to my DMP and the way he taught me. I enjoyed his teaching, his approach, and his skills as a consultant were excellent. I will miss his teaching. My experience with him made me see the value of having a competent mentor regardless of the field that one is interested in. The presence of a coach and mentor made learning easier because it made me confident that I can rely on someone who is an expert and possesses a learning attitude, as well as one who is willing to help me out in the process. Admittedly, there were some difficulties in relating with him at the beginning because we were from different fields of study. But again, this experience is a test of flexibility in adjusting to the demands of the situation. I my best to work with him and follow the guidelines and advice which he gave me. In the course of our interaction, I have learned to become more comfortable in dealing with him. There is value in having a good working relationship with one’s superiors and colleagues; it makes the learning journey so much easier. I also feel that I should further develop a mentoring relationship with an expert in this field to be able to reach my full my potential. Empirical research from both educational and industrial settings suggests that students and employees both have increased probability of success if they have had a mentor. While mentors are effective for everyone, sometimes organisations implement mentoring programs to support particular parts of their populations, often newer employees. And while mentoring programs are always established with the best of intentions, their results are often mixed (Werner, 2004). To make the most of my clinical exposure, I hope to establish a strong mentoring relationship with a doctor or a medical allied professional who will be able to coach me on increasing competence in my clinical practice. I have realised that coaching and mentoring are very effective ways of developing my leadership potential because it does not only develop me in terms of technical expertise, but it will also allow me to actually experience how these experts undergo the coaching and mentoring exercise. I have also realised that a novice in any medical allied field acquires clinical judgment and skill over time. Knowledge is refined through actual clinical experience; this moves her from a rule-based, context-free stage to a more analytical, logical and intentional pattern of thinking (Benner, Tanner, Chelsea, 1996). To effectively provide a conducive learning environment, these medical professionals need venues for examining and developing their problem solving and reasoning skills towards making clinical judgments (Miller, 1992). I realised that such venues transpire through numerous learning experiences. In particular, I am contemplating about being able to practice in a large hospital to permit such comprehensive clinical exposure. I have also realised that participating in varied learning experiences offers the chance to apply classroom theory in the clinical setting. This was a point that was shared with me by my DMP. Clinical experiences enable the formation of meaningful related information on the basis of what the nurse has learned in the classroom. There is an expectation that with more experience, this novice can move from the level of advanced beginner to the level of competence by program completion. Clinical judgment is defined as nursing decisions about which areas to assess, analyzing health data, prioritizing which task to do, and who should carry it out (Carnaveli Thomas, 1993). For clinical judgment to be assessed as sound, it should be arrived at using critical thinking and logical reasoning, that will enable the deduction of valid conclusions, and the decisions that may be borne from these. I am thankful for this experience as they have given me profound insight on the areas that I could further develop to become a more competent professional in this field.

The Burden in The Things They Carried by OBrien Essay -- Things The

The Burden in The Things They Carried by O'Brien   In "The Things They Carried," O'Brien made reference to the Vietnam war that was closely associated with the physical, psychological, and emotional weight the soldiers beared.   The overall method of presentation of this story incorporated many different outlooks on the things the soldiers carried, dealt with, and were forced to adapt to.   In addition to this, O'Brien showed us the many reasons why and how the soldiers posessed these things individually and collectively and how they were associated directly and indirectly.   The strong historical content in "The Things They Carried" helped emphasize the focus of the story and establish a clearer understanding of details in the narrative and moods of the war itself.   From this, we are able to draw conclusions and assumptions to the events as it relates to the Vietnam war.   Three areas that "The Things They Carried" established and elaborated were the youthfulness of the Vietnam soldiers, their language and thought pattern s, and the actual tangible and intangible things they carried.   Ã‚  Ã‚  Ã‚   During Vietnam, soldiers were selected to be bought in to fight by draft.   Many families lost their youth through this process that would immediately force young boys to leave home and train for war.   I found an intriguing website that will tell you according to your birthdate, if you would or would not have been drafted during that time period. (Go)   In O'Brien's narrative, he portrays the soldiers as being young.   In the opening of the story, we immediately see a young man, First Lieutenant Jimmy Cross, who is deeply in love with a college girl.   On page 13, we find out that he is only twenty-four.   Throughout the story we find many hin... ...page 15, O'Brien describes that the men carried the whole atmosphere.   On page 15, we are made aware that they carried diseases, parasites, infections and many other ailments.   Page 15 elaborates on how the soldiers carried the land itself.   They carried ghosts, their lives, eachother, pressures, and often the burden of just being alive as explained on page 19.   Ã‚  Ã‚  Ã‚   "The Things They Carried"   helped recognize particular aspects of the war as it associated with the soldiers and their lives individually and collectively.   Through his story, O'Brien described the overall mood of the war and the soldiers involved.   "The Things They Carried" posed many aspects and angles of the burdens the soldiers packed during throughout the war as well as the emotional stress that was associated along with it. O?Brien, Tim. The Things They Carried. NY: Broadway Books, 1998.

Kimpton Hotels’

Kimpton Hotels'  EarthCare program brings the business's philosophy of environmental responsibility straight to its properties, starting with its pioneering Eco Floor at the  Hotel Triton  in San Francisco in 1994. Today EarthCare's efforts include: * Using environmentally friendly cleaning supplies in all rooms. * Printing corporate collateral on  recycled paper  using  soy-based ink. * Usring recycled paper for all printing property-wide. * Serving organic, shade grown, and/or fair trade complimentary beverages in the lobby. * Allowing guests the opt out of towel and linen service. Recycling of glass,  bottles, paper, and cardboard through back of house operations. * Auditing and retrofitting back of house lighting to ensure  energy efficient bulbs  are in place. * Using low flow systmes for faucets, toilets, and showers. * Encouraging guests to  recycle  with in-room  recycling bins. * Stocking the honor bar with organic snacks and drinks. * Encouraging gue sts to donate unused amenity bottles to local charities. * Other practices, such as  recycling  coat hangers, eliminating styrofoam cups, using paperless checkin/out, purchasing organic flowers, and more. Kimpton properties are found in: * Scottsdale, AZ * Vancourver, BC Whistler, BC * Los Angeles, CA * San Diego, CA * San Francisco, CA * San Jose, CA * Aspen, CO * Denver, CO * Chicago, IL * Boston, MA * Cambridge, MA * New York City, NY * Portland, OR * Dallas, TX * Salt Lake City, UT * Alexandria, VA * Arlington, VA * Seattle, WA * Washington, DC * 1. Kimpton HotelsPresented by:GROUP 4Andrew Taylor, KirillCherepkov, Emily York, Alaina Alms,and Susan GrahamApril 23, 2009 * 2. Case QuestionsWhat further steps should Kimpton take to institutionalize its environmental commitments? ~AndyHow would you measure the success of the EarthCare Program, and how should it be reported to stakeholders? KirillWhat progress has Kimpton made in the four phases of its EarthCare Program sinc the c ase? ~EmilyWhat is the progress for each of the four phases? ~AlainaWhat is your overall assessment of their progress since the case? ~Susan * 3. How Would You Measure The Success Of The Earthcare Program? KirillCherepkov * 4. SustainabilityEnvironmental mgmt. (measuring success)Environmental audits (reporting) * 5. Environmental Mgmt. in PracticeMeasuring SuccessTop mgmt. w/ a commitment to sustainabilityLong-standing commitment†¦Phase 1 – 2 – 3 – 4 – 5 †¦Line mgmt. nvolvementLocal programsEmployee suggestions * 6. Environmental Mgmt. in Practice (cont. )Measuring SuccessCode of environmental conductâ€Å"Our Philosophy† Our philosophy on environmental responsibility is about more than contributing financially; it;apos;s about embracing behavioral change. This kind of change begins at home, is expanded at work, and now extends to who we choose to do business with†¦Ã¢â‚¬Å"EarthCare program †¦ was the right thing to do. † à ¢â‚¬â€œ Tom LaTour, Chairman and CEOCross-functional teamsJeff Slye, Business Evolution ConsultantEco-champions, co-leads, and program specialists * 7.Environmental AuditsReportingSustainability report:PepsiCo http://www. pepsico. com/Purpose/Sustainability/Sustainability-Report/Environmental-Sustainability. aspxCAT http://www. cat. com/cda/layout? m=199421;x=7Wal-Mart http://walmartstores. com/Sustainability/7951. aspxFordhttp://www. ford. com/micr osites/sustainability-report-2007-08/defaultCost savings:$250,000 per year in waste disposal†¦New business: â€Å"†¦$500,000 in meetings†¦Ã¢â‚¬  * 8. What Progress Has Kimpton Made In The Four Phases Of Its Earthcare Program Since The Case? Emily York * 9.Phase #1 Designed to make hotel staff comfortable with the concept of greener management. Energy Conservation: lighting retrofitted and audited to ensure energy efficient bulbs are in place Recycling: bottles, cans, paper, ; cardboardCleaning Chemicals: tub ; shower, gl ass, deodorizers, and disinfectantsPromotion Materials: recycled paper and soy-based inkComplimentary Coffee in Lobby: organically grownHonor Bar: includes organic snacks and beveragesTowel/Linen reuse: sheets and towels are replaced only at guest’s request * 10.Phase #2 Focuses on investments in water and energy conservation and organically-grown products. Water Conservation: implementation and auditing of low flow systems for faucets, toilets, and showers Energy Conservation: install motion sensors in rooms, florescent bulbs in corridors and back-of-houseOrganic Coffees ; Teas: served in rooms, meeting rooms, and lobby * 11. Phase #3 Extensive investment in in-room recycling of products and sale of organic/recycled products.In-room Designer Recycling Bins: guests are encouraged to participate in reducing our environmental impact Recycled Papers: for copying, notepads, toilet paper, and tissuesDonation Programs: instead of being thrown away, unused amenity bottles are donate d and used by local charities Recycling: of employee dry-cleaned uniform bags and hangers*Guest can now shop the Kimpton Style catalog for eco-friendlyproducts like organic bedding and recycled glassware. * 12. Phase #4 Investment in building materials, labor, and appliances that are more eco-friendly.Energy Star: appliances, computers, and electronicsPaints: low-VOC paintsHeat/Air Conditioning: energy efficient * 13. NEW Phase #5 * 14. â€Å"Helping the environment because it’s the right thing to do. † – April 13, 2009http://www. changemakers. net/node/21543 * 15. Discuss The Specifics Of The Progress For Each Of The Four Phases. Alaina Alms * 16. OverviewWhat has been implementedProducts and Practices for each of the phasesGoalsAccomplishmentsAwards * 17. What has been implementedEarthCare Products and PracticesAs part of Kimpton EarthCare, every hotel adopts tandard environmentally friendly products and practices with high-impact and benefit to our planet. * 18. Products and Practices (Phase 1)Cleaning Supplies: All rooms cleaned with environmentally friendly cleaning products. Honor bar with organic food and beverage options: Honor bars include organic snacks and beverages. Soy Inks: All corporate collateral is printed on recycled paper using soy based ink. Towel/Linen Reuse: Guests have the opportunity to do their part to reduce energy and detergents required for daily washings.Recycling: Back of house recycling programs addressing glass, bottles, paper, cardboard, etc. * 19. Products and Practices (Phase 2)Organic Beverages: All complimentary lobby coffee is organic, shade grown and/or fair trade. Energy Conservation: Back of house lighting retrofitted and audited to ensure energy efficient bulbs are in place. Water Conservation: Implementation and auditing of low flow systems for faucets, toilets, and showers. * 20. Products and Practices (Phase 3)Recycled Paper: Property wide printing on recycled paper.Best Practices: At any hotel you may find environmental activities such as recycling of coat hangers, elimination of Styrofoam cups, paperless check-ins/outs, organic flowers, and more†¦ In-room designer recycling bins: Guests are encouraged to participate in reducing our environmental impact. Donation programs: Instead of being thrown away, unused amenity bottles are donated and used by local charities. Shop the Kimpton Style catalog: for eco-friendly products like organic bedding and recycled glassware. * 21.GoalsReduce waste in landfills by 15%Reduce energy and water usage by 15%Increase employee retention and morale by 10% * 22. Accomplishments;gt; 962,000 lbs of cardboard recycled~ 50,000 gallons of cleaning chemicals replaced with non-toxic alternatives;gt; 253 trees saved from using recycled paperAccomplished in one year in California alone * 23. AwardsCorporate Citizen of the Year. California EPA Awards. Kimpton has been honored with the 2007 California EPA Green Lodging designation. California Gov ernor;apos;s Award. National GeoTourism Award. ttp://www. kimptonhotels. com/programs/earthcare. aspx Kimpton Hotels’ 7 Eco-friendly Best Practices Put Your Commitment in Writing Kimpton Hotels have one of those â€Å"elevator pitch† mission statements to describe their environmental stance. It states: â€Å"Support a sustainable world by using non-intrusive, high quality, eco-friendly products and services at all Kimpton hotels. † It’s short, sweet, descriptive and can easily be said to someone in the few seconds it takes to travel between floors in an elevator. Give Your Eco Program a NameAnother way to add more credibility to you environmental efforts is to give your program a name. Kimpton calls their environmentally friendly green hotel practices, the â€Å"Earthcare† program. Like the mission statement, the name very succinctly states the corporate policy and carries with it the feeling that the company’s taking an organized, focused a pproach to preserving the environment and is already succeeding in its efforts. Provide Your Own Green Business Certification On its Earthcare page, Kimpton lists all of the things they do to be eco-friendly.These actions might not be enough to help them qualify for some green certifications, but anyone can see that they’re serious about their commitment to the environment. This strategy also makes it easier for the media to write about them. Today Show travel editor Peter Greenburg reproduced the Kimpton list of Earthcare Products and Practices verbatim when he mentioned Kimpton Hotels in his article on green lodging. Peter Greenburg’s Article: Eco-Friendly Travel: Hotels and the Green Bandwagon Put Your Results in Real Numbers That People Can UnderstandAdvertising copywriters are taught to write about benefits, not features. In this video on the Sundance Channel, not only can Mike Depatie, the CEO and President of Kimpton Hotels, outline the company’s philosop hy and detail all the changes the hotels have made, but he can also articulate the impact it’s having on the environment. Here are just a few of the benefits that are mentioned in the video: â€Å"Hotel Triton recycles 60% of waste. † â€Å"Their low flow toilets, shower heads and faucets save 15 – 30,000 gallons of water each year. â€Å"Their environmentally friendly cleaning products save 50,000 gallons of chemicals being dumped into the environment. † † Their recycling efforts and use of recycled paper products have saved over 253 trees and eliminated 18,000 pounds of waste. † Reward Your Customers for Their Conservation Efforts Kimpton Hotels offer discounts for guests arriving in a hybrid vehicle. The perks vary from saving 10% on the room rate at some properties, to saving as much as 50% off the overnight parking rate at others. Gather Multiple AwardsAs we stated in our article on obtaining a Green Business Certification for your small or medium-sized business, you should seek out â€Å"certification† from as many organizations as possible. Take one look at the Earthcare page, and you’ll see that Kimpton has done just that by gaining recognition, accreditation, and accolades from a variety of sources in government and in the lodging industry. Here’s a list of the various organizations that have recognized Kimpton Hotels for their eco-friendly hotel practices.Local and State Governments The city of Salt Lake City, Utah. San Francisco Green Business program State of California State of California EPA National Trade Associations Travel Industry and Association of America American Hotel & Lodging Association International Trade Associations Hotel Association of Canada State Trade Associations Massachusetts Lodging Association Media National Geographic Traveler Magazine USA Today Travel and Leisure Seattle Magazine MSNBC Sundance Channel, Ecobiz Keep It Fresh

Hip Hop A Genre Of Music - 1431 Words

Hip hop is widely know as a genre of music that started in a New York City borough called the Bronx in the late 1970s, but it is more than just the music. Hip hop is a culture that consists of being a disc jockey which is also known as deejaying or turntabling, MCing or rhyming â€Å"rapping†, graffiti, fashion, and breakdancing. Hip hop was mostly an underground culture only know to the people living in the Bronx. Hip hop is a relatively new culture which fascinates most people because it of its somewhat aggressive musical performance and how hip hop artists express their feelings about society and how the government treats people of the Hip Hop culture. Hip hop was and is still known as poetry talking about anything from technology to†¦show more content†¦Look at all the money and the famous people.† People in the world, especially in America, thought New York City was heaven. But back then the Bronx was burning† (McDaniels). By this he means that most A mericans believed that New York City was a place where you know that you have become successful and are living a struggle free life because that was the disco culture that was going on. But, the Bronx was part of New York City, and in the Bronx they had a record of about Twelve thousand fires in a single year and everyone in the Bronx was struggling to keep on providing for their families. Some say due to the poor living situations that the kids in the Bronx were going through helped create hip hop, they would go to hip hop parties to take their mind off of everything that was going on in their living situation and thus expanding hip hop. DJ Kool Herc was known for throwing the first Hip hop party on August 11, 1973, which most people say birthed hip hop into what it is known for today. Whenever DJ Kool Herc threw a party he would never play any of the popular disco stuff that they would always play on the radio instead he would play soul music, which is what most black kids would listen to when they were growing up. Another thing to note is that DJ Kool Herc wasn’tShow MoreRelatedHip Hop And The Music Genre927 Words   |  4 PagesWhat is Hip-Hop? 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Hip hop is a cultural movement that emerged in the 1970s in the United States among Latin Americans, Jamaicans and African American that aimed to protest the social conflicts and violence suffered by the lower classes of urban society. Hip HopRead MoreHip Hop, A Popular Genre Of Music2482 Words   |  10 PagesHip-Hop is a subcultural movement that formed in the early 1970s by African-American, Caribbean and Latino youths. It wasn’t until the late 1980s that it became popular outside of the African-American community and by the 2000s it became the most popular genre of music. However, the subculture has evolved through out the years and the comparison between then and now is growing increasingly big. Hip-Hop in the 80s consisted of music, dance, creativity and artistry. 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Before the flow of an emcee rocked the crowd with his/her rhythmic flow, a significant day in music history would soon influence the music industry, cultures, fashion, and make this new genre into a global phenomenon. This significant day was marked on August 13, 1973, or also known as the birthday of Hip-Hop. While Hip-Hop can be commonly be associated with being an emcee/rapper, the art of emceeing