In your clinical environment, consider what quality improvement changes are planned and those that are anticipated.
In your discussion response, please address each of the following prompts:
1. Discuss a specific change theory model that could be used to facilitate change.
2. Using this theory, discuss how the nurse leader supports staff through a quality improvement change.
There is significant research on the benefits of increasing daylight exposure for institutionalized residents of nursing facilities or assisted living facilities who suffer from dementia. The benefits include improved sleep patterns, decreased agitation, improved cognition, and overall improved quality of life (Konis & Schneider, 2018). The exact reason for the benefits is not certain. Additionally, it is not certain how much time a person needs to get the maximum benefit of the daylight exposure. For the reason the Plan-Do-Study-Act (PDSA) is an excellent choice to facilitate change in the nursing home setting when elements of change need to be attempted and evaluated (Institute for Healthcare Improvement, 2019).
Using the PDSA, the nurse leader facilitates educating the team and creating the plan with input from all stakeholders. The nurse leader would oversee implementation of the plan which is the “do” part of the cycle. In the study portion, the nurse leader ensures that all involved with implementation get an opportunity to contribute – with positive or negative comments – on the initiative since both are opportunities to ensure improved outcomes. In the final stage of the cycle which is act, the nurse leader determines if changes in the practice can be gleaned from the exercise and how the plan can be improved. The greatest responsibility the nurse leader has in implementing change is ensuring stakeholder involvement by promoting engagement and motivation.
Konis, K., & Schneider, E. L. (2018). The Importance of Daylight in Dementia Care Communities: A Call to Action. Seniors Housing & Care Journal, 26(1), 28–37.
Institute for Healthcare Improvement. (2019). Plan-Do-Study-Act (PDSA) Worksheet. Ihi.org. http://www.ihi.org/resources/Pages/Tools/PlanDoStu…
Lewin developed the 3 Stage Model of Change. Lewin proposed that any individual’s behavior in response to a proposed change is a function of group behavior. Any interaction or force affecting the group structure also affects the individual’s behavior and capacity to change. Therefore, the group environment, or ‘field,’ must be considered in the change process. There are three stages in this nursing theory: unfreezing, change, and freezing. Lewin’s Change Management theory can support nurses through the transitions and identify areas of strengths and resistances before implementing change. It is essential to adapt to a changing environment and continue with growth and prosperity. Lewin’s change theory offers a method that nurse leaders can use to implement change within health care systems.
Experts assert that Lewin’s theory provides the fundamental principles for change; it is a common change theory used by nurses across specialty areas for various quality improvement projects to transform care at the bedside (Wojciechowski et al., 2016). To implement change, the nurse leader must understand that change should only be implemented for a good reason, change should always be gradual, and all individuals who may be affected by the change should be involved in planning for the change. In the unfreezing stage, leaders must recognize problems in an organization’s systems and their staff to help drive positive change. Providing clear goals for the entire team will help the leader guide the staff into positive behavior. To allow employees to change their behavior for both the staff and the organization’s benefit, leaders can build essential skills or encourage direct reports to stop doing something or do it better or differently (Wojciechowski et al., 2016). The refreezing stage ensures that people do not revert to their old habits of thinking or doing before the implementation of the change. To break with old routines, companies should tie the new changes into the culture by identifying change supports and change barriers. Develop and promote ways to sustain the change long-term. Offer training, support, and communication for both the short- and long-term.
Wojciechowski, E., Pearsall, T., Murphy, P., & French, E. (2016). A Case Review: Integrating Lewin’s Theory with Lean’s System Approach for Change. Online Journal of Issues in Nursing, 21(2).
Anne Arundel Community College Quality Improvement Changes Discussion
First, read more about Section 4 of the Voting Rights Act here.https://www.justice.gov/crt/section-4-voting-rights-act Then, develop a new formula for Section 4 of the VRA for contemporary times. In formulating your response, make sure to consider the Jim Crow 2.0 restrictions (e.g. voter identification requirements rather than poll taxes). What would qualify states or localities to be subject to federal approval for changing voting laws? How exactly would you determine what would qualify a state? Be specific and make sure to use features that can be measured while also setting a threshold (e.g. instead of saying low minority participation among minorities say turnout among African Americans in presidential election remains or falls x% below the national average). size 12 times new roman be write simple and specific information that will be useful https://history.house.gov/Exhibitions-and-Publications/Civil-Rights/VRA-Documentary/https://www.c-span.org/video/?441314-1/the-rise-fall-voting-rights-acthttps://youtu.be/Yb3eEQw6gGMhttps://youtu.be/E8WhtMOCrnc
VT Voting Rights New Formula for Section 4 of VRA for Contemporary Times Essay
Emotional Behavioral Disorder and 504 Plans
Emotional Behavioral Disorder and 504 Plans.
In 200 words discuss the below topicOf all the disabilities covered under IDEA (Individuals with Disabilities Educational Act of 1975), EBD (Emotional Behavioral Disorder) is the one that tends to concern and even intimidate general classroom teachers the most.What can teachers do to be prepared to work with students with EBD?Describe one thing they can do to prepare themselves as professionals, and one thing they can do to best accommodate these students in their classroom.In 200 words discuss the below topicOn page 175, your textbook discusses the 504 plan, an option for students with AD/HD who do not qualify for services under IDEA.What is your understanding of why a student might not qualify under IDEA, yet still need a 504 plan?What types of accommodations might be provided in a 504 plan for a student with AD/HD?
Emotional Behavioral Disorder and 504 Plans
English Romanticism And Its Characteristics
custom essay Romanticism as a trend in art and literature of England emerged in the 90th of XVIII century. Romanticism in England took shape earlier than in other Western European countries, it had its vivid specificity and individualism. Its most bright representatives were William Blake, William Wordsworth, Samuel Taylor Coleridge, Robert Southey, Thomas Moore, George Gordon Byron, Percy Bysshe Shelley, Walter Scott, John Keats and others, who have left a rich heritage in the literature of England and contributed to the world literature. Romanticism is one of the most controversial trends in European literature, in the literature Romanticism is mostly understood not only as a formal literary trend, but as a certain philosophy, and it is through this philosophy that we try to define Romanticism. One of the features of Romanticism in England was its magnificent lyric poetry, especially lyric poetry, in which the identity of the poet was brightly expressed in whatever he wrote. English poets framed their observations and views in parables, fantastic visions, cosmic symbolism. Sublime things and feelings were understood by them not only as something exclusive, but that could be present in the simplest things, in everyday life. One of the characteristics of romantic literature was a special attention to the spiritual world of man, but, in contrast to the sentimental literature, Romantics were interested not in an ordinary man, but “the exceptional man in the exceptional circumstances”. Romantic hero is experiencing violent emotions, is striving for perfection, dreams of an ideal. Romantic hero loves and sometimes idealizes the Middle Ages time, “pristine nature”, in powerful forms of which he sees reflection of his strong and conflicting emotions. When characterizing the relation of romantic writers and poets to the world, it is important to point aspiration to the ideal, human impulses and feelings, the belief that not logic and knowledge but intuition and imagination could reveal all the mysteries of life. But it is aspiration to the ideal, sometimes illusory or unattainable, that lead to rejection of everyday life which did not meet that ideal. Therefore, the romantic heroes had an “internal duality”, forced to live in two disparate worlds of the ideal and reality, sometimes coming in protest not only against the bone of reality, but also against the divine world order. Here came the so-called “romantic irony” of a man in relation to an established reality, that the average man took seriously. In general, the idea is often combined with irony, that is the peculiarity of English literature at all stages of its development. English Romantics were especially interested in social problems, as to the modern bourgeois society they opposed the old, pre-bourgeois relations, they glorified nature and simple, natural feelings. Bright representative of English Romanticism is Byron, who, according to critics, “clothed in a dull hopeless romanticism and selfishness.” His works are full of pathos of struggle and protest against the modern world, glorifying freedom and individualism. Understanding of nature and its image in the works of the Romantics In the late XVIII – early XIX century the very understanding of nature has changed. First of all, it was associated with changes in life philosophy and world view of romantics, who then explained all the phenomena from another point of view, different from the medieval and enlightenment views. The change in the “philosophy of the world spirit” and in understanding of nature had effects on the romantic image of the landscape: Romantics view the world spirit as a basic principle of nature, as “weak, vacillating, the least comprehensible and most mysterious part of nature”. With this understanding of nature, the image of nature and landscape appeared as dual: the nature itself and also the spirit that filled it and “governed” it. Some critics argue that the difference of the romantic interpretation of the nature was in the fact that romanticism “tried to carry balance of the world of pure ideas with the world of tangible and visible things, eliminating their opposition”. (Abrams, 1975) These questions are very important, because the nature of romantic poetry has saved not only the aesthetic value of artistic expression of its philosophy, but also it reflected a truly profound ideas and experiences, great human emotions. It is important to stress the fact that according to Romantics, nature in general and all its parts have specific features of the human soul. Though it is important to say that such personalization and conception of nature as subordinate to the “world spirit” is very important peculiarity of romantic literature, because it reflects the problem of man’s relationship to the world. Thus, the very meaning of “nature” in the XVIII and XIX centuries was entirely different. What is the something else, something new that distinguishes a romantic view of nature from its premises? Scientific literature emphasizes such characteristics of views and attitudes towards nature in romantic works: the deep romanticism subjectivity, the subjectivity of nature, precise, individual attitude to the subjects of nature; projection of mood of the writer on nature and vice versa; the identification of the sensitive subject with nature; the animation of nature by subjective emotions of the poet; passionate relationship of man to nature. (Moore J, 2010) Subjectivity of nature is a broader concept than the organic view of Romantics on nature, as this concept unites a wide range of romantic poets. In English and in German literature subjectivity of nature is expressed more explicitly than other literatures. Example of words of Byron, who very often expressed his love to nature, points to the fact that the subjective relationship with nature is very important feature of Romanticism. There is a pleasure in the pathless woods, There is a rapture on the lonely shore, There is society, where none intrudes, By the deep sea, and music in its roar: I love not man the less, but Nature more. (Byron G.G., “Childe Harold’s Pilgrimage”) The main aspect in the romantic view on the nature is its “subjectivity”, the corresponding correlation of the poet’s mood with the natural world. It is a subjective interpretation of nature that is widely used by Romantic poets, and such features as variety of moral epithets, passion, and association of objects with personal – these are the most obvious examples of this poetic temperament. “Nature knows, loves, suffers and dreams, like a man, and together with the man”. (Moore, 2010) Thus, the Romanticism is characterized by a sense of unity between man and nature, but this is not always expressed in the pantheistic forms, and may be associated with different ideological positions. Moreover, this unity can act in the forms of dualistic split, when nature embodies peace and harmony, and is opposed to sufferings and disharmony of human relationship. Passionate experience of relationship between the hero and nature is inherent to all romantics, though it may be shown differently by different romantic poets. On the one hand, in their writings dominate the image of landscape, which reflects their search for beauty, for picturesque images. On the other, they pay more attention to the state of the human soul and his feelings, and so the image of nature is a projection of the state of the soul, and the poet turns from the descriptions of nature to description of feelings, mixing them and showing relationship between them. Thus, the declaration of the relationship of nature with the inner world of man is an important practice in works of romantic poets. (Perkins, 1994) It is the hour when from the boughs The nightingale’s high note is heard; It is the hour when lovers’ vows Seem sweet in every whispered word; And gentle winds, and waters near, Make music to the lonely ear. Each flower the dews have lightly wet, And in the sky the stars are met, And on the wave is deeper blue, And on the leaf a browner hue, And in the heaven that clear obscure, So softly dark, and darkly pure. Which follows the decline of day, As twilight melts beneath the moon away. (Byron G., “Parisina” (st. 1) It is important to note that for romantic poets nature was an expression of spiritual life, where they saw the mirror reflection of either their own soul, or the ideal life that constituted the object of their dreams. Therefore, in their works nature is endowed with more deep meaning, than the meaning of words. Animation, humanization of nature in perception, imagination was one of the favorite motifs of poets. In contrast to the dead to society, which kills a living soul in the pursuit of profit, career, power, the nature comes to life, filled with the spiritual life of people. In this case they usually have in mind the wild nature, untouched by man, which gives rest, forgetfulness and peace. Sometimes the opposition of society and nature took the form of an antithesis of town and country, and then under the nature was meant idyllic countryside, dramatically different from a nervous and noisy city. In contrast to the false and empty society, in nature everything is simple, genuine and harmonious. An example of the poetic chanting of nature were the works of lyrical poet John Keats, who wrote on the high themes of love, beauty and art art. In his poem “Autumn” (1820) Keats went completely from the mythological imagery, creating a picture of autumn – the time of a sad farewell to the past before the harsh winter. Landscape in the poem is associated with the image of a simple man – a peasant who lives in a perpetual work. Season of mists and mellow fruitfulness, Close bosom-friend of the maturing sun; Conspiring with him how to load and bless With fruit the vines that round the thatch-eves run; To bend with apples the moss’d cottage-trees, And fill all fruit with ripeness to the coreâ€¦ (Keats J. “To Autumn”, in The Norton Anthology of English Literature, 2005) The contradiction between the dream and the reality the romantic poet Keats expressed as a contradiction between the desired ideal of beauty and bourgeois prose. Keats’s admiration for the beauty was not, however, fled from life, from the problems of reality. In his poetry, he showed the truth of life, the essence of reality, he poeticized the beauty that was hidden in life under the cover of some ugly things. But when the melancholy fit shall fall Sudden from heaven like a weeping cloud, That fosters the droop-headed flowers all, And hides the green hill in an April shroud; Then glut thy sorrow on a morning rose, Or on the rainbow of the salt sand-wave, Or on the wealth of globèd peonies; Or if thy mistress some rich anger shows, Emprison her soft hand, and let her rave, And feed deep, deep upon her peerless eyes. (Keats J. , “Ode on Melancholy”, The Norton Anthology of English Literature, 2005 ) Another prominent representative of Romantic literature in England was Lord George Gordon Byron. Byron was committed to the educational ideals and aesthetics of classicism, but he was a romantic poet. In his work the recognition of the classic rigor and clarity was combined with the image of the complex and ambiguous feelings, painted in a gloomy mood, but also with irony. The moon is up, and yet it is not night; Sunset divides the sky with her; a sea Of glory streams along the Alpine height Of blue Friuli’s mountains; Heaven is free From clouds, but of all colours seems to be. (Byron G. “Childe Harold’s Pilgrimage”, A Romaunt, Canto IV, XXVII) In the romantic poems we see the strong desire to image bright and sharp contrasts , also in the image of nature. Romantics often sought to portray a violent nature, and Byron seemed liked the the presence of danger, a storm for him was a symbol of the great, though often fatal passions. Roll on, thou deep and dark blue ocean-roll! Ten thousand fleets sweep over thee in vain; Man marks the earth with ruin-his control Stops with the shore;-upon the watery plain The wrecks are all thy deed, nor doth remainâ€¦ (Byron G. “Childe Harold’s Pilgrimage”, Canto II, CLXXIX) Aspiration to an ideal and admiration of the perfect beauty of the nature can be found in the beautiful poems of Percy Shelley. The character of pictures of nature by Shelley organically derives from his philosophical views, based on the knowledge of the history of philosophy from ancient times, from truly encyclopedic knowledge. Shelley sometimes animates the nature, gives it consciousness and characteristics of highest creation – he signs a hymn to the “Spirit of Nature”, by declaring the entire Universe as its temple. The influence of the materialist: it were ideas of Enlightenment and the Renaissance that played a decisive role in the evolution of philosophical views of Shelley. In “Ode to the West Wind” (1819) the symbolic image of the West Wind is the idea of renewal of life: the west wind destroys everything old in its path and helps to create new. The lyrical hero-champion is one with the mighty power of the West Wind. O wild West Wind, thou breath of Autumn’s being, Thou, from whose unseen presence the leaves dead Are driven, like ghosts from an enchanter fleeing, Yellow, and black, and pale, and hectic redâ€¦ â€¦ Wild Spirit, which art moving everywhere; Destroyer and Preserver; hear, O hear! (Shelley P.B., “Ode To The West Wind”, I) Shelley shows the magic power of the wind magically, describing its role as “destroyer and preserver”, by powerful natural metaphors the poet expresses his ideas about the power and great effect of the nature. Thus, we can see that the Romantic poets often showed the nature as free, powerful and beautiful world that is different from the human. Especially romantic poets liked to portray the sea in this sense, its boundless scope and majestic power, the wind, which has unlimited power and freedom, and the mountains with their grandeur and sublime beauty. In this case, the freedom and the power of natural elements have a figurative meaning, associated with free and powerful human spirit. Conclusion Romanticism is characterized by a sense of unity between man and nature. Consequently, the most importantly in the romantic views of nature is “subjectivity”, the corresponding correlation of the poet’s mood with the natural world. The romantic perception of nature is not just individual attitude of the subject to the outside world, but the nature helps to express the attitude of individual to the social conditions of his existence. In the perception and evaluation of the nature is expressed the relationship of the individual to the public life, to the meaning of human existence.
CIS 336 Week 4 On-line Class Discussions
CIS 336 Week 4 On-line Class Discussions.
CIS336 Week 4 Discussion 1 “Bring Your Own Device (BYOD) or Bring Your Own Technology (BYOT)” Please respond to the following: With the proliferation of smart phones and intelligent computing tablets such as the iPad, enterprises are increasingly faced with employees who want to bring their own devices and connect to enterprise systems. Determine whether or not employers should allow this type of connectivity to enterprise systems. Support your reasoning with three examples. Predict the impact to an organization’s Total Cost of Ownership (TCO) when employees use BYOD. Do some research on the topic and provide at least one substantive reference that supports this type connectivity to enterprise systems and one substantive reference that is not supportive. From this week’s videos, determine whether Strayer University should allow students to use BYOD on campus. Explain why or why not. Week 4 Discussion 2 Virtualization and Cloud Computing” Please respond to the following: Suggest how an organization should choose between Software as a Service (SaaS), Platform as a Service (PaaS), and Infrastructure as a Service (IaaS). Support your recommendation with an explanation and at least one substantive reference that supports your position. Salesforce.com, Facebook, Gmail, Windows Azure, Apple iTunes, and LinkedIn are examples of applications in the cloud computing space. Examine the benefits and possible problems for these organizations when it comes to cloud computing. Propose solutions to these problems. Predict the impact to an organization’s TCO and ROI. Support your recommendation with at least one substantive reference that supports your position.** Current refrences needed.
CIS 336 Week 4 On-line Class Discussions
Chemistry homework help
Chemistry homework help. This is a paper that is focusing on the Corona crisis and its impact on the German Aerospace industry. The paper also provides additional information to use in writing the assignment paper.,Corona crisis and its impact on the German Aerospace industry,The German Aerospace Industry has enjoyed strong growth over the last two decades; for example, the industry’s turnover quadrupled between 1995 and 2006. The industry has benefitted from growing global demand, particularly in the civil aviation sector, as well as from a well-developed manufacturing base, a dense structure of networks and clusters, heavy investment in R&D, and multiple and growing channels of public support on the federal and regional level. In addition, the industry benefits from various programs of co-operation and support on the European level.,Despite this relatively favorable base, as of now there appear to be two main risks and threats to the further development of the industry.,The first is increasing competitive pressure. New emerging players, in particular, China, are seeking to establish themselves; the United States continues to harbor the world’s largest aerospace industry which benefits from a large internal market as well as from spillovers between the civil and military aviation sectors. Meanwhile, important parts of the German Aerospace Industry are dominated by small or medium-sized enterprises that thrive in technological niches. But may be below critical size for success in global competition.,Corona crisis and its impact on the German Aerospace industry,The second, and more fundamental, is the current economic crisis caused by the Corona pandemic and its possible repercussions for the industry. The current restrictions have virtually immobilized large parts of the population in industrial and emerging countries and led to a sharp drop in demand for travel and transportation services. There is fundamental uncertainty whether the crisis will lead to a longer-term shake-up of the industry or rather take a “V-shape”, implying an unbroken longer-run growth trend.,Task, Against this background, develop a SWOT analysis of the German Aerospace Industry by the steps, stated below. In doing this analysis, distinguish between at least two different scenarios with respect, to the further course of the Corona crisis and its impact on the industry.,LINKS:, ,https://www.acc-hsg.org/uploads/1/1/5/7/11573431/aerospace_study-delphi-2020-southern_germany.pdf,https://www.spiegel.de/international/business/lufthansa-ceo-on-how-coronavirus-has-radically-upended-the-aviation-industry-a-d2e08d00-9981-4063-9086-88cfd99187e0,https://www.rolandberger.com/en/Point-of-View/COVID-19-How-we-will-need-to-rethink-the-aerospace-industry.html,Attachments,Click Here To Download,Chemistry homework help