Reflective paper Essay Example | Topics and Well Written Essays - 1000 words

Reflective paper - Essay Example Similarly, developments in the fields of Humanist theories, Learning theories, Cognitive theories, and behavioral theories have also opened new horizons of knowledge for the psychologists in dealing with their clients. This paper reflects on the major human development theories and analyses how far they have contributed in identifying and resolving the mental, Psychological, behavioral and physical problems of clients. To begin with, one can never undermine the contributions made by the Psycho Analytic theorists in understanding human development and problems associated with the developmental stages of clients. G. Stanley Hall, who tried to make a detailed study on Darwin’s evolutionary theory attempting to correlate childhood with previous ages of mankind, made his greatest achievement in his child centered research. His seminal book The contents of children’s minds, published in 1883, tried to resolve the history and the means of progress of mankind by the findings of what children know and when they learn it. Hall also accepted Sigmund Freud’s sexuality theory and believed that the sexualized energies of boys have to be promoted, channeled and managed. He is known as ‘the father of adolescence.’ Though his work has been considered outdated his ideas are still applicable in education, scouting and team sports. (G. Stanley Hall (1844-1924)). Similarly, psychologi sts draw conclusions from Hall’s theories have which facilitated in identifying adolescent problems and in treating them. Hall’s theories are widely applied in the field of special education and they have proved to be highly beneficial in offering â€Å"individualized services for adolescents in grades 6-12 who have experienced depression, withdrawal, low self-esteem, socialization problems, learning disabilities, post traumatic stress disorder, or self-injurious behaviors† (G. Stanley Hall School). The term psycho analytic theory is originated with study of the great psychologist

The Blind Side Essay Example for Free

The Blind Side Essay ‘Our surroundings can be both threatening and comforting. Discuss in relation to the behaviour of Michael Oher in the film.’ Some settings we encounter in our lives are both familiar and dangerous to us. John Lee Hancock shows this particularly well through the character of Michael Oher in ‘The Blind Side’. Settings such as the Touhy house, the Christian school and the suburb of Hurt Village, where Michael’s mother lives, serve as examples of these contradictory places. Briarcrest Christian School is a place where Michael originally feels threatened, but becomes a place of comfort for him as the movie progresses. When he first moves to the school, Michael does not know anyone, and is daunted by the lack of diversity in the students. He does not seem to understand the work, or wish to do it, and his teachers do not try to help him. This is evident in his poem ‘White Walls’, which is found in the rubbish by one of his teachers. In his writing Michael outlines that â€Å"[he looks] and [he sees] white everywhere, white walls, white floors, and a lot of white people.† Here Hancock refers to Michael’s race and how lonely he feels at the school. Michael also says that he ‘[has] no idea of anything [the teachers] are talking about’ and that they ‘[expect him] to do the problems on [his] own’, implying that he is not confident with working independently. The scene where the teachers hear his poem is when things start to change. They realise that Michael needs help, and start to provide him with it; letting him take tests orally and giving him extra support. The teachers discover that ‘Michael Oher is not stupid’ and his grades start improving. This implies that he does want to learn, and is becoming more acclimatised to the work and school. Through his friendship with SJ, he becomes more socially accepted and school is no longer so lonely for him. As the film progresses, Michael grows to be comfortable at the school, and with his grade improvement, feels like he belongs with his peers. Another place Michael finds both comforting and threatening is the suburb where he grew up. He lived there with his mother during his early childhood, and yet ironically it is one of the places where Michael is most likely to be hurt. He feels a sense of duty to his mother, and returns to her despite.

Strategies to Develop Patient Centred Care

Strategies to Develop Patient Centred Care Sneha Praveen MIS Practicum Final Report Analysis of online patient reviews and its effect on healthcare providers Introduction With the advent of social media, online forums have become a major platform where users share their views and these platforms affect all the involved stakeholders sometimes positively and sometimes adversely. Word of mouth has become an important tool for publicity and sometimes a bad review posted without ulterior motives can do much damage. Most of such reviews and posts that we read on platforms like twitter, Facebook and online forums affect our decision making as we tend to trust judgment of others. But healthcare as an industry is still not very patient centric and not enough importance is given to patient’s opinion. This case is even more valid in the context of USA as there is no official channel for patients to leave their reviews and experience about a healthcare provider. This is very surprising as all other industries food, retail, and consumer industries revolve around what customers have to say and millions of dollars are spend on â€Å"customer satisfaction†, whereas, healthcare industry still relies on their processes without bothering to collect feedback from patients they serve. The main reason accredited to this could be that as payers, insurance companies and as service providers, physicians play the most important role. Patients in this context are mere subjects of treatment who are assumed to be not very vigilant of their own health condition. But is this situation same all around the world? And if not, then US healthcare needs to adapt and learn from such countries to improve its care and service quality. One such online forum implemented in the United Kingdom is â€Å"Patient Opinion†. This forum acts as a bridge between patients and healthcare providers to help improve the healthcare quality provided by National Health Service (NHS) to its citizens. In this paper, I will analyze data collected from patient opinion forum and present by findings answering how USA can benefit from a review outlet like Patient Opinion and how this forum has helped NHS to improve their quality and service. Why Patient-Centric Care: It is well proven that any industry benefits from customer reviews and helps in reducing cost and improve service. Slowly, healthcare needs to move towards Patient-centered care which supports active involvement of patients and care givers. It means being responsive to patient’s preferences, needs and feedback to ensure that service quality improves and slowly there is more involvement of patient in healthcare delivery and design. [1] A patient centered care has below attributes [2]: Whole-person care. Coordination and communication Patient support and empowerment Ready access Autonomy A patient centered care focus on guiding patients by giving them information about options and risks. It means considering patient’s preferences and background and valuing their feedback. According to 2001 Institute of Medicine a focus on patient centered care is one of the factors constituting high quality health care. Source: http://hcca-act.blogspot.com/2011_11_01_archive.html The current system is physician centered which means that effective care is defined by physician’s standards and skills instead of centering on patient’s satisfaction from the service rendered. For example- orthopedic surgeons use the Harris Hip score to judge the success of a hip replacement. This was designed solely by physicians and does not include any feedback from patients to include their satisfaction from the procedure [3]. Thus, it is impossible to correctly define the output of any model in healthcare until the patient experience has been taken into account for. What Patients Want Most tools that we use to judge patient satisfaction or outcome of a medical service cannot be accurately quantified. Also, the success metric for a medical care varies from physician and patient’s point of view. An example of such tools was administered by Steward.et al in 2000 where many physician-patient interactions were audio taped and patients rated these conversations. After analysis, it was deduced that patients recovered faster, had better emotional health and perceived the care as satisfactory if the care was patient-centered. The faith of patients on their healthcare providers increased when there emotional needs were taken care of by the physicians leading to less number of diagnostic tests and fewer referrals. A similar methodology can also be used to study physician empathy. Researchers at Jefferson University developed the Jefferson scale to test physician’s empathy where physicians rated their own empathy but this scale could not be used to judge patient satisfaction. Thus, a new scale called Jefferson Scale of Patient’s perception of Physician Empathy was used which judges patient’s rating of physician’s empathy which correlated to patient’s satisfaction. Mostly what patients want is a relationship of empathy with physicians, who can help them communicate with the problem and develop a personal relationship with them. The perception of care is different from physicians and patient’s point of view and we need to move our focus from â€Å"what’s the matter† with our patients to â€Å"what matters† to our patients. [1] Hindrance in achieving true patient centric care One of the most crucial factors stopping US in achieving true patient centric care is the current reimbursement system and focus on physician practice model. There is no measure in US to gauge the quality of care, empathy and relationship of a physician with patients. Reimbursement is not correlated to these factors, instead it is based on per patient encounter. Due to this, primary care physicians focus on increasing the volume of patients and reduce the time spent with each patient. Most physicians are in a hurry and under stress which leads to misdiagnosis, useless tests and referrals, decrease in quality of care and a very formal relationship between physician and patients. [6] Next important factor is that physicians employed by hospitals are incentivized or prized depending on number of patients that they bring but there is no measure to the quality of care they impart. The volume of patients precede quality because the financial benefits are huge e.g.- Each lab tests physicians’ order, each referrals they make, benefits hospitals in terms of huge monetary benefits which in turn becomes a basis of primary care physician’s salaries. Thus, understandably what drives physicians is to employ methods to increase volume of patients, decrease time spent with each patient and other ways to monetize each patient-physician interaction. [3] The third hindrance is hospitals hiring generalists called hospitalists to provide care to patients with the goal of reducing patient days per admission. This might lead to improve in care for a certain amount of time but the reason behind hiring such individuals is not to improve patient care but instead to benefit hospitals financially. The Patient Centric Approach model Patient Centered Medical Home Patient Centric medical home helps address the patient centric approach by emphasizing on high quality patient care and lower the healthcare cost. They reorganize primary care practice by recognizing the importance of patient’s experience and works on system based approach to transform health services being offered. PCMH centers their service on elderly with acute care needs, patients with physical disabilities and with specific preferences in terms of culture and values. The care offered is comprehensive and designed to meet patients’ needs including physical and mental attention, chronic care and long term assistance like help in performing daily ablutions for patients with functional limitations. [8] Accountable Care Organizations ACOs have been set up with the goal of ensuring high quality of care is given to patients at the right time to prevent medical errors and reduce medical costs. Mostly ACOs are formed by group of doctors and hospitals who voluntarily come together to serve Medicare patients. [9] The basic promise that ACOs hold is to have patient centered care and treat patients with empathy, care and work towards avoiding unnecessary costs and develop a personal relationship with patients. Thus, government should incentivize formation of more ACOs to ensure more patient- centric approach. Strategic IT investment IT is the obvious answer to increase efficiency, reduce medical errors and improve quality of care in US. Though there are many facets of IT that can be used, use of Electronic Health Records (EHR) and Electronic Medical records (EMR) are the most important tools to use. EMRs are digitized version of patient record keeping for a physicians. EMR has been instrumental in reducing medical costs overtime by enabling better interactions between departments and monitoring patient’s visiting time and medical information. Patients can also log on and know about their health records and be better prepared. EHRs stores patient’s records so that if needed emergency departments can access it before giving them any medicines. This saves the cost of duplicate tests because all the data needed to prescribe medicines are present in EHRs. Feedback and review model: Patient Opinion Patient opinion was founded in 2005 and is the leading feedback platform for healthcare in UK. They allow patients to write their reviews/ stories about their experience and tag the particular provider. Other users can then favorite the post if they have experience the same thing. Patient Opinion also has an analytical engine which does sentiment analysis for each hospital and show what areas need improvement and which departments received positive reviews. The hospitals can read these reviews posted about them and respond to the complaints and praises. This helps them to improve their quality of care and address the issues raised by patients. Patient Opinion is a social enterprise and a NGO which is independent of NHS but share the same values. It is funded through user subscriptions, healthcare providers and healthcare Commission. Providers subscribing to Patient Opinion get the access to all patient feeds and can respond to the reviews. Though, use of patient opinion by patients is free. Patient Opinion is available across England but not (yet) the rest of the UK. It covers all acute trusts. As of today, 600 hospitals are registered with patient opinion and working together to improve the healthcare quality in UK. [5] How Patient Opinion fits the review model: It allows patients to give feedback on their health services and to see what others are talking about. It also acts as a platform to hear and respond to reviews and complaints posted by patients. They can compare their ratings with other hospitals and find out which of their departments are doing good and bad. All the opinions are reviewed before publication and editorial policies are public. The critical reviews are marked and directed to the healthcare providers while maintaining patient identity. Below are some feedback posted by patients for â€Å"King’s Mill Hospital† over a period of 2 weeks: Taking â€Å"King’s Mill Hospital† as our example for this study, let us look at some figures which help us better understand the Patient Opinion model: *Data collected is for the month of April: Analysis: Analysis: As of now, for the entire Patient Opinion database, feedback opinion so far is around 50% positive, 30% mixed and around 20% critical. Below is data of number of posts till date: In the last month, of all the posts, 53% had a response from hospital staff and 6% of responses actually lead to change. The numbers do look small but in the larger picture, it is an incremental change which slowly is changing the face of UK healthcare. Conclusion: Patient centric healthcare is the answer to the problems of rising cost and low quality of healthcare in USA. A patient centered communication gives more satisfaction to patients and increase their faith on the physician and treatment. Emotional health is better when patients feel that they have a personal equation with their physicians and their preferences, culture and values are being considered while treatment. It is very important to increase emphasis on physician’s empathy towards patients and introduce feedback model to increase efficiency of hospitals. Patient Opinion is bringing change into the healthcare scenario of UK by making patient reviews an important tool of decision making. Hospitals are responding to these reviews, trying to make amends and improve the quality of care. Currently, healthcare of USA is financially driven and patients are not treated as a valued customer. In future, if we want the healthcare cost to go down and expect better service, it is very important to bring the focus on patients and build the system around them. References: [1] Jo Anne L. Earp, Elizabeth A. French, Melissa B. Gilkey: Patient Advocacy for Health Care Quality [2] Bechtel, Christine.If You Build it, Will They Come? Designing Truly Patient-Centered Health Care.Health Affairs [3] http://healthaffairs.org/blog/2012/01/24/patient-centered-care-what-it-means-and-how-to-get-there/ [4] Moira Stewart, Judith Belle Brown, Allan Donner, Ian R. McWhinney, Julian Oates, Wayne W. Weston, John Jordan, The Impact of Patient-Centered Care on Outcomes [5] https://www.patientopinion.org.uk/info/about [6] Improving Patient Opinion Mining through Multi-step Classification, Lei Xia, Anna Lisa Gentile, James Munro, Josà © Iria [7] http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx [8] Ensuring That Patient-Centered Medical Homes Effectively Serve Patients With Complex Health Needs, AHRQ [9] http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/ [10] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC64755/

Essay example --

The complexity of law fascinates me. Law has changed throughout time and continues to vastly affect our everyday lives, whether we grasp it or not. We live in a world of very diverse cultures and backgrounds in which I am greatly intrigued by how law moves amongst. As I have realised this, my keenness to study the subject has grown. I wish to learn in depth, the structures, ways and reasons in which these are enforced throughout the different modules. Studying Economics at A-Level has developed my essay writing skills so I am able to argue by analysing and evaluating relevant points in a topic. It has also enlightened me with certain effects of law and decisions made by the government and businesses on civilisation, whereas from ICT I have developed a solid understanding of an area which is playing an increasingly important role in today's society around the world. Textiles has not just acknowledged me on the making process of garments, it has given me the business understanding of finance and advertisement aspects of it. Secondary school gave me the opportunity to take a 2 weeks wo...

HR Planning Case Study Essay

Xerox is a widely known firm worldwide, but it has been through numerous crises in the past decade. In fact, at one point several years ago, there were questions about Xerox surviving as a firm. But no longer. Under the leadership of Anne Mulcahy as CEO, Xerox has rebounded. Numerous strategic business and financial decisions had to be made, including reducing the workforce by 30,000. But Mulcahy also stressed that HR had to become a more strategic contributor. One of the actions taken was to consolidate a number of HR functions from different busi-ness units into a corporate HR Service Center. This center performs many administrative trans-actions, and has added Internet- based systems to make HR services more accessible to managers and employees. To track employees’ views on the company and HR, employee surveys on the company in-tranet have been used for several years. Areas at which lower scores were recorded have been addressed by HR staff and other managers. The survey results have led to another primary focus at Xerox: employee retention. With all of the reductions and organizational restructurings, keeping the remaining employees, especially high- potential ones, has been a continuing emphasis. Xerox has invested significant time and resources into training and development of its employees, an important retention factor. Greater use of e- learning, technology, and leadership development have paid off in reducing turnover and convincing employees that career opportunities exist at Xerox. Continuing com-petitive pressures are presenting new challenges for Xerox and its HR staff. The strategic importance of HR has been demonstrated in the past, and looks to be a part of the firm’s future.

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buy custom Workplace Hazards essay Sometimes it becomes hard for the organization to control some risks as they occur in the normal running of the business. Some hazards can only be avoided by stopping workers from doing their duties, and this means closing down the business (Cherrie Howie, 2010). Instead of closing down the business, the organization should come up with some measures of balancing the both issues as some hazards are inevitable. Most of the risks that occur in organizations, results from electricity, driving, confined working places, fire, gas, skin and respiratory sensitizers etc. To keep the organization running some measures should be put in place to avoid the most common types of hazards. To begin with, for the organizations to keep their employees at work, and at the same time control the hazards, most of the organizations have made use hazard control programs. This is an outlined procedure of the necessary steps that helps to protect workers from exposure to risky substances or system (Hughes, 2009). This program also assists the management to determine the level of exposure of the employees to the risk sources. Through the hazard control program, all the employees are provided with the basic knowledge on how to control their exposure to risk areas. The program allows the organization to determine the effectiveness of the control system to ensure workers are safe as they execute their duties. When deciding the best control measure to put in place, the organization should determine whether to use a temporary or a permanent depending on the type of the hazard. Before the company adopts a permanent measure, it may apply some temporary ones to keep the organization moving (Hughes, 2009). For instance, in case of noise hazards, the workers may be introduced to some hearing protection temporarily as the organization take permanent measures of dealing with the source of noise. Other ways of controlling hazards are through substitution, use of administrative controls or by use of personal protective equipments. Buy custom Workplace Hazards essay