Friday, January 31, 2020

Dispostional Personality Theories Essay Example for Free

Dispostional Personality Theories Essay The two most common dispositional theories are Allport’s psychology of the individual theory and the trait and factor theory. Allport’s psychology of the individual theory emphasized that people are unique, even though they may share traits in common, and those unique qualities are what should be focused on. â€Å"More than any other personality theorist, Gordon Allport emphasized the uniqueness of the individual. He believed that attempts to describe people in terms of general traits rob them of their unique individuality†. In order to focus on the individuals uniqueness Allport felt that a broad theory is more useful than a narrow one and he would use information from different theorist in his research. For many years there has been much debate about how many traits actually have an effect on an individual’s personality. In recent years the majority of theorist have come to the conclusion that five is the magic number. Esyneck, McCrae, and Costa have focused their studies on the trait and facto theory and have done much research using standardized tests, clinical observations, and observations from friends and families of the individuals studied. â€Å"Trait and factor theories of personality are based on factor analysis, a procedure that assumes that human traits can be measured by correlational studies†. Each of these theories have different approaches to explaining an individual’s behavior. Both Allport’s psychology of the individual theory and the trait and factor theory have its own effect on individual personalities. Interpersonal relationships are influenced by each of these theories in its own way as well.

Wednesday, January 22, 2020

To Characterize a Character :: essays research papers

To Characterize a Character   Ã‚  Ã‚  Ã‚  Ã‚  Character is the combination of qualities and features that distinguish a person, group, or thing from others. The wise Benjamin Disraeli once said, â€Å"Characters do no change. Opinions alter, but characters are only developed.† This statement is worth acknowledging, however, I disagree. Characters are an essential part of any literary piece, and in the novel The Scarlet Letter by Nathaniel Hawthorne, I have observed several characters alter and change. Of course, Disraeli is referring to the character within a person and I am referring to characters (or imaginary people) in a novel, but they do have a relation. What would a novel’s character be without an inner character, or personality? Drastic alterations of character occur in both Hester Prynne and Roger Chillingworth. But who, in reference to my statement of what character is, has more of it?   Ã‚  Ã‚  Ã‚  Ã‚   Hester Prynne is the social outcast of the Puritan village due to her sin of committing adultery. She wears a large letter â€Å"A† on her bosom and is constantly put to shame by it. The townspeople (including children) openly mock her as she walks about. But even so, Hester endures it and has gained great strength from it. Though she is an outcast, she works hard and continues to keep herself and her daughter, Pearl, alive and well. Hester achieves survival through sewing. She has, â€Å"†¦bore on her breast, in the curiously embroidered letter, a specimen of her delicate and imaginative skills†¦Ã¢â‚¬  (Page 56). She even sews clothing for the homeless, but they are ungrateful for it. Because of her ability to stay alive, and help the needy even though nobody ever helped her, some referred to the letter â€Å"A† on her chest as â€Å"Able.†   Ã‚  Ã‚  Ã‚  Ã‚  Roger Chillingworth, who is secretly the husband of Hester Prynne, has a great amount of character, also. He arrives in town and decides to stay upon his promise to discover the father of Hester’s child. He serves as a physician knowing several medicine concoctions from roots and weeds, as taught by the Indians. Soon, it is suggested by people of the town that Chillingworth should move in with Reverend Dimmesdale in order to care for him during his time of illness. After living together for a while, Chillingworth realizes that Dimmesdale’s illness is not a physical illness. It is due to some internal and spiritual illness, such as guilt. Chillingworth takes advantage of this finding and plays with the Reverend’s emotions already knowing that he is the father of Pearl.

Tuesday, January 14, 2020

Hcs 571

Capital Project HCS/571 Capital assets are generally purchased to improve quality of care, or to provide needed equipment for a new service or expansion of an existing service. The key element in capital budgeting is that the building or piece of equipment being acquired has a lifetime that extends beyond the year of purchase and it is a capital asset or long-term investment for the hospital. Capital assets are good financial investments for the organization. (Finkler, Ward, & Baker, 2007). The Electronic health record software system is one of the important operational priorities in the US healthcare.The change from paper-based record system to electronic record system supported by technologies and help for reducing errors and improving quality of care based on best practice. (Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). Research a capital purchase of software for filing patient records costing more than $5000 Health care organizations have invested heavily in computer technology. The health care organizations use computer technology and electronic health record in the actual delivery of care and to support clinical areas.The four principal uses of computers for nursing are for general information, clinical applications, research, and financial management. (Finkler, Ward, & Baker, 2007). The health care organizations are in the process of major transformation, and becoming more complex. It is very important to maintain the safety of patient and to provide high quality care. (Ting, Tsang, Ip, & Ho, 2011). The electronic health record system is considered as a means of technological efficiency to reduce the cost in healthcare organization.The need for EHR in healthcare organization is based on certain evidences like, It supports guideline-based care, increased patient monitoring, act as an efficient technological tool for effective communication in areas related to patient care, and improves coordination of care(Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). The electronic health record system act as an easy access for medical literature and it is considered as a fast access system due to the effective utilization of information technology and enhances the healthcare efficiency system. Hillestad, 2005). Employee development The computer software and electronic health record advances will continue to evolve and that computer use by staff nurses will become commonplace in most healthcare organizations. In the long run this will likely increase the quality of patient care due to more accurate and timely information, while creating at least some efficiency in the use of nursing time. This should release more nurse time for patient care. (Finkler, Ward, & Baker, 2007). Computerization should work both to reduce nursing shortage and to increase nursing satisfaction.The health care organizations struggle to allocate sufficient funds for information system implementation, maintenance, and upgrade. The computerization of the nursing units has been a potential solution for nursing shortage. (Finkler, Ward, & Baker, 2007). Management goals The EHR implementation and governance are related to each other and it is mainly focus on the mission, vision, and behavior related to the management. The decision and action from managers level management is very essential factor for the effective purchase of EHR. Jarvenpaa & Ives, 1991). The support system in the organization related to EHR implementation helps to support and motivate the employees in difficult situation related to the technical failure of the system. (Miller & Sim, 2004). The successful implementation of EMR depends upon the team and technology of the organization. Team refers to people and issues related with organization. The technology related to the choice of the software, hard ware, and design set up of the organization to meet the implementation process.The main components of implementation process are people, process, and technology. The main focus of the change management is people and the related objective is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). Cost containment The software related Electronic health record implementation need to be appropriate for the needs of the organization and budget. (Swab, & Ciotti, 2010) The EHR software system has many areas of market depending upon the size of the hospital bed size.The first criteria for the vendors according to the bed with 100 and small hospital The Electronic health record system cost about between $ 1 million and 2 for the electronic health record system The electronic health record software cost for the organization about medium hospital cost is much larger than the first one. It comes around three to ten million. The hospital and organization with more than average bed cost for the electronic health record system will be higher amount than the other one.The cost and amount of electronic health record system will dep end upon the size of the hospital . The management has to decide about the budget for the organization. (Swab, & Ciotti, 2010). The organization must evaluate its mission and goals in light of its particular strengths and weakness and in light of the demand for services and competition in the external environment. Based on that evaluation it can make a plan that will take advantage of opportunities like Electronic health record implementation according to the goals of an organization. (Finkler, Ward, & Baker, 2007).The planning process explicitly address whether the implementation of new services and programs that make up the majority of operations of the organization are being retained at a steady-state level or whether they are to be contracted or expanded in scope. (Finkler, Ward, & Baker, 2007). The successful implementation of EMR depends upon the team and technology of the organization. Team refers to people and issues related with organization. The technology related to the c hoice of the software, hard ware, and design set up of the organization to meet the implementation process.The main components of implementation process are people, process, and technology. The main focus of the change management is people and the related objective is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). The computerization of the nursing units has been a potential solution for nursing shortage. (Finkler, Ward, & Baker, 2007). Quality assurance The management of the organization need to review the costs of the software system related to Electronic health record implementation with users of the selection committee before the system demos.The committee includes staff from clinical areas like pharmacy, radiology, laboratory, operating room, and emergency department. The committee needs to invite physician champions to participate and observe EHR system demonstrations before selecting the system. (Swab, & Ciotti, 2010). The managemen t of the organization needs to clarify the all of the costs such as travel costs, training class tuition fees, files conversion fees, and other ancillary system fees with the vendors. Another factor need to consider while implementing Electronic health record system is the costs of additional staff required to operate the EHR system.The organization need to consider adding the IT staff, Nurse informaticist, and Chief medical information officer. (Swab, & Ciotti, 2010). Once the plan has been finalized and formalized, it serves as a guide for a number of years. Long- range plans are typically prepared only once every three or five years. Creating a new plan each year would only lead to constant changes in the organization’s direction. This would lead to wasted efforts, and money. The long-range budgets or strategic plans look in general terms at the entire organization over a period of years. Finkler, Ward, & Baker, 2007). Program budgeting techniques are equally effective for reviewing the operations of an ongoing unit as for evaluating a new program like Electronic health record implementation. Business plans are becoming essential for the introduction of new programs. Such plans help managers complete a comprehensive examination of a proposed program. By making such a thorough review, the manager and the organization gain an in-depth understanding of the program as well as its financial implications for the organization. Finkler, Ward, & Baker, 2007). Patient care, clinical research, and leadership role The Electronic health record software system support efficient and good health care. Electronic health record improve the completeness and accuracy of patient records and they improve communication among health care professionals. (Hayrinen,Saranto, &Nykanen, 2008). The larger hospitals, especially academic medical centers with a high acuity case mix, may benefit from investing in Electronic health record adoption.The hospitals with high patient volume s and with complex medical problems need to adopt Electronic health record as a capital asset for the organization. (MCcullough, Casey, Moscovice, & Prasad, 2010). Team refers to people and issues related with organization. The technology related to the choice of the software, hard ware, and design set up of the organization to meet the implementation process. The main components of implementation process are people, process, and technology. The main focus f the change management is people and the related objective is to change the behavior for the acceleration of change process. (McCarthy & Eastman, 2010). The monitoring of EHR implementation process mainly focused on areas like project costs, project progress, schedule controls, control changes, scope of the project, quality management, and risks. (Noblin, Cortelyou, & Ton, 2011). The EHR implementation is considered as a high-cost project. The management needs to consider and monitor equipment costs including hardware and softwar e costs.The workflow inefficiencies need to monitor and need to redesign during the implementation phase is an important step to overcome the failure. (Spector, 2010). The workflow reflects the ability of the employee to use the resources to complete the work in an effective manner to achieve better results and it also shows the efficiency of team work. (Lee, Cain, Young, Chockley, & Burstin, 2005). The EHR implementation requires strong leadership and all workers need to participate to deliver their own role for the success of the implementation process.The redesigning process improves the work efficiency and job satisfaction. (Spector, 2010). The change from paper medical records to electronic medical record system improve the quality of healthcare, reduce the administrative cost, reduce medical errors, and decrease the unnecessary expenditures for the issues related to medical errors occur during paper charting. (Huryk, 2010). The electronic medical record system is considered as a means of technological efficiency to reduce the cost in healthcare organization.The need for EHR in healthcare organization is based on certain evidences like, It supports guideline-based care, increased patient monitoring, act as an efficient technological tool for effective communication in areas related to patient care, and improves coordination of care(Song, McAlearney, Lausanne, Robbins, & McCullough, 2011). The electronic health record system act as an easy access for medical literature and it is considered as a fast access system due to the effective utilization of information technology and enhances the healthcare efficiency system. Hillestad, 2005). Research studies shows that the paper record system is inadequate to give all informations regarding patient to caregivers for the effective care. (Thakkar & Davis, 2006) The effective use of EHR minimize the problems related to healthcare disparities, allows the involvement of patients and their families in treatment plan, a nd maintain adequate privacy and security. (Podgurski, 2008). Computer uses for clinical care fall into two general areas. The first area is assement of patients.This includes computers used in laboratories to measure blood levels, in radiology for magnetic resonance imaging, and for physical assessment measures such as blood pressure. The second clinical area is storage and management of patient information. Often called the hospital information system, these computer systems store data such as patient demographics, admission, transfer, and discharge information, and documentation of nursing care provided. (Finkler, Ward, & Baker, 2007).Although clinical information systems are not directly related to financial management, data produced by these systems can be used to make financial decisions. Clinical systems are used to directly link the use of services to the billing for them. Ultimately, financial management is based on the allocation of resources; clinical information systems offer the manager data about the use of resources in the organization. Clinical information systems that combine information from a variety of sources such as laboratory, radiology, dietary, and nursing are called fully integrated systems.In these systems the data are entered once and are accessible all over the organization with appropriate confidentiality precautions. These integrated systems improve the flow of information. (Finkler, Ward, & Baker, 2007). The implementation of EHR in healthcare organization is influenced by human and technological factors. The implementation process depends upon many factors starting from employee attitudes and concerns to various technology.The main factors are readiness for the employee to accept the changes related to EHR implementation, resources available for the change, technical concern, availability of finance for the implementation of EHR, motivation of the employee, time, and ability of the individual to use computer for the effective i mplementation of EHR. (McGinn, Grenier, Duplantie, Shaw, Sicotte, Luc, Leduc, Legare, & Gagnon, 2011). The managers need to take interventions to overcome the factors influencing the implementation process early in the planning stage. (Spector, 2010).The budget development in the initial phase of change process reflects the initial cost and all other related expenses of an electronic health record system. The hardware expense needs to be classified on a yearly basis. The organization need to consider the cost of upgrading the hardware and software system to maintain the efficiency of the system. The cost for the replacement of hardware and maintenance of the computer need to be considered. The Information System Success Model evaluation measures the quality and technical achievement of the system.The system quality depends on the elements like reliability, accessibility, and security of the system. (Delone, & McLean, 2003). The user satisfaction level needs to be evaluated because i t reflects the level of competency, skills, and experience of the users. The overall measurements include quality of care in terms of patient safety, and effectiveness of care, accessibility of care, and productivity. ( Lau, Hagens, &Muttitt, 2007)The implementation process requires skilled people in areas like computer networking, informatics, administration, management, and clinical workflow.The monitoring and controlling of the proper utilization of the resource specialist will help for the cost management. (Wang, 2003). Consultant packages The consultant from outside the organization for any change process need to be assessed, monitored, and controlled as per the organizational policy and management decision. The health care organization may need assistance from outside consultants for the effective implementation of EHR and that will cause an extra cost for the implementation process and the management need to monitor the necessity of the consultant for the process. Noblin, Cor telyou, & Ton, 2011). The quality assurance of the Electronic health record software system can be done by the evaluation process. The evaluation process need to focus on certain elements like care, human, educational, administrative, technical, and social aspects. (Shaw, 2002). The care aspect of evaluation consists of monitoring the quality of care, continuity, system acceptance from patients and other professionals. The evaluation of organizational aspects mainly focuses on examining the interconnection between different care providers in different settings. (Shaw, 2002).The educational aspects of evaluation focus on the quality of the information system for the retention of the staff, training of employees, and user satisfaction related to EHR implementation. The administrative aspect of evaluation addresses the changes related to EHR implementation and the after effect on health care services and mainly focus on areas like access to care, interactions between clients and health care workers, and changes in cost effectiveness related to new electronic system. The technical aspects of evaluation measure the technical quality, reliability, and security of the settings.The social aspects of evaluation focus on the changes in the level of social interaction after the implementation of new system. (Shaw, 2002). The other measurement strategies include evaluating the output of new system by reviewing employee satisfaction and user satisfaction. The organization need to conduct post go-live reviews after the implementation process to assessment of system. Conclusion The Electronic health record software system is one of the important operational priorities in the US health care and it should be capital assets for the organization.The health care organizations that are decided to purchase an Electronic health record system should always search for the software system with right vendors, share the costs with selection committee members, and need to think about the costs of additional staff members required to operate the software system. (Swab, & Ciotti, 2010). The other measurement strategies include evaluating the output of new system by reviewing employee satisfaction and user satisfaction. The organization need to conduct post go-live reviews after the implementation process.The successful implementation requires teamwork and effective communication technique between the vendors, health care staff, management, administration, and outside consultants. The health care organization may need assistance from outside consultants for the effective implementation of EHR and that will cause an extra cost for the implementation process and the management need to monitor the necessity of the consultant for the process. (Noblin, Cortelyou, & Ton, 2011). References Delone, W. H. , & McLean, E. R. (2003). The DeLone and McLean Model of Information Systems Success: A Ten-Year Update.Journal of Management Information Systems,19(4), 9-30. Hayrinen,K. K. , Saranto, P. , Nykanen, P. (2008). Definition, structure, content, use, and impacts of Electronic health records: A review of the research literature. International Journal of Medical Informatics, 77(5), 291-304 Hillestad, R. (2005). Can electronic medical record systems transform healthcare? Potential health benefits , savings, and costs†. Health affairs, 2(1), 8-10. Huryk, L. (2010). Factors influencing nurses' attitudes towards healthcare information technology. Journal of nursing management, 8(5), 606-612. Jarvenpaa, S. L. , ; Ives, B. (1991).Executive involvement and participation in the management information technology. Journal of Medical Informatics, 15(2), 205-225. Lau, F. , Hagens, S. , ; Muttitt, S. (2007). A Proposed Benefits Evaluation Framework for Health Information Systems in Canada. Electronic Healthcare, 10(1), 112-118. Lee, J. , Cain, C. , Young, S. , Chockley, N. , ; Burstin, H. (2005). The adoption gap: Health information technologyin small physician pract ices. Health Affairs, 24(5), 1364-1366. McCullough, J. M. , Casey, I. , Moscovice,S. , Prasad,S. (2010). The effect of health information technology on quality in US Hospitals.Health Affairs, 29(4), 647-654. McGinn, C. A. , Grenier, S. , Duplantie, J. , Shaw, N. , Sicotte, C. , Luc, M. , Leduc, Y. , Legare, F. , ; Gagnon, M. (2011). Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review. BMC medicine, 9(46), 2-10. Miller, R. H. ,Sim,I. (2004). Physician’s use of electronic medical records : Barriers and solutions. Health Affairs, 23(2),116-126. Noblin, A. M. , Cortelyou, K. W. , & Ton, S. (2011). Electronic Health Record Implementations- Applying the Principles of Monitoring and Controlling to Achieve Success.The Health Care Manager, 30(1), 45-50. Podgurski, S. A. (2008). Finding a cure : The case for regulation and oversight of electronic health record system†. Harvard journal of law and techn ology, 22(1), 107-110. Shaw, N. T. (2002). ‘CHEATS': a generic information communication technology (ICT) evaluation framework. Comput Biol Med, 32(3), 209-220. Song, P. H. , McAlearney, A. S. , Lausanne, E. F. , Robbins, J. , & McCullough, J. S. (2011). Exploring the business case for ambulatory electronic health record system adoption. Journal of healthcare management, 56(3), 169-180.Spector, B. (2010). Implementing organizational change: Theory into practice (2nd ed. ). Upper Saddle River, NJ: Prentice Hall. Swab, J. , Ciotti, V. (2010). What to consider when purchasing an EHR system. Health care Financial Management, 64(5), 38-41 Thakkar, M. , & Davis, D. C. (2006). Risks, barriers, and benefits of EHR systems: A comparative study based on size of hospital. Research Journal in Health Information Management, 3(5), 10-12. Wang, S. (2003). A cost-benefit analysis of Electronic medical records in primary care. American Journal of Medicine, 114(5), 397-403.

Monday, January 6, 2020

The Yellow Wall-Paper - 1302 Words

In the â€Å"The Yellow Wall-paper,† the author, Charlotte Perkins Gilman, writes about a struggling mentally ill woman, named Jane, trying to work through her individuality and her own depression. This story is centered around her bedroom, her mental state, and the yellow wall-paper on the walls in her room. The reader can easily feel the pain, anguish, despair, and struggles of a woman going through a depressive state. Gilman writes about the individual succession of the woman’s mental state through the disarray of the patterned yellow wall-paper. The theme of feminism is exposed by the main characters use of language, her feelings of inferiority, mental struggles, and anger. The language of the narrator in this story is repressive to†¦show more content†¦As Jane’s feelings of inferiority are expressed throughout the story, she still tries to escape her depression while locked in her bedroom. She is struggling against the constraints of her controlling husband, who just babies her, but ignores her because he thinks he knows what is medically best for her. Jane recognizes that John meant to repaper the bedroom, but once again he dismissed her request to change the wall-paper by stating, â€Å" that I was letting it get the better of me, and that nothing was worse for a nervous patient than to give way to such fancies† (Gilman 810). Her husband’s consistent reminders of being superior to her make her feel inferior to him. Throughout the story John holds the power of being the doctor who knows what is best for his wife. Susan S. Lanser indicates in her article â€Å"Feminist Criticism, â€Å"The Yellow Wallpaper,† and the â€Å"Politics of Color in America,† that Jane’s feelings of intimidation come from â€Å"the phrase ‘John says’,† which â€Å"heads a litany of ‘benevolent’ prescriptions that keep the narrator infantilized, immobilized, and bored literally out of her mind† (418). Jane’s feelings of inferiority are enhanced by her sister-in-law’s ability to â€Å"work.† She is jealous and envious of Jennie. Jennie is allowed to be a caretaker, hasShow MoreRelated The Yellow Wall-Paper919 Words   |  4 Pages Falling from the Shoulders of Giants: The Yellow Wall-Paper as a Classic Example of the Dangers of Human Arrogance Progressive dementia is the process by which an individual gradually losses their intellectual capacity and personality integration. In quot;The Yellow Wall-Paper,quot; Gilman captures the essence of the journey to madness via her use of first person narration. The relationship between Jane, the narrator of the story, and her husband John provokes an uneasy curiosity in the readerRead More The Yellow Wall Paper714 Words   |  3 Pagessurroundings. In the stories â€Å"Araby† by James Joyce and â€Å"The Yellow Wallpaper† by Charolotte Gilman there are examples of their immediate surroundings taking affect in there writings. 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Although there is such a large gap in the time periods of the two short stories, with â€Å"The Yellow Wall-paper† being written in 1892 and â€Å"Barn Burning† being written in 1939, there are prevalent similarities on how these timeRead MoreSocietys Sexism in the Yellow Wall-Paper1109 Words   |  5 PagesSigns of societys sexism in The Yellow Wall-Paper The Yellow Wallpaper is a story, by Charlotte Perkins Gilman. Although the work is short, it is one of the most interesting works in existence. Gilman uses literary techniques very well. The symbolism of The Yellow Wall-Paper, can be seen and employed after some thought and make sense immediately. The views and ideals of society are often found in literary works. 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Jacques Derrida gave birth to the theory when he set out to demonstrate that all language is associated with mental images that we produce due to previous experiences. This system of literary scrutiny interprets meaning as effects from variances between words rather than their indication to the things they represent. This philosophical theory strives