English Language Teaching Essays -- essays research papers

Topic Literature Review: English Language Teaching Strategies for Learning-Disabled Secondary School Students Introduction   Ã‚  Ã‚  Ã‚  Ã‚  One of the aims of the Singapore Ministry of Education is to ensure that all school-going children receive a minimum ten years of general education. Streaming is one way to ensure that all students are taught according to their academic ability, and â€Å"learn at a pace which they can cope.† (Coping with Singaporeans’ Concerns, 2001, p. 4). At the primary school level, remediation programmes such as the â€Å"Learning Support Programme (LSP) and the Encouragement Achievement and Better Learning (ENABLE) Programmes† are made available to assist students who have been assessed as weak in English and Mathematics (Coping with Singaporeans’ concerns, 2001, p. 4). At secondary level, the Normal Technical (NT) stream was implemented in 1994 to cater to students who are less academically inclined. The majority of the learning-disabled students will be found in the NT stream. In NT stream, students follow a less rigorous curriculum which focuses on English and Mathematics, and more hands-on learning experiences. The NT curriculum basically prepares students for vocational/technical academic and career paths. Unlike primary schools where there are remediation programmes to support students who are identified as weak in academic performance or â€Å"learning-disabled†, little attention is given to NT stream students, especially students with learning disabilities. This can be attributed to a number of reasons such as exclusion of NT stream students’ performance at National Examinations from the school league table, and inadequately-trained general education teachers to teach students with special educational needs. For any remediation programmes that are available, they are provided at an ad hoc basis by out-of-school â€Å"ethnic self-help groups and voluntary welfare organizations† (Coping with Singaporeans’ concerns, 2001, p. 4). Research has revealed that NT students suffer from â€Å"low self-esteem†, â€Å"achievement motivation†, and â€Å"poor study habits† as they progress up the levels in secondary schools (Chan, 1996). One of the main reasons for the poor academic performance of NT students is that most NT students face problems following lessons in class. All subjects, with the exception of Mother Tongue subject, are ... ...h that is grammatical, fluent, appropriate for purpose, context and culture. 3.  Ã‚  Ã‚  Ã‚  Ã‚  A Summary of the learning Outcomes by the End of Secondary Two and Four Normal Technical: Pupils will: a.  Ã‚  Ã‚  Ã‚  Ã‚  Respond to a variety of texts and demonstrate a positive attitude towards reading and language. b.  Ã‚  Ã‚  Ã‚  Ã‚  Listen for information from a variety of sources. c.  Ã‚  Ã‚  Ã‚  Ã‚  Speak fluently and expressively on a range of topics. d.  Ã‚  Ã‚  Ã‚  Ã‚  Present and develop ideas effectively in speech/writing for a variety of purposes and audiences. e.  Ã‚  Ã‚  Ã‚  Ã‚  Write legibly, coherently and cohesively for different purpose and audiences. f.  Ã‚  Ã‚  Ã‚  Ã‚  Demonstrate knowledge about language and text types from print/ non-print/ electronic source. g.  Ã‚  Ã‚  Ã‚  Ã‚  Use reading strategies to construct meaning. (Adapted from Ministry of Education. (2001). English Language Syllabus 2001 For Primary and Secondary Schools. Singapore: Curriculum Planning and Development Division, Ministry of Education.)

Recording Product Value Added Tax

Nama:Fajar Suryanegara Program Studi:Ilmu Administrasi Fiskal Judul Skripsi:Tinjauan Terhadap Penetapan Dasar Pengenaan Pajak Nilai Lain Atas Produk Rekaman Skripsi ini membahas penetapan Nilai Lain sebagai Dasar Pengenaan Pengenaan Pajak atas produk rekaman ditinjau dari asas-asas pemungutan pajak produktivitas penerimaan, kepastian hukum, dan kesederhanaan. Penelitian ini adalah penelitian kualitatif dengan desain deskriptif analisis.Hasil penelitian ini jika ditinjau dari asas produktivitas penerimaan ketetapan ini menimbulkan potential loss bagi negara yang terlihat dari selisih PPN terutang antara harga pasar dengan harga jual rata-rata. Berdasarkan asas kepastian hukum ketetapan ini kurang memberikan kepastian hukum karena kesalahan penggunaan pasal 1 angka 17 Undang-undang Pajak Pertambahan Nilai. Akhirnya, berdasarkan asas kesederhanaan ketetapan ini sudah memberikan kesederhanaan baik bagi wajib pajak atau Direktorat Jenderal Perpajakan karena pajak hanya dibebankan pada sat u level pemungutan.Kata Kunci: Dasar Pengenaan Pajak, Produktivitas penerimaan, kepastian hukum, kesederhanaan. ABSTRACT Name:Fajar Suryanegara Study Program:Fiscal Administration Title:Review for The Other Value Tax Base Quotition of Recording Product The focus of this study is the quotition other value as tax base for recording product reviewed from revenue productivity, certainty and simplicity tax principle. This research is qualitative with descriptive analysist design.The result for this research reviewed from revenue productivity principle caused potential loss for our country which can be seen from the deviation between market price and average sale price. Based on certainty principle this quotation gives less certainty because the misinterpretation of article 1 number 17 Indonesian Value Added Tax law. Finally, based on simplicity principle this quotition has given simplicity whether for tax payer or Tax General Directorate because the imposition is levied only to one level . Key words: Tax Base, Revenue productivity, certainty, simplicity

Patient-centred care is a fundamental issue Essay

There are many issues associated with the transition from graduate registered nurse into practicing registered nurse. Recent studies have found the phase to be a stressful period for many graduates the main challenges were fitting into social groups, delegation, hostility and patient-centred care (Rush et al, 2013); (Feng & Tsai 2012). However, research has shown that with appropriate education, guidance and support the transition can create better staff and patient satisfaction, resulting in lower turnover rates (Orsini, 2005). This research highlights the need to develop appropriate pathways and evidence-based management for new graduate nurses. This essay will endeavour to outline the evidence-based practice for the management of patient-centred care and hostility in the workforce, in conjunction with the transitioning to registered nurse phase. It will be centralised around class discussion forums and how they impacted personally (Appendix 2A, 2B, 2C) in order to applicably manag e future situations. Patient-centred care is a fundamental issue which was discussed at great length during one of the forums (Appendix 2A). It seemed most students had their own opinion already formed about patient-centred care and in turn their own experiences. It was a topic which I felt needed further understanding due to a lack of consistency with student viewpoints and due to it being an ill managed issue within healthcare services. A recent study examining the barriers to overcome patient-centred care found that 64% of nurses were aware of deficits in standards of care, but felt they did not have enough time to perform vital nursing tasks such as addressing patient’s concerns and providing relevant information to both the patient and their family (West, Barron, & Reeves, 2005). Furthermore, nurses reported that a lack of staff, space and equipment were also to blame (West, Barron, & Reeves, 2005). Kvale & Bondevik, (2008) state that patient-centred care is a term which is globally used yet it is difficult to define, resulting in challenges in implementing appropriate interventions. This may be a result of patients differing satisfactions and expectations such as personal beliefs, ideas and opinions which are individual (Okougha, 2013). Research suggests that graduate registered nurses require guidance and education in order to gain confidence and empowerment (Glynn & Silva, 2013). A recent study found that when education was provided to nurses in relation to current patient-centred care and how to improve it, 90% of nurses positively changed their behaviour to increase patient satisfaction (Okougha, 2013). As a graduate registered nurse I need to have a profound and comprehensive understanding about patient-centred care and how to implement it in order to provide safe and effective management to all my patients. According to Cronin, (2004) patient-centred care is recognising each patient as an individual; building therapeutic relationships including with family and friends; and involving a multidisciplinary team. This in turn provides differing perspectives on the issue. The World Health Organisation uses the word ‘responsiveness’ in regards to patient centred care and states â€Å"recognising responsiveness is an intrinsic goal of the health care system and reinforces that the health care systems are there to serve the people† (World Health Organisation, 2000). A recent qualitative study examined patient’s perspectives in relation to patient-centred care (Griffiths et al, 2012). It found that although patients were different and required diverse needs, they also shared many similarities such as requiring empathy, listening, communication and non-judgemental patient-centred care (Griffiths et al, 2012). There was also concern if current education can develop a nurs e’s preparedness in delivering quality care (Griffiths et al, 2012). One of the participants stated â€Å"you might be the best clinician in the world but if you can’t communicate and you can’t listen properly to people and you don’t take on board and understand what they’re saying you may as well go dig the street† (Griffiths et al, 2012). Furthermore another participant stated â€Å"†¦each individual should be [evaluated] and their needs be assessed and implemented on that particular individual†¦I just feel it’s a conveyor belt system. Get them in and get them out sort of thing† (Griffiths et al, 2012). In another qualitative review which explored nurse’s perspectives on patient-centred care, suggested time management was the largest barrier preventing them from communicating effectively with their patients (Chan et al, 2012). One nurse stated â€Å"sometimes, I have to deal with 20 patients in one single shift†¦ if one needs 10 minutes and there are 20 patients in total, how much time would we have to spend on this? Don’t we need to do other tasks?† (Chan et al, 2012). According to the Australian Commission on safety and quality in health care, (2011) effective patient-centred care is employed through training health professionals to communicate simple information suc h as pharmaceutical knowledge and provide educational material which increases a patient’s self-assurance and understanding. Additionally, initiating patient surveys is an effective tool in order to determine the most appropriate interventions (Australian Commission on safety and quality in health care, 2011). Current research has found that better patient satisfaction and patient-centred care, results in a decreased length of stay; reduces readmission; decreases rates of hospital acquired infections; and improves preventative services (Boulding et al, 2011); (Flach et al, 2004). It is therefore imperative that all graduate nurses have an understanding about patient-centred care and successfully implement appropriate interventions. Patient-centred care has encouraged me to re-think how I view and treat my patients. Current literature has highlighted the importance that patient-centred care plays in delivering quality and safe care as a graduate registered nurse. In respect to Appendix 1, the toolkit and strategies developed from the discussion forums have provided me with a clearer understanding in how to manage effective patient-centred care. The strategies developed are simple and easy to follow and include recognising each patient as an individual; and focus on communication to build a therapeutic relationship. I now understand the importance of having a structured support network within the workplace in order to maintain regular support and direction. In future practice as a graduate registered nurse I will endeavour to find an appropriate mentor which will provide insightful knowledge and realistic expectations. As stated in Appendix 2A I now recognise it is necessary to have an understanding about patient centred care in order to successfully manage a patient’s individual needs. Without knowledge within this area a nurse is unable to properly care for their patients. Hostility in the workforce was another topic which swayed my attention during the discussion forums (Appendix 2B). It was an issue which I had not considered to be a problem once becoming a registered nurse and working within a professional group. However, as the class discussed their own personal experiences in regards to being a student and coming across hostility, I too remembered that nurses are often intimidating and unapproachable during clinical placements. This issue is important as research has suggested graduate registered nur ses demonstrate vulnerability which can easily lead to bulling or hostility in the workforce (Hickson, 2013). Hostility in the workforce has been viewed as a rite of passage, suggesting new graduates need to experience the language, culture and rules of the workforce (Hickson, 2013). In a study conducted by McKenna et al, (2003) it found many new graduates experienced some form of hostility but due to fear they did not report the occurrence. The study also highlighted that new graduates felt resentment in the form of interpersonal conflicts; blocked learning; emotional neglect; feeling undervalued; lack of supervision; threat of rumours or lies being spread in response to speaking out (McKenna et al, 2003). In another recent study it found that 46% of the nurses identified hostility in the workforce as serious or somewhat serious (Stanley et al, 2007). It also discovered that 65% of the nurses had observed hostile behaviours by fellow co-workers (Stanley et al, 2007). Furthermore, Simon, (2008) revealed that 48% of nurses that were less than five years in a unit were the most frequently bullied. Additionally, 31% of new graduates reported they were bullied significantly generating intent to leave (Simon, 2008). In respect to Appendix 2B, this issue is vitally imp ortant to me as I have seen first-hand how hostility in the nursing environment can occur. I can appreciate that as new graduates we need guidance and support during such a vulnerable transition. I furthermore recognise how hostility and bullying can impact on a nurse’s performance, job satisfaction and patient safety. It is therefore imperative that I have an understanding about appropriate strategies for resolving these issues. According to the American Nurses Association, (2012) any form of abuse against nurses is a violation of inherent worth, dignity and human rights. Also that abusive behaviour by a nurse is viewed as violence against the nursing code of ethics (American Nurses Association, 2012). Growe, (2013) suggests hostility can also be described as bullying, lateral violence, horizontal violence and disruptive behaviour. Additionally, it is behaviour that is persistent and ongoing; unwanted comments or actions affecting a person’s dignity, and overt and covert actions which threaten the performance of a health care worker (Growe, 2013). A study conducted by Kelly and Ahern, (2009) reviewed the perspectives of new graduates in Australia. They discovered there were three key themes which prevented a successful socialisation process (Kelly & Aher n, 2009). They included language barriers, which required the nurses learn the culture of the language; ‘eating their young’ or power games and unpreparedness (Kelly & Ahern, 2009). One graduate nurse stated â€Å"I think that a lot of RN’s out there are on a power trip and think that the best way to teach students is by humiliating them and putting them down as much as possible and saying, surely you know that† (Kelly & Ahern, 2009). Another graduate stated â€Å"The sharpness of some of the staff, the way some of them speak to you has become an increasing burden† (Kelly & Ahern, 2009). In another recent qualitative study, it reviewed registered nurses’ perspectives in regards to graduate nurses (Baumberger-Henry, 2012). It found two themes which involved lacking confidence and fitting in with the units culture (Baumberger-Henry, 2012). One nurse stated â€Å"†¦not knowing what to do and having to request assistance is perceived as a weakness tha t contrasts the need to feel independent†¦keeps the advanced beginner from asking questions, creating a catch 22 situation†¦other nurses view new graduates as weak and burdensome† (Baumberger-Henry, 2012). Another participant stated â€Å"some nurses turn their backs when new graduates ask a question†¦sometimes new graduates don’t make it just because of other personalities†¦Ã¢â‚¬  (Baumberger-Henry, 2012). It is clear from the evidence that hostility in the workforce is a widespread issue. Furthermore, it can be seen that graduate registered nurses are the ones most at risk and burdened with this problem. It is therefore necessary that all nurses have an appropriate understanding about how to deal with these situations effectively in order to create job satisfaction. According to Vessey et al, (2012), workplace hostility can be decreased by involving the whole nursing team, providing information on what is good and bad practice, and making the staff more aware of the issue. Hostility in the workforce has made me apprehensive about starting out as a new graduate in the health care setting. However, from current literature I feel more confident in recognising signs of hostility or bullying, and feel capable in addressing the problem with either my mentor, or if applicable, senior staff. From the toolkit in Appendix 1, the strategies were developed for graduate nurses like myself. They suggested simple strategies which may help prevent other nurses from becoming annoyed and frustrated with new graduates. The strategies include using a communication tool such as ‘SBAR’ in order to appropriately address what needs to be done; not to take conflicts personally; know your own scope of practice in order to maintain safe and competent work; skill up to gain additional knowledge and experience; and know your professional boundaries. From the current literature and toolkit strategies I now have a deeper understanding about the impacts of workplace bullying and how it affects graduate nurse’s performance and job satisfaction. By having a clearer understanding a bout the issue I feel confident in being able to apply these strategies when challenged with a similar circumstance. This essay has reviewed the evidence-based practice for the management of patient centred care and hostility in the workforce. It was conducted in conjunction with the transitioning to registered nurse phase. By examining current literature and differing perspectives on these issues, a clearer understanding about their impacts and managements strategies have been developed. It is important that all nurses have an adequate understanding about patient centred care and hostility in the workforce given their impacts on quality patient management and safety. The toolkit in Appendix 1 has provided insightful strategies in order to help graduates deal with these situations once within the workforce. In regards to Appendix 2A and 2B, these topics have provided me with a deeper understanding about expectations as a graduate registered nurse. Additionally, they have allowed me to gain insight and preparedness in relation to entering the workforce. It is evident that having a clear understanding about both issues is vital in order to be successful within nursing in future industries. References American Nurses Association. (2012). Combating Disruptive Behaviours: Strategies to promote a healthy work environment. Retrieved 22/5/2013 from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No1Jan2010/Combating-Disruptive-Behaviors.html Australian Commission on safety and quality in health care. (2011). Patient centred care: improving quality and safety through partnerships with patients and concurmers. ACSOQHC, Sydney. Retrieved 24/5/2013 from: http://www.healthissuescentre.org.au/documents/items/2012/02/405982-upload-00001.pdf Baumberger-Henry, M. (2012). Registered nurses’ perspectives on the new graduate working in the emgerncy department or critical care unit. Journal of Continuing Education in Nursing, 43(7), 299-305.doi:10.3928/00220124-20111115-02 Boulding, W., Glickman, S., Manary, M., Shulman, K., Staelin, R. (2011). Relationship between patient satisfaction with in patient care and hospital readmission with in 30 days. American Journal of Managed Care, 17(1), 41-48 Chan, E., Jones, A., Fung, S., & Wu, S. (2012). Nurses perception of time availability in patient communication in Hong Kong. Journal of Clinical Nursing, 21(7), 1168-1177. Doi: 10.1111/j.1365-2702.2011.03841.x Cronin, C. (2004). Patient Centred Care-An overview of Definitions and Concepts. Washington DC: National Health council Feng, R., & Tsai, Y. (2012). Socialisation of new graduate nurses to practising nurses. Journal of Clinical Nursing, 21(13), 2064-2074. Doi:10.1111/j.1365-2702.2011.03992.x Flach, S., McCoy, K., Vaughn, T., Ward, M., Boots-Miler, B., Doebeling, B. (2004). Does Patient centred care improve provision of preventative services? Journal of General Internal Medicine, 19(10), 1019-1026 Glynn, P., & Silva, S. (2013). Meeting the needs of New Graduates in the Emergency Department: A qualitative study evaluating a new graduate internship program. Journal of Emergency Nursing, 39(2), 173-178. Doi:10.1016/j.jen. 2011.10.007 Griffiths, J., Speed, S., Horne, M., & Keeley, P. (2012). A caring professioinal attitude: What service users and carer seek in graduate nurses and the challenge for educators. Nurse Education Today, 32(2), 121-127. Doi: 10.1016/j.nedt.2011.06.005 Growe, S. (2013). Bullying/Lateral Violence/ Horizontal Violence/ Distruptive Behavior in the workplace. Nevada Rnformation, 22(1), 6 Henderson S. Power imbalance between nurses and patients: a potential inhibitor of partnership in care. Journal of Clinical Nursing 2003,12(4), 501–8. Hickson, J. (2013). New Nurses’ perceptions of hositilty and job satisfaction: magnet versus non-magnet. The Journal of Nursing Administration, 43(5), doi:10.1097/NNA.0b013e31828eebc9 Kelly, J. & Ahern, K. (2009). Preparing nurses for practice: A phenomenological study of the new graduate in Australia. Journal of Clinical Nursing, 18(6), 910-918. Doi:10.1111/j.1365-2702.2008.02308.x Kvale, K., & Bondevik, M. (2008). What is important for patient centred care? A qualitative study about the perceptions of patients with cancer. Scandinavian Journal of Caring Sciences, 22(4), 582-589. Doi:10.1111/j.1471-6712.2007.00579.x McKenna, B., Smith, N., Poole, S., Coverdale, J. (2003). Horizontal violence:experiences of registered nurses in their first year of practic e. Journal of Advanced Nursing, 42(1), 90-96 Okougha, M. (2013). Promoting patient centred care through staff development. Nursing Standard, 27(34), 42-46 Orsini, C. (2005). A nurse transition program for orthopaedics: creating a new culture for nurturing graduate nurses. Orthopaedic Nursing/ National Association of Orthopaedic Nurses, 24(4), 240-246 Rush, K., Adamack, M., Gordon, J., Lilly, M., & Janke, R. (2013). Best practices of formal new graduate nurse transition programs: an integrative review. International Journal of Nursing Studies, 50(3), 345-356. Doi: 10.1016/j.ijnurstu.2012.06.009 Simon, S. (2008). Workplace Bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organisation. Advance Nursing Science. 31(2), 48-59 Stanley, K., Martin, M., Michel, Y., Welton, J., Nemeth, L. (2007). Examing lateral violence in the nursing workfoce. Issues Mental Health Nursing. 28(11), 1247-1265 Vessey, J., Demarco, R., Gaffney, D., & Budin, W. (2009). Bullying of staff registered nurses in the workplace: a preliminary study for developing personal and organisation strategies for the transformation of hostile to a healthy eorkplace environments. Journal of Professional Nursing:Offical Journal Of The American Association Of Colleges Of Nursing, 25(5), 299-306. Doi:10.1016/j.profnurs.2009.01.022 West, E., Barron, D., & Reeves, R. (2005). Overcoming the barriers to patient-centred care: time, tools and training. Journal of Clinical Nursing, 14(4), 435-443. Doi:10.1111/j.1365-2702.2004.01091.x World Health Organisation. (2000). The World Health Report 2000- Health System: Improving Performance. Geneva, World Health Organisation, 1-215 Appendix 1 Discussion Forum 1 – Learning and Teaching being a teacher and a learner in a health care environment 1. List strategies that can reassure a graduate registered nurse that a patient’s learning needs are met | Strategy | Rationale| 1.| Build rapport.| This reduces fear and anxiety, allowing patients to ask more questions and be involved in their own treatment.| 2.| Get them to repeat what you say in their own words.| This reassures they have understood what you have explained.| 3.| Write important information down and/or provide educational material.| This allows patients to reflect on information in their own time.| 4.| Ask the patient what the need clarifying.| Some patient may withdraw from asking simple questions as nurses appear too busy. | 5.| | | 2. List strategies that will ensure that a graduate registered nurse can be a lifelong learner in a health care setting | Strategy | Rationale| 1.| Communicate clearly| To improve interprofessional communication; increases trust and respect. | 2.| Recognise each patient as an individual with their own needs| To develop quality patient centered care.| 3.| Focus on patient centered communication to build therapeutic relationships| This help improve effective patient centered care and provides and safe and quality nursing.| 4.| Create a career vision| Provides a pathway in which goals can then be developed and attained.| 5.| Develop a professional portfolio| Provides a reference point to store and sort important information and documents.| Discussion Forum 2 Workforce issues and challenges 1. List strategies that will ensure that a graduate registered nurses are effective team members | Strategy | Rationale| 1.| Participate in further education| Shows enthusiasm and provides further knowledge.| 2.| Seek critical feedback from senior staff| Outlines how one is perceived and thus they will have a deeper understanding about themselves.| 3.| Always use professional and polite language. | Encourages rapport and friendliness within the staff| 4.| | | 5.| | | 2. List strategies that a graduate registered nurse can use to reduce their theory practice gap. Give a GRN specific rationale to support each strategy | Strategy | Rationale| 1.| Establish a bond with a mentor or preceptor.| As a GRN this will provide support and guidance in order to applicable use theory in practice.| 2.| Develop effective communication skills.| This establishes rapport with patients and other colleagues. | 3.| Write reflections.| Allows GRN to identify their strengths and weakness | 4.| Skill up where possible| This provide GRN with further knowledge and understand in a particular field| 5.| | | Discussion Forum 3 Workplace issues and challenges 1. List strategies that will empower a graduate registered nurse to work effectively in a hostile and aggressive environment | Strategy | Rationale| 1.| Assertive communication| By using communication tools and assertive language, GRN can effectively explain what it is they need in a professional manner. | 2.| Scope of practice| It’s important to know one’s own scope of practice in order to provide safe and quality nursing care.| 3.| Professional Boundaries| Important in order to not cross any professional boundaries, impacting on employment status.| 4.| Know where to report in your health facility| Many healthcare setting have their own way of reporting workplace violence, so it’s important to know how to manage the situation. | 5.| Mediate – â€Å"in house†| this is generally the first step, talking to the NUM, in order to try to resolve the issue before it get too out of control| 2. List strategies that a graduate registered nurse can use to delegate tasks effectively | Strategy | Rationale| 1.| Delegate to the right person| Important to know their competencies and qualifications, this can be achieved simply by asking.| 2.| Make sure timing is right| Be sure not to delegate to a person who appears very busy as this can cause conflicts and also poor management.| 3.| Use appropriate positive words| Provide the reason why you need the help and why you cannot complete it, in order for the other person to fully understand. | 4.| Never redo delegated tasks| As this will diminish authority and allow other nurses to ‘walk over’ you. | 5.| | | Discussion Forum 4 Ethical and Legal Issues and Challenges 1. List strategies that will empower a graduate registered nurse to transition effectively to their new roles and responsibilities | Strategy | Rationale| 1.| Find a mentor.| Provides necessary leadership, support and guidance.| 2.| Develop good organisational skills.| This increase time management and maintains patient safety.| 3.| Never be afraid to ask questions| This increases knowledge and understanding and thus decreases adverse events.| 4.| Understand yourself and limitations.| Helps to identify what learning pathways may need to be further established.| 5.| | | 2. List strategies that a graduate registered nurse can use to advocate for best practice policies to be followed | Strategy | Rationale| 1.| Know when to partake in mandatory reporting| Important in order to provide safe nursing practice.| 2.| Know who to talk to if a problem arises in the workforce| Provides a support network. | 3.| Seek advice from regulatory councils| Provides further knowledge and guidance into a situation in regards to the law. | 4.| Collaborate as an interdisciplinary team| This provides safe and effective care to all patients. | 5.| | | Appendix 2A Reflection: Patient-Centred Care During the discussion forums in my tutorial class, patient-centred care was one of the topics which grasped my attention. The forum provided an insight into what is involved in patient-centred and examined some effective strategies. I found this topic interesting as the class shared their experiences and viewpoints on the issue. One participant shared that when recently working in aged care as an assistant nurse, patient care was often carried out in regards to time restraints and thus resulting in patients being rushed through their daily cares and/or being woken up very early to accommodate nursing staff. I found this very worrying as I don’t believe that the described experience is appropriate patient-centred care and therefore these aged care patients are not being effectively cared for. However, it also made me wonder where else in the clinical setting is patient-centred care being ill-managed? The discussion forum outlined that patient centred care is providing adequate cares, gathering appropriate information, respecting values, educating the patient, involving their family and friends and providing emotional support. Also, without knowledge within this area, a nurse is unable to successfully care and manage their patients. It is important to have an understanding about patient centred care in nursing as effectively that’s what nurses should be advocating. Patient centred-care is individual and requires building a therapeutic relationship to allow the patient be actively involved. Additionally, patient-centred care is vital role in providing safe and appropriate treatment to all patients. This forum topic has provided me with a deeper understanding about the importance patient centred care in order to be a

Child Care Introduction to Children

Unit 1; E1 Statutory; sectors that are fully funded but it depends on the boroughs. One example is school nurseries. In this setting professionals aim to make life in the setting feel like a family atmosphere for children to feel comfortable. Professionals also help children to develop with carefully chosen activities to do with the 6 learning areas, these are; language and literacy, creative development, physical development, personal social and emotional development, knowledge and understanding of the world and mathematical development.They aim to help children develop at their pace and doesn’t rush anything because they know every child is individual in their own way. The nurseries also help children feel safe and secure in the environment and give them a healthy balanced lifestyle such has healthy meals, 5 a day and run around out the garden areas. The private sector; is full costing to parents, they have to pay the cost for their children, it isn’t paid for them. O ne example of this is preschools.The care they offer is just that little bit more then statutory this is because the sector makes the children feel like the school is also their home and that the professionals are family. Professionals in the sector will constantly observe the children for safety. Education in this sector is organised daily, this includes creative learning, letter and number work, singing and story time to boost confidence and their understanding. Education is also provided in a way of treating the child as an individual to show they develop at their own speed.This sector will also treat special needs children equal and show no discrimination. Voluntary; a small grant is donated for them to start up there business one example is child lines and mother and toddler groups. Voluntary provides help, support, and education to children. On nspcc. org. uk is say this is doing by; 1) ‘Focusing on areas which will make the biggest difference 2) Prioritise the children at risk 3) Learn what works the best for them 4) Create leverage for change’. When the sector finds new ways to help children they will test it out to see ow it goes and if it works then they will carry on with the new idea. They educate the children by the things they say and do to them to forget about certain things in their life and to develop them to move on and stay strong. E2 Statutory sector supports children and their families by doing things that will help their children to develop and grow, they fit around parents timetables and help them to go about their daily life knowing there child is in good monitored care. The statutory sector protects children and gives their families a sense of relief.It also helps parents with educating the child in their background and helps them understand more of the culture, also helps the families get good education for their child with the cost being mostly funded for them so it’s free. The private sector supports families and their children by giving them a safe secure place and making the child feel at home. It helps families go about their schedules and have a feel of relief that their child is going to be happy where they are, it supports them in a way of helping a child become better at their strengths, and it includes everything important in the Childs life.Voluntary work supports children in helping them overcome serious happenings in their life, and to become aware of people who have experienced similar going on and to help them have a better life in the future, and gives them closure. It supports the parents by being free of cost. E3 Childrens Act 2004; The act was around in 1989 but after a lot of going on it was updated to Children’s act 2004, it planned to improve how social services worked and how people would treat the children in their care.To help the children they plan to bring multiple agencies together to protect innocent children and stop the abuse that maybe going on. The 1989 act was poor, it made it easier for abusers to get away with what they did or gets a low sentence, this is because agencies didn’t come together and share information. The children get better response for what has happened and their needs are more focused on, the court decides what is best for the child to make them safer as it is one of their rights. The act allows children and their families to come together a lot more in making them a lot afer then what they would have felt before. On surrey. gov. uk website it says ‘The Act aims to improve effective local working to safeguard and promote children’s wellbeing’. The act has a lot of intention in making a Childs well-being noticed and important and aim to do the following; * Keep the child healthy * Keeping the child safe * Help the child have fun and enjoy life more and achieve things they thought they couldn’t. The children act 1989 was poor; the new act 2004 was promoted in ways such as teaming a lot more agencies together to work on keeping a child safe and having rights to what they deserve.The act shows people that children have rights to an education, healthy lifestyle and to be a child and enjoy their life without any threat. Education Act 2002; This act came around in 2002, on the europarchive. org website it say that ‘It is a substantial and important piece of legislation intended to raise standards, promote innovation in schools and reform education law’. This would help children get a better and healthier education through their life and make their lifestyle normal and challenging to become what they are willing to become.The act helps children to qualify for a greater and more flexibility in certain areas of the national curriculum. This helps children become involved with other people because it joins schools together as a team to work together on the well-being of the children. Human Rights Act 1998; This act came around in 1998 and aimed to help children have major rights in their life to give their lifestyle normality and a lot more easy going when it comes to the way families are. The rights support children in a way of safety and a healthy life some examples of human rights that are important to a child’s life are; 1. reedom from torture and degrading treatment 2. the right to respect for private and family life 3. the right not to be discriminated against in respect of these rights and freedoms 4. the right to an education If any of this rights are breached you have the right to an effective solution in law even if the breach was done by a police officer you still have the right to go to law. E4 Every child Matters; This provides every child no matter their background or circumstances the support they will need.Every child needs to be healthy which includes growing and their development as well as their emotional and physical well being, the environment needs to be a safe place for them to be able to develop, ano ther principle is for the children to enjoy and achieve through their learning and be able to achieve economic well-being through their life. These are crucial to be in your placement for the children to develop as the first 3 years are critical. This will help children’s life become healthy and have normality to. Welfare of children is paramount (children act 1989); A child’s welfare is paramount.The idea is that when decisions are made the needs and interests of the children must come first this means they need to be recognized as an individual. This will shape children in becoming aware of routines and the way their daily life will carry on. The court determines what will be best for the child’s upbringing and decides this by these points legislation. gov. uk it states ‘the ascertainable wishes and feelings of the child concerned (considered in the light of his age and understanding). Cache Statement of values; The values in this are ways of putting the child first.To do this you will never use physical punishment towards a child, respect the parent or those in a parenting role, respect the staff in the child care industry and those involved, respect values and spiritual beliefs of the child and their family, honour the confidentiality of the child and their family. If these are not respected and done right then these could be life threatening to a child and those involved with the child. This will shape children in building their respect by showing you’re respecting others they will copy. E5The importance of valuing and respecting children will show them that you as a member of staff or a practitioner will not judge them or label them for who they are or how they look and do certain things. It will help them understand that everyone is individual and different but that doesn’t mean to treat them any different. If you show the children respect it shows a sense of care for them and will boost their confidence. Respect ing and valuing will help the child understand more on what they are doing and will help them in life, to support this on community. rg it states ‘creating environments  that foster creativity, innovation, discovery, inquiry,  questioning and problem solving. This is how settings help children increase and how it shows we respect what they need to learn and discover. it will show they are just as important as anyone else in the establishment which will make them not as shy. Their self esteem will rise if you talk to them like an adult and say more positive things, also saying their name correctly and praising them on the good shows that you value them as an individual and that learning their name also will show their important to.C The practitioner should listen to a child views and their opinions because it will help them with their confidence on showing that they can have a conversation about anything and show they have a voice to. If their confidence rises then they wil l communicate better with others and make new friends and be able to talk about their daily life routine a lot more and be able to say if something is wrong and if they need help. Listening to a child shows their important just like everyone else and that you value them as a person.A more confident child will tend to work harder in what they do to achieve and develop a lot more as well. The more a child is listened to the more open minded they will become and more outspoken. This will make it easier for them to become understood and will allow practitioners to identify their wants and needs. It’s a way of involving a child in decision making and showing them there are not really any wrong answer and they can learn from their mistakes.Also to show you have time to try and understand what they are saying, to support what I have said Tassoni et al (2007 page 13) ‘a child might need you to listen carefully so that you can understand what he or she is trying to say’. Also from listening to children a practitioner will gain their respect for you . A A child centred approach means to identify a child’s abilities and weakness’s and work around that with activities that they could handle, it also means to make the environment to the standard of their needs and to cater what they may need. Everything is based around the child.On growingplaces. org. uk they state ‘It allows freedom for children to think, experience, explore, question and search for answers’. Tassoni et al (2007 page 234) says ‘You will need to ensure that children’s interests are always reflected in what they do’ this is a way of ensuring the child is interested in learning and activities. The advantages of a child centred approach are that the children all gain something important to do with their life it helps families and practitioners notice their strengths and weaknesses as an individual so it is easier to help them focus on certain things.Another advantage is their needs are always catered for. They have a home like atmosphere in the environment for example toilet and sinks to keep their hygiene up also there are potties and nappies, changing rooms for those children who will need them. Their dietary is focused on and professionals will work around it. Another way of making a child centred approach is for early year practitioners to communicate this will help an individual child extend their knowledge or thinking, model ideas, prompt questions, nurture development, support the acquisition on specific skills.The disadvantages of a child centred approach is that it could make it hard for a child to go into something different like a primary school as they have not been prepared for that big leap in their life, it also makes it hard to slightly explain to a child that they can’t do something they ask as in past experience the child has always got what they have needed due to the child centred approach. I b elieve that the child centred approach is a good thing because it helps a child have a healthy lifestyle and helps them notice what they are going to gain and their strengths in the environment.Also that it helps them live their life as a child before rushing into something strange, the routine of their life is kept the same in some places as it is at home. E6 Confidentiality; This is an important skill because it shows that you are keeping private information about a child or a child’s household inside the nursery and not outside. This is an important skill to need in the work place with children because children will say a lot and if they say something about what may of happened to them for example abuse then it is the rules of being in a childcare establishment that you tell nobody if you on’t keep it confidential and it may not be true you could hurt someone and lose your right to work in that place. This will help support your work with children because it shows y ou are a trustworthy person and that you have knowledge of the rules and regulations of the workplace. It will make professionals trust you. To support what I have said in Tassoni 2007 page 11 it states ‘some of this information will be confidential information and must not be shared’.Communication; This is an important skill because you need to be confident enough to be able to talk to parents and other staff members about the children and things that will be needed to do around the work area. This will help support you working with children because you need to be able to communicate properly with the children because you will need to talk to them at different levels and know how to talk to children from babies to 11 year olds, also the be able to communicate with the other staff members to discuss planning activities or if the child is hurt you will need to communicate with the staff member and communicate in a team.Observation skills; This is important because youâ⠂¬â„¢ll need it to observe activities that are going on and the way children are behaving if it is appropriate or not. This will help your support with working with children because it shows that you know how to do things when working in that establishment for the future, it will help you set up activities or learn a child’s need. It shows that you can see children as an individual and that’s what you will need to do. Having this will also show that you are good at learning new things by observing how other staff members do things. E7Time management; This would be important to support your training because being able to show up on time for a placement and to take in coursework that’s due in shows you’re determined to do well and give a good impression. Being able to keep on time also shows that you’re well organized when it comes to deadlines or dates you need to be in and that you’re taking things seriously. Managing time is not a tricky th ing to do and being able to be on time for everything shows dedication. If you’re on time or early for placements it could lead to a permanent offer or a good review of your time there.The children are less developed in time management then you and will take what you do in to mind on time-management-success. com it states ‘Punctuality is a big issue in terms of time management for kids who have a less developed sense of time’. Giving Presentations; This helps support your training because it helps you take away what you’ve learnt and seen and put it up for everyone else to see your understanding. Being able to give a presentation also shows confidence and your understanding of the subject as well.It makes things easier for tutors to see how much you have developed and if you do need any help at all or if there are any errors. Note Taking; This helps support your training because it helps you go over anything you may not understand, note taking shows that y ou’re serious about learning things about what to do and what not to do in a placement. Also it helps you do units and give you ideas on what to write. Note taking in a placement will help you understand the difference in other childcare areas and it may lead to questions that you would like to ask to improve your knowledge. BConfidentiality; It is important to understand this boundary because working in a nursery or day-care centred even a primary school you will hear stories from the children or over here parents and staff talking about private things. The information you may hear is private and you must understand you cannot talk to anyone outside of the placement as someone who knows that family could over hear and this would affect them. A good test to know if a piece of information is confidential is to think about whether it’s common knowledge or if you only know it because of the position of you are in inside the nursery (Tassoni et al 2007).Understanding this will stop you hurting others or gossiping about other people behind their back. Health and safety; This is important to understand as a boundary also because you will need to know the child’s health issues if there are any or whether the child is safe where they are in the environment. You will need to understand what you should do if you see a gate or door open, this could be an easy way for unwanted visitors in the environment. On the premises you should as a member of staff what to do if a fire alarm goes off so you know what to do with the children when something like that does happen.If you don’t understand your limits when it comes to healthy and safety with children then you could be making a lot of mistakes and this could upset a lot of people. Also understand the limits of what a practitioner can do such as changing nappies and taking children to the toilet you may not be able to do this yet as you’re a learner. Managing A child behaviour; Practitioners may come across children with anger problems or any other behaviour problems which could be medical or non medical. When dealing with this you need to know what your limit is on how to handle them.You will need to go to a member of staff or manager and ask questions on what to do if a child has got a behaviour problem and what your limits are in dealing with this. You will also need to learn your boundaries because you could over excite a child and distract them when they must be focusing on an activity. Understanding your limit and boundaries is important on the well-being of the child. D1 There are three main types of people you as a practitioner should maintain a relationship with are; 1) Parents ) Professionals The Parents; The reason it is important to have an appropriate relationship with a parent is because you will need to talk to the parent about how their child is developing, what they have ate. What they have been doing throughout the day and if there have been any probl ems. You will see and need to speak to the parent occasionally on behalf of the child. The parent will need to trust you with their child and feel comfortable so they can get on with their life knowing their child is in safe hands.Other Professionals; It is important to maintain an appropriate relationship with other professionals as you will be working alongside them for a long time. You will be working as a team and you will need to have a relationship to feel comfortable in putting your views across and asking question on if you’re confused or not. If the relationship between you and the other professional is complicated then the children (who are your main priorities) will pick up on this atmosphere and feel wary and upset.If the child senses a positive feeling between a practitioner and professional then they will feel a sense of safety and calmness and comfort to know that nothing is going to happen and everyone will be fine. D2 Multi-agency team functions by bringing t ogether practitioners from different sectors and professions. On cwdcouncil. org. uk they quote ‘within the workforce they provide integrated support to children and their  families, for example a ‘team around the child' (TAC)’. The multi agency also has several professionals coming together as a team.Many benefits are in this type of agency such as support and advice on parents that need it. It helps families with young children by placing them in a onsite nursery until there finished with classes such as parenting. Multi agency is an effective way to support the children that have extra needs and help with improvement on their development. The way they make sure they meet the child and families needs is by communicating well with each other and by understanding their roles and responsibilities within the agency.As a practitioner you will need to learn what other professionals are involved in your setting and how this might affect your work. Some of the charact eristics of a multi agency are cooperation/collaboration, knowledge, common goals and effective communication. This will all help you when working in a multi agency because it will help you with what you need to find out and understand more on what the parent or child will need when in an environment such as help on certain subjects, dietary and religion.It helps other professionals in an environment also to share knowledge of a family together so professionals do not ask the family the same questions over; they are well organized and serious about their roles on making life easier for families and children. E8 Bibliography Community childcare growing places – what is meant by child centred approach [online] http://www. growingplaces. org. uk/reggio. htm (13/10/2011) Children Act 1989- Welfare of the children http://www. legislation. gov. uk/ukpga/1989/41/section/1 (15/12/2011) Children Services Community Management. We Value Children. ttp://www. cscommunity. org. au/index. p hp? id=45 (15/12/2011) Cruelty to children must stop. FULL STOP. Our approach to what we do http://www. nspcc. org. uk/what-we-do/about-the-nspcc/our-approach/our-approach_ wda72244. html (12/10/2011) Multi-agency working An effective way of supporting children and families with additional needs http://www. cwdcouncil. org. uk/multiagencyworking (14/10/2011) Tassoni P, Beth, K. Bulman, K & Eldridge, H. (2007) CACHE Level 3 Child Care And Education 4th Edition Heinemann: England. THE CHILDREN ACT 2004 – OVERVIEW – Background [online] ttp://www. surreycc. gov. uk/sccwebsite/sccwspublications. nsf/f2d920e015d1183d80256c670041a50b/5e17effdd34f9726802572f30055617d/$FILE/CYPP%20Childrens%20Act%20Briefing%20v2. pdf accessed (11/10/2011) The National Archives-Main provisions of the Education Act 2002 [online] http://collections. europarchive. org/tna/20091115062646/teachernet. gov. uk/educationoverview/educationact/summary/ (13/10/2011) Time Management Success. Why is time man agement important. http://www. time-management-success. com/why-is-time-management-important. html (15/12/2011) Child Care Introduction to Children Unit 1; E1 Statutory; sectors that are fully funded but it depends on the boroughs. One example is school nurseries. In this setting professionals aim to make life in the setting feel like a family atmosphere for children to feel comfortable. Professionals also help children to develop with carefully chosen activities to do with the 6 learning areas, these are; language and literacy, creative development, physical development, personal social and emotional development, knowledge and understanding of the world and mathematical development.They aim to help children develop at their pace and doesn’t rush anything because they know every child is individual in their own way. The nurseries also help children feel safe and secure in the environment and give them a healthy balanced lifestyle such has healthy meals, 5 a day and run around out the garden areas. The private sector; is full costing to parents, they have to pay the cost for their children, it isn’t paid for them. O ne example of this is preschools.The care they offer is just that little bit more then statutory this is because the sector makes the children feel like the school is also their home and that the professionals are family. Professionals in the sector will constantly observe the children for safety. Education in this sector is organised daily, this includes creative learning, letter and number work, singing and story time to boost confidence and their understanding. Education is also provided in a way of treating the child as an individual to show they develop at their own speed.This sector will also treat special needs children equal and show no discrimination. Voluntary; a small grant is donated for them to start up there business one example is child lines and mother and toddler groups. Voluntary provides help, support, and education to children. On nspcc. org. uk is say this is doing by; 1) ‘Focusing on areas which will make the biggest difference 2) Prioritise the children at risk 3) Learn what works the best for them 4) Create leverage for change’. When the sector finds new ways to help children they will test it out to see ow it goes and if it works then they will carry on with the new idea. They educate the children by the things they say and do to them to forget about certain things in their life and to develop them to move on and stay strong. E2 Statutory sector supports children and their families by doing things that will help their children to develop and grow, they fit around parents timetables and help them to go about their daily life knowing there child is in good monitored care. The statutory sector protects children and gives their families a sense of relief.It also helps parents with educating the child in their background and helps them understand more of the culture, also helps the families get good education for their child with the cost being mostly funded for them so it’s free. The private sector supports families and their children by giving them a safe secure place and making the child feel at home. It helps families go about their schedules and have a feel of relief that their child is going to be happy where they are, it supports them in a way of helping a child become better at their strengths, and it includes everything important in the Childs life.Voluntary work supports children in helping them overcome serious happenings in their life, and to become aware of people who have experienced similar going on and to help them have a better life in the future, and gives them closure. It supports the parents by being free of cost. E3 Childrens Act 2004; The act was around in 1989 but after a lot of going on it was updated to Children’s act 2004, it planned to improve how social services worked and how people would treat the children in their care.To help the children they plan to bring multiple agencies together to protect innocent children and stop the abuse that maybe going on. The 1989 act was poor, it made it easier for abusers to get away with what they did or gets a low sentence, this is because agencies didn’t come together and share information. The children get better response for what has happened and their needs are more focused on, the court decides what is best for the child to make them safer as it is one of their rights. The act allows children and their families to come together a lot more in making them a lot afer then what they would have felt before. On surrey. gov. uk website it says ‘The Act aims to improve effective local working to safeguard and promote children’s wellbeing’. The act has a lot of intention in making a Childs well-being noticed and important and aim to do the following; * Keep the child healthy * Keeping the child safe * Help the child have fun and enjoy life more and achieve things they thought they couldn’t. The children act 1989 was poor; the new act 2004 was promoted in ways such as teaming a lot more agencies together to work on keeping a child safe and having rights to what they deserve.The act shows people that children have rights to an education, healthy lifestyle and to be a child and enjoy their life without any threat. Education Act 2002; This act came around in 2002, on the europarchive. org website it say that ‘It is a substantial and important piece of legislation intended to raise standards, promote innovation in schools and reform education law’. This would help children get a better and healthier education through their life and make their lifestyle normal and challenging to become what they are willing to become.The act helps children to qualify for a greater and more flexibility in certain areas of the national curriculum. This helps children become involved with other people because it joins schools together as a team to work together on the well-being of the children. Human Rights Act 1998; This act came around in 1998 and aimed to help children have major rights in their life to give their lifestyle normality and a lot more easy going when it comes to the way families are. The rights support children in a way of safety and a healthy life some examples of human rights that are important to a child’s life are; 1. reedom from torture and degrading treatment 2. the right to respect for private and family life 3. the right not to be discriminated against in respect of these rights and freedoms 4. the right to an education If any of this rights are breached you have the right to an effective solution in law even if the breach was done by a police officer you still have the right to go to law. E4 Every child Matters; This provides every child no matter their background or circumstances the support they will need.Every child needs to be healthy which includes growing and their development as well as their emotional and physical well being, the environment needs to be a safe place for them to be able to develop, ano ther principle is for the children to enjoy and achieve through their learning and be able to achieve economic well-being through their life. These are crucial to be in your placement for the children to develop as the first 3 years are critical. This will help children’s life become healthy and have normality to. Welfare of children is paramount (children act 1989); A child’s welfare is paramount.The idea is that when decisions are made the needs and interests of the children must come first this means they need to be recognized as an individual. This will shape children in becoming aware of routines and the way their daily life will carry on. The court determines what will be best for the child’s upbringing and decides this by these points legislation. gov. uk it states ‘the ascertainable wishes and feelings of the child concerned (considered in the light of his age and understanding). Cache Statement of values; The values in this are ways of putting the child first.To do this you will never use physical punishment towards a child, respect the parent or those in a parenting role, respect the staff in the child care industry and those involved, respect values and spiritual beliefs of the child and their family, honour the confidentiality of the child and their family. If these are not respected and done right then these could be life threatening to a child and those involved with the child. This will shape children in building their respect by showing you’re respecting others they will copy. E5The importance of valuing and respecting children will show them that you as a member of staff or a practitioner will not judge them or label them for who they are or how they look and do certain things. It will help them understand that everyone is individual and different but that doesn’t mean to treat them any different. If you show the children respect it shows a sense of care for them and will boost their confidence. Respect ing and valuing will help the child understand more on what they are doing and will help them in life, to support this on community. rg it states ‘creating environments  that foster creativity, innovation, discovery, inquiry,  questioning and problem solving. This is how settings help children increase and how it shows we respect what they need to learn and discover. it will show they are just as important as anyone else in the establishment which will make them not as shy. Their self esteem will rise if you talk to them like an adult and say more positive things, also saying their name correctly and praising them on the good shows that you value them as an individual and that learning their name also will show their important to.C The practitioner should listen to a child views and their opinions because it will help them with their confidence on showing that they can have a conversation about anything and show they have a voice to. If their confidence rises then they wil l communicate better with others and make new friends and be able to talk about their daily life routine a lot more and be able to say if something is wrong and if they need help. Listening to a child shows their important just like everyone else and that you value them as a person.A more confident child will tend to work harder in what they do to achieve and develop a lot more as well. The more a child is listened to the more open minded they will become and more outspoken. This will make it easier for them to become understood and will allow practitioners to identify their wants and needs. It’s a way of involving a child in decision making and showing them there are not really any wrong answer and they can learn from their mistakes.Also to show you have time to try and understand what they are saying, to support what I have said Tassoni et al (2007 page 13) ‘a child might need you to listen carefully so that you can understand what he or she is trying to say’. Also from listening to children a practitioner will gain their respect for you . A A child centred approach means to identify a child’s abilities and weakness’s and work around that with activities that they could handle, it also means to make the environment to the standard of their needs and to cater what they may need. Everything is based around the child.On growingplaces. org. uk they state ‘It allows freedom for children to think, experience, explore, question and search for answers’. Tassoni et al (2007 page 234) says ‘You will need to ensure that children’s interests are always reflected in what they do’ this is a way of ensuring the child is interested in learning and activities. The advantages of a child centred approach are that the children all gain something important to do with their life it helps families and practitioners notice their strengths and weaknesses as an individual so it is easier to help them focus on certain things.Another advantage is their needs are always catered for. They have a home like atmosphere in the environment for example toilet and sinks to keep their hygiene up also there are potties and nappies, changing rooms for those children who will need them. Their dietary is focused on and professionals will work around it. Another way of making a child centred approach is for early year practitioners to communicate this will help an individual child extend their knowledge or thinking, model ideas, prompt questions, nurture development, support the acquisition on specific skills.The disadvantages of a child centred approach is that it could make it hard for a child to go into something different like a primary school as they have not been prepared for that big leap in their life, it also makes it hard to slightly explain to a child that they can’t do something they ask as in past experience the child has always got what they have needed due to the child centred approach. I b elieve that the child centred approach is a good thing because it helps a child have a healthy lifestyle and helps them notice what they are going to gain and their strengths in the environment.Also that it helps them live their life as a child before rushing into something strange, the routine of their life is kept the same in some places as it is at home. E6 Confidentiality; This is an important skill because it shows that you are keeping private information about a child or a child’s household inside the nursery and not outside. This is an important skill to need in the work place with children because children will say a lot and if they say something about what may of happened to them for example abuse then it is the rules of being in a childcare establishment that you tell nobody if you on’t keep it confidential and it may not be true you could hurt someone and lose your right to work in that place. This will help support your work with children because it shows y ou are a trustworthy person and that you have knowledge of the rules and regulations of the workplace. It will make professionals trust you. To support what I have said in Tassoni 2007 page 11 it states ‘some of this information will be confidential information and must not be shared’.Communication; This is an important skill because you need to be confident enough to be able to talk to parents and other staff members about the children and things that will be needed to do around the work area. This will help support you working with children because you need to be able to communicate properly with the children because you will need to talk to them at different levels and know how to talk to children from babies to 11 year olds, also the be able to communicate with the other staff members to discuss planning activities or if the child is hurt you will need to communicate with the staff member and communicate in a team.Observation skills; This is important because youâ⠂¬â„¢ll need it to observe activities that are going on and the way children are behaving if it is appropriate or not. This will help your support with working with children because it shows that you know how to do things when working in that establishment for the future, it will help you set up activities or learn a child’s need. It shows that you can see children as an individual and that’s what you will need to do. Having this will also show that you are good at learning new things by observing how other staff members do things. E7Time management; This would be important to support your training because being able to show up on time for a placement and to take in coursework that’s due in shows you’re determined to do well and give a good impression. Being able to keep on time also shows that you’re well organized when it comes to deadlines or dates you need to be in and that you’re taking things seriously. Managing time is not a tricky th ing to do and being able to be on time for everything shows dedication. If you’re on time or early for placements it could lead to a permanent offer or a good review of your time there.The children are less developed in time management then you and will take what you do in to mind on time-management-success. com it states ‘Punctuality is a big issue in terms of time management for kids who have a less developed sense of time’. Giving Presentations; This helps support your training because it helps you take away what you’ve learnt and seen and put it up for everyone else to see your understanding. Being able to give a presentation also shows confidence and your understanding of the subject as well.It makes things easier for tutors to see how much you have developed and if you do need any help at all or if there are any errors. Note Taking; This helps support your training because it helps you go over anything you may not understand, note taking shows that y ou’re serious about learning things about what to do and what not to do in a placement. Also it helps you do units and give you ideas on what to write. Note taking in a placement will help you understand the difference in other childcare areas and it may lead to questions that you would like to ask to improve your knowledge. BConfidentiality; It is important to understand this boundary because working in a nursery or day-care centred even a primary school you will hear stories from the children or over here parents and staff talking about private things. The information you may hear is private and you must understand you cannot talk to anyone outside of the placement as someone who knows that family could over hear and this would affect them. A good test to know if a piece of information is confidential is to think about whether it’s common knowledge or if you only know it because of the position of you are in inside the nursery (Tassoni et al 2007).Understanding this will stop you hurting others or gossiping about other people behind their back. Health and safety; This is important to understand as a boundary also because you will need to know the child’s health issues if there are any or whether the child is safe where they are in the environment. You will need to understand what you should do if you see a gate or door open, this could be an easy way for unwanted visitors in the environment. On the premises you should as a member of staff what to do if a fire alarm goes off so you know what to do with the children when something like that does happen.If you don’t understand your limits when it comes to healthy and safety with children then you could be making a lot of mistakes and this could upset a lot of people. Also understand the limits of what a practitioner can do such as changing nappies and taking children to the toilet you may not be able to do this yet as you’re a learner. Managing A child behaviour; Practitioners may come across children with anger problems or any other behaviour problems which could be medical or non medical. When dealing with this you need to know what your limit is on how to handle them.You will need to go to a member of staff or manager and ask questions on what to do if a child has got a behaviour problem and what your limits are in dealing with this. You will also need to learn your boundaries because you could over excite a child and distract them when they must be focusing on an activity. Understanding your limit and boundaries is important on the well-being of the child. D1 There are three main types of people you as a practitioner should maintain a relationship with are; 1) Parents ) Professionals The Parents; The reason it is important to have an appropriate relationship with a parent is because you will need to talk to the parent about how their child is developing, what they have ate. What they have been doing throughout the day and if there have been any probl ems. You will see and need to speak to the parent occasionally on behalf of the child. The parent will need to trust you with their child and feel comfortable so they can get on with their life knowing their child is in safe hands.Other Professionals; It is important to maintain an appropriate relationship with other professionals as you will be working alongside them for a long time. You will be working as a team and you will need to have a relationship to feel comfortable in putting your views across and asking question on if you’re confused or not. If the relationship between you and the other professional is complicated then the children (who are your main priorities) will pick up on this atmosphere and feel wary and upset.If the child senses a positive feeling between a practitioner and professional then they will feel a sense of safety and calmness and comfort to know that nothing is going to happen and everyone will be fine. D2 Multi-agency team functions by bringing t ogether practitioners from different sectors and professions. On cwdcouncil. org. uk they quote ‘within the workforce they provide integrated support to children and their  families, for example a ‘team around the child' (TAC)’. The multi agency also has several professionals coming together as a team.Many benefits are in this type of agency such as support and advice on parents that need it. It helps families with young children by placing them in a onsite nursery until there finished with classes such as parenting. Multi agency is an effective way to support the children that have extra needs and help with improvement on their development. The way they make sure they meet the child and families needs is by communicating well with each other and by understanding their roles and responsibilities within the agency.As a practitioner you will need to learn what other professionals are involved in your setting and how this might affect your work. Some of the charact eristics of a multi agency are cooperation/collaboration, knowledge, common goals and effective communication. This will all help you when working in a multi agency because it will help you with what you need to find out and understand more on what the parent or child will need when in an environment such as help on certain subjects, dietary and religion.It helps other professionals in an environment also to share knowledge of a family together so professionals do not ask the family the same questions over; they are well organized and serious about their roles on making life easier for families and children. E8 Bibliography Community childcare growing places – what is meant by child centred approach [online] http://www. growingplaces. org. uk/reggio. htm (13/10/2011) Children Act 1989- Welfare of the children http://www. legislation. gov. uk/ukpga/1989/41/section/1 (15/12/2011) Children Services Community Management. We Value Children. ttp://www. cscommunity. org. au/index. p hp? id=45 (15/12/2011) Cruelty to children must stop. FULL STOP. Our approach to what we do http://www. nspcc. org. uk/what-we-do/about-the-nspcc/our-approach/our-approach_ wda72244. html (12/10/2011) Multi-agency working An effective way of supporting children and families with additional needs http://www. cwdcouncil. org. uk/multiagencyworking (14/10/2011) Tassoni P, Beth, K. Bulman, K & Eldridge, H. (2007) CACHE Level 3 Child Care And Education 4th Edition Heinemann: England. THE CHILDREN ACT 2004 – OVERVIEW – Background [online] ttp://www. surreycc. gov. uk/sccwebsite/sccwspublications. nsf/f2d920e015d1183d80256c670041a50b/5e17effdd34f9726802572f30055617d/$FILE/CYPP%20Childrens%20Act%20Briefing%20v2. pdf accessed (11/10/2011) The National Archives-Main provisions of the Education Act 2002 [online] http://collections. europarchive. org/tna/20091115062646/teachernet. gov. uk/educationoverview/educationact/summary/ (13/10/2011) Time Management Success. Why is time man agement important. http://www. time-management-success. com/why-is-time-management-important. html (15/12/2011)

Personal Value Reconciliation

Personal Value Reconciliation Michael Piers March 1, 2010 CMGT 350 I. T. Organization Behavior Mark Paxton The process of changing our thoughts, behavior, values and ethics in a global setting is how we reconcile and as a result, conform to a socially accepted standard. This is often called normative behavior; we act according to the appropriateness of conduct deemed satisfactory to a particular group. The rules of acceptable conduct are dependent on the setting; what is right and wrong or socially acceptable depends greatly on the values of the people (and their respective culture) involved. As a result, the reconciliation of personal values is merely becoming consistent with the actions, thoughts, behavior, values and ethics of our peers, parents, teachers, etc. The intent of this paper is to discuss the aforementioned compliance of personal values as they are adapted to a particular setting. According to the Concise Corsini Encyclopedia of Psychology and Behavioral Science, behavioral modeling plays a large role in our learning; the difference between what is or is not accepted is learned through modeling. Much human learning occurs from sitting and watching, or from just happening to notice what someone else is doing. Indeed, more social learning occurs from observing others than from physically or verbally interacting and experiencing positive or negative outcomes. Observation provides information about what may be learned (alternative behaviors, potential consequences, etc. ). When observation occurs under the right circumstances, it can result in immediate changes to learning or performance. Modeling consists of an illustrator and an observer, in which the observer has been influenced by the illustrator. The encyclopedia states that this type of learning has been widely applied, across numerous areas, resulting in learning or performance modification. Therefore, as thinking and reasoning beings, we learn vicariously whether our behaviors are acceptable or not; through written or unspoken consensus, we conform. In 1971, Philip Zimbardo a Stanford University psychology professor conducted a very telling experiment in the basement of the psychology department. According to Zimbardo, â€Å"The purpose was to understand the development of norms and the effects of roles, labels, and social expectations in a simulated prison environment. † What Zimbardo discovered, among other results, was that the students who acted as guards demonstrated (through their assumed roles) a mildly sadistic shift in behavior. Further that the guards exacerbated and encouraged such behavior. In the aforementioned example, the behavior of the guards is likened to mob behavior – a type of herd mentality in which a group acts in unison sometimes losing sight of their understood correctness of behavior. Oxford Psychologist Henri Tajfel coined â€Å"groupness† for â€Å"tendency of various animals, including humans, to form in-groups†¦and to protect their group from outsides and from outside influences. † Often group mentality, in which majority opinion rules, can force compliance through the desire to avoid conflict. As a result, there are numerous examples of failures in judgment because of this mind-set: religious wars, Salem witch trials, the space shuttle disasters, police brutality, etc. According to Tony Robbins, pain and pleasure are the two major motivators that incite people to action. Therefore, to stimulate a desired change, one merely needs to assign more of one motivator than the other. In the preceding circumstance, if the avoidance of conflict outweighs the need to be accepted in a group, then the obvious inclination results in an action avoiding conflict. In a physiological sense, many organisms involuntarily adapt to changes in their environment: the chameleon changes color, plants track the sun across the sky to gain photosynthesis efficiencies and many creatures living within the various ecosystems on earth modify their behaviors as a survival technique. As humans, the means to a compatible coexistence is our ability to adapt. This ability or trait provides for the success of humans in a group setting. We reconcile our values and ethics as a survival technique. We model others, learning vicariously, act as a herd following or succumbing to consensus, and are guided by fear. In religion we are taught to obey the rules or suffer the damnation. Therefore, we learn to adapt or become an outcast to society. ? Works Cited Behavioral Modeling. (2004). In The Concise Corsini Encyclopedia of Psychology and Behavioral Science. Retrieved from http://www. credoreference. com/entry/wileypsych/behavioral_modeling Gonzales, L. (2008, October). Mob Mentality. National Geographic Adventure, p. 28. Retrieved from MasterFILE Premier database. STANFORD PRISON EXPERIMENT. (2007). In Dictionary of Prisons and Punishment. Retrieved from http://www. credoreference. com/entry/willandpp/stanford_prison_experiment

Importance of China And India On Projections of Future Energy Needs Research Paper

Importance of China And India On Projections of Future Energy Needs - Research Paper Example This report stresses that the rapid population growth, industrial growth and changing life styles may increase the energy requirements of India further than forecasted. For example, mobile phone and automobile usages in India has increased a lot in the last two decades. It is difficult to see a family without a vehicle in the urban areas now. Even in rural areas many people using motor bikes for their travelling needs. Same way mobile phones are a house hold entity now. In fact most of the people in urban areas have their own cell phones. Thus the energy requirements in India are rapidly growing because of the changing life styles or advancements in life standards. This paper makes a conclusion that China and India are the two major countries in the world at present which are developing more rapidly than any other countries in the world. The huge energy crisis in the world at present is because of the immense developments in these heavily populated countries. The GDP growths of these two countries are one among the top five countries in the world whereas population wise they are the number one and two. China is currently developing more solar energy equipments whereas India is more focussed on developing nuclear energy sources in order to meet their future energy requirements. In short, India and China have significant role in increasing the global energy demand and it is necessary fro them to develop renewable energy sources further.

Personal essay Example | Topics and Well Written Essays - 750 words - 1

Personal - Essay Example However, the two terms are quite distinctive from one another in the context of a number of differences such as the differences on the level of education and knowledge, responsibilities, and professional advancement. In terms of education, the difference between LPN and RN is quite evident - it is precisely described as the difference between diploma and degree in the respective manner. Now transitioning from LPN to RN definitely has better opportunities for career advancement along with added responsibilities. The latter is very significant that can be identified with the concept of nursing as a lifelong learning; because, â€Å"Nursing is a dynamic, continually evolving discipline that employs critical thinking to integrate increasingly complex knowledge, skills, and technologies and client care activities into evidence-based nursing practice.† (Harrington and Terry, 2009, p. 4) This paper briefly discusses the issue of transition from licensed practical nurses to registered nurses in conjunction with a number of aspects related to both terminologies as well as the transition phase. It also looks into significant issues relevant to LPN-RN transition including the analysis and evaluation of personal goals and expectations, educational as well as professional outlook, and the issue of career transformation with added professional and personal responsibility. With regard to choosing RN programs over LPN programs, licensed practical nurses are now more focused on continuing their education and becoming RNs. Apart from educational improvement and professional enhancement in general, the decision also includes the relevance of personal choices, goals and expectations in particular. With the difference of educational curriculum and learning styles, transition from LPN to RN also involves the aspect of role development. That is to say, the transition from practical nursing education to higher