Brotherly Love Essays - Gambino Crime Family,

Brotherly Love The snow fell from the night sky like millions of little white stars that lost their hold on the firmament. Little Sammy always one to love the snow ignored it for the moment, showing uncharacteristic concern for his brother. "What's the matter Todd? You've been acting strange all day. I know something's on your mind or you wouldn't have that look on your face. You always look that way when something's wrong". "Oh, it's nothing important little brother, just problems with Sandra again last night. The date went fine and I actually liked the flick this time but later in the back seat I shot jungle juice everywhere before we could even get started. If this had been the first time I wouldn't be so angry but dammit," he accented his curse by punching his thigh, "it's been four times now". Sammy's brow creased for a moment in thought and then his eyes lit up. Being a bit too quick of a thinker, Sammy often stated the obvious and did so now. "Remember that scare you had when you were slamming saddles every night with Judith? She had to go out and buy a pregnancy test. Obviously you weren't having much trouble with her; I think it must have something to do with Sandra herself". Todd could almost see the light Sammy was basking in from the bulb above his head and offered the tyke a warm smile. Sammy was only twelve years old but sometimes he dissapointed Todd with his slow wits. He liked to encourage the boy though and did not mention that he had already come to this conclusion quite some time ago. Even Albert Einstein had trouble in his youth and he could see that Sammy had that kind of potential. In fact he was lucky his brother could think at all. Some kids were born retarded you know. "That's probably right kid but I just don't know what it could be about her that makes me miss the boat and jizz every time. I mean I got my lovebone all poised to slip inside that perfect pie and I just blow it. . . literally. She's getting fed up and I bet her fingers have been working overtime lately seeing as I'm not holding up my end of the deal," Todd paused a moment and looked Sammy in the eye, "Have you ever bumped uglies? I know your only twelve but I've seen how young they start on Montel and Ricky Lake". Sammy's face went a deep shade of red, "Well, I did the three finger tango with Beth after the Halloween Dance last month but I've never navigated nookie", he looked away quickly and began to unconciously tap his toes. The boy was obviously embarrassed. Todd wondered whether his uncomfort stemmed from the fact that they were talking about Sammy wetting his carrot or the fact that he hadn't done it at all. This made him feel proud and nostalgic at the same time. "Well," Todd began, "first of all you know how it is then when you first smell that luscious *censored*. That wet sweet aroma. Douched every other day, lavished with creams and powders only fouled up once a month by unholy seepages. But God didn't make Eve equipped with a bottle of Stay-Fresh. No, it's good no matter what. . . "What's Stay-Fresh"? "It's douche, brainiac. That stuff Mom keeps next to her *censored* diapers under the sink. Now, don't interrupt! I was saying that that smell is enough to send your John Thomas ripping right through the denim of your jeans; and that's just the beginning. Long ago I stopped working my digits in Sandra's sopping mine and tried to go spelunking with my pride and joy right away. I did away with the foreplay so to speak. I thought maybe I got so worked up in those sweaty safaris in her cradle I just shot my wad too soon. FUCK!", Todd punched his thigh harder this time, "Nothing seems to work". Sammy put on his thinking cap again while Todd simmered after his outburst and thought for a minute. He was usually unconcerned with his brother's (or anyone else's for that matter) problems but when it came to this line of talk he would get a throbbing erection. This was better than playing in the snow any day. "I know!", he exclaimed, "Remember when Grandpa used to fool around with us before he was sent to prison? I would pretend I was

How Irish Immigrants Overcame Discrimination in America

How Irish Immigrants Overcame Discrimination in America The month of March isn’t just home to St. Patrick’s Day but also to Irish American Heritage Month, which acknowledges the discrimination the Irish faced in America and their contributions to society. In honor of the annual event, the U.S. Census Bureau releases a variety of facts and figures about Irish Americans and the White House issues a proclamation about the Irish experience in the United States. In March 2012, President Barack Obama ushered in Irish-American Heritage Month by discussing the â€Å"indomitable spirit† of the Irish. He referred to the Irish as a group â€Å"whose strength helped build countless miles of canals and railroads; whose brogues echoed in mills, police stations, and fire halls across our country; and whose blood spilled to defend a nation and a way of life they helped define. Defying Famine, Poverty, and Discrimination Defying famine, poverty, and discrimination, these sons and daughters of Erin demonstrated extraordinary strength and unshakable faith as they gave their all to help build an America worthy of the journey they and so many others have taken.† History of Discrimination Notice that the president used the word â€Å"discrimination† to discuss the Irish American experience. In the 21st century, Irish Americans are widely considered to be â€Å"white† and reap the benefits of white skin privilege. In previous centuries, however, the Irish endured some of the same discrimination that racial minorities endure today. As Jessie Daniels explained in a piece on the Racism Review website called â€Å"St. Patrick’s Day, Irish-Americans and the Changing Boundaries of Whiteness,† the Irish faced marginalization as newcomers to the United States in the 19th century. This was largely because of how the English treated them. She explains: â€Å"The Irish had suffered profound injustice in the U.K. at the hands of the British, widely seen as ‘white negroes.’ The potato famine that created starvation conditions that cost the lives of millions of Irish and forced the out-migration of millions of surviving ones, was less a natural disaster and more a complex set of social conditions created by British landowners (much like Hurricane Katrina). Forced to flee from their native Ireland and the oppressive British landowners, many Irish came to the U.S.† Immigrating to the U.S. Didn’t End the Hardships But immigrating to the U.S. didn’t end the hardships the Irish experienced across the pond. Americans stereotyped the Irish as lazy, unintelligent, carefree criminals and alcoholics. Daniels points out that the term â€Å"paddy wagon† comes from the derogatory â€Å"paddy,† a nickname for â€Å"Patrick† widely used to describe Irish men. Given this, the term â€Å"paddy wagon† basically equates being Irish to criminality. Competing for Low-Wage Employment Once the U.S. ceased to enslave its African American population, the Irish competed with blacks for low-wage employment. The two groups did not join together in solidarity, however. Instead, the Irish worked to enjoy the same privileges as white Anglo-Saxon Protestants, a feat they accomplished partly at the expense of blacks, according to Noel Ignatiev, author of How the Irish Became White (1995). Subjugating Blacks to Move up the Socioeconomic Ladder While the Irish abroad opposed slavery, for example, Irish Americans supported the peculiar institution because subjugating blacks allowed them to move up the U.S. socioeconomic ladder. After slavery ended, the Irish refused to work alongside blacks and terrorized African Americans to eliminate them as competition on multiple occasions. Due to these tactics, the Irish eventually enjoyed the same privileges as other whites while blacks remained second-class citizens in America. Richard Jenson, a former University of Chicago history professor, wrote an essay about these issues in the Journal of Social History called â€Å"‘No Irish Need Apply’: A Myth of Victimization.† He states:​ â€Å"We know from the experience of African Americans and Chinese that the most powerful form of job discrimination came from workers who vowed to boycott or shut down any employer who hired the excluded class. Employers who were personally willing to hire Chinese or blacks were forced to submit to the threats. There were no reports of mobs attacking Irish employment. On the other hand, the Irish repeatedly attacked employers who hired African Americans or Chinese.† Advantages Used to Get Ahead White Americans often express incredulity that their ancestors managed to succeed in the United States while people of color continue to struggle. If their penniless, immigrant grandfather could make it in the U.S. why can’t blacks or Latinos or Native Americans? Examining the experiences of European immigrants in the U.S. reveals that some of the advantages they used to get ahead- white skin and intimidation of minority laborers- were off-limits to people of color.

The 2011 earthquake in Japan Essay Example | Topics and Well Written Essays - 1250 words

The 2011 earthquake in Japan - Essay Example The 2011 Earthquake in Japan. Cause of the Earthquake. In March11, 2011, a destructive earthquake measuring 9.0 on the Richter scale struck Japan. The epicenter of the quake was near the East coast of Honshu, which was at a depth of 24.4 kilometers. According to Aislinn (2011), the movement along the two main plate boundaries caused the earthquake. Honshu Island is situated at the junction of three continental plates, the Pacific, Philippine, and Eurasian Sea plates. Earthquakes are generated by the tectonic plates that build up the surface of earth through bending, snagging, or breaking of these plates as they move past one another. Alexandra notes that thrust faulting caused the March 2011 earthquake; in thrust faulting, rocks positioned in the lower layer of the earth’s crust get pushed above the overlying layers. These faults occurred on or near the interface plate boundary between the North America and Pacific plates (Alexandra, 2011). This occurred near or along the boun dary where the Pacific Plate moves under Japan. The rate of convergence in the Pacific Plate’s border near Japan is much higher than in other zones. The Pacific plate thrusts beneath Japan at the Japan Trench, and plunges to the west underneath Eurasia; these plates are rocky and they creep past each other at a slow rate. The Pacific plate moves at a velocity of 3.2 inches per year westwards towards the North America plate. As the two plates shift past one another, they release seismic pressure and energy which cause earthquakes (Aislinn, 2011). Japan is situated in a place known as the Ring of Fire; this place experiences most active volcanoes. The Pacific Basin, which holds Japan, has oceanic trenches and experiences volcanoes around it. These volcanoes and oceanic trenches contribute to occurrence of earthquakes in Japan. Damages of the Earthquake. Alexandra (2011) notes that earthquakes that occur under the sea floor unleash tsunamis; these tsunamis are more devastating t han the earthquake itself. Violent movement of the earth’s crust displaces enormous quantities of water; these waves are known as tsunamis. Massive fires, generated by the earthquake, were blazing out of control leading to death, injuries, and the destruction of property. The quake left hundreds of people injured, dead or missing; it killed over 9,000 people. Tsunami wave destroyed power lines and swept homes, cars, ships, boats, trains, and massive islands of debris out to the ocean. Over four million buildings in Tokyo and its suburbs had no power after the quake. Reports indicated cases of landslides and collapse of buildings in several locations along the 2,100 kilometer stretch of coastline. Muddy water waves flowed over farmland near Sendai carrying buildings. Burst of gas pipes led to burning of houses and destruction of properties. Runways of the Sendai airport became inundated with trucks, buses, cars, and thick mud. Debris blocked the roads, and the communications s ystems, including the destruction of telephone lines. There was the suspension of train services in Tokyo and northeastern Japan, which serves around ten million people a day. The quake destroyed nuclear facilities located north of Tokyo. The government of Japan estimated the damage of the quake at $309 billion which was much higher compared to damage caused by the Hurricane Katrina in America. Effects of the Earthquak

Strategic Management of Target Assignment Example | Topics and Well Written Essays - 1250 words

Strategic Management of Target - Assignment Example Target stores are usually large and cover about 95000 to 135000 square feet. They carry a variety of goods that includes hard lines, soft lines (clothing) and a few groceries. The items found in the target stores specifically includes clothing, shoes, jewelry, beauty and health products, electronics, DVDs, pet supplies, hardware supplies, beddings, sporting goods and kitchen supplies. The stores also carry seasonal merchandise, which includes Christmas decorations during the months of November and December. Depending on the location, the stores might also contain target optical, target clinic, and a portrait studio. By offering a variety of items to the customers, target stores emerge as a business that can survive in a competitive market (Bouwens and Kroos, P. 171).To survive in a competitive environment, a business should be able to assess its internal and external environment. In the internal environment, the business should be able to know its strengths and weakness. The strength s being factors within the organization that makes it compete favorably with the other competitors while weakness is factored at the organization that makes the business not to compete favorably with the other competitors. In external environment, the business should assess its threats and opportunities to be able to adjust to the market changes. This will enable the business to thrive in such environment. The target stores have a number of strengths that make them survive in the today’s competitive retail business.

Research report Essay Example | Topics and Well Written Essays - 3000 words

Research report - Essay Example The study also found that majority of customers prefer to receive information about the new supplier via post and then by salesperson visit. Presence on the web have has also been selected. It is recommended that information be sent via post and published via web. These customers can then be followed up by salespersons for generating business. We found that 74% of customer have been approached by 0-2 suppliers for their business and 42% of customers have never switch suppliers in the last five years. This means that if the new supplier is able to market the service in accordance to the top 3 desired and top 3 existing attributes, these customer can move over to the new suppliers. 64% of the customer who have switched suppliers over the last five years indicated that they have been approached by a supplier for their business. This indicates that the general trend of the market is to be approached by the new suppliers rather than approaching the supplier with their business. For the analysis, the age of the sample has been broken down into three groups – below 30, 30 to 60 and over 60 years of age. In this sample, we found the majority of respondents between the age of 30 and 60 ( at 42%), closely followed by respondents below the age of 30 ( at 30%) and then respondents over the age of 60 (at 28%). Major of the respondents fall within the income bracket of $50,000 and above (at 64%) compared to respondents with income below $50,000 (at 36%). Considering the income bracket, the sample is unevenly distributed across various respondent profiles. During this analysis, the masses with income lesser than $50,000 are under-represented, so are females. In terms of age, the 30 to 60 age group is dominant, however this is required since this is the age group which would normally be found as a familys decision maker age group. The positive implication of these limitations is that the actual decision making age group is largely represented but the

Case Studies On The Importance Of Oral Care

Case Studies On The Importance Of Oral Care This submission is going to focus on the nursing care that I gave in one placement simulation and two consecutive shifts on placement, placing emphasis on oral care, medication management and communication. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning. Reflection is the process of reviewing an experience in order to describe analyse, evaluate and so inform learning about practice (Reid 1993). Gibbs (1988) model of reflection will be used as a framework, because it focuses on different aspects of an experience and allows revisiting the event fully. By contemplating it thus, I am able to appreciate it and guided to where future development work is required. For confidentiality purposes the patients real names will not be used and will be referred to patients as B and R. This is in line with the (NMC, 2008) requirements to maintain confidentiality at all times. A diary is supported in this assignment as an appendix within the time of the process. The reflective model I have chosen to use as guidance is Gibbs (1988). The care of a patients mouth forms an important component of assisting hygiene needs and yet is a nursing skill which is not always afforded the attention it fully deserves (Evans, 2001) Description I was part of a placement simulation group which went to the multi-skills laboratory to practice delivering and receiving oral hygiene. I was assigned a colleague to brush his teeth using a toothbrush and paste. I put on gloves to pre vent contamination (NICE 2003). Seeking his consent, I undertook a brief visual assessment of his mouths health. I then put him in a comfortable position so that he could tolerate the wash. Thereafter, I cleaned all-round the mouth, gums and tongue. I finished off by helping him to rinse his mouth with mouthwash. I treated my partner as though he was physically unable to hold the brush himself to scrub his own teeth, but he was able to communicate with me and was able to assist me in terms of spitting and gargling with water at the end of the procedure. Feelings When first informed that I was expected to undertake this task I felt anxious and concerned. I was aware that I had not brushed anyones teeth outside of my family before and that the mouth is an intimate and personal part of the body which is not usually exposed to anyone other than myself or the dentist. I was concerned about how my partner (whom I did not know well at that stage) would react to me examining his mouth. Writ ers have described such intimate physical assessments as creating a potentially intrusive situation (Lewis 2006, Sturdy 2007) which might cause the patient to feel uncertain and inadequate. I was also concerned that my own anxiety was shared by my partner who also appeared embarrassed and awkward at the time. This anxiety was increased when during the procedure my partner began to cough as though distressed. This caused me to feel hesitant about continuing- a situation recognised by Millon (1994) as a common response for carers to such an experience, although I persevered with his cooperation. When the task was completed I felt comfortable with my performance overall. Evaluation What was good about the experience was that, despite being aware that this role is often delegated to health care assistants (Kelly et al 2010), I was able to deliver a fundamental component of essential nursing care (Essence of Care 2003) quite effectively. The experience helped me to appreciate that oral c are provides any nurse with an ideal opportunity to undertake a thorough physical, emotional and cognitive assessment of a patient (DOH, 2001). I was satisfied delivering this aspect of care without harming the patient as no injuries were sustained (having I checked his mouth prior to and after cleansing). Also, I was pleased to have an opportunity to improve my communication skills through the delivery of this skill and to understand the impact that this might have on the development of a therapeutic relationship with future patients. From my colleagues reaction and feedback, I understood how feedback is an important learning tool. Despite my discomfort during the undertaking of this task, the experience highlighted the potentially complex problems I might have to solve in the provision of care needs to patients for whom I may not have had contact with before. Analysis Administration of this clinical skill involved undertaking an assessment of my colleagues mouth before delivering any care in order to help determine the most appropriate means of delivering oral care. Malkin (2009) asserts that this is a critical component of the procedure and was one I was keen not to overlook. The World Health Organisation (WHO 2010) describes a healthy mouth as being free of chronic mouth and facial pain and in the situation described; this is the condition I found my partners mouth to be in. I was therefore happy to proceed with cleaning his teeth as instructed. I selected to use a soft bristled toothbrush and toothpaste. The use of these adjuncts are described by many writers as being the most appropriate in terms of removing plaque and preventing trauma to the gums (Holman et al 2005,McCauliffe 2007).Despite this it has been identified that they are also most often not selected by nurses who appear uncertain about most effective evidence based practice ( McAuliffe 2007). Conclusion Clearly, mouth care is important and that, nurses have a role in assessing and maintaining it (Malkin, 2009).The task identified the role of the nurse in providing encouragement to the patient whilst delivering oral care. His weakness created a sense of dependency upon me and necessitated the utilisation of good communications skills on my part to complete the task properly. It has raised my awareness the effects of nursing interventions on others within my practice. Action Plan At the moment, I read more books a day than practice. My aim is to be proactive in the future by promptly opening up through total participation and doing more practices by brushing my teeth on regular basis. I would consider brushing others also and allowing them to brush mine in order to become familiar with areas that are often not well attended to. Keeping up to date with evidence based principles of practice will be maintained through the scrutiny of journals that refer to this aspect of care. I will take care to remember my feelings when providing and receiving oral hygiene before deliverin g it to patients in the future. Recognising the potential for embarrassment and awkwardness I will ensure that I treat the patient with sensitivity and discretion at all times. Administration of medicines is a key element of nursing care (Audit commission, 2002,). Therefore, one is accountable for the administration of medicines. Description I shadowed my mentor during the process of dispensing medication and knew that my role as a student nurse, each registered nurse is accountable for his/her practice. As a student it is important to seek consent from the patient before any care is given which I did. I went to the treatment room with my mentor and prepared for medication for morning. During the process of medication there are important nursing protocol steps to follow. Firstly, I checked order, assessing client, label medication, provide information to the client, check the medication when dispensing and record in the patients prescription chart. Patient R was present and I offere d him a cup of water along with the Clozapine 300mg in another cup. Before I came in contact with the patient, I read their notes and the medication they are on. This gave me the baseline whether the patients comply with medication and the reason why they do not comply. Feelings The routine for prescribing medication may be different in various clinical settings. Although I have participated dispensing medication, I felt nervous and did not want my patient to see this as a weakness. (Butler, 1991,) warns us that when our self-talk is negative, we are carrying around toxic environment for ourselves everywhere we go. My mentor took the role to encourage me by assuring that I was doing fine, talking me throughout the procedures of medication management. I had brief knowledge about medication and this gave the opportunity for my mentor to question my knowledge about the right dose, time, route, right patient and right drug. My role as a Nurse is to record and report deterioration improv ement and takes appropriate action for his treatment to care. Patient R felt that he did not need medication because he is not mentally ill. This was a barrier because he had no insight and it leads him to deteriorate with compliance. Evaluation This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC, 2008). The (NICE, 2008,) guidelines state principles for the administration of medicines that treatment and care should take into account patients needs and preferences and patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals. The staff discussed his presentation to healthcare professionals in the Muti-disciplinary team (MTD) if they could change his medication time and dose as he presents lack of motivatio n and sedation. People with schizophrenia should have the opportunity to make informed decisions, including advance decisions and advance statements, about their care and treatment, in partnership with their healthcare professionals.(NICE, 2008,) This is the importance of communication working as a team within the MDT. Analysis Administrating drug medication is one of the most critical nursing responsibilities for both legal reason and safety patients. Hand washing was important protocol the infection control policy as hands are source of infection and hand washing would break the chain of infection. Patient R is on Clozapine. The use of this atypical antipsychotic licensed to people who are resistant to or intolerant of other antipsychotic drugs due to the potentially the use of adequate dose of two different antipsychotic agent. Clozapine can lower the number of white blood cells that help to fight infection (BNF, 2008,). Before initiating Clozapine, patients should have a history and physical examination. For example, if the patient has a history of cardiac illness, it is important that you have regular blood tests. The reason behind this is because, if white blood cells count falls below accepted lower limit are classified as Red alerts medication must be withdrawn, and any other prescriber in the future wishing to restart medication are aware of the patients haematological history. Once a week I would go with the Patient to the Clozapine clinic to have blood test done and to monitor his potential side effects of psychiatric drug treatment. Patient R was presenting various side effects sedation, drowsiness which makes him less motivated to get out of bed for his medication leaving him to forgetting the mornings. Conclusion Not all non-compliant choose to reject medication; it may be because they forget to take them and this may be cognitive confusion. Intolerance of various side effects is the most common cause of clients discontinuing medication use (Tayl or et al 1997). It is important to remember that the symptoms can fall into a number of different categories, so patient like to be told their diagnosis and what is wrong with them (Blenkiron, 1998,). This area was one of my weaknesses, and I asked my mentor the importance of the Clozapine clinic and how it is associated with regular blood monitoring. I learnt that in order to attend regular visits, all patients must have normal leucocytes and different counts. Action Planà ¢Ã¢â€š ¬Ã‚ ¦ Communication Description On this occasion I was being observed and supervised by my mentor to work with a 45year old Caucasian man, with a diagnosis of paranoid schizophrenia and on section 37/41 of the Mental Health Act 1983. He has previously presented with chaotic behaviour, auditory hallucinations, delusions as well as violent and threatening behaviour. In the morning I would do my observation of the patient and make an assessment of how he presented himself to see if he had attended to his per sonal hygiene and activities of daily living. According to (Greenwood, et al 1999), patients who are in hospital satisfaction with information are found to be lacking. Feelings As a student nurse my role and responsibility by the (NMC, 2008,) is that you must respect and support peoples rights to accept or decline treatment and care. I observed that Patent R found it difficult to wake up and take his medication, which was a problem that staff nurses struggled with time to time. (Watson, 1995,) emphasise that caring communication is holistic, taking into account the entire person and demonstrating respect for the clients ad people. Evaluation Listening is the most important communication skill in nursing. (NICE, 2004), emphasis that communication between healthcare professionals and patients is essential. I learnt that if patients are encouraged to have treatment choice, they need to have information about the recommendation given before committing themselves. This is why it is impor tant that patients must be central to and include in their care. For the patients to be able to do this, it requires the nurse to use communication skills effectively, to develop therapeutic nurse-patient relationship in which the patient feels safe enough to disclose and discuss issues they find central to them and from jargon. Analysis During the shift I communicated with other members of the team on any significant events or any concerns with the patient. At the end of the shift I recorded what the patient had done for that day and I gave handover to the staff who were taking over the next shift. This was very important because it would ensure continuity of care and reduces any errors or omissions. A good example of effective communication links to medication is to give instructions and provide training involving analysis and synthesis of the learners experience. In reference to my patient (Gamble, 2004), illustrates when a person has mental health problem it can affect the indiv idual cognitive process, their beliefs, perception and outward behavior. If Patient R discontinues Clozapine he will become psychotic again and create a turmoil leaving the community and his family members in distress. Conclusionà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦. I developed my knowledge by providing leaflets about Clozapine, encourage to attend to the clinic centre which they will explain the pros and cons of Clozapine. Action Planà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.. General Conclusion I identified that some patients felt uncomfortable with direct question so it was important to use (Bein and Miller 1992), Open ended question. The outcome if the client-nurse interaction depends on the nurses ability to engage the client in decision making and share the control and power in the relationship (Roberts, et al 1995,). I felt that their were barrier to communication as I felt that some of the staffs attitudes made me feel as if I was not part of the team and sometimes lead to me no being able t o give my views on issues regarding patients. Although I am aware that all nurses do not use evidence in the same way and may use different methods in clinical settings. I felt that working in partnership with the patient and other health professionals can enable time to build supportive and empathetic relationship as an essential part of care. (NICE, 2008,). The process of learning I went through is more complex than Gibbs suggests. It is not as cyclical as this model implies and I found myself jumping or combining some stages, before coming back. However, it has taken me out of my comfort zone, challenging my thinking.

Facilitating Diffusion of E-governent Services Essay example -- Gover

1 Introduction E-government has the potential to improve greatly the delivery of public services, making them easier to access, more convenient to use, more responsive, more transparent and so on. It also has the potential to free up resources in the public sector by delivering services more efficiently. Therefore governments are keen to push their citizens to use online services to deliver public services more efficiently and faster with lower cost. For instance U.K. government, in February 2010, announced a new strategy for the public sector aimed at simplifying and standardizing ICT across the public sector to enable interoperability and data sharing while providing flexibility and efficient services that will deliver savings of over  £ 3.2 billion per year(E-Government factsheets, 2010). Although the e-government services are beneficial to the citizens but diffusing these services to citizens in an innovative format could be challenging. The purpose of this paper is to examine the influence o f electronic government in facilitating the diffusion of public services to citizens and what are the advantages and disadvantages of this transformation. To evaluate the influence of e-government in facilitating the diffusion of public services, firstly we must know what the e-government is, then, what factors are important for successfully implementing of the e-government concept, and finally, what type of benefits citizens could gain by using government’s e-services. This essay consists of 5 main sections starting with the e-government literature followed by historical view of e-government in the U.K. The next section is discussing about the influential factors of successful diffusion of e-government services followed by further discuss... ...n in the public sector: Key features influencing the development and implementation of technologically innovative public sector services in the UK, Denmark, Finland and Estonia." Information Polity: The International Journal of Government & Democracy in the Information Age 12, no. 3: 109-125. [Accessed 25th November 2010] Schipper, K. (2010). â€Å"How can we measure the costs and benefits of changes in financial reporting standards†. Accounting & Business Research, 40(3), 309-327. Teo T. S.H., Srivastava S.C., & Jiang, L. (2008) â€Å"Trust and Electronic Government Success:An Empirical Study† .Journal of Management Information Systems / Winter 2008–9, Vol. 25, No. 3, pp. 99–131. Vassilakis, C., Lepouras, G. & Halatsis, G.(2007) â€Å"A knowledge-based approach for developing multi-channel e-government services†. Electronic Commerce Research and Applications 6 (2007) 113–124 Facilitating Diffusion of E-governent Services Essay example -- Gover 1 Introduction E-government has the potential to improve greatly the delivery of public services, making them easier to access, more convenient to use, more responsive, more transparent and so on. It also has the potential to free up resources in the public sector by delivering services more efficiently. Therefore governments are keen to push their citizens to use online services to deliver public services more efficiently and faster with lower cost. For instance U.K. government, in February 2010, announced a new strategy for the public sector aimed at simplifying and standardizing ICT across the public sector to enable interoperability and data sharing while providing flexibility and efficient services that will deliver savings of over  £ 3.2 billion per year(E-Government factsheets, 2010). Although the e-government services are beneficial to the citizens but diffusing these services to citizens in an innovative format could be challenging. The purpose of this paper is to examine the influence o f electronic government in facilitating the diffusion of public services to citizens and what are the advantages and disadvantages of this transformation. To evaluate the influence of e-government in facilitating the diffusion of public services, firstly we must know what the e-government is, then, what factors are important for successfully implementing of the e-government concept, and finally, what type of benefits citizens could gain by using government’s e-services. This essay consists of 5 main sections starting with the e-government literature followed by historical view of e-government in the U.K. The next section is discussing about the influential factors of successful diffusion of e-government services followed by further discuss... ...n in the public sector: Key features influencing the development and implementation of technologically innovative public sector services in the UK, Denmark, Finland and Estonia." Information Polity: The International Journal of Government & Democracy in the Information Age 12, no. 3: 109-125. [Accessed 25th November 2010] Schipper, K. (2010). â€Å"How can we measure the costs and benefits of changes in financial reporting standards†. Accounting & Business Research, 40(3), 309-327. Teo T. S.H., Srivastava S.C., & Jiang, L. (2008) â€Å"Trust and Electronic Government Success:An Empirical Study† .Journal of Management Information Systems / Winter 2008–9, Vol. 25, No. 3, pp. 99–131. Vassilakis, C., Lepouras, G. & Halatsis, G.(2007) â€Å"A knowledge-based approach for developing multi-channel e-government services†. Electronic Commerce Research and Applications 6 (2007) 113–124